Download Attention Diabetic Patients:

Main: (208) 639-4900
Fax: (208) 639-4901
www.idurology.com
Attention Diabetic Patients:
You Are Scheduled for a CT Exam that Utilizes IV Contrast Media
____________________________________________________
(Patient Name)
______________________________
(Patient Date of Birth)
Your pre CT lab is scheduled for:
Date: ________________ Time: _______________ Location: ______________________________________
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•
•
To avoid any complications associated with diabetes you will need special preparation prior to your CT scan.
All diabetic patients will need to have a kidney function test done prior to receiving IV contrast. This is due to the increased
risk of kidney impairment associated with diabetes.
Some diabetic medications can pose health risks when used in conjunction with IV contrast media. Please discontinue taking
any of the following medications the morning of your CT and for 48 hours following your exam:
▪ Actoplus Met
▪ Avandamet
▪ Avandryl
▪ Diabex
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▪
▪
▪
▪
Diaformin
Dianben
Fortamet
Glucophage
▪
▪
▪
▪
Glucovance
Glumetza
Janumet
Januvamet
▪ Metaglip
▪ Metformin
▪ Obimet
If you are diabetic and taking one of these medications, you will need to have follow-up labs drawn 48 hours following your
CT. You may only resume taking these medications after your lab work has been drawn and you have been contacted by your
nurse.
Your post CT lab is scheduled for:
Date: ________________ Time: _______________ Location: ______________________________________
If you have any questions prior to your scan and need to talk to your nurse, please call (208) 639-4900. If you need to talk to someone
in Radiology, please call (208) 639-4900.
Options for Advanced Services
You are being referred for advanced imaging services. IUI offers these services to our patients in our facility. However, you are free to
elect to see any qualified provider and need not elect to have IUI perform such services. Below is a list of providers available:
St. Alphonsus Regional Medical Center
1055 North Curtis Road, Boise, ID (208)367-2121
Saltzer Medical Group
4403 East Flamingo, Nampa, ID (208)288-4960
Imaging Center of Idaho
4519 Enterprise Way, Caldwell, ID (208)455-7482
St. Alphonsus Nampa
1512 12th Avenue Road, Nampa, ID (208)463-5431
Intermountain Medical Imaging
927 West Myrtle Street, Boise, ID (208)367-7510
Macintosh HD:Users:danielmelvin:Downloads:Form-Attention-Diabetic-Patient-1.doc
2/20/2014
Approved