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Diabetic Newbie

So I am in process of WLS and I am a bit nervous about the pre testing like blood work and etc.. I am diabetic and I fear my high A1C will slow the process. Could someone please give me some feedback? thank you.

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Ok I will ask about it thank you.

If u dont mind me asking was ur A1C high before the medication?

I know you didn't ask me but i'm volunteering the information. I am on a medication called Trulicity. I haven't lost a significant amount of weight (10 lbs) but it has helped my A1C. Before my last A1c of 5.9, it was 6.6. However, I have made significant diet changes..no fast food and limiting the carbs so I am sure that has contributed to the low A1c. I think Victozia has to be taken daily and Trulicity is only once a week. My endocrinologist told me that after about 6 months, the weight you lose from these medications always comes back :(

My a1c was in the 8 ish range before taking the victoza. I also tried trulicity but found the needle to be too painful and stopped after 3 weeks. The needles for victoza are very thin smaller then those for testing my blood sugar

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So I spoke with surgeon finally today he does not have any requirements on A1C levels he said the surgery will correct it. He did tell me that I should think about the bypass because it has a higher success rate of reversing diabetes. What do you guys think about this?

My personal opinion... The bypass reroutes the plumbing and takes part of the intestines away. The sleeve only cuts away the stomach but the plumbing is left intact. I know there are other things to consider but this is my $0.02.

I had posted before about this...I am a type-1 diabetic on an insulin pump along with high blood pressure and a bunch of other crap. I will always be diabetic, no surgery will change that. I had a surgery date set for September, and at my pre-op with the anesthesiologist, my A1C was too high(10.6). Because of how much of a "brittle" diabetic I am, my endocrinologist wanted to postpone to try and get the A1C a little lower, as well as adjust insulin ratios based on a pre-op diet. My surgery is now scheduled for December 8th. I am having the sleeve because 1. It was my surgeons first suggestion and 2. I felt more comfortable not having things rerouted as well as having extra stomach just hanging around in there. It is a personal choice but I ultimately listened to what my surgeon and the team thought had the best outcome possibilities for me. I hope everything goes well!

I agree with tera1982, it is a personal choice. The first thing my surgeon said to me was bypass is the preferred surgery if you are diabetic. I told him I had done the research and I understood this. However, I personally did not want to have the bypass procedure for many, many reasons. The surgeon told me he did not have a problem doing the sleeve on me; it's a good thing because if he refused, I still would not have done the bypass. I would have just risked having a heart attack or stroke! I will say this as well....there is NO way I would even consider having bypass if I was diabetic and only on oral medications. I would say just continue to do your research.....

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