Are there other diabetics in here who have to take an A1c

[apositivelife4me 189]

I take Metformin, Trulicity, Lantus Insulin, Novolog fast acting insulin and my A1c is still high.

[apositivelife4me 189]

Edited April 15, 2018 by apositivelife4me

[Mhy12784 423]

5 hours ago, apositivelife4me said:

Thanks you have made me feel just wonderful. I have been jumping through hoops for my surgery for 8 months now and to have them deny me my surgery now over my A1c would be devastating. They haven't said anything to me about it so far. The subject of A1c has never come up.

Well it's not necessarily deny you so much as postpone. However it's far enough in advanced (close to a month) that there's plenty of time to address any issues. It'll depend entirely on the policies and procedures of the groups involved with your care, but I have to imagine an endocrinologist should be in order.

Has your primary care physician already sent you to an endocrinologist at any point ever about managing the diabetes?

[Mhy12784 423]

5 hours ago, charismatic said:

Since WLS has been proven to reverse and at the least help with diabetes I wonder why they would not do surgery on someone with a 7 or 8 or even a 10 A1C. That would seem counterproductive. Also these aren’t ranges that people typically end up hospitalized and coding. Diabetes is progressive so while having it will put you at higher risk it won’t kill you over night. I would imagine other things such as kidney failure, heart conditions and even something like open sores that won’t heal combined with the high A1c might prevent your operation.

In the hospital they constantly measure your current blood sugar and will provide you insulin if needed to keep it in check.

It's elective surgery. Patients are expected to be optimized for surgery, and risks minimized. If a patients blood sugar is out of control its for a reason (sometimes controllable, sometimes not) for both optimizing patients outcomes and minimizing legal liability.

Sometimes an A1c can't be lowered, and in those cases they (should) like documentation from a specialist stating that they tried to optimize the patient and this is the best they can do.

[clambert1978 5]

My surgeon told me that my A1c had to be below 8 to have the surgery, when I first started seeing the dietician it was 12.4 so I changed everything about my diet in the 3 months prior to surgery I brought A1c down from 12.4 to 6.6. So the diet is the most important thing if you are doin what are supposed to be doing the A1c will not be a problem.

[apositivelife4me 189]

In the 8 months that I have been jumping through hoops the surgeon nor any of her minions who I have been examined by have said anything about my A1c. I am concerned because I don't want to come up to the last minute and have someone say 'oh by the way your a1c is too hight so we can't do the surgery'. That would just be terrible. I have been battling with my A1c numbers for years. It isn't a new thing. If my diabetes was in great shape and my A1c was perfect I wouldn't need the surgery.

Edited April 15, 2018 by apositivelife4me

[Mhy12784 423]

15 minutes ago, apositivelife4me said:

In the 8 months that I have been jumping through hoops the surgeon nor any of her minions who I have been examined by have said anything about my A1c. I am concerned because I don't want to come up to the last minute and have someone say 'oh by the way your a1c is too hight so we can't do the surgery'. That would just be terrible. I have been battling with my A1c numbers for years. It isn't a new thing. If my diabetes was in great shape and my A1c was perfect I wouldn't need the surgery.

They don't expect to cure your diabetes with the preop diet . They want you optimized for surgery to reduce complications and improve your outcome and recovery.

Again nobody knows how your health care team will respond. We're just letting you know it's a legitimate concern that you'd be better off addressing sooner rather than later

[apositivelife4me 189]

Its a 1 hour surgery, no biggie. There are rarely any complications. I take a lot of insulin and still have a high A1c. I assume they know that. I have been told to eat as I want because I am right on the edge of qualifying for the surgery.

[apositivelife4me 189]

4 hours ago, Mhy12784 said:

Edited April 15, 2018 by apositivelife4me

[Sosewsue61 3,185]

If you have that much sugar in your system it doesn't heal well - it has nothing to do with the surgery being 'only 1 hour', you are cutting 85% of your stomach out and will have 5 incisions that need to heal, plus likely a fatty liver that must be lifted out of the way to perform this surgery. I don't know your personal health issues with regard to uncontrolled blood sugar levels. But I have 2 (now adult) type I diabetic kids and 10 is a terrible a1c. Physicians want the best outcome for the patient and aren't out to exclude surgery for a patient just to be mean. Cut out ALL the carbs, sugar and anything that causes inflammation (salt, dairy, red meat, etc) for three months, and if you can - walk for an hour every day - even if it is in 10 minute increments. You may have to keep jumping through hoops.

[apositivelife4me 189]

I have Medicare. Medicare does not have any pre authorization requirement. I have been waiting 8 months for this surgery. Why during this eight months has no one mentioned my high A1c? They have actually told me to eat what I want in order to have the bmi of 35.

Edited April 15, 2018 by apositivelife4me

[Frustr8 7,886]

if surgeons expect to have only perfect patients, doesn't it follow we should accept only perfect surgeons?😁

[apositivelife4me 189]

i am just really worried about it from what people in this forum have said. The thing is the health care workers I have seen so far have not mentioned my A1c but I do have an appointment to get blood work done and A1c is one of those blood tests that is coming up on the May 1. My surgery is on May 9. I would hate to see my surgery cancelled so close to me having my surgery.

[Frustr8 7,886]

I am the adult child of two diabetics. Although I have never shown any signs of. the disease each time I have,a blood test I am fearful that I will be told I have now shown it. I hope at 72 I will not but perhaps my future RnY will also serve as a protective measure. Not my primary reason for surgery but I will accept even secondary blessings.😛

[godblessedchild 30]

Hello, everyone, I’ve had my surgery in Sept.16 and I.m a diabetic taking insulin and my A1C goes up an down just like my weight. I started at 266 and I can’t seem to get out of 200. This is really depressing for me I feel like I have failed, my weight right now is 223. Went to a diet dietitian and her suggestion did not work for me. I excise hard do weights and the weight is not coming off, I feel like I should have met my goal by now but after a year an some months, i’m still struggling. I Need some help!!!