Sunday, September 25, 2011

Special precautions with diabetes, kidney diseases, high blood pressure or receiving anticoagulants


Special precautions to take before having an angiogram:

Patients with diabetes, kidney diseases, high blood pressure or receiving anticoagulants have to take special precautions as following and an angiography should only be done only when it is necessary.


 If you have kidney problems an angiography should only be done if clinically indicated as the dye is removed from the blood by the kidneys and can cause further impairment of kidney function.
 If you are diabetic patient: this dye test gives false high readings in the urine and on blood sugar tests. You should not adjust your insulin or any of your diabetic treatments based on these results during the first 2 days following the Fluorescein angiogram. 
* If you suffer from high blood pressure (hypertension) then this should be well controlled with tablets before angiography is done as there is a higher risk of bleeding from the puncture site.
* If you are receiving anticoagulant drugs such as WARFARIN then these should be stopped before angiography  is done and may need to be replaced with a more controllable drug such as HEPARIN.
* If you have a known allergy to fluoresceine then great care should be exercised in the use of fluoresceine dyes that are used in angiography.

telling your doctor the medical problems you have is of great value in these cases