Before the test, you will need to stop eating solid foods. You also will follow instructions on how to clean out your colon. This will help your doctor to be able to see inside your colon during the test.
Before you schedule
When you make your appointment for the colonoscopy, mention that you have diabetes. Ask for any special instructions. Request an early morning appointment so you can get back as soon as possible to your normal routine for eating and taking medicines.
The doctor doing your colonoscopy (gastroenterologist) will want to know about all the medicines you take. Be sure to also tell your doctor about any vitamins, supplements, and herbal remedies you take. It's a good idea to have a list of all your medicines when you make your appointment.
If you take aspirin or some other blood thinner, your doctor will tell you if and when you should stop taking this medicine before your test.
Before the procedure
Talk with your diabetes doctor about how best to manage your blood sugar before and after the test.
Arrange to stay home on the day of the test. When you clean out your colon (colon prep), you'll go to the bathroom a lot. You'll get detailed instructions from the doctor on how to do the colon prep.
Managing blood sugar and medicines
Your doctor may have you track your blood sugar for at least 24 hours before and 72 hours after your test.
If you don't have a continuous glucose monitor, plan to take your blood sugar meter and test strips with you to the test. Also, have glucose tablets or other quick sugar food with you in case your blood sugar drops too low.
If you take insulin or other medicine for diabetes, your doctor will give you exact instructions about how to take your medicines. You may need to change your diabetes treatment before and after the procedure.
Be sure to ask if you don't understand what to do with your medicines. Get the instructions in writing, and bring them with you to the test.
Bring your diabetes medicine with you to take after the test as your doctor suggests. Don't take a double dose of medicines you've missed.
How to eat and drink
You'll get detailed instructions about food and drink when you get the medicines to cleanse your colon. Generally, the day before the test, you'll only be able to have clear liquids. These include water, tea, coffee, clear juices and broths, gelatin, and sports drinks.
Work with your diabetes doctor on how best to manage carbohydrates as you prepare for the test. For example, you may want to plan 45 grams of carbohydrate for liquid "meals" and 15 to 30 grams for snacks. Apple or white grape juice and sweetened gelatins are a few options.