Type 2 & other diabetes

Should We Stop Glucagon-Like Peptide-1 Receptor Agonists Before Surgical or Endoscopic Procedures? Balancing Limited Evidence With Clinical Judgment

J Diabetes Sci TechnolPublished Perspective

Methodological detailsopinion article
  • Opinion article

Recommendations

As issued by the authors

  1. Limited evidence supports the American Society of Anesthesiologists (ASA) Task Force recommendation to discontinue GLP-1 RA before surgery for potential pulmonary aspiration risk; holding GLP-1 RA may worsen glycemic control in diabetes

  2. Pending further safety data, the authors suggest an alternative multidisciplinary approach to manage patients undergoing elective surgery

Original publication

Should We Stop Glucagon-Like Peptide-1 Receptor Agonists Before Surgical or Endoscopic Procedures? Balancing Limited Evidence With Clinical Judgment. J Diabetes Sci Technol. Published 11 March 2024. doi:10.1177/19322968241231565

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