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I've got to have a sigmoidoscopy. The instruction sheet tells me to have only

clear liquid diet for 24 hours prior -- clear broth, jello, tea, clear soup,

only one slice of bread allowed. No dairy products. What is this going to do

to my BGs? How do I handle this? Has anyone else on list had sigmoidoscopy

with these instructions? Vicki

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>I've got to have a sigmoidoscopy. The instruction sheet tells me to have only

>clear liquid diet for 24 hours prior -- clear broth, jello, tea, clear soup,

>only one slice of bread allowed. No dairy products. What is this going to do

>to my BGs? How do I handle this? Has anyone else on list had sigmoidoscopy

>with these instructions?

Vicki ,

A sigmoidoscopy is, for a male, a humbling procedure to say the least. Not

having to humble myself in stirrups for childbirth and several staring eyes

I imagine that this procedure for a female is not as bad. I just had a

similar procedure, a colonoscopy last month but the preprocedure

instructions are the same. I had a sigmoidoscopy 8 years ago also.

I was advised to cut back on my insulin by 25% on the day before and 50% on

the morning of the procedure (no Regular and 50% of NPH). If you are on

meds only ask your regular doctor about halving your meds on the day of the

procedure or not take your meds until afterwards.

Its not painful and won't hurt, honest! Good luck

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>I essentially take one to three units of insulin (humalog, which is fast

>acting) per meal. I also take two units NPH at bedtime. I also take 2500

>units Glucophage. Any other suggestions?

You may just have to pospone the morning dose until afterwards. The

procedure is fairly quick, not nearly as long as the colonoscopy time wise

and there is no time in a recovery room. Its a " Good Morning " , " Lets take

a quick look " and " Thanks for coming " sort of thing.

>I had a colonoscope once before, five years ago. Before diabetes. A friend

>told me ask for pediatric scope which they used and you're right, it didn't

>hurt. And I got to watch it on the video monitor. Fascinating! Vicki

Yea, I thought that being able to watch the video helped me. Not the

pumping of air to inflate the colon and its necessity to evacuate...well,

that's what legends are made of. <laughing>

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Vicki writes:

<< I've got to have a sigmoidoscopy. The instruction sheet tells me to have

only clear liquid diet for 24 hours prior -- clear broth, jello, tea,

clear soup, only one slice of bread allowed. No dairy products. What is

this going to do

to my BGs? ... >>

Vicki, insulin-dependent diabetics or those type 2's on sulfonylureas (such

as Glyburide) need to be especially mindful of their carbohydrate intake

because they are subject to hypos. For the rest of us diabetics, it is just

the usual advice: Be aware of your carbohydrate intake each meal - and your

daily total. Try to space out the carbs for optimal reaction. Your liquids

can be high-carb or low-carb ... you can determine that by the liquids you

select. What is lacking in this mix is fiber ... but again, this is only for

one day.

Susie

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At 03:48 PM 3/21/99 -0500, you wrote:

>From: WHIMSY2@...

>

>PS: I'm totally off sulfonuria (Glucotrol) for two weeks now and doing fine!

>Next step: cut down on Glucophage --my doc says now that I'm taking insulin it

>doesn't make sense to take pills too. But I'd like to keep my daily insulin

>dose under 10 units if possible...Vicki

Tell the doctor, " One change at a time. " Wait a month and then make a

decision as to whether to further cut back or not. If you have changes

after stopping all the pills, if you notice negative changes in your BG's,

what caused it? You'll have to guess. I'd stick to one change at a time.

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At 12:05 PM 3/22/99 +0100, you wrote:

>From: Metaforum-sson@... (OLUF JOHNSSON)

>

>Papa.

>I think, its good advice for Vicky to comply with her doc -

>and to take the amount of insulin she may need,

>no matter amounts of units.

>Oluf

Sir:

I stated twice that she should contact her doctor. She asked for

information from any individuals that have undergone the procedure she was

facing. I did in fact have that procedure. I emphatically stated that

what I did was medically approved and she also needed to a medically

approved variance.

The procedure requires a clear liquid diet the day before the procedure and

enema to completely evacuate the large colon and nothing by mouth 12 hours

prior. I don't know of many diabetics who would take insulin knowing that

they could not eat. That is why I informed her what my doctor did for me

and why I recommended her to do the same.

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In a message dated 99-03-23 01:08:08 EST, you write:

<< The procedure requires a clear liquid diet the day before the procedure and

enema to completely evacuate the large colon and nothing by mouth 12 hours

prior. I don't know of many diabetics who would take insulin knowing that

they could not eat. That is why I informed her what my doctor did for me

and why I recommended her to do the same. >>

Oops-- I forgot to copy down what you said it was I should do! Please repeat.

:-) (I've also emailed my diabetes educator but she hasn't replied yet).

Thanks - Vicki

Just to repeat, diet says broth, tea, clear soupk jello, one piece white

bread; no dairy products. And I match carbs to intake (1-3 units per meal)

plus 2 NPH at bedtime. V.

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WHIMSY2@... wrote:

>

> From: WHIMSY2@...

>

> In a message dated 99-03-23 01:08:08 EST, you write:

>

> << The procedure requires a clear liquid diet the day before the procedure and

> enema to completely evacuate the large colon and nothing by mouth 12 hours

> prior. I don't know of many diabetics who would take insulin knowing that

> they could not eat. That is why I informed her what my doctor did for me

> and why I recommended her to do the same. >>

>

> Oops-- I forgot to copy down what you said it was I should do! Please repeat.

> :-) (I've also emailed my diabetes educator but she hasn't replied yet).

> Thanks - Vicki

>

> Just to repeat, diet says broth, tea, clear soupk jello, one piece white

> bread; no dairy products. And I match carbs to intake (1-3 units per meal)

> plus 2 NPH at bedtime. V.

>

> ------------------------------------------------------------------------

> If you like orange and blue, then you will love our new web site!

> http://www.onelist.com

> Onelist: ing connections and information exchange

What a lovely subject.. :) But, while we're on it, I have one scheduled

in April as part of my physical. I received an instruction sheet

yesterday from the Gastroenterologist which reads:

PREPARATION FOR FLEXIBLE SIGMOIDOSCOPY

The patient is to take a single tap water enema as close as possible to

examination time.

This should be in the form of a disposable Fleets enema container where

the contents of Phospho-soda is emptied and replaced by warm tap water.

A single administration of this amount of material is usually sufficient

to clean out the left side of the colon, and no further enemas should be

taken.

The enema should be taken as close to the time of examination as

possible.

They know I'm type 2 diabetic. I'm happy that there are no meal

restrictions as the exam is at 3 in the PM.

Different docs, different ideas I guess.

--

Dave -- March 23, 1999

t2 08/98 Glucophage

Davor's daily aphorism:

He who shouts the loudest has the floor.

----------------------------------------------------------------

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  • 1 month later...
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Gill, did you have your sigmoidoscopy yet? Did you have to fast the whole

day before? What did your BGs look like? (did you test?) Are you on insulin?

If so, did you continue taking it while fasting? Anxiously awaiting your

answer as my sigmoidoscopy is coming up soon...Vicki

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