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Is the colon cleanser
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The Question

10/20/09 08:58 PM

"Is the colon cleanser used prior to a colonoscopy safe for type 1 diabetics"
Asked By: philadelphia  
Category: Kidney Disease

Background Info Hide
type 1 for 41 years. besides Insulini ake the following medications: advair, singulair, Lisinopril, methrotraxate, Enbrel, folic acid and aspirin

Expert Answers (1)

10/24/09 06:17 PM

Hello Philadelphia: Any special procedure, when you are referencing diabetes, has precautions, usually a colonoscopy is a same-day procedure. Changes in the dosing of insulin are individualized from your doctor, as with other medications, the aspirin might be a problem. (The prep required prior to a colonoscopy is safe, however, may require some special precautions as to be sensitive to the risk of hypoglycemias). Special precautions before the procedure :
  • to clean the bowel, liquids are the usual routine, items having no residue: appropriate carbohydrate replacement is needed, 1/2 cup most juice =15 gms. carb .
  • follow your usual meal plan replacing with liquid carbohydrate
  • make sure the blood glucose is under very good control,
  • more than likely your gastroenterologist is 'aware' that you have diabetes and use insulin,
  • the procedure's clinical team should have a 'standard' for monitoring diabetes patients, be sure to ask.

    During this/any procedure glucose control is of utmost concern, IV fluids which may contain glucose or insulin per your doctors Rx. are present.

  • Nutritional intake is different from normal and the short term period should not be a problem. Some additional concerns, how long will it be before you return to your normal pre-procedure diabetes self-management plan (?)
  • If possible, schedule the procedure early in the day as to mirror you normal routine as possible. At discharge it is advised you test frequent, and treat stress-related hyperglycemia. Blood glucose numbers greater than 250 mg/dl may require additional interventions. Be your best and good luck. Thanks for asking dLife. Regards Sue
    • Answered By: Susan Throop
    Accreditations: RD, CDE, MA
    Sources Show

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