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Is pre-diabetic considered comorbidity for sleeve surgery?

InIt2LoseIt

By InIt2LoseIt, in Insurance & Financing

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InIt2LoseIt    0

InIt2LoseIt
Posted

I have Aetna, a BMI of 41 and am pre-diabetic. April will be my last weigh in under supervised plan and then everything gets submitted for approval. I am so nervous. I need this approved so bad.

By pre-diabetic - I don't meet the A1C blood work tests to show full true diabetes. I have taken metaphormin meds and an under primary care physician's care for pre-diabetes, depression, anxiety.

Thoughts and feedback appreciated.

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OutsideMatchInside    10,166

OutsideMatchInside
Posted (edited)

do you need a comordbidity with your BMI over 40?

Edited by OutsideMatchInside

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Sajijoma    1,324

Sajijoma
Posted

Most insurance doesn't require a co morbidity if you are over 40bmi. I didn't have any. No sleep apnea, no diabetes, no high blood pressure, nothing. All I had was the super high BMI and they approved me right away.

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petunia13081    0

petunia13081
Posted

Most insurance doesn't require a co morbidity if you are over 40bmi. I didn't have any. No sleep apnea, no diabetes, no high blood pressure, nothing. All I had was the super high BMI and they approved me right away.

Hi..what kind of insurance do you have?

Sent from my SAMSUNG-SM-N900A using the BariatricPal App

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Pinkgirl1234    761

Pinkgirl1234
Posted

Yes it is...I have PCOS and insulin resistance ...bordering ...pre diabetes is a comorbidity.

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Pinkgirl1234    761

Pinkgirl1234
Posted

After my surgery I was able to discontinue metformin.

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Pinkgirl1234    761

Pinkgirl1234
Posted

Yes.

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Pinkgirl1234    761

Pinkgirl1234
Posted

I portrayed myself as stable and positive but under it all I was on a verge of a nervous breakdown....my weight was taking a toll....

My psych was very good...she had WLS.

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petunia13081    0

petunia13081
Posted

I just had my first visit with the nutritionist and the surgeon, do the doctor office communicate well and help to get things done. Did it take long for your approval?

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Then I have been stressing about having to pay the 20 percent and the deductible at the same time, it's so stressful.

Sent from my SAMSUNG-SM-N900A using the BariatricPal App

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Pinkgirl1234    761

Pinkgirl1234
Posted

Not really...about 3 weeks...Some people get approval much sooner though.

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Sajijoma    1,324

Sajijoma
Posted

Most insurance doesn't require a co morbidity if you are over 40bmi. I didn't have any. No sleep apnea, no diabetes, no high blood pressure, nothing. All I had was the super high BMI and they approved me right away.

Hi..what kind of insurance do you have?

Sent from my SAMSUNG-SM-N900A using the BariatricPal App

I have Aetna and from the time it was submitted to approval was about 3 days in total. Just keep calling them to check on the status. It seems to hurry it along.

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Go To Topic Listing Insurance & Financing

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    • Alisa_S

      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.
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    • Alisa_S

      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

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        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.

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