
PZ is having elective surgery in the morning. Diabetes medications include 20 units glargine (Semglee) at hs, metformin BID and empagliflozin (Jardiance).
According to 2023 ADA Standards, what are the best actions for a safe surgery?
- Give 15 units hs glargine, hold am oral meds, keep intraoperative glucose between 100-180.
- Give 10 units hs glargine and am metformin, hold empagliflozin and use sliding scale as needed.
- Give 20 units glargine, hold oral meds, get A1C less than 7% within 3 months before surgery.
- Hold all oral meds for 3 days, given 50% of basal insulin and maintain glucose 80-140 intraoperatively.
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