MEDICATION HOLDS

GLP-1 and SGLT-2 Medications: Read this section only if you take medications for diabetes or weight loss.

  • If you take these for diabetes, contact your primary care provider or diabetes doctor (endocrinologist) for blood sugar instructions

  • IMPORTANT: If you are scheduled at a Fairview Hospital (Woodwinds, St. Johns, Southdale, Fairview Ridges) a nurse will call you 2 weeks before your procedure to discuss GLP-1 and SGLT-2 medication holds. For all other hospital procedures, follow instructions below unless a hospital instructs otherwise.

IMPORTANT

If you are having an EGD (upper endoscopy) and take GLP-1 or SGLT-2 medications:

  • Start a clear liquid diet 24 hours before your procedure (This is earlier than your other instructions that say to start at 11:45 PM the night before).

    • Example: If your procedure is at 8:00 AM, start clear liquids at 8:00 AM the day before

  • For more information on a clear liquid diet, click here: https://www.mngi.com/conditions/clear-liquid-diet.

Failure to follow these instructions may result in the cancellation of your procedure

GLP-1 Medications

Daily or Twice Daily Injections (such as Victoza)

  • Stop the day before and the day of your procedure

Weekly Injections (such as Trulicity, Ozempic, Wegovy, Bydureon, Mounjaro):

  • Stop 7 days before your procedure

Semaglutide tablets taken by mouth (such as Rybelsus or Wegovy):

  • Stop 7 days before your procedure

SGLT-2 Medications

Oral pill (Such as Invokana, Farxiga, Jardiance, Steglatro):

  • Stop 4 days before your procedure
DAY BEFORE YOUR PROCEDURE

STOP eating any solid foods and begin a clear liquid diet at 11:45 pm

For more information on a clear liquid diet, click here: https://www.mngi.com/conditions/clear-liquid-diet.

DAY OF YOUR PROCEDURE

Nothing by Mouth (NPO)

Do NOT eat, drink, or put anything in your mouth starting 3 HOURS before your procedure

This includes:

  • Sips of water

  • Candy

  • Gum

Nicotine & Tobacco

  • 3 hours before your procedure:

    •  Stop all nicotine-containing products (cigarettes, vapes, smokeless tobacco, pouches)

  • 8 hours before your procedure:

    • Do NOT use chewing tobacco

Substances

  • Do NOT use THC, marijuana, or illicit drugs

Failure to follow these instructions may result in the cancellation of your procedure

Jewelry & Piercings

  • Remove all head and neck jewelry, including:

    • Earrings

    • Necklaces

    • Nose rings

    • Facial piercings

    • Oral piercings

  • Oral piercings must be removed; if they cannot be removed, your procedure may be cancelled

Dentures

  • Dentures will need to be removed before your procedure

    • Avoid using strong adhesives on the day of your procedure

Questions?

  • Medication questions: Contact your prescribing provider

  • Procedure questions: Call MNGI: 612-871-1145

  • Or view our Patient Procedure FAQ page