Alberta Health Services expressly disclaims all liability for the use of these materials, and for any claims, actions, demands or suits arising from such use.Breath testing with hydrogen and/or methane breath tests may offer some insight into malabsorption of some FODMAPs. Although reasonable efforts were made to confirm the accuracy of the information, Alberta Health Services does not make any representation or warranty, express, implied or statutory, as to the accuracy, reliability, completeness, applicability or fitness for a particular purpose of such information. This material is intended for general information only and is provided on an 'as is', 'where is' basis. This material is not a substitute for the advice of a qualified health professional. To see this information online and learn more, visit /health/pages/conditions.aspx?Hwid=custom.ab_diabetes_hydrogenbreathtest_sibo_inst.įor 24/7 nurse advice and general health information call Health Link at 811.Īuthor: Endocrinology and Metabolism Program, Alberta Health Services *Be sure to bring a source of fast-acting sugar and your blood glucose meter with you. Don’t take any diabetes medicine until after your test is done and you're eating.Take your diabetes medicine as usual or as your healthcare provider tells you.If you take diabetes medicine other than insulin Take your diabetes medicine as per your next scheduled dose.Premix Insulin: Reduce your dose of morning premix insulin (Humulin 30/70, Novolin 30/70, or Humalog 25/75) by 20% (or the amount your healthcare provider tells you) and take it before you drink the solution.Bolus: Reduce your dose of meal (bolus) insulin (Apidra, Humalog, NovoRapid, Fiasp, Humulin R, or Novolin Toronto) by 20% or the amount your healthcare provider tells you, and take it before you drink the solution.*You’ll be given a 75 g glucose/water solution to drink.* If there are no concerns, keep the same basal rate. Insulin Pump: You may need to reduce your basal rate by 10% to 20% if there are concerns about low blood sugar.Tresiba may need to be reduced for 2-3 days before the procedure. Basal Insulin: Reduce your dose of basal insulin (Humulin N, Novolin NPH, Lantus, Basaglar, Toujeo, Levemir or Tresiba) by 20% or the amount your healthcare provider tells you.Premix Insulin: Don’t take your morning pre-mix insulin (Humulin 30/70, Novolin 30/70, or Humalog 25/75).Bolus (meal) Insulin: Don’t take your morning bolus (meal) insulin (Apidra, Humalog, NovoRapid, Fiasp Humulin R, or Novolin Toronto).Insulin Pump: You may need to reduce your basal rate by 10% to 20% overnight if there are concerns about low blood sugar.All doses stay the same for breakfast, lunch and supper.If you’re worried about your blood sugar level, speak with your healthcare provider or diabetes educator.Moderate to large ketones may mean that you’re in DKA (diabetic ketoacidosis) and need to go to the Emergency Department right away. If you have Type 1 diabetes and positive for ketones, you may need extra insulin.If you have type 1 diabetes or you are on an SGLT2 inhibitor canagliflozin (Invokana), dapagliflozin (Forxiga), empagliflozin (Jardiance) and ertugliflozin (Steglatro) and your sugars are over 14.0 mmol/L, test your urine or blood for ketones.Blood sugars in the range of 8.0 to 12.0 mmol/L are fine for this test, even if it’s higher than your usual target. Test your blood sugar at least every 4 hours.Test your blood sugar anytime you feel your blood sugar is low or high. If you see a diabetes educator or diabetes specialist, contact them at least 1 week before your test to ask about adjusting your diabetes medicine or insulin. You’ll have to drink liquid that has 75g of glucose for the test.įollow the instructions your gasterenterology (GI) Clinic gives you about when and what to eat and drink before the test.

This test is used to find out if you have too much bacteria (overgrowth) in your small intestine.

Diabetes Adjusting your diabetes medicine and diet for a hydrogen breath test for small intestine bacterial overgrowth

Hydrogen breath test