Antihyperglycemic therapy during colonoscopy preparation: A review and suggestions for practical recommendations

Patients with diabetes have distinct risks during precolonoscopy bowel preparation, caused by change of diet, change of antihyperglycemic medication regimens and diabetes-related complications and comorbidities. These risks include hypoglycemia, water and electrolyte imbalance, acute renal failure,...

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Published inUnited European Gastroenterology Journal Vol. 7; no. 6; pp. 735 - 740
Main Authors Hochberg, Irit, Segol, Ori, Shental, Rachel, Shimoni, Pnina, Eldor, Roy
Format Book Review Journal Article
LanguageEnglish
Published London, England SAGE Publications 01.07.2019
Subjects
Blood Glucose
Colonoscopy
Colonoscopy - adverse effects
Colonoscopy - methods
Diabetes Mellitus - blood
Disease Management
epidemiology
Humans
Hypoglycemic Agents - administration & dosage
Hypoglycemic Agents - adverse effects
nutrition
pancreas
Practice Guidelines as Topic
Preoperative Care
Preoperative Period
Review
screening
epidemiology
nutrition
screening
Colonoscopy
pancreas
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Summary:Patients with diabetes have distinct risks during precolonoscopy bowel preparation, caused by change of diet, change of antihyperglycemic medication regimens and diabetes-related complications and comorbidities. These risks include hypoglycemia, water and electrolyte imbalance, acute renal failure, lactic acidosis, ketoacidosis and low quality of bowel preparation. Here we review the existing literature and present recommendations from a subcommittee of the Israeli National Diabetes Council for primary care physicians and gastroenterologists. The instructions include general suggestions on diet and glucose monitoring and specific recommendations on timing of modification or cessation of each of the antihyperglycemic medication types to ensure patient safety during bowel preparation.
Bibliography:ObjectType-Article-2
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ObjectType-Review-1
ISSN:2050-6406
2050-6414
DOI:10.1177/2050640619846365