COLONOSCOPY PREPARATION-CONSTIPATION/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.
TWO DAYS BEFORE THE PROCEDURE
NO SOLID FOODS. TWO DAYS BEFORE YOUR EXAM YOU MUST BE ON A CLEAR
LIQUID DIET BOTH DAYS. 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:
Tea and Coffee
Clear Juices
Powdered Lemonade
Water/
Vitamin Water
NO PULP
NO RED OR PURPLE
Carbonated
Beverages
Such as apple or
white grape juice
NO DAIRY
NO PULP
NO RED OR
PURPLE
Sports Drinks
Popsicles
Jell-O
Broths/
Coconut Water
Honey/Sugar
COLONOSCOPY PREPARATION-CONSTIPATION/DIABETIC
WITHOUT MILK
OR ADDED FRUIT
NO RED OR PURPLE
NO RED OR
PURPLE
NO RED OR
PURPLE
It is very important to keep hydrated. Drink plenty of clear liquids while doing the prep (at
least 8 ounces every hour)
TIME
6:00 PM Two days before your procedure
Drink the entire bottle of Magnesium Citrate. You may
mix it with Sprite, 7-Up or Gingerale.
If you have Congestive Heart Failure or have KidneyRenal Failure DO NOT drink
1
THE DAY BEFORE THE PROCEDURE
2
3
TIME
2:00 PM the day before your procedure
Pour the 64 oz. of Propel into a pitcher and chill in the
refrigerator.
TIME
4:00 PM the day before your procedure
Drink the entire bottle of Magnesium Citrate. You may mix it
with Sprite, 7-Up or Gingerale.
If you have Congestive Heart Failure or have Kidney-Renal
Failure DO NOT drink
COLONOSCOPY PREPARATION-CONSTIPATION/DIABETIC
4
5
6
TIME
4:30 PM the day before your procedure
Take two Dulcolax tablets with at least 8 oz. of water.
TIME
5:30 PM the night before your procedure
Mix the ENTIRE bottle of Miralax (238g) with the 64 oz. of the
chilled Propel.
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.
7
TIME
7:30 PM the night before your procedure
Take two Dulcolax tablets with at least 8 oz. of water.
* Total tablets consumed is four. Dispose of the remainder.
COLONOSCOPY PREPARATION-CONSTIPATION/DIABETIC
8
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.
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 TO HAVE
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
[email protected].
COLONOSCOPY PREPARATION-CONSTIPATION/DIABETIC
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.
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 consommé
0
Diet clear soda
0
Coffee
0
Tea, unsweetened or diet
0
Flavored water
0
Sample Menu
Breakfast
Apple or white grape juice (1 cup)
Sweetened gelatin (1 cup)
Tea with lemon
Lunch
Broth (3/4 cup)
Italian ice (1/2 cup)
Sweetened gelatin (1/2 cup)
Dinner
Broth (3/4 cup)
Apple or white grape juice (1 cup)
Sweetened gelatin (1/2 cup)
Tea with lemon
Tea with lemon
Clear liquid food chart and sample menu (slightly modified):
Diabetes Medication Instructions for Colonoscopy Preparation and Procedure. CONCORD: Concord Hospital, 2008. Web.
<http://www.concordhospital.org/uploads/DiabetesMedicationInstructionsforColonoscopy.pdf>.
Contributing author: Catherine Parkhurst, RN,MSN,CDE, Diabetes Education St. Joseph Medical Center