Sodium-glucose co-transporter 2 inhibitors (SGLT2i) are commonly prescribed to treat diabetes, slow the progression of chronic kidney disease, and reduce cardiovascular events in heart failure.
Hello Tyler, me again, while I stand with you on the topic, I have the french guidelines in front of the eyes, they have been updated this year and SFAR (French Anesthesiologists Society) still recommends holding SGLT2i
Thank you for sharing! Your guidelines are much more detailed than ours. Hopefully whether or not to hold and the ketone levels at various hold durations and surgeries will be studied in a randomized way to give us better data on which to base the guidelines.
Hello Tyler, I am a french anesthesiologist. I saw one of your comment on Sensible Medicine. I tried to subscribe or read your anesthesiology substack but it seems to have broken links. Are you doing multiple substacks ? thanks
Hey, thank you for the comment. I do have multiple substacks. Anesthesia Thoughts is my main one at the moment. I’m not sure what the issue would be with the links. Here’s the direct link to the anesthesia blog. Let me know if that doesn’t work. Thanks for reading! https://www.anesthesiathoughts.com
Hello Tyler, me again, while I stand with you on the topic, I have the french guidelines in front of the eyes, they have been updated this year and SFAR (French Anesthesiologists Society) still recommends holding SGLT2i
https://sfar.org/wp-content/uploads/2025/10/Fiches-simplifiees-PEC-diabetique-01102025.pdf page 3 table on the upper left side
Thank you for sharing! Your guidelines are much more detailed than ours. Hopefully whether or not to hold and the ketone levels at various hold durations and surgeries will be studied in a randomized way to give us better data on which to base the guidelines.
they are indeed but it make them a bit difficult to follow…
Hello Tyler, I am a french anesthesiologist. I saw one of your comment on Sensible Medicine. I tried to subscribe or read your anesthesiology substack but it seems to have broken links. Are you doing multiple substacks ? thanks
Hey, thank you for the comment. I do have multiple substacks. Anesthesia Thoughts is my main one at the moment. I’m not sure what the issue would be with the links. Here’s the direct link to the anesthesia blog. Let me know if that doesn’t work. Thanks for reading! https://www.anesthesiathoughts.com
thanks, today it works, yesterday I had a DNS issue