Waco gastroenterology endoscopy center

INSTRUCTIONS FOR DIABETICS FOR COLONOSCOPY FOR ALL PATIENTS, NOTHING TO EAT OR DRINK AFTER MIDNIGHT AND CLEAR LIQUIDS ON
THE DAY OF YOUR PREP.
***DO NOT TAKE YOUR INSULIN ON THE DAY OF THE PROCEDURE***
For Multiple Split Dose Insulin Regimen (INTERMEDIATE ACTING):
Including: Humulin 70/30, Humalog 75/25, Novolog 70/30, NPH, 1. On the morning of the prep, take ½ of your dose of insulin. In the evening, hold the dose. 2. Take no insulin on the morning of the procedure. 3. Drink Sprite, 7-Up or Apple juice and eat Jell-O or popsicles (not red and not sugar free). You may have any other clear liquid. Make sure that the liquids that you eat or drink are NOT sugar free. 4. Directions will be given in discharge instructions regarding resumption of insulin dosing AFTER the procedure. For Single Dose Lantus or Levemir Regimen (LONG ACTING):
1. Take ½ dose on the morning of your prep. Hold your dose if you take the injection in the afternoon or evening. 2. Drink Sprite, 7-Up or Apple juice and eat Jell-O or popsicles (not red and not sugar free). You may have any other clear liquid. Make sure that the liquids that you eat or drink are NOT sugar free. For Multiple Dose Insulin -- Type I Diabetics (SHORT AND FAST ACTING):
Including: Regular, Humalog, Novolog, Apidra, Exubera 1. Take ½ of fast acting insulin at your regular mealtime. Drink Sprite, 7-Up or Apple juice and eat Jell-O or popsicles (not red and not sugar free). You may have any other clear liquid. Make sure that the liquids that you eat or drink are NOT sugar free. 2. Consume at least 50 grams of carbohydrates per meal (MENU ON BACK OF PAGE)
3. Directions will be given in discharge instructions regarding resumption of insulin dosing AFTER the For Oral Diabetic Pills:
Including: glucophage, avandia, actos, amaryl, prandin, glucotrol, avandamet, metaglip, fortamet, starlix, glucovance, glyburide 1. Hold all of your pills on the day of the prep. 2. Hold all pills on the morning of your procedure. 3. Directions will be given in discharge instructions regarding resumption of FOR Hormone Injections:
1. Hold the day of the prep and the morning of your procedure. **Check your blood sugar the morning of the procedure and eat 3 heaping teaspoonfuls of regular
sugar if it is below 90**
Prep forms/colon insulin instructions rev 1/11/07 SAMPLE MENU
Sample Portions
50 Gram Carbohydrate Meal
Individual Servings of Carbohydrate
Example 1:
½ can of Sprite or 7-Up ------------19g 1 can of Sprite or 7-Up (12 ounces) = 38g 1 cup of jello -------------------------38g Example 2:
1 small box of prepared jello is 4 servings or 76g ½ cup of jello ------------------------19g Example 3:
1 can of Sprite or 7-Up -------------38g 1 fruit juice bar ----------------------15g Example 4:
½ cup of apple juice ----------------15g 1 cup of jello -------------------------38g Regular popsicles vary in carbs. – read the label Example 5:
1 cup of jello -------------------------38g Example 6:
2 fruit juice bars ----------------------30g Mix and match to get your total carbs to help keep your glucose within range so you can safely take
your insulin.
Broth is basically carb-free, so do not count it in your total count of carbs, but do use it to help get
extra liquids.
Prep forms/colon insulin instructions rev 1/11/07

Source: http://wacoendocenter.com/assets/uploaded/documents/212/Colonoscopy-Instructions---Diabetics.pdf