Why Can’t I Eat Before My PET Scan? - Cincinnati Children's Blog (2023)

“When did you last eat or drink?” is a question you commonly hear the Nuclear Medicine technologists ask their PET (positron emission tomography) scan patients. Why is that so important? The radioisotope that is used in PET imaging, fluorine 18 fluorodeoxyglucose or 18F-FDG, is a glucose transporter. This radioisotope will go to any metabolically active areas in the body. If the glucose levels are elevated from food or drink the patient consumed prior to the test, the level of insulin will increase. When insulin levels increase, our muscles tend to “suck up” glucose to use in our daily activities. When the muscles take up the radiopharmaceutical, the radioactive tracer may not go to the areas the physicians are interested in seeing, rendering the exam suboptimal.

For ideal imaging we request that our PET scan patients have nothing to eat or drink for 4 hours prior to their scan and have a normal fasting glucose level. If the fasting glucose levels are too high or too low, we may need to reschedule the patient for another day to ensure that optimal images will be obtained. Medications can be taken prior to the exam with a minimal amount of water.

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Why Can’t I Eat Before My PET Scan? - Cincinnati Children's Blog (1)

Some other exams in the Radiology Department also require the patient to refrain from eating or drinking prior to an appointment. Please feel free to ask us why — we are happy to explain the difference this can make in our studies, and we want to give you the best possible images and outcome.

Contributed by Kyaira Walton, (Spec Tech-Nuc Med) and edited by Janet Adams, (Adv Tech-Ult).

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Why Can’t I Eat Before My PET Scan? - Cincinnati Children's Blog (2)

Why Can’t I Eat Before My PET Scan? - Cincinnati Children's Blog (3)

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About the author: Janet M. Adams

Janet is a sonographer at Cincinnati Children’s. She has worked in the Ultrasound department for over 26 years, and clearly has a passion for working with children. Janet serves as a lead Safety Coach, TJC representative, and education resource for her department. She enjoys challenging exams, and is involved in local and global ultrasound research projects. When she is not at work, her 4 children and 9 grandchildren keep her very busy!

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FAQs

Why can't I eat before my PET scan? ›

The PET scan helps to detect the signs of high glucose consumption by cells. Therefore, having food before a PET scan is not recommended as it tends to throw your body's glucose levels out of balance and provide inaccurate results.

What happens if you eat or drink before a PET scan? ›

The radioisotope that is used in PET imaging, fluorine 18 fluorodeoxyglucose or 18F-FDG, is a glucose transporter. This radioisotope will go to any metabolically active areas in the body. If the glucose levels are elevated from food or drink the patient consumed prior to the test, the level of insulin will increase.

Why do you have to have no carbs or sugar before a PET scan? ›

Why is it important to follow a low carb diet for 12 hours and fast before my PET/CT scan? To get the best results your blood sugar needs to be low so your cells will properly absorb the radioactive sugar.

How many hours should you fast before a PET scan? ›

Do not eat or drink anything, except water, for 6 hours before the exam. You may drink water, as much water as you can would be helpful, until arrival. Routine medications may be taken, unless you have been instructed otherwise.

What can I eat for breakfast before a PET scan? ›

PET appointment. You should have nothing to eat or drink except water for at least 4 hours before your appointment time. This includes chewing gum, hard candy, breath mints and tobacco products. should not be taken on an empty stomach can be taken with water and 1 or 2 saltine crackers.

What happens if you drink coffee before a PET scan? ›

We prefer that you avoid anything with caffeine (coffee, tea, chocolate, or soda) within 24 hours of the test. Caffeine alters the distribution of the radiopharmaceutical throughout your body, specifically to your heart.

What snacks can I eat before a PET scan? ›

Recommended foods:

Eggs, cheese, cottage cheese and nuts. Vegetables: you may eat low-carbohydrate vegetables such as asparagus, cabbage, cauliflower, celery, chilies, cucumbers, green or wax beans, green peppers, lettuce, mushrooms, olives, onion, tomatoes, summer squash, spinach and turnips.

Is PET scan done empty stomach? ›

Follow a special diet for 12 to 24 hours before the scan. Don't drink or eat anything, except water, for 6 hours before the scan.

Can I brush my teeth before a PET scan? ›

Can I brush my teeth before a PET/CT scan? Normal brushing without swallowing mouthwash or toothpaste within the four hour preparation timeframe will have no effect on the outcome of your PET/CT scan.

How long before a PET scan should you not eat sugar? ›

Avoid food and drinks that contain sugar or carbohydrates for at least 24 hours before your scan. This will help to make sure that your images are of the best quality and help prevent having to reschedule your scan because of a blood sugar that is too high.

Does sugar affect a PET scan? ›

Patients with diabetes mellitus (DM) can have altered sugar transport into cells, potentially affecting the results of 18-FDG PET scans.

Can you have a PET scan if your sugar is high? ›

A morning blood glucose level below 175 mg/dL is a safe range for your PET/CT FDG scan appointment. In the morning after your practice run, you may return to your normal routines of eating and taking medicine until the evening before your scan.

How much water should you drink before a PET scan? ›

The Day Before Your PET/CT Scan

It is important that you stay well hydrated. Unless you are on fluid restriction, please drink at least eight glasses of plain water. The quality of your scan may be improved if you follow a high protein, low carbohydrate, low sugar diet during the 24 hours prior to your scan.

Why are patients asked to fast prior to having a PET scan? ›

For an oncologic FDG-PET scan, fasting is required for patients to lower their blood sugar level so that FDG would not compete with glucose for its transporters for tumor uptake during the PET scan.

What should I do the night before a PET scan? ›

Before arriving for your PET scan, please follow the below instructions:
  1. For dinner the night before the exam, eat a low carb, high protein diet, e.g., meats, fish, green vegetables, eggs or cheese. ...
  2. Do not eat or drink anything after midnight, EXCEPT WATER. ...
  3. No gum, candy or sugar the morning/day of your appointment.
Feb 3, 2020

What is a high protein meal before PET scan? ›

Protein: Non-breaded beef, chicken, turkey, fish, pork, lamb or ham (without honey), hot dogs, lunch meats, fish, shellfish or crab, peanut butter (1-2 servings total), most nuts or sunflower seeds (2 ounces total) and eggs. Dairy: Low-fat cottage cheese, light yogurt, sour cream or butter.

Can you drink water the morning of a PET scan? ›

Do NOT eat anything; drink only water. Drinking water is encouraged to ensure hydration for best test results. Continue to take medications as prescribed.

Can I eat peanut butter before PET scan? ›

We will provide a meal or snack for you. Beginning 24 hours before your test, follow this diet (which is a low carbohydrate diet.) Use the guideline below for menu ideas. Snacks: Celery and peanut butter, light yogurt or cottage cheese.

Can you drink Sprite before a PET scan? ›

AFTER 5:00 PM THE DAY BEFORE YOUR TEST: Avoid foods with sugar & carbohydrates such as bread, potatoes, corn, pasta, noodles, cereal and rice. Avoid fruit, yogurt, fruit juices and soda.

How long before a PET scan can you eat and drink? ›

Usually, you'll be advised not to eat anything for 6 hours beforehand, but you can drink water. You should also avoid strenuous exercise for 24 hours before your appointment.

How long does a PET scan take full body? ›

From start to finish, the procedure takes about two hours to complete and typically does not require an overnight hospital stay. When you arrive for your scan, you may be asked to: Change into a hospital gown.

Can I eat a banana the day before a PET scan? ›

Food that should be avoided Before PET Scan :

Fruits and Vegetables- All fruits, potatoes, corn, carrots, legumes (other beans), tomatoes, peas, squash, veggie burgers.

Do you wear clothes during a PET scan? ›

Specific protocols may vary, but generally a PET scan follows this process: You will be asked to remove any clothing, jewelry, or other objects that may interfere with the scan. If you are asked to remove clothing, you will be given a gown to wear.

How do you stay calm during a PET scan? ›

Managing Anxiety Related to Scan Results
  1. Meditate — Practicing mindfulness or meditation can help you stay calm during difficult times. ...
  2. Exercise — Exercise not only benefits your health, but also improves your mood and reduces stress.
Jun 7, 2021

Can you pee before a PET scan? ›

If you're having a brain PET-CT, it is important to limit brain activity before your scan. Your nurse may tell you not to read or listen to music while you're waiting for your scan. Your care team will ask you to urinate (pee) just before your scan.

What is the biggest disadvantage in using a PET scan? ›

The major drawback to standard PET is that the images are of substantially lower resolution than, for example, those of CT and MRI, and PET is generally poor at delineating anatomic detail.

What cancers do not show up on a PET scan? ›

Though most cancers are picked up on PET CT, there are a few which do not. The most important of these would be cancer of stomach (signet cell type). In such cases performing this test would be waste. However, there are cancers which are very sensitively detected which include lymphoma, GIST, etc.

Can you have sweet and low before PET scan? ›

For Whole Body PET scans, do not eat or drink anything containing sugar or artificial sweeteners for 24 hours prior to the exam. This includes gum, mints, candies, or sodas of any type.

What other diseases can be diagnosed with a PET scan? ›

Your healthcare provider may order a PET scan to check for signs of:
  • Cancer, including breast cancer, lung cancer and thyroid cancer.
  • Coronary artery disease, heart attack or other heart problems.
  • Brain disorders, such as brain tumors, epilepsy, dementia and Alzheimer's disease.
Oct 19, 2022

What medications should you not take before a CT scan? ›

Aspirin or aspirin-containing compounds – Stop taking five days before your procedure. Plavix – Stop taking five days before your procedure. Coumadin (warfarin) – Please obtain a laboratory test (INR) before your procedure to determine the exact time to stop the medication.

How do you flush your body after a PET scan? ›

What happens after the PET scan? After your PET scan, a very small amount of radioactive sugar will remain in your body. So, be sure to drink plenty of water to help flush it out your system. You don't need to follow any special dietary restrictions or guidelines after your PET scan.

Does your whole body go in a PET scan machine? ›

Scanning the whole body all at once

PET (positron emission tomography) is an extremely safe and powerful method for imaging inside the body, used to evaluate organs and other tissues for potential diseases, including cancer.

Can you sleep during a PET scan? ›

Then, the patient will be asked to lie on a table that passes slowly through the scanner. The scanner resembles a CT scanner, but has a much larger opening. Some people fall asleep during the scan.

Why do you have to drink lots of water before a PET scan? ›

Drinking water is encouraged to ensure hydration for best test results. Continue to take medications as prescribed. If you are diabetic, ask your doctor about diet and medication, including withholding insulin for 4 hours prior to the exam (with the exception of an insulin pump, which is permitted).

Why can't you have anything to eat or drink before a CT scan? ›

“Instructions to fast for several hours prior to administration of contrast media were considered essential, and this policy has traditionally been kept due to concerns about vomiting and its potential to cause aspiration,” Yoshito Tsushima, with Gunma University's Department of Diagnostic Radiology and Nuclear ...

Do you need a full bladder for PET scan? ›

You will be asked to remove any clothing, jewelry, or other objects that may interfere with the scan. If you are asked to remove clothing, you will be given a gown to wear. You will be asked to empty your bladder prior to the start of the procedure.

What interferes with PET scan? ›

Certain factors or conditions may interfere with the accuracy of a PET scan, including:
  • High blood glucose levels in diabetics.
  • Caffeine, alcohol, or tobacco consumed within 24 hours of the procedure.
  • Excessive anxiety (may affect brain function)
  • Medicines such as insulin, tranquilizers, and sedatives.

How long does a full body PET scan take? ›

You should stay still and not talk while the scanner takes pictures of your body, which usually takes up to 30 minutes. The scan is completely painless, but you may feel uncomfortable lying still for this long. If you feel unwell at any point there is a buzzer you can press to alert the medical team.

Can you eat peanut butter before PET scan? ›

We will provide a meal or snack for you. Beginning 24 hours before your test, follow this diet (which is a low carbohydrate diet.) Use the guideline below for menu ideas. Snacks: Celery and peanut butter, light yogurt or cottage cheese.

What happens if I accidentally eat before a CT scan? ›

Eating and drinking prior to contrast-enhanced CT can be allowed and are not associated with an increased risk of aspiration pneumonitis.

Can you drink water or coffee before a CT scan? ›

For four hours prior to your exam, please do not eat solid foods. You may drink fluids such as water, juice, or black decaffeinated coffee or tea. Some CT scan exams, particularly abdominal CT scans, may require that you drink water or an oral contrast so we may better visualize structures within the abdominal area.

Can I eat a salad before a PET scan? ›

Food that should be avoided Before PET Scan :

Fruits and Vegetables- All fruits, potatoes, corn, carrots, legumes (other beans), tomatoes, peas, squash, veggie burgers.

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