Tayside Diabetes MCN Handbook - Preparation Prior to Procedures for People with Diabetes

General Information

Six hour food fast prior to procedure
Two hour fluid fast prior to procedure
9.00 hr appointment desirable
Oral hypoglycaemic agents and/or insulin can cause hypoglycaemia
Ensure blood glucose monitoring is undertaken and appropriate treatments for hypoglycaemia are available
Assessment of swallow following procedure before resuming food required
If swallow reflex has not returned in two hours post procedure G.K.I. infusion should be commenced in people normally treated with tablets and/or insulin

Omit prescribed tablets for diabetes prior to fast
Check swallow and resume diabetes medication as prescribed with food following procedure

Continue basal (long acting) insulin as prescribed for people with type 1 diabetes. Basal insulin preparations include Lantus, Levemir, Insulatard & Humulin I
May require reduction (30 – 50%) in insulin dose prior to fast to prevent hypoglycaemia
Check swallow and resume normal insulin with food following procedure
If BD insulin regimen is restarted at lunchtime it is recommended that half of the normal ‘breakfast’ insulin dose should be prescribed with lunch after procedure

Six hour food fast prior to procedure
Two hour fluid fast prior to procedure
9.00 hr appointment desirable
Chest x-ray required post procedure prior to permission to resume diet and fluids
If food and fluid intake is delayed two hours post procedure G.K.I. infusion should be commenced in people normally treated with tablets and insulin (see page 29)
Oral hypoglycaemic agents and/or insulin can cause hypoglycaemia
Ensure blood glucose monitoring is undertaken and appropriate treatments for hypoglycaemia are available

Omit prescribed diabetes medication prior to fast
Chest x-ray required after procedure
Check swallow and resume diabetes medication as prescribed with food following x-ray after procedure

Continue basal (long acting) insulin as prescribed for people with type 1 diabetes. Basal insulin preparations include Lantus, Levemir, Insulatard & Humulin I
Insulin dose may require reduction (30 – 50%) prior to fast to prevent hypoglycaemia
Chest x-ray required after procedure
Check swallow and resume normal insulin with food following x-ray after procedure
If BD insulin regimen is restarted at lunchtime it is recommended that half of the normal ‘breakfast’ insulin dose should be prescribed with lunch after procedure

Six hour food and fast prior to procedure
Two hour fluid fast prior to procedure
9.00 hr appointment desirable
Chest x-ray required after procedure
Chest x-ray required prior to resuming diet and fluids
If food and fluid intake is delayed two hours post procedure GKI infusion should be commended in people normally treated with tablets and insulin (see page 29)
Oral hypoglycaemic agents and/or insulin can cause hypoglycaemia
Ensure blood glucose monitoring is undertaken and appropriate treatments for hypoglycaemia are available

Omit prescribed diabetes prior to fast
Chest x-ray required after procedure
Check swallow and resume diabetes medication as prescribed with food following procedure

Continue basal (long acting) insulin as prescribed for people with type 1 diabetes. Basal insulin preparations include Lantus, Levemir, Insulatard & Humulin I
May require reduction in insulin dose (30 – 50%) prior to fast to prevent hypoglycaemia
Chest x-ray required after procedure
Check swallow and resume normal prescribed insulin with food following procedure
If BD insulin regimen is restarted at lunchtime it is recommended that half of the normal ‘breakfast’ insulin dose should be prescribed with lunch after procedure