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COLONOSCOPY PREPARATION- DIABETICCancellation Policy:We must receive your cancellation request within 72 hours of your proceduredate. Cancellation notices that are received less than 72 hours prior toprocedure will result in a 100.00 cancellation fee.The following instructions are your Doctor’s specific directions. Please follow the directionscarefully.3 DAYS BEFORE THE PROCEDUREIf you are taking Coumadin, Plavix or Lovenox for either a history of prior stroke, or for coronarystents, or for atrial fibrillation or artificial heart valves please contact the schedulingDepartment at 816.561.2000.THE DAY BEFORE THE PROCEDURENO SOLID FOODS. THE DAY BEFORE YOUR EXAM YOU MUST BE ON A CLEAR LIQUIDDIET 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 isessential 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 CoffeeClear JuicesNO PULPPowdered LemonadeWater/Vitamin WaterCarbonatedBeveragesNO PULPNO RED ORPURPLENO DARKCOLOREDSuch as appleor white grapeNO DAIRYSports DrinksNO RED ORPURPLEPopsiclesJell-OFat Free Broths/Coconut WaterHoney/Sugar
COLONOSCOPY PREPARATION- DIABETICWITHOUT MILKOR ADDED FRUITNO RED OR PURPLENO RED ORPURPLENO RED ORPURPLEIt is very important to keep hydrated. Drink plenty of clear liquids while doing the prep (atleast 8 ounces every hour)1TIME2:00 PM the day before your procedureMix the three packets of sugar free drink mixwith 64 oz. (1/2 gallon) of water and chill in therefrigerator.2TIME4:00 PM the day before your procedureMix the entire packet (17 g) of MagnesiumCitrate powder with 10 oz. of cold water. Stirthoroughly and drink the entire glass.You may mix it with Sprite, 7-Up or Gingerale.If you have Congestive Heart Failure or haveKidney-Renal Failure DO NOT drinkTIME4:30 PM the day before your procedureTake two Bisacodyl tablets with at least 8 oz. ofwater.34TIME5:30 PM the night before your procedureMix the ENTIRE bottle of Polyethylene Glycol3350 (238 g) with the 64 oz. of the chilled sugarfree drink mix.
COLONOSCOPY PREPARATION- DIABETIC5TIME5:30 PM the night before your procedureBegin drinking HALF OF THE MIXTURE (32 oz.)Drink an 8 oz. glass of the solution every 15minutes until gone.Complete by 7:30pmIf you become nauseated or begin vomiting while drinking the solution, slow down andwhen the nausea subsides begin drinking the solution again. Lying on your right side canhelp empty the stomach.6TIME7:30 PM the night before your procedureTake two Bisacodyl tablets with at least 8 oz. ofwater.* Total Bisacodyl tablets consumed is four (4).Dispose of remainder.7TIME10:15 PM the night before the proceduredrink the OTHER HALF OF THE MIXTURE (32 oz.).Drink an 8 oz. glass of the solution every 15minutes until gone.Nothing to eat or drink after midnight.
COLONOSCOPY PREPARATION- DIABETICTHE DAY OF THE PROCEDURE-NOTHING TO EAT OR DRINK after midnight.If you take blood pressure medication you may do so the day of theprocedure 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 WITHYOU 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 RECALLTHE DISCUSSION DUE TO SEDATION.If you have any questions or concerns about the preparation please contact the Colon Prep Center bycalling 800-349-0285 or by emailing opies and Diabetic PatientsFor patients with diabetes a colonoscopy can be challenging especially if you are taking medications toregulate your blood sugar. Below are some tips to help you have a safe preparation and a successfulcolonoscopy.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 takethese medications.Schedule your colonoscopy for the first procedure of the morning. This will shorten the amount of timethat you have to fast. Verify that the doctor’s office knows that you are diabetic and that you need bethe first or second patient the doctor sees that morning.Check your blood sugar levels frequently. Check your blood sugar levels before each meal andbefore bedtime (at least every 4-6hrs). Bring your meter and test strips with you to your procedure.
COLONOSCOPY PREPARATION- DIABETICThe American Diabetes Association states that a sugar-free liquid diet is not recommended forpatients with diabetes. Diabetics need sugar and the carbohydrates they contain in order tomanage their blood glucose levels when they are taking diabetes medications. It is recommendedthat diabetics should consume about 200 g of carbohydrates the day of their clear liquid diet spreadout over the day. Even though you are consuming sugar-these liquid carbohydrates are replacingwhat you would normally eat and should not cause your blood sugar to rise too high. Be sure todrink plenty of liquids to avoid becoming dehydrated while you’re using the laxative. If your bloodsugar 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 ItemsGrams of CarbohydrateApple juice (4 ounces)15White grape juice (4 ounces)20Sports drink such as Gatorade (8 ounces)14Gelatin (Jello), regular sweetened (1/2 cup)15Popsicles or ice pops (read the label)15Italian ice--not sherbet (read the label)30Sugar (for coffee or tea) (1 teaspoon or packet)4Fat-free broth, bouillon, or consommé0Diet clear soda0Coffee0Tea, unsweetened or diet0Flavored water0Sample MenuBreakfastApple or white grape juice (1 cup)Sweetened gelatin (1 cup)Tea with lemonLunchBroth (3/4 cup)Italian ice (1/2 cup)Sweetened gelatin (1/2 cup)DinnerBroth (3/4 cup)Apple or white grape juice (1 cup)Sweetened gelatin (1/2 cup)Tea with lemonTea with lemonClear liquid foodchart and sample menu (slightly modified):Diabetes Medication Instructions for Colonoscopy Preparation and Procedure. CONCORD: Concord Hospital, 2008. Web. icationInstructionsforColonoscopy.pdf .Contributing author: Catherine Parkhurst, RN,MSN,CDE, Diabetes Education St. Joseph Medical Center
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
