These guidelines do not address the different AHAs. An elaborate and somewhat complicated insulin replacement regimen is suggested, with a comment that patients who have unstable glycemic control should be hospitalized during bowel preparation. 2 These recommendations suggest stopping oral AHAs during the clear-fluid preparation phase, adding glucose as needed to clear fluids, and reducing the dose or replacing insulin injections. The only official guideline on this matter is a section on colonoscopy in the 2012 Australian Diabetes Society perioperative diabetes management guidelines. Neither American nor European diabetes and gastroenterology organizations have addressed the special concerns and needs of diabetes patients undergoing colonoscopy. 1 Diabetes patients have a higher risk for complications during colonoscopy preparation caused by change of diet, concomitant presence of diabetes complications and comorbidities and untimely continuation or cessation of antihyperglycemic agents (AHAs). However, if results hold up, this could provide an easier experience getting ready for that test, particularly for patients with diabetes or other illnesses that make very restricted diets hard.Colonoscopy is a common procedure in adults older than age 50 years, more than 10% of whom have diabetes. The study was small and needs to be repeated in larger, randomized groups of patients preparing for colonoscopy. What This Means for Patientsĭoes this mean you can chow down before your next colonoscopy - or even have some creamed asparagus soup or ice cream? SOURCE: Gutkin et al., Poster #P412, ACG 2011 Scientific Meeting. Patient’s overall satisfaction scores were similar for full and clear liquid diets." "Our study demonstrates that a full liquid diet does not worsen bowel preparation, decrease the ability to detect polyps, or increase total colonoscopy time, when compared with a clear liquid diet. Strangely, even with more food choices, there was no difference in patient satisfaction. Researchers, led by Ellen Gutkin, DO at New York Hospital Queens, randomized 34 patients preparing for a colonoscopy the next day to either a traditional clear liquid diet or a full liquid diet that included milk, milkshakes, creamed soup, pudding, cream, fruit and vegetable juices, yogurt, and ice cream. One patient on a clear diet wasn't able to finish the prep - which also included 2 liters of MoviPrep. In addition, the number of patients where polyps were found wasn't different in the two diets. But are they really necessary for doctors to get a clear view of the colon?Ī small randomized study reported in a poster at the American College of Gastroenterology 2011 Annual Scientific Meeting found that a full liquid diet including milk, yogurt, pudding, fruit, and veggie juices - even ice cream - was just as good as a more restricted clear liquid diet in finding polyps.ĭoctors doing the exams didn't know which patients had clear liquids only and who got to eat a full liquid diet but rated them equally effective in satisfactorily cleansing the colon Normal preparation instructions for a colonoscopy call for clear liquids the day before the test. Share on Facebook Share on LinkedIn Share on Twitter Copy this URL Share via Email
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