AR is living with type 2 diabetes, has an A1c of 7.4%, and takes metformin 1000 BID and 60 units of glargine at bedtime. AR is admitted to the hospital overnight for early morning surgery.
According to ADA Guidelines, what adjustment in his diabetes medications are needed to prepare for a safe surgery?
- Hold the evening metformin and glargine the night before surgery to prevent perioperative hypoglycemia.
- Hold morning metformin the day of surgery and give about 40 units of bedtime glargine the night before surgery.
- Hold metformin 3 days before surgery and give 60 units of bedtime glargine the night before surgery.
- Hold the metformin the day before surgery and give the glargine the morning of surgery to prevent perioperative hyperglycemia.
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