<p>Poetsheart, that is a heartfelt discussion of a truly tortuous time. Do you head into one of the National Comprehensive Cancer Centers for your medical care given your diabetes, redundant colon, and positive family history? I have found these centers to give you, the patient, a much needed extra edge in screening and diagnostic procedures.</p>
<p>Regarding your diabetes, has anyone discussed a component of Diabetic Gastroparesis contributing to your prep problems and Vasovagal Syndrome? It might be worth asking about this, to see if any mitigating aids may be added to help you.</p>
<p>The Pre-Colonoscopy Diet surely must be discussed to aid you in your diabetes as well as maximize procedural success rate. Starting a liquid diet well (days) in advance of a colonoscopy, but one attune to your diabetic needs, would seem very reasonable. Of course with your diabetes, you’d need the on-hands help and phone monitoring of your endocrinologist to adjust insulin or diet. Flavored Pedialyte is a marvelous adjunct when on a liquid diet to keep our electrolytes balanced. </p>
<p>A Half-Colyte Prep is available (reduced sodium I believe), you might want to google it. I’ve seen Reglan prescribed ahead of time for the nausea. The vasovagal syndrome (drop in blood pressure and heart rate causing syncope, other) is difficult and scary and anticipation of problems makes it more likely. Perhaps your Gastroenterologist might arrange for a Home Intravenous nurse to administer IV fluids and assist you during your prep time, as dehydration plays a role there too. There are definite medical roles for Home IV nurses and aides which insurances, with well worded physician(s) statements should cover. After all, it’s to your insurance benefit to minimize any need for hospitalization where patient risk of infection, falls, mistakes etc are higher than outpatient and higher costs occur.</p>
<p>Your type of complication truly requires multi-physician coordination and reassurance that they will take the ball in determining proper interdisciplinary communication to get you to the point of a well prepared bowel for colonoscopy. This is definitely needed to lower patient anticipatory anxiety.</p>
<p>Here is a link to the NCI Comprehensive Cancer Centers which have much experience on cancer screening, especially in more unusual circumstances. Confidence is key to avoid the dread and anxiety which will only worsen the diabetes and vasovagal propensity. Good luck.</p>
<p>[Cancer</a> Centers Program - Cancer Centers List](<a href=“http://cancercenters.cancer.gov/cancer_centers/cancer-centers-list.html]Cancer”>http://cancercenters.cancer.gov/cancer_centers/cancer-centers-list.html)</p>