Student with a question here
In regards to the oral agents in management of type II diabetes, I have written in my notes that if a pt is NPO for surgery, you should NOT give a meglitinide, as it will cause hypoglycemia. Is this true of all of the oral antihyperglycemic agents? One thing that confused me is that the meglitinides' effects are glucose dependent--effect decreases when blood glucose level decreases--so if this drug must be held for NPO pts, I would assume (but am not sure) that the rest would also need to be held. Basically, would SUs, biguanides (metformin), AGI's, and TZDs also have to be held in NPO patients? Or could you check their blood glucose readings before administering?
someone please help me