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Perioperative management of patients taking glucagon-like peptide 1 receptor agonists: Society for Perioperative Assessment and Quality Improvement (SPAQI) multidisciplinary consensus statement - British Journal of Anaesthesia

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missed doses reduce the sustained inhibition of DPP-4 and blunt glycaemic control Concomitant medications : Combining a DPP-4 inhibitor with metformin or an SGLT-2 inhibitor generally produces additive HbA1c reductions Lifestyle factors : Diet, physical activity, and body weight all influence overall glycaemic control and can either enhance or diminish the pharmacological effect of gliptins Regular HbA1c monitoring — approximately three months after initiating or adjusting treatment, then every three to six months until stable, and six-monthly thereafter — is recommended in line with NICE NG28 to assess ongoing response