EGD Prep
**Unless otherwise instructed by your physician
If you are having both an upper endoscopy and a colonoscopy follow the instructions on the prep
sheet for the colonoscopy.
IMPORTANT GLP-1 DRUG INFO
The following weight loss / diabetic drugs should be held as instructed prior to procedure:
- Liraglutide: Victoza (weekly) and Saxenda (daily)
- Dulaglutide: Trulicity (weekly)
- Exenatide: Bydureon (weekly) and Byetta (daily)
- Semaglutide: Ozempic (weekly), Wegovy (weekly) and Rybelsus (daily)
- Tirzepatide: Mounjaro (weekly) and Zepbound (weekly)
- Lixisenatide: Adlyxin (daily)
The medication will need to be stopped seven (7) days prior to your procedure if you are on a weekly dose or the day of your procedure if you are on a daily dose.
7 Days before your procedure
Stop taking iron, aspirin, aspirin products, or Pepto Bismol.
If you are on Coumadin, Plavix, Pradaxa or any other blood thinner, ask your physician for additional instructions.
Please note that Tylenol (acetaminophen) does not interfere with the procedure. Please consult your doctor if you have any questions about your medication, especially if you have been told not to stop taking these drugs suddenly without medical advice.
1 Day before your procedure
You may have your usual food until 10:00 pm. After 10:00 pm you may have clear liquids only until 3 hours before your scheduled arrival time.
The day of your procedure
You may take tour prescribed medications (except those previously listed) with water up to 3 hours before your scheduled arrival time.
Have someone to stay with you the entire time of your procedure and to drive you home the day of the procedure. Due to the sedation, you will not be allowed to drive yourself.
Clear Liquids include: water, coffee, tea, clear broth or bouillon, Gatorade, PowerAde, carbonated and non-carbonated soft drinks, Kool-aid or other flavored drinks, clear fruit juices such as apple or white grape juice, Jello or popsicles.
NO RED OR PURPLE COLORS- NO MILK PRODUCTS- NO ALCOHOL
Diabetic Prep
Medications
- If you take oral medications for your diabetes, do NOT take your diabetes pills on the day prior to your procedure (prep day) or on the day of your procedure (until your procedure is complete and you resume a normal diet).
- If you take non-insulin injectable medications (Byetta, Bydureon, Victoza, Trulicity, Tanzeum, Symlin), do not take the medication if your injection day is the day prior to your procedure (prep day). You can resume it after the procedure is complete.
- If you take insulin, reduce your dose by 50% (half) of your normal dose on the day prior to your procedure and the day of your procedure. You can resume your normal dose after the procedure when you resume normal diet.
- If you use an insulin pump, contact your diabetes doctor for instruction. Generally, most patients will need to reduce their basal rate to 80% of the normal rate.
Diet
- You should aim for 45-60 grams of carbs with each meal. Although you may ordinarily avoid sugars, they are ok to take when you are prepping for your colonoscopy as these will be the main source of calories when you are on a clear liquid diet.
- For snacks, try to include other fluids that contain electrolytes such as broth.
- Examples of clear liquids with carb amounts are listed below. Note, if you experience low blood sugar (<60) during the 2 hours before your procedure, you can take 3 teaspoons of soda or clear juice to raise your sugar. Do NOT take solid foods or non-clear liquids, as your procedure will be cancelled.
| FLUID | AMOUNT | CARBS |
|---|---|---|
| Juice | 1/2 cup | 15 g |
| Jello | 1/2 cup | 15 g |
| Soda | 1 can | 40 g |
| Popsicle | 1 double stick | 15 g |
| Gatorade/Powerade | 1/2 cup | 15 g |
| Broth (veg/chicken/beef) | any | 0 g |
| Clear Protein Drinks | any | 0 g |