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If your a1c is too high?



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Do they delay your surgery? Ys, every surgeon is different, etc., but did anyone experience this?

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If your a1c is too high? delay in WLS?

karpouzian

i have seen others with this concern

you are right all docs are different :mellow:

in my case, i know my levels weren't great day of WLS :(

but having high blood sugar/diabetes/insulin is one of the main health reasons many sleevers get WLS

shortly after surgery - most peoples situations improve :)

in my case - awhile after WLS, all my meds/insulin were gradually taken away :)

good thoughts you won't have prob with doc - and your diabetes will also improve/go away!!!! :)

good luck

kathy

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I would really doubt that they would delay it. You might be on a more restrictive pre-op to get down as much weight as possible. The A1C is a composite of weeks/months of glucose levels. So you current glucose level would be a more determining factor of your surgery risk. My A1C was 7.0 at the time of my surgery it is now 5.5. They did check my glucose about ever 4 hours when I was in the hospital and it was pretty high like 285, but it came down over time and now runs in the 85-90 range.

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Do they delay your surgery? Ys, every surgeon is different, etc., but did anyone experience this?

Super high blood sugars day of surgery, maybe. High A1C, doubtful. The A1C is just an average for the last 3 months. If you hit the OR with a 400 blood sugar, there is a serious risk of ketoacidosis. You don't want to start at 400 and then have your surgery cause it to climb 600+. I saw a significant spike in blood sugar post op for a few weeks.

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I have Kaiser and in order to have the surgery, they wanted my A1c done to 5.99. Well, it wasn't down but with some diet changes, my A1C did drop some and I had the surgery. It is normal for our blood sugar to spike after the trauma of surgery and that was the first time I've ever had insulin injections. After day 3, no more insulin was needed and my blood sugar was normal. Yayyyyyyyy! That was my first NSV.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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