Brandyn's colonoscopy

Thursday
October 22
arrive 6:45 AM

Countdown
WhereWeston Hospital Endoscopy
3100 Weston Road, Weston
Present at Admitting. Lots 7, 8 or 9.
ProcedureStarts 8:00 AM, 30 min
Roger Charles, MD
(ordered by Aun Muhammad, MD)
Escort / driverOne adult. Clinic rule: checks in, stays in the endoscopy area, drives home. No escort, no sedation.
The prepGaviLyte-G
one 4-liter jug
Questions / cancelWeston endoscopy 954-689-5556 (prep questions ext. 2) · after 5 PM 954-689-5000. Verified against MyChart Oct 19.

The four days

🍗MondayLow-residue diet. 🍗TuesdayLast solids. Pack. 🥤WednesdayClear liquids. Drive down in the morning. Dose one at 6 PM. 🏥ThursdayDose two at 2 AM. Arrive 6:45, scope 8 AM.

🍬If his sugar goes low

Hypoglycemia supplies by day. The only variable this week is which 15 g sources are allowed once he is on clear liquids.

Rule of 15, prep-night target

15grams of sugar
→
15minutes wait
→
✓check again

Treat under 70 mg/dL. On prep night, repeat to over 120 before sleep (UCLA insulin-pump protocol).

Monday and Tuesday: no restriction

Normal diet, so any fast carbohydrate works: juice, regular soda, glucose tabs, honey.

Wednesday and Thursday: only these

Clear liquids in the allowed colors only. Each line is one 15 g dose.

  • 🧃
    Small apple juice, 4 ozJuice boxes, no measuring. No pulp.
  • 🍇
    White grape juice, 4 ozWhite only. Not purple.
  • 🥤
    Regular Gatorade, one cup (8 oz)Lemon-lime (yellow) or Glacier Freeze (blue). Not the Zero kind for a low.
  • 🥫
    Regular Sprite, 7UP or ginger ale, half a canRegular, not diet, for a low.
  • 💊
    4 glucose tabletsLemon or any light color. One tube at the bedside, one in the bathroom.
  • 🍮
    Half a cup of lemon Jell-OThe regular box with sugar, not sugar-free.
  • 🧴
    One tube of glucose gelFor a low he will not drink through.
🚫Nothing red, orange or purple, even for a low. The dye reads as blood on the scope. No cherry, fruit punch, grape, orange soda, orange juice or cranberry this week.
🗂️Sugar-free for sipping on one shelf, real sugar for lows on another. Gatorade Zero is not a hypo treatment.

Thursday after 5:00 AM: NPO, except a true hypo

Under 70: 3 to 4 glucose tabs or 4 oz apple juice, recheck at 15 minutes, repeat to over 120. Report it at check-in, with what was taken and when. Clinic and UCLA sheets agree.

Severe hypo

Glucagon (Baqsimi nasal or Gvoke pen), then 911.

📍Glucagon location: not yet confirmed. Brandyn to confirm whether one is on hand and where it is kept.

Overnight alarms, Wednesday night

  • 🔔
    Low alarms sound on the pump and the Tandem Mobi app on his phoneNo follower app is in use; the Dexcom app is not installed.
  • 🚪
    Bedroom door open, juice and tabs at the bedside
  • ⏰
    Alarms set for 1:30 AM (glucose check) and 2:00 AM (dose two)

🍗Monday, Oct 19

Low-residue diet, day 3 of 4 (started Saturday; the clinic requires three days).

🍳
BreakfastScrambled eggs, white toast with butter, coffee.
🍚
LunchChicken breast (no skin) over white rice. Applesauce.
🧀
SnackVanilla yogurt (no fruit pieces), or rice crackers with cheddar.
🍝
DinnerPasta with butter and parmesan. Baked fish or chicken, no skin.
🍦
DessertVanilla ice cream, or a ripe banana.

🍗Tuesday, Oct 20

Last solid food. Early, light dinner. Pack tonight; the drive to Pembroke Pines is Wednesday morning.

🥣
BreakfastPuffed-rice cereal with milk, or eggs. Apple juice if he likes.
🥪
LunchGrilled cheese on white bread. Cottage cheese or applesauce.
🍌
SnackString cheese, a ripe banana, or vanilla yogurt.
🥔
Dinner, earlyMashed potatoes (peeled) with butter, chicken breast, white rice. Nothing fried, nothing heavy.
🍦
DessertVanilla ice cream, white chocolate, or jelly on white toast.

Yes and no, both days

  • ✅
    Eggs, chicken and fish without skin, white bread, white rice, pasta, peeled potato
  • ✅
    Cheese, butter, yogurt without fruit pieces, applesauce, ripe banana, pulp-free juice
  • ✅
    Vanilla ice cream, white chocolate, clear jelly, rice crackers, puffed-rice cereal
  • ❌
    Nuts, seeds, popcorn, chunky peanut butter
  • ❌
    Whole wheat, oatmeal, granola, multigrain bread, beans, peas
  • ❌
    Salad, raw vegetables, fresh fruit with skin, berries, dried fruit
  • ❌
    Iron, multivitamins with iron, vitamin E, fiber supplements
  • ❌
    Imodium, Pepto-Bismol, Kaopectate (anything that stops diarrhea)

🥤Wednesday, Oct 21

Clear liquids only, no solids. Dose one of the prep at 6 PM. Inadequate prep means a rescheduled scope.

Clear liquids: allowed colors

Clear Yellow Green Blue
Red Orange Purple
  • 🍵
    Chicken or beef broth, fat-freeStrained, nothing in it.
  • ☕
    Black coffee or plain teaNo milk, no creamer. Sugar or sweetener is fine.
  • 🥤
    Gatorade Zero or Powerade Zero, lemon-lime or blueAll day. Water and unflavored Pedialyte also.
  • 🥫
    Diet Sprite, diet ginger ale, club soda
  • 🍮
    Lemon or lime Jell-O, sugar-free
  • 🍧
    Yellow or green popsicles, lemon hard candySugar-free for sipping; real-sugar versions are the hypo kit.
  • ❌
    Milk, cream, smoothies, protein shakes
  • ❌
    Orange juice, anything with pulp, soup with anything in it
  • ❌
    Anything red, orange or purple
  • ❌
    Alcohol, today and tomorrow

Wednesday by the clock

At least 8 oz of fluid every hour. Slots marked 15 g are the UCLA pump sheet's measured carbohydrate every two hours, bolused as usual. Real sugar vs. sugar-free in those slots is the endocrinologist's call (open items at the bottom).

  • 7 AM

    ☕Coffee and a cup of Gatorade (15 g). Check sugar. Morning pills with water.

  • 9 AM

    🚗Drive to Pembroke Pines (about 3 hours). Glucose check before leaving. Juice boxes and glucose tabs in the cabin, not the trunk. Broth in a thermos, water. Arrive by early afternoon, well before the jug.

  • 11 AM

    🥤On the road: a cup of Gatorade (15 g). Check sugar at a stop.

  • 1 PM

    🍵Hot broth for "lunch". Half a can of ginger ale (15 g).

  • 2 PM

    🫗Mix the jug. Fill GaviLyte-G to the 4-liter line with lukewarm water, add the flavor packet if there is one, shake till clear. Into the fridge. No ice, no sugar, nothing else in it.

  • 3 PM

    🍧A popsicle, water. Check sugar.

  • 5 PM

    🧃Broth, then a small apple juice (15 g). Set up the bathroom: wipes, ointment, phone charger.

  • 6 PM

    🥛Dose one: the first half of the jug (2 liters). One 8-oz glass every 15 minutes, about 8 glasses. Cold, through a straw. Done about 8 PM. Stay near the bathroom.

  • 8 PM

    🍵Keep sipping clear drinks. Check sugar.

  • 10 PM

    🌙Bedtime check. Under 140: have 15 g. Under 120: small apple juice, check every 15 minutes until over 120.

  • Midnight

    ⏰Clear liquids continue overnight if wanted. Alarms set for 1:30 AM and 2:00 AM.

Prep tips from the clinic

  • 🧊
    Cold, through a straw, hold the noseChase each glass with a sip of something clear he likes.
  • 🧻
    Flushable wipes and A&D ointmentBarrier ointment before irritation starts.
  • 🤢
    If he feels sick, stop for 30 minutesThen resume with small sips. Finish the volume.
  • 👀
    By the end it should run yellow and see-through, like weak teaIf output is not clear after dose two, call the office at opening.

🏥Thursday, Oct 22

Dose two at 2 AM (six hours before the 8 AM start), clear liquids until 5 AM, NPO, arrive 6:45.

  • 1:30 AM

    🌙Glucose check. Under 120: small apple juice.

  • 2:00 AM

    🥛Dose two: the second half of the jug (2 liters). One 8-oz glass every 15 minutes, about 8 glasses. Done about 4 AM.

  • 4 AM

    🍵Clear liquids still allowed. Glucose check.

  • 5:00 AM

    🚫NPO from here (3 hours before the 8 AM start). Only usual medications with a sip of water, and a true hypo.

  • 6:15 AM

    🚗Leave for Weston Hospital, 3100 Weston Road. Pump stays on. Park in Lot 7, 8 or 9, present at Admitting.

  • 6:45 AM

    🏥Arrive. At check-in: type 1, insulin pump and CGM, last reading, any overnight hypo.

  • 8:00 AM

    🔬Colonoscopy, 30 minutes, with Roger Charles, MD.

  • ~10:30

    🥪Discharge (3 to 4 hours door to door). Packed breakfast, bolus, resume usual basal once eating normally. No driving for the day.

Bring

🛒Shopping list

Checks stay saved on this phone.

  • 🍗 Monday and Tuesday food
  • 🥤 Wednesday drinks (sugar-free, for sipping)
  • 🍬 The low-sugar kit (real sugar, light colors)
  • 🛁 Bathroom and comfort
  • 🥪 Thursday breakfast to pack

📞Open items

Monday or Tuesday. Appointment time, place and prep schedule were verified in MyChart on Oct 19.

  1. Endocrinologist. Tandem Mobi with Control-IQ, so the clinic's injection rules do not apply. Needed: basal setting for the clear-liquid day and from the first glass of prep (UCLA sheet: 80% for 24 hours), whether Wednesday's 15 g slots stay real sugar with a bolus or go sugar-free, and the correction rule if glucose is high on waking Thursday (UCLA: half correction, extended). Answers go on this page.
  2. MyChart. Complete PreCheck-In (offered on the appointment page). Answer the past-due "Plan Your Colonoscopy Prep" task: the prep is picked up. A second task, the day-before instructions, unlocks Wednesday Oct 21. The prep order is still linked to the original July date under Dr. Muhammad; the appointment itself is correct.
  3. Glucagon. Confirm whether one is on hand and where; add it above.