{"id":10306,"date":"2026-06-16T09:18:25","date_gmt":"2026-06-16T09:18:25","guid":{"rendered":"https:\/\/kliniekhetbolwerk.nl\/diabetes-medication-and-an-eyelid-correction-what-should-you-look-out-for\/"},"modified":"2026-07-12T16:52:57","modified_gmt":"2026-07-12T16:52:57","slug":"diabetes-medication-and-an-eyelid-correction-what-should-you-look-out-for","status":"publish","type":"post","link":"https:\/\/kliniekhetbolwerk.nl\/en\/diabetes-medication-and-an-eyelid-correction-what-should-you-look-out-for\/","title":{"rendered":"Diabetes medication and an eyelid correction: what should you look out for?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"10306\" class=\"elementor elementor-10306 elementor-9673\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6e1d1e28 e-flex e-con-boxed e-con e-parent\" data-id=\"6e1d1e28\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3edca1ea elementor-widget elementor-widget-text-editor\" data-id=\"3edca1ea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Are you using medication for diabetes mellitus? In addition to our general blog on diabetes and eyelid corrections, it is also important to know which specific medication you use, as some diabetes medicines require extra attention around a surgical procedure. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aa53687 elementor-widget elementor-widget-heading\" data-id=\"aa53687\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Which medication does this concern?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bcece18 elementor-widget elementor-widget-text-editor\" data-id=\"bcece18\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>Metformin, the most commonly used tablet for type 2 diabetes<\/li><li>Sulfonylurea derivatives: gliclazide, glimepiride (risk of too low blood sugar when fasting)<\/li><li>SGLT2 inhibitors: empagliflozin (Jardiance), dapagliflozin (Forxiga), canagliflozin<\/li><li>GLP-1 agonists: semaglutide (Ozempic, Rybelsus), liraglutide (Victoza); see also our separate blog on this<\/li><li>Insulin: all forms (short-acting, long-acting, mixed forms)<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-da40fd3 elementor-widget elementor-widget-heading\" data-id=\"da40fd3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Why is this relevant?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-75e2201 elementor-widget elementor-widget-text-editor\" data-id=\"75e2201\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A well-regulated blood sugar level is important for wound healing [1]. But short-term fasting or a deviating eating pattern around the procedure can also affect your blood sugar, depending on which medication you use. <\/p><p>Sulfonylurea derivatives and insulin can cause a too low blood sugar (hypoglycaemia) when fasting or with a deviating eating pattern. The dosage sometimes has to be temporarily adjusted for this, in consultation with your treating doctor. <\/p><p>SGLT2 inhibitors (such as Jardiance and Forxiga) require extra attention, because in rare cases they can cause a so-called &#8216;euglycaemic ketoacidosis&#8217;. This is a serious disruption of the blood sugar balance that can occur without the blood sugar itself being very high. The known risk factors for this are mainly prolonged fasting, a strongly reduced food intake, and large or demanding operations (often under general anaesthesia) [2,3].  <\/p><p>An eyelid correction at Kliniek het Bolwerk is carried out under local anaesthetic: you do not have to fast and can continue your eating, drinking and medication according to your normal schedule. As a result, the main risk factors for euglycaemic ketoacidosis are largely absent. Research therefore shows that the risk with elective, short-term procedures is considerably lower than with large operations: in a large series, euglycaemic ketoacidosis occurred in 0.17% of elective procedures, compared with 1.1% for emergency operations, and almost all cases concerned people with diabetes who also used insulin and who had been fasting (for a long time) [3].  <\/p><p>If in doubt, or if you use insulin in addition to an SGLT2 inhibitor or generally feel unwell, we discuss this with your treating doctor after all [2,3].<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5f25c1 elementor-widget elementor-widget-heading\" data-id=\"f5f25c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Our protocol at Kliniek het Bolwerk<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1f6c04f elementor-widget elementor-widget-heading\" data-id=\"1f6c04f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">1. Complete medication inventory<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-db7e16e elementor-widget elementor-widget-text-editor\" data-id=\"db7e16e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>We ask you about all your diabetes medication, including insulin schedules and the times at which you use these.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-75bbea3 elementor-widget elementor-widget-heading\" data-id=\"75bbea3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">2. SGLT2 inhibitors and insulin: simply keep eating<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c32fbae elementor-widget elementor-widget-text-editor\" data-id=\"c32fbae\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Because an eyelid correction takes place under local anaesthetic and you do not have to fast, you can, as a rule, simply continue to use SGLT2 inhibitors (such as Jardiance, Forxiga), as long as you keep eating and drinking normally [2,3]. Do you also use insulin, or do you feel unwell around the procedure (for example nauseous or with less appetite)? Then we consult, if necessary, with your GP or internist about a possible temporary adjustment [2,3].  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-629de7f elementor-widget elementor-widget-heading\" data-id=\"629de7f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">3. Practical arrangements<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6c70c7f elementor-widget elementor-widget-text-editor\" data-id=\"6c70c7f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>We make clear arrangements about when you take your medication, what and when you eat and drink prior to the procedure, and how you measure your blood sugar [1].<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-226fbef elementor-widget elementor-widget-heading\" data-id=\"226fbef\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">4. Careful follow-up check<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6be734d elementor-widget elementor-widget-text-editor\" data-id=\"6be734d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>We pay extra attention to signs of a disrupted blood sugar after the procedure.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bfdcb71 e-con-full e-flex e-con e-child\" data-id=\"bfdcb71\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1fce09b elementor-widget elementor-widget-text-editor\" data-id=\"1fce09b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><i><span style=\"font-weight: 400;\">Important: are you using an SGLT2 inhibitor (Jardiance, Forxiga, or comparable)? Report this, but because an eyelid correction takes place under local anaesthetic and you do not have to fast, routinely pausing this medication is usually not necessary, as long as you simply keep eating and drinking. Do you also use insulin, or do you feel unwell? Then discuss this with your doctor.   <\/span><\/i><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1587f2c elementor-widget elementor-widget-heading\" data-id=\"1587f2c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">When do we advise against the procedure (for the time being)?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-73ca29a elementor-widget elementor-widget-text-editor\" data-id=\"73ca29a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li style=\"font-weight: 400;\" aria-level=\"1\">In the case of a strongly disrupted blood sugar level (very high or low values) without recent medical supervision [1]<\/li><li style=\"font-weight: 400;\" aria-level=\"1\">In the case of use of SGLT2 inhibitors in combination with insulin and a reduced food intake, illness or vomiting around the procedure, without consultation with the treating doctor [2,3]<\/li><li style=\"font-weight: 400;\" aria-level=\"1\">If your GP or internist advises against the procedure at this time<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-435c0d7 elementor-widget elementor-widget-heading\" data-id=\"435c0d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Our advice<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c758f5a elementor-widget elementor-widget-text-editor\" data-id=\"c758f5a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Are you using medication for diabetes? Bring a complete medication overview to the intake consultation at Kliniek het Bolwerk, including insulin schedules. This way we can draw up a safe plan together with you \u2014 and, if necessary, your doctor.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-61bfeb9 elementor-widget elementor-widget-heading\" data-id=\"61bfeb9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Literature references<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d3978ea elementor-widget elementor-widget-text-editor\" data-id=\"d3978ea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The publications below form the medical-scientific basis of this article:<\/p><ol><li>Upper Eyelid Blepharoplasty. StatPearls, NCBI Bookshelf. 2023. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK537078\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK537078\/<\/a>  <\/li><li>Should glucagon-like peptide 1 receptor agonists be withheld during the preoperative period? Cleveland Clinic Journal of Medicine.  2025.  <a href=\"https:\/\/www.ccjm.org\/content\/92\/4\/209\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ccjm.org\/content\/92\/4\/209<\/a><\/li><li>Risk of perioperative discontinuation of SGLT2 inhibitors. British Journal of Anaesthesia.  2024.  <a href=\"https:\/\/www.bjanaesthesia.org.uk\/article\/S0007-0912(24)00272-1\/fulltext\" target=\"_blank\" rel=\"noopener\">https:\/\/www.bjanaesthesia.org.uk\/article\/S0007-0912(24)00272-1\/fulltext<\/a><br><br><\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Are you using medication for diabetes mellitus? In addition to our general blog on diabetes and eyelid corrections, it is also important to know which specific medication you use, as some diabetes medicines require extra attention around a surgical procedure. Which medication does this concern? Metformin, the most commonly used tablet for type 2 diabetes [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":9811,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[92],"tags":[],"class_list":["post-10306","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-eyelid-surgery"],"acf":[],"_links":{"self":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/posts\/10306","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/comments?post=10306"}],"version-history":[{"count":1,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/posts\/10306\/revisions"}],"predecessor-version":[{"id":10307,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/posts\/10306\/revisions\/10307"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/media\/9811"}],"wp:attachment":[{"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/media?parent=10306"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/categories?post=10306"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kliniekhetbolwerk.nl\/en\/wp-json\/wp\/v2\/tags?post=10306"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}