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I was sort of surprised today when I looked at my mail. I received my approval letter from Medical Mutual. Being that I was told a couple of weeks ago that I would need to get my A1c down to 8 or below prior to surgery, I assumed that the paperwork would not be submitted until after. I started on insulin the day after the conversation with the doc and since then the blood glucose readings have gone down to a normal range. She said that the tests that they used to use prior to the current A1c, gave a more current score verses than the one that is now used (which scores over the past 3 months). I go back on the 27th of this month for the test, crossing my fingers that my score is within range. In the meantime I have been attempting to cut out all sugar and as much carbs as possible. I guess I will see how it goes!