Short communication, Note
https://doi.org/10.48188/hczz.5.2.8
Bowel preparation for colonoscopy in patients with diabetes mellitus: instructions for patients and healthcare staff
Ivana Jukić
; Zavod za gastroenterologiju i hepatologiju, Klinika za unutarnje bolesti, Klinički bolnički centar Split; Fakultet zdravstvenih znanosti, Sveučilište u Splitu
Dora Bučan Nenadić
; Odsjek za dijetetiku, Služba za prehranu i dijetetiku, Klinički bolnički centar Split
Mirna Pleština
; Odsjek za dijetetiku, Služba za prehranu i dijetetiku, Klinički bolnički centar Split
Anela Novak
orcid.org/0000-0003-4339-3118
; Zavod za endokrinologiju i dijabetologiju, Klinika za unutarnje bolesti, Klinički bolnički centar Split
*
* Corresponding author.
Abstract
Colonoscopy remains a fundamental diagnostic and therapeutic procedure in gastroenterology, serving as an invasive method for detecting and removing precancerous lesions of the colon, including adenomas. The effectiveness of colonoscopy is closely linked to the adequacy of bowel preparation, which is essential for optimal visualization of the mucosa, as evaluated by the Boston Bowel Preparation Scale. High-risk groups, such as patients with type 2 diabetes mellitus (T2DM), are particularly susceptible to inadequate bowel preparation due to motility disorders, autonomic neuropathy, and the effects of glucose-lowering medications. Despite the rising global prevalence of both T2DM and colorectal cancer, clinical guidelines remain limited and nonspecific for diabetics. To ensure the best bowel preparation for colonoscopy, the staff of the Department of Endocrinology and Diabetology and the Department of Gastroenterology and Hepatology at the Clinic of Internal Medicine of the Split Clinical Hospital Centre, in collaboration with nutrition experts from the Department of Dietetics, have developed concise practical instructions for bowel preparation in diabetic patients. These guidelines aim to improve Boston Bowel Preparation Scale scores and facilitate the work of healthcare professionals, ultimately benefiting patients.
Keywords
colonoscopy; preparation; diabetes mellitus; instructions; Boston bowel preparation scale
Hrčak ID:
343300
URI
Publication date:
21.12.2025.
Visits: 365 *