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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. 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
During this/any procedure glucose control is of utmost concern, IV fluids which may contain glucose or insulin per your doctors Rx. are present.
Answered By:
Susan Throop
Accreditations: RD, CDE, MA
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