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For patients with diabetes who are advised to stop their GLP-1 medication: You should receive specific guidance on alternative glucose management during this period Blood glucose monitoring may need to be increased Temporary adjustments to other diabetes medications might be necessary Follow the JBDS perioperative diabetes management guidance or your local Trust protocol For emergency surgery , stopping GLP-1 medications in advance is not possible, and anaesthetists will take additional precautions to manage aspiration risk

An editorial published with the new guidelines noted that cost presents a significant barrier to people using these medications

Sound mechanistic evidence supports the need for further research on the GLP1-RAs/SGLT2is combinations ability to modify specific risk outcomes, such as cardiovascular risk and the progression of diabetic kidney disease

So to be determined," she says