### Preparing for a Colonoscopy with Diabetes Preparing for a colonoscopy can be challenging, especially for people with diabetes due to dietary restrictions and medication adjustments. Here are some key points to consider: #### Blood Sugar Monitoring - **Close Monitoring:** Keep a close eye on your blood sugar levels, ideally with a continuous glucose monitor (CGM). - **Prevent Hypoglycemia:** Always have a clear source of sugar like juice or Gatorade to prevent low blood sugar. #### Low-Fiber Diet - **Diet Changes:** You may need to eat foods you usually avoid, like white rice, pasta, and processed fruit products. - **Allowed Foods:** Eggs, lean meats, dairy, and some well-cooked vegetables are usually allowed. - **Carb Intake:** Aim to have the same amount of carbohydrates as usual. #### Clear Liquid Diet - **Day Before Procedure:** Switch to clear liquids like water, clear gelatin, bone broth, and pulp-free juice. - **Stay Hydrated:** Drink plenty of fluids to stay hydrated. - **Protein Sources:** Ask your doctor about high-protein gelatin and clear protein shakes. #### Medication Adjustments - **Consult Your Doctor:** Work closely with your doctor to adjust or stop certain medications. - **Insulin Users:** Automated insulin delivery systems may naturally adjust to changing insulin needs. #### Special Considerations - **Inform Your Doctor:** Make sure your gastroenterologist knows you have diabetes. - **Bowel Cleansing:** Diabetes can affect bowel cleansing, so you may need a special laxative or diet plan. By following these guidelines and consulting with your healthcare providers, you can better manage your diabetes while preparing for a colonoscopy.