{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T13:19:11Z","timestamp":1791897551130,"version":"4.3.4"},"reference-count":28,"publisher":"Georg Thieme Verlag KG","issue":"09","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Exp Clin Endocrinol Diabetes"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective Due to the growing diabetes pandemic, the number of\n                    colonoscopies performed in patients with diabetes is steadily rising. However,\n                    recommendations on adjustments of anti-hyperglycaemic agents (AHG) during bowel\n                    preparation for colonoscopy are limited.<\/jats:p><jats:p>\n          Methods A total of nine articles were revealed on a PubMed search using\n                    the search terms \u201cdiabetes\u201d and \u201ccolonoscopy\u201d,\n                    \u201csigmoidoscopy\u201d, \u201cendoscopy\u201d,\n                    \u201cendoscopic intervention\u201d, \u201cendoscopic invasive\n                    diagnostics\u201d, \u201cendoscopic surgery\u201d, or \u201cdiabetes\n                    care in the hospital\u201d and manual screening of the references of the\n                    articles reporting on AHG adjustment during bowel preparation.<\/jats:p><jats:p>\n          Results Regular glucose measurements and the opportunity to contact the\n                    diabetes team were commonly advised. Recommendations also agreed that all oral\n                    AHG and short-acting insulin should be omitted when patients are on clear\n                    fluids. Recent studies suggest discontinuation of sodium-glucose cotransporter-2\n                    (SGLT2) inhibitors even three days before the colonoscopy. In contrast,\n                    recommendations differed regarding adjustment of basal insulin depending on\n                    diabetes type and time point in relation to the intervention.<\/jats:p><jats:p>\n          Conclusions While discontinuation of oral AHG and short-acting insulin\n                    during bowel preparation for colonoscopy is generally accepted, recommendations\n                    on the adaptation of basal insulin follow different approaches.<\/jats:p>","DOI":"10.1055\/a-1782-9389","type":"journal-article","created":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T23:02:07Z","timestamp":1648767727000},"page":"627-632","source":"Crossref","is-referenced-by-count":18,"title":["Adjustment of Anti-Hyperglycaemic Agents During Bowel Preparation for\n                    Colonoscopy in Patients with Diabetes"],"prefix":"10.1055","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0107-1196","authenticated-orcid":false,"given":"Karsten","family":"M\u00fcssig","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Gastroenterology and Diabetology,\n                    Niels Stensen Hospitals, Franziskus Hospital Harderberg,\n                    Georgsmarienh\u00fctte, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henning E.","family":"Adamek","sequence":"additional","affiliation":[{"name":"Second Department of Internal Medicine (Gastroenterology, Hepatology,\n                    Diabetology), Klinikum Leverkusen, Leverkusen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,3,31]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"394","DOI":"10.3322\/caac.21492","article-title":"Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality\n                    worldwide for 36 cancers in 185 countries","volume":"68","author":"F Bray","year":"2018","journal-title":"CA Cancer J Clin"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/S0140-6736(14)61682-2","article-title":"Global, regional, and national age-sex specific all-cause and cause-specific\n                    mortality for 240 causes of death, 1990-2013: A systematic analysis for the\n                    Global Burden of Disease Study 2013","volume":"385","author":"GBD 2013 Mortality and Causes of Death\n                    Collaborators","year":"2015","journal-title":"Lancet"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"14790","DOI":"10.1038\/s41598-020-71908-9","article-title":"Global, regional, and national burden and trend of diabetes in 195 countries and\n                    territories: An analysis from 1990 to 2025","volume":"10","author":"X Lin","year":"2020","journal-title":"Sci Rep"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"495","DOI":"10.2337\/dc14-1175","article-title":"The risk of colorectal cancer in patients with type 2 diabetes: Associations\n                    with treatment stage and obesity","volume":"38","author":"P J Peeters","year":"2015","journal-title":"Diabetes Care"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1001\/jamaoncol.2018.4280","article-title":"Association of obesity with risk of early-onset colorectal cancer among\n                    women","volume":"5","author":"P H Liu","year":"2019","journal-title":"JAMA Oncol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1001\/jama.289.1.76","article-title":"Prevalence of obesity, diabetes, and obesity-related health risk factors,\n                    2001","volume":"289","author":"A H Mokdad","year":"2003","journal-title":"JAMA"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1106","DOI":"10.1056\/NEJMoa1300720","article-title":"Long-term mortality after screening for colorectal cancer","volume":"369","author":"A Shaukat","year":"2013","journal-title":"N Engl J Med"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"g2467","DOI":"10.1136\/bmj.g2467","article-title":"Effect of screening sigmoidoscopy and screening colonoscopy on colorectal cancer\n                    incidence and mortality: Systematic review and meta-analysis of randomised\n                    controlled trials and observational studies","volume":"348","author":"H Brenner","year":"2014","journal-title":"BMJ"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"1637","DOI":"10.1136\/gutjnl-2014-309086","article-title":"Colorectal cancer screening: A global overview of existing programmes","volume":"64","author":"E H Schreuders","year":"2015","journal-title":"Gut"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"2479","DOI":"10.1002\/cncr.30070","article-title":"Colorectal cancer screening: Estimated future colonoscopy need and current\n                    volume and capacity","volume":"122","author":"D A Joseph","year":"2016","journal-title":"Cancer"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1136\/flgastro-2018-100970","article-title":"Endoscopy in 2017: A national survey of practice in the UK","volume":"10","author":"L Shenbagaraj","year":"2019","journal-title":"Frontline Gastroenterol"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1097\/MEG.0000000000001175","article-title":"Predictors of inadequate bowel preparation for colonoscopy: A systematic review\n                    and meta-analysis","volume":"30","author":"S Mahmood","year":"2018","journal-title":"Eur J Gastroenterol Hepatol"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1007\/s11938-017-0151-1","article-title":"Diabetes Mellitus and the Colon","volume":"15","author":"M S Piper","year":"2017","journal-title":"Curr Treat Options Gastroenterol"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"903","DOI":"10.1053\/j.gastro.2014.07.002","article-title":"Optimizing adequacy of bowel cleansing for colonoscopy: Recommendations from the\n                    US multi-society task force on colorectal cancer","volume":"147","author":"D A Johnson","year":"2014","journal-title":"Gastroenterology"},{"key":"ref15","first-page":"297","article-title":"Preparation for endoscopic examinations in patients with diabetes and\n                    hypoglycaemia","volume":"16","author":"K Lewandowski","year":"2021","journal-title":"Prz Gastroenterol"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"623","DOI":"10.5946\/ce.2020.021","article-title":"A survey of peri-colonoscopy management of anti-diabetic medications","volume":"53","author":"B Lee","year":"2020","journal-title":"Clin Endosc"},{"key":"ref19","first-page":"735","article-title":"Antihyperglycemic therapy during colonoscopy preparation: A review and\n                    suggestions for practical recommendations. United European","volume":"7","author":"I Hochberg","year":"2019","journal-title":"Gastroenterol J"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"e181","DOI":"10.2337\/dc20-1244","article-title":"Periprocedural euglycemic diabetic ketoacidosis associated with sodium-glucose\n                    cotransporter 2 inhibitor therapy during colonoscopy","volume":"43","author":"E J Meyer","year":"2020","journal-title":"Diabetes Care"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"S211","DOI":"10.2337\/dc21-S015","article-title":"15. Diabetes care in the hospital: Standards of medical care in\n                    diabetes-2021","volume":"44","author":"American Diabetes Association","year":"2021","journal-title":"Diabetes Care"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"e124","DOI":"10.2337\/dc21-0256","article-title":"Capillary ketone concentrations at the time of colonoscopy: A cross-sectional\n                    study with implications for SGLT2 inhibitor-treated type 2 diabetes","volume":"44","author":"P S Hamblin","year":"2021","journal-title":"Diabetes Care"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"e124","DOI":"10.2337\/dc21-0256","article-title":"Comment on Hamblin et al. Capillary ketone concentrations at the time of\n                    colonoscopy: A cross-sectional study with implications for SGLT2\n                    inhibitor-treated type 2 diabetes","volume":"44","author":"V Thiruvenkatarajan","year":"2021","journal-title":"Diabetes Care"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"e124","DOI":"10.2337\/dc21-0256","article-title":"Response to comment on Hamblin et al. Capillary ketone concentrations at the\n                    time of colonoscopy: A cross-sectional study with implications for SGLT2\n                    inhibitor-treated type 2 diabetes","volume":"44","author":"P S Hamblin","year":"2021","journal-title":"Diabetes Care"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1186\/s12885-016-2685-3","article-title":"Type 2 diabetes mellitus and risk of colorectal adenoma: A meta-analysis of\n                    observational studies","volume":"16","author":"F Yu","year":"2016","journal-title":"BMC Cancer"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1186\/s12885-019-6092-4","article-title":"Pre-diagnostic colonoscopies reduce cancer mortality \u2013 results from\n                    linked population-based data in South Australia","volume":"19","author":"M Li","year":"2019","journal-title":"BMC Cancer"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1002\/ejhf.2333","article-title":"2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart\n                    failure: Developed by the Task Force for the diagnosis and treatment of acute\n                    and chronic heart failure of the European Society of Cardiology (ESC). With the\n                    special contribution of the Heart Failure Association (HFA) of the ESC","volume":"24","author":"T A McDonagh","year":"2022","journal-title":"Eur J Heart Fail"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1111\/jdi.12409","article-title":"Evaluation of safety of insulin degludec on undergoing total colonoscopy using\n                    continuous glucose monitoring","volume":"7","author":"S Takeishi","year":"2016","journal-title":"J Diabetes Investig"},{"key":"ref30","first-page":"413","article-title":"Is it necessary to measure blood glucose level before and after colonoscopy in\n                    diabetic and nondiabetic patients?","volume":"53","author":"P Say\u0131n","year":"2019","journal-title":"Sisli Etfal Hastan Tip Bul"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1016\/j.jamcollsurg.2018.08.183","article-title":"American College of Surgeons\u2019 guidelines for the perioperative\n                    management of antithrombotic medication","volume":"227","author":"M A Hornor","year":"2018","journal-title":"J Am Coll Surg"}],"container-title":["Experimental and Clinical Endocrinology &amp; Diabetes"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1782-9389.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,16]],"date-time":"2022-09-16T23:12:06Z","timestamp":1663369926000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1782-9389"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,31]]},"references-count":28,"journal-issue":{"issue":"09","published-online":{"date-parts":[[2022,9,16]]},"published-print":{"date-parts":[[2022,9]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1782-9389","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0947-7349","1439-3646"],"issn-type":[{"value":"0947-7349","type":"print"},{"value":"1439-3646","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,31]]}}}