Suprep Prep Instructions

Have DIABETES? Read this first!

Suprep Prep

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.

5-7 Days before your procedure

Have your prescription filled. Please follow the prep instructions listed below, not the instructions on the prep box.

5 Days before your procedure

If you routinely have less than 2 bowel movements per week then you will also need to purchase an 8.3 oz bottle of Miralax®. Begin taking a dose of Miralax® twice a day 5 days prior to your procedure. Take the last dose of Miralax® in the morning the day before your procedure.

3 Days before your procedure

AVOID raw fruits and vegetables, whole wheat/multigrain products, beans, nuts, popcorn and seeds.

1 Day before your procedure

You may only have clear liquids the entire day such as water, coffee, tea, broth, sodas, apple juice, Gatorade, Kool-aid, Jell-O, popsicles and hard candy. You may not have any solid food. It is important to drink extra clear liquids before your prep to maintain adequate hydration. Do not drink liquids that are not clear such as milk. Do not drink liquids that are red or purple in color.

The day before the procedure – BETWEEN 3 AND 6 PM – Start your prep

STEP 1:

Pour one (1) 6 ounce bottle of Suprep liquid into the mixing container. Add cool drinking water to the 16 ounce line on the container and mix.
Drink the entire contents. A straw may help.

STEP 2:

Follow with at least FIVE (5) 8 ounce cups of clear liquid over the next two (2) hours.
Make a conscious effort to drink as much clear liquids as you can before, during and after the preparation.

NOTE:

If you experience nausea – slow down your prep intake and walk around until nausea is relieved.
Use baby wipes and/or Balneol cleansing cream or lotion during the prep to reduce irritation.

The day of the procedure – 4 HOURS before you leave home for your appointment

STEP 1:

Pour one (1) 6 ounce bottle of Suprep liquid into the mixing container. Add cool drinking water to the 16 ounce line on the container and mix.
Drink the entire contents. A straw may help.

STEP 2:

Follow with at least four (4) 8 ounce cups of clear liquid over the next hour. You may drink clear liquids up to 3 hours prior to your appointment arrival time.
You may take your prescription medications (except those listed in the booklet) with water up to 3 hours before your appointment arrival time.
Do not use smokeless tobacco on the day of your procedure. Starting 3 hours before your appointment arrival time absolutely nothing by mouth, including gum, hard candy and breath mints.

Please call us at 901-747-3630 if you have any questions or if you are having difficulty with the preparation. We are available 24 hours a day, 7 days a week.

Download Prep Guide

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

Please call us at 901-747-3630 if you have any questions or if you are having difficulty with the preparation. We are available 24 hours a day, 7 days a week.

Download Prep Guide