Perioperative use of glucagon-like peptide-1 receptor agonists and sodium-glucose cotransporter 2 inhibitors for diabetes mellitus
Copyright © 2024 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved..
Type 2 diabetes mellitus is an increasingly common long-term condition, and suboptimal perioperative glycaemic control can lead to postoperative harms. The advent of new antidiabetic drugs, in particular glucagon-like peptide-1 (GLP-1) receptor agonists and sodium-glucose cotransporter 2 (SGLT2) inhibitors, has enabled perioperative continuation of these medicines, thus avoiding the harms of variable rate i.v. insulin infusions whilst providing glycaemic control. There are differences between medicines regulatory agencies and organisations on how these classes that are most often used to treat diabetes mellitus, (but also in the case of SGLT2 inhibitors chronic kidney disease and heart failure in those without diabetes) should be managed in the perioperative period. In this commentary, we argue that GLP-1 receptor agonists should continue during the perioperative period and that SGLT2 inhibitors should only be omitted the day prior to a planned procedure . The reasons for the differing advice advocated between regulatory agencies and what anaesthetic practitioners should do in the face of continuing uncertainty are discussed.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2024 |
---|---|
Erschienen: |
2024 |
Enthalten in: |
Zur Gesamtaufnahme - volume:132 |
---|---|
Enthalten in: |
British journal of anaesthesia - 132(2024), 4 vom: 31. März, Seite 639-643 |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
Dhatariya, Ketan [VerfasserIn] |
---|
Links: |
---|
Anmerkungen: |
Date Completed 05.03.2024 Date Revised 05.03.2024 published: Print-Electronic Citation Status MEDLINE |
---|
doi: |
10.1016/j.bja.2023.12.015 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM367812231 |
---|
LEADER | 01000caa a22002652 4500 | ||
---|---|---|---|
001 | NLM367812231 | ||
003 | DE-627 | ||
005 | 20240305232254.0 | ||
007 | cr uuu---uuuuu | ||
008 | 240131s2024 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.1016/j.bja.2023.12.015 |2 doi | |
028 | 5 | 2 | |a pubmed24n1317.xml |
035 | |a (DE-627)NLM367812231 | ||
035 | |a (NLM)38290906 | ||
035 | |a (PII)S0007-0912(23)00731-6 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 1 | |a Dhatariya, Ketan |e verfasserin |4 aut | |
245 | 1 | 0 | |a Perioperative use of glucagon-like peptide-1 receptor agonists and sodium-glucose cotransporter 2 inhibitors for diabetes mellitus |
264 | 1 | |c 2024 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Completed 05.03.2024 | ||
500 | |a Date Revised 05.03.2024 | ||
500 | |a published: Print-Electronic | ||
500 | |a Citation Status MEDLINE | ||
520 | |a Copyright © 2024 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved. | ||
520 | |a Type 2 diabetes mellitus is an increasingly common long-term condition, and suboptimal perioperative glycaemic control can lead to postoperative harms. The advent of new antidiabetic drugs, in particular glucagon-like peptide-1 (GLP-1) receptor agonists and sodium-glucose cotransporter 2 (SGLT2) inhibitors, has enabled perioperative continuation of these medicines, thus avoiding the harms of variable rate i.v. insulin infusions whilst providing glycaemic control. There are differences between medicines regulatory agencies and organisations on how these classes that are most often used to treat diabetes mellitus, (but also in the case of SGLT2 inhibitors chronic kidney disease and heart failure in those without diabetes) should be managed in the perioperative period. In this commentary, we argue that GLP-1 receptor agonists should continue during the perioperative period and that SGLT2 inhibitors should only be omitted the day prior to a planned procedure . The reasons for the differing advice advocated between regulatory agencies and what anaesthetic practitioners should do in the face of continuing uncertainty are discussed | ||
650 | 4 | |a Editorial | |
650 | 4 | |a GLP-1 receptor agonist | |
650 | 4 | |a SGLT2 inhibitor | |
650 | 4 | |a diabetes mellitus | |
650 | 4 | |a perioperative complications | |
650 | 4 | |a perioperative medicine | |
650 | 7 | |a Sodium-Glucose Transporter 2 Inhibitors |2 NLM | |
650 | 7 | |a Glucagon-Like Peptide-1 Receptor Agonists |2 NLM | |
650 | 7 | |a Hypoglycemic Agents |2 NLM | |
650 | 7 | |a Glucose |2 NLM | |
650 | 7 | |a IY9XDZ35W2 |2 NLM | |
650 | 7 | |a Sodium |2 NLM | |
650 | 7 | |a 9NEZ333N27 |2 NLM | |
700 | 1 | |a Levy, Nicholas |e verfasserin |4 aut | |
700 | 1 | |a Russon, Kim |e verfasserin |4 aut | |
700 | 1 | |a Patel, Anil |e verfasserin |4 aut | |
700 | 1 | |a Frank, Claire |e verfasserin |4 aut | |
700 | 1 | |a Mustafa, Omar |e verfasserin |4 aut | |
700 | 1 | |a Newland-Jones, Philip |e verfasserin |4 aut | |
700 | 1 | |a Rayman, Gerry |e verfasserin |4 aut | |
700 | 1 | |a Tinsley, Sarah |e verfasserin |4 aut | |
700 | 1 | |a Dhesi, Jugdeep |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t British journal of anaesthesia |d 1946 |g 132(2024), 4 vom: 31. März, Seite 639-643 |w (DE-627)NLM000000310 |x 1471-6771 |7 nnns |
773 | 1 | 8 | |g volume:132 |g year:2024 |g number:4 |g day:31 |g month:03 |g pages:639-643 |
856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.bja.2023.12.015 |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |d 132 |j 2024 |e 4 |b 31 |c 03 |h 639-643 |