Post-op Navigator Progress:
Post-op Diabetes Meds
Most likely your diabetes medications were adjusted upon starting the pre-op diet. If so, please continue that regimen. If not, your diabetes regimen needs to be adjusted post-op due to the fact that your blood sugars will be dropping so we want to make sure that your glucose levels don’t bottom out.
We strongly encourage you to contact your diabetes prescriber for specific modifications of your medication regimen! Unless otherwise instructed, take half of your oral diabetes medications. This includes Glucophage (Metformin), Actos (Pioglitazone), Glucotrol (Glipizide), Januvia (Sitagliptin), Starlix (Nateglinide), and all other oral medications prescribed for diabetes
If you are taking insulin, such as Lantus, NPH, or 70/30, you will also need to cut the amount you take by half. If you use a regular insulin sliding scale coverage, continue your current sliding scale dosing while on the pre-operative diet.
As mentioned in the pre-op modules, SGLT2 inhibitors will need to be for at least 4 weeks after surgery. These medications include:
- Invokamet (canagliflozin and metformin)
- Farxiga (dapagliflozin)
- Xigduo XR (dapagliflozin and metformin)
- Jardiance (empagliflozin)
- Glyxambi (empagliflozin and linagliptin)
- Steglatro (ertugliflozin)
Please monitor your blood sugars at least 3-4 times a day and keep a record. If your blood sugar readings are less than 80 or you are having signs of low blood sugar (tired, shaky, nausea, blurred vision, or light headed) drink 4 oz of non-diluted juice and call our office. The juice should raise your blood sugar back into the normal range, but you will likely need to make more changes to your diabetic medications, so please contact the prescribing physician.