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# Other oral glucose-lowering medicines
- URL: https://www.preanaesthesia.com/clinician-reference/other-oral-glucose-lowering-medicines/
- Published: 2026-09-13T04:53:54.000Z
- Updated: 2026-09-13T19:07:06.000Z
- Description: Review perioperative guidance for oral glucose-lowering medicines, including drug-specific exceptions.
- Author: preetam satish
- Tags: #clinician, #Import 2026-09-12 18:04

The ADA 2026 recommendation is to hold oral glucose-lowering agents on the day of surgery/procedure, with the SGLT2 exception requiring earlier discontinuation. Drug-specific/local policies may differ.

## Sources

- [ADA Standards of Care 2026, section 16](https://diabetesjournals.org/care/article/49/Supplement%5F1/S339/163925/16-Diabetes-Care-in-the-Hospital-Standards-of-Care)

## Related reading

- [Beta blockers](https://www.preanaesthesia.com/clinician-reference/beta-blockers/)
- [Statins](https://www.preanaesthesia.com/clinician-reference/statins/)
- [ACE inhibitors / ARBs / RAAS inhibitors](https://www.preanaesthesia.com/clinician-reference/ace-inhibitors-arbs-raas-inhibitors/)
- [Metformin](https://www.preanaesthesia.com/clinician-reference/metformin/)
- [SGLT2 inhibitors](https://www.preanaesthesia.com/clinician-reference/sglt2-inhibitors/)