Oral Medications (pills or tablets):

  • Hold all oral or non-insulin injectable diabetes medications the morning of the procedure.

Insulin Therapy:

1. Type 1 Diabetes:

  • Reduce basal insulin (NPH, glargine, Detemir) by 50% on the evening before procedure.
  • Hold all other insulin on the day of the procedure.

2. Type 2 Diabetes:

  • NPH and Lente:
    • If your procedure/surgery is before 12 PM, reduce the evening dose before your procedure/surgery by 20% and reduce dose on the morning of the procedure/surgery by 50%.
    • If your procedure/surgery is after 12 PM, reduce the dose by 50% on the morning of the procedure/surgery.
  • Glargine (U100, U300), Detemir, Degludec (U100, U200)
    • If you take this in the mornings, reduce by 50% on the morning of the procedure/surgery.
    • If you take this in the evening, reduce by 50% the dose on the evening before the procedure/surgery.
  • Split-Mixed Insulin (70/30, 75/25, 50/50)
    • Reduce evening dose prior to procedure by 20%, and reduce morning of the procedure dose by 50%.
  • Pump Basal Insulin
    • Continue basal rate ONLY on the day of procedure.
    • Stop all other insulin.