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Barium Enema

• A morning appointment is preferred
• Patients with Diabetes should be first on the list
• Patients to omit iron tablets, bran or isogel for at least 5 days before the procedure
• Light diet to be taken 2 days prior to procedure
• Picolax to be taken 08:00 and 16:00 on the day before the procedure
• Breakfast may be taken on the moring before the procedure
• Clear fluids only to be taken following this breakfast and up until 2 hours before the procedure
• Some of these fluids may need to be sugary to avaoid hypoglycaemia

Patients withType 1 Diabetes and Type 2 Insulin Treated Diabetes

1. Patients to take HALF usual dose of insulin the day before the procedure. This applies to all insulin regimens.
2. Patients to omit insulin the morning of the preocedure
3. After the procedure if patient taking twice daily insulin then HALF morning dose of insulin to be taken before lunch.
4. If patient on multiple daily injections then they should take their USUAL pre lunch dose of insulin post procedure. If their dose of long acting insulin (Glargine/Levemir) is taken in the morning, this should be taken pre lunch also.
5. Patients should bring their insulin and food/sandwich in with them to take after the procedure
6. Resume usual diet and fluids

Patients with Type 2 Diabetes - Tablets

1. If the patient takes 2 DIABETES TABLETS PER DAY OR LESS, then these are to be omitted the day before the procedure even though they have eaten breakfast
2. If the patient takes MORE THAN 2 DIABETES TABLETS PER DAY regardless of type then HALF the usual dose should be taken the day before the procedure.
3. Diabetes tablets to be omitted the morning of the procedure
4. Patients to bring tablets and food with them and take usual tablets following the procedure
5. Patient to resume usual diet and fluids

Patients with Type 2 Diabetes - Tablets and Night time Insulin

1. Patients to take HALF usual dose of long acting insulin on the 2 NIGHTS BEFORE the procedure
2. HALF usual dose of tablets to be taken with breakfast the day before the procedure then no further Diabetes tablets until after the procedure
3. Patient to omit tablet on the morning of the procedure
4. Patients to bring tablets and food with them and resume usual Diabetes medication following the procedure
5. Resume usual diet and fuids

 

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