Perioperative medicine & outcomes

Withholding or continuing glucose-lowering drugs for elective surgery in patients with type 2 diabetes mellitus: a secondary analysis of the MOPED international, prospective, observational study

Br J AnaesthPublished Secondary analysis of the MOPED prospective observational study

Primary result · DAH-30 among metformin usersResult — go to the resultDifference 0.47 days 95% CI 0.01–0.93

Authors' conclusion

Continuing metformin during surgery among patients with type 2 diabetes mellitus was associated with marginally shorter DAH-30, but the sample size for participants receiving SGLT2i and GLP-1 RA therapy precluded any meaningful estimates.

Study context

Population
Patients with type 2 DM undergoing elective surgery in 21 European countries
Participants
5,767 patients · 89 centres
Comparison
Continuing vs withholding glucose-lowering drugs for elective surgery
  • Continued metforminn = 421
  • Not taken metforminn = 3,202reference
Primary endpoint
Days alive at home and out of hospital (DAH-30)
Follow-up
30 days
Methodological detailsinternational, multicentre
  • International
  • Multicentre

Primary result

DAH-30 among metformin users

Difference

0.47 days

95% CI 0.01–0.93

P = 0.044

By group

Continued metformin vs Not taken metformin
difference 0.47 days (95% CI 0.01–0.93); P = 0.044

As reported in the abstract

Further findings

DAH-30, stopping/continuing SGLT2i (n=836) or GLP-1 RA (n=304) · 30 days

No association found for SGLT2i or GLP-1 RA with DAH-30

Original publication

Withholding or continuing glucose-lowering drugs for elective surgery in patients with type 2 diabetes mellitus: a secondary analysis of the MOPED international, prospective, observational study. Br J Anaesth. Published 26 May 2026. doi:10.1016/j.bja.2026.03.068

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