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This is my first time posting. I am still working on the requirements that the insurance company requires and hope to submit for approval in June to have surgery (RNY) this summer. I'm diabetic and I went to a nutritionist this past week and she told me that no surgeon would operate on me with my A1C as high as it currently is (8.7). Has anyone had their surgery postponed or canceled due to their blood sugar being too high? I'm going to work hard on getting my A1C down before the summer but this has me concerned. None of my other doctors have said this could delay the process. I'm doing this surgery hopefully to reverse my diabetes or at least get me off some of my meds.

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What are you eating, start reducing your sugars and drabs remember everything you eat turns into sugar, replace at least 1 meal with a Protein Drink you will see a huge difference in a month.

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I agree cut down your carbs and sugar intake.

Choose more vegetables then fruit.< /p>

Stay away from juices very high in natural sugars.

If you eat yogurt get plain and add your own sweetener to it and a little fruit.

Protein shakes are great but read the label for ingredients and make sure there is not sugar in it.

If you are going to make your own shakes then I recommend Jay Robb whey Protein powder made with stevia. It comes in vanilla, strawberry and chocolate. You can find it at a Whole foods, Amazon, eBay or directly from the company.

If you want some flavors added to it I recommend Toscani sugar free syrups made with Splenda. You can find them at World Market, Amazon, eBay or directly for Toscani.

These are just a few suggestions of what I would do.

Good luck.

Edited by Chelly

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My A1c was 10.8 when i did my new patient labs. The surgeon wanted less than 10 for surgery. I lost 7 pounds and it went down to 9.8. Thank goodness. It supposed to be submitted to insurance this week some time, hopefully.

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My Surgical team said that A1c needs to below 8.0 or it could postpone surgery date.

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I had diabetes and was on 2 types of diabetes medicine prior to surgery. During the 6 month medically monitored weight loss program mandated by my insurance company, I lost 20 pounds. As a result I was able to cut my diabetes medicine by a third prior to surgery.

The one change that I made prior to surgery was to cut out my diet cokes and that resulted in the weight loss. I use to have a 6 cokes per day habit.

The day I left the hospital 2 days after surgery, I was off all my diabetes medicine and have not used any since. I periodically check my blood sugars during the past 11 months and the numbers look good.

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    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
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    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
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    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
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    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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