PDF Colonoscopy Preparation- Diabetic

[Pages:5]COLONOSCOPY PREPARATION- DIABETIC

Cancellation Policy:

We must receive your cancellation request within 72 hours of your procedure date. Cancellation notices that are received less than 72 hours prior to procedure will result in a $100.00 cancellation fee.

The following instructions are your Doctor's specific directions. Please follow the directions carefully.

3 DAYS BEFORE THE PROCEDURE

If you are taking Coumadin, Plavix or Lovenox for either a history of prior stroke, or for coronary stents, or for atrial fibrillation or artificial heart valves please contact the scheduling Department at 816.561.2000.

THE DAY BEFORE THE PROCEDURE

NO SOLID FOODS. THE DAY BEFORE YOUR EXAM YOU MUST BE ON A CLEAR LIQUID DIET ALL DAY. NO SOLID FOODS OR DAIRY PRODUCTS ALLOWED.

A clear liquid diet is necessary for a colonoscopy. A complete cleansing of the entire bowel is essential for effective results, so that there will be no need for retesting.

Your Clear Liquid diet options for the day before your procedure:

Tea and Coffee

Clear Juices NO PULP

Such as apple

Powdered Lemonade

Water/ Vitamin Water

Carbonated Beverages

NO DAIRY

or white grape

NO RED OR PURPLE

Sports Drinks

Popsicles

NO PULP Jell-O

NO RED OR PURPLE

NO DARK COLORED

Fat Free Broths/ Coconut Water

Honey/Sugar

COLONOSCOPY PREPARATION- DIABETIC

WITHOUT MILK OR ADDED FRUIT

NO RED OR PURPLE

NO RED OR

NO RED OR

PURPLE

PURPLE

It is very important to keep hydrated. Drink plenty of clear liquids while doing the prep (at

least 8 ounces every hour)

1

TIME

2:00 PM the day before your procedure

Mix the three packets of sugar free drink mix

with 64 oz. (1/2 gallon) of water and chill in the

refrigerator.

2

TIME

4:00 PM the day before your procedure

Mix the entire packet (17 g) of Magnesium

Citrate powder with 10 oz. of cold water. Stir

thoroughly and drink the entire glass.

You may mix it with Sprite, 7-Up or Gingerale.

If you have Congestive Heart Failure or have Kidney-Renal Failure DO NOT drink

3

TIME

4:30 PM the day before your procedure

Take two Bisacodyl tablets with at least 8 oz. of

water.

4

TIME

5:30 PM the night before your procedure

Mix the ENTIRE bottle of Polyethylene Glycol

3350 (238 g) with the 64 oz. of the chilled sugar

free drink mix.

COLONOSCOPY PREPARATION- DIABETIC

5

TIME

5:30 PM the night before your procedure

Begin drinking HALF OF THE MIXTURE (32 oz.)

Drink an 8 oz. glass of the solution every 15

minutes until gone.

Complete by 7:30pm

If you become nauseated or begin vomiting while drinking the solution, slow down and when the nausea subsides begin drinking the solution again. Lying on your right side can help empty the stomach.

6

TIME

7:30 PM the night before your procedure

Take two Bisacodyl tablets with at least 8 oz. of

water.

* Total Bisacodyl tablets consumed is four (4). Dispose of remainder.

7

TIME 10:15 PM the night before the procedure

drink the OTHER HALF OF THE MIXTURE (32 oz.). Drink an 8 oz. glass of the solution every 15 minutes until gone.

Nothing to eat or drink after midnight.

COLONOSCOPY PREPARATION- DIABETIC

THE DAY OF THE PROCEDURE

- NOTHING TO EAT OR DRINK after midnight. - If you take blood pressure medication you may do so the day of the

procedure with just a sip of water. - If you have questions regarding medications, please call your doctor at

(816) 561-2000. - PLEASE DO NOT APPLY ANY LOTION, VASELINE, BABY OIL, OR BODY SPRAY. - Come to your procedure with NO MASCARA.

YOU WILL BE MEDICATED FOR THIS PROCEDURE. IT IS NECESSARY TO HAVE SOMEONE WITH YOU TO DRIVE YOU HOME. YOUR DOCTOR WILL SPEAK WITH YOU AFTER THE PROCEDURE; YOU MAY WANT TOHAVE YOUR DRIVER WITH YOU AT THAT TIME, AS YOU MAY NOT RECALL THE DISCUSSION DUE TO SEDATION.

If you have any questions or concerns about the preparation please contact the Colon Prep Center by calling 800-349-0285 or by emailing customerservicegroup@

Colonoscopies and Diabetic Patients

For patients with diabetes a colonoscopy can be challenging especially if you are taking medications to regulate your blood sugar. Below are some tips to help you have a safe preparation and a successful colonoscopy. Before you start a liquid diet you should contact your health care provider that manages your diabetes. If you take oral medications or insulin make sure to ask them the dosages and when you should take these medications. Schedule your colonoscopy for the first procedure of the morning. This will shorten the amount of time that you have to fast. Verify that the doctor's office knows that you are diabetic and that you need be the first or second patient the doctor sees that morning. Check your blood sugar levels frequently. Check your blood sugar levels before each meal and before bedtime (at least every 4-6hrs). Bring your meter and test strips with you to your procedure.

COLONOSCOPY PREPARATION- DIABETIC

The American Diabetes Association states that a sugar-free liquid diet is not recommended for patients with diabetes. Diabetics need sugar and the carbohydrates they contain in order to manage their blood glucose levels when they are taking diabetes medications. It is recommended that diabetics should consume about 200 g of carbohydrates the day of their clear liquid diet spread out over the day. Even though you are consuming sugar-these liquid carbohydrates are replacing what you would normally eat and should not cause your blood sugar to rise too high. Be sure to drink plenty of liquids to avoid becoming dehydrated while you're using the laxative. If your blood sugar falls too low you can treat it with clear juice, non-diet soda, or glucose gel.

Clear liquid food choices for the day before your colonoscopy:

Food Items

Grams of Carbohydrate

Apple juice (4 ounces)

15

White grape juice (4 ounces)

20

Sports drink such as Gatorade (8 ounces)

14

Gelatin (Jello), regular sweetened (1/2 cup)

15

Popsicles or ice pops (read the label)

15

Italian ice--not sherbet (read the label)

30

Sugar (for coffee or tea) (1 teaspoon or packet)

4

Fat-free broth, bouillon, or consomm?

0

Diet clear soda

0

Coffee

0

Tea, unsweetened or diet

0

Flavored water

0

Sample Menu

Breakfast

Lunch

Dinner

Apple or white grape juice (1 cup) Broth (3/4 cup)

Broth (3/4 cup)

Sweetened gelatin (1 cup)

Italian ice (1/2 cup)

Apple or white grape juice (1 cup)

Tea with lemon

Sweetened gelatin (1/2 cup) Sweetened gelatin (1/2 cup)

Tea with lemon

Tea with lemonClear liquid food

chart and sample menu (slightly modified):

Diabetes Medication Instructions for Colonoscopy Preparation and Procedure. CONCORD: Concord Hospital, 2008. Web.

.

Contributing author: Catherine Parkhurst, RN,MSN,CDE, Diabetes Education St. Joseph Medical Center

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