Jump to content
×
Are you looking for the BariatricPal Store? Go now!

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



Recommended Posts

My doctor wants me to have an A1c just prior to surgery. My primary care physician just had me take an A1c and it was 10. Could the high A1c keep me from being able to have my surgery on May 9?

Share this post


Link to post
Share on other sites

No, but if your A1c hasn't come down a bit....your doctor will wonder if you've been following your diet, or if your liver is shrinking.

Best plan: Follow your diet strictly...and your A1c will look better than last time...and your doctor will be happy.

Share this post


Link to post
Share on other sites

I just had my A1c 2 days ago and it was 10. My surgery is on May 9. I am supposed to take another A1c on May 1. Could they keep me from having my surgery because of a high A1c??

Share this post


Link to post
Share on other sites

5 hours ago, apositivelife4me said:

I just had my A1c 2 days ago and it was 10. My surgery is on May 9. I am supposed to take another A1c on May 1. Could they keep me from having my surgery because of a high A1c??

most likely the a1c right before surgery is more for the surgeon and hospital so they know what kind of things to expect during and right after surgery.

They really don't like surprises.

Its unlikely to cause them to cancel a surgery as long as you do the pre-op steps they ask for.

this is major surgery and a diabetic issue is one they want to avoid or at least be prepared for ahead of time.

i see it as more a precaution than a go or no go test.

Share this post


Link to post
Share on other sites

11 hours ago, apositivelife4me said:

Could the high A1c keep me from being able to have my surgery on May 9?

@apositivelife4me

I don't think there should be a prob. The A1c is a 3 month average #, good to improve your

your eating now - but doubt it will make a significant change in your #. Surgeon knows that

shortly after WLS- your #s will decrease/improve with your eating/lifestyle changes. get rid

of/stay away from the sweets, drink more Water, you are on your way. good luck - kathy

Share this post


Link to post
Share on other sites

My practice required patients to have an A1c below 7.

Share this post


Link to post
Share on other sites

My surgeon wants patients to have an A1c under 8; as I understand it, higher A1cs increase risk for infection.


Share this post


Link to post
Share on other sites

Where I work all bariatric patients have an A1c done with their preoperative blood work. An A1c of 10 would absolutely have you canceled with the group I work with. As this means your diabetes is extremely poorly controlled putting you at high risk for complications, infection, and poor recovery times and outcomes. Hell I've seen patients with an A1C in the 8s get canceled

HOWEVER there is an exception to this. If your diabetes is truly complicated and uncontrollable (and it's not just a matter of you being non compliant with your diet exercise and medication) they would send you to get a preoperative endocrinologist consultation/workup and have the endocrinologist say how they've tried everything your case is complicated blah blah blah and that an A1C of 10 is the best they will be able to do prior to you having surgery.

I would be shocked if a surgeon and anesthesia (hell and a hospital) allowed a patient to have elective surgery with extremely poorly controlled diabetes without proper documentation (an endocrinologist consultation etc) covering their ass. Because not only does it put you the patients health at risk, it also puts the surgeon anesthesia and hospital at a financial risk (eating the cost of complications, lawsuits etc) as well as possibly even legal risk.

Share this post


Link to post
Share on other sites

And just to be on the safe side I would give your surgeons office a call telling them about your blood work and asking if it would be an issue. Maybe they won't care, maybe they'll have you jump through some hoops. If you have an appointment soon you could bring it up there, but if you don't have an appointment until very close to your surgery I wouldn't wait.

But an A1C of 10 is a big deal and they could expect things to happen. I know that my hospital (not even the bariatric group but the entire hospital) now has a new policy in place where patients having certain elective surgeries are mandated to see an endocrinologist before surgery if their A1C is over a certain amount.

Share this post


Link to post
Share on other sites

34 minutes ago, Mhy12784 said:

Where I work all bariatric patients have an A1c done with their preoperative blood work. An A1c of 10 would absolutely have you canceled with the group I work with. As this means your diabetes is extremely poorly controlled putting you at high risk for complications, infection, and poor recovery times and outcomes. Hell I've seen patients with an A1C in the 8s get canceled

HOWEVER there is an exception to this. If your diabetes is truly complicated and uncontrollable (and it's not just a matter of you being non compliant with your diet exercise and medication) they would send you to get a preoperative endocrinologist consultation/workup and have the endocrinologist say how they've tried everything your case is complicated blah blah blah and that an A1C of 10 is the best they will be able to do prior to you having surgery.

I would be shocked if a surgeon and anesthesia (hell and a hospital) allowed a patient to have elective surgery with extremely poorly controlled diabetes without proper documentation (an endocrinologist consultation etc) covering their ass. Because not only does it put you the patients health at risk, it also puts the surgeon anesthesia and hospital at a financial risk (eating the cost of complications, lawsuits etc) as well as possibly even legal risk.

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.

Share this post


Link to post
Share on other sites

My sleeve is scheduled for May 9. My next A1c is scheduled for May 1. I have had a difficult time with my blood sugar. I take alot of insulin and also take a fast acting insulin also. I am insulin resistant. I have only been on insulin since July of 17.

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

Sometimes some of the stuff I see on this board sounds like some surgeons only want perfect patients. That’s their choice but being perfect did not get most of us here and to make the choice to have WLS. I’m glad some surgeons do higher risk cases or a lot of people that really need this tool would be SOL.


Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Recent Topics

  • Most popular:

  • Recent Status Updates

    • Krestel

      Me: Hey Siri, Is it raining outside? (for my morning walks with the dogs)
      Siri: I don't think it's raining at the moment.
      Wet Dogs: Then why are we wet? This damn Siri person is more stupid than we are.
      · 0 replies
      1. This update has no replies.
    • Billy Bob  »  lvidacovich

      Drink Muscle Milk. lol  Gt 60 to 90 gm quality Protein & daily vitimins, good sleep, walking & resistant ( weight /bands/squats ) You absolutely build muscle. 
      · 0 replies
      1. This update has no replies.
    • SabrinaGoddess

      I received my nutrition book and checklist today! I am so very excited (and a tad bit scared too) Each day this is becoming a reality!
      I created a new blog post about how BRAVE we all are for doing this. Because I think we are! Most of us know the horrors of people calling us nasty names, saying we can't control ourselves, we are easy targets for people's verbal attacks! But I feel we are BRAVE because we are taking control over our lives and creating a new world of happiness.

      · 0 replies
      1. This update has no replies.
    • SabrinaGoddess

      Today I scheduled my mental evaluation and my nutritionist appointments. Yes, we are moving along quiet nice.  December 9th will be here before you know it.
      I have informed my inner circle of family about the surgery and I will be keeping it in my CORE!

      · 0 replies
      1. This update has no replies.
    • drac2you

      Well, it has been a while since I posted here, but my journey continues. As for breaking my stall, I was able to get down to 214 with the help of a friend via our Fitbit fitness trackers which has made me ecstatic! Since that has happened I was fortunate enough to have my insurance company approve a panniculectomy to remove the panniculus (THIS is the correct term, NOT pannus, see this reference: https://www.merriam-webster.com/medical/panniculus) that has been deviling me for years, even before I had bariatric surgery. It was to the point that it was hanging down far enough to cover my pubic area, covered half my thighs when I would sit, and also drooped between my legs which I could hardly manage to keep together when sitting. For any males that may read this, for a woman that is pretty uncivilized, not to mention, unladylike especially when wearing a dress or skirt - just looks slovenly to say the least. Despite the numerous skin issues I had the last couple of years, my health insurance insisted the procedure was cosmetic... 🤐 . I would guess no one that is saying so has been in the bariatric patient's shoes. The damn thing was just getting to be a self-esteem killer in addition to a medical nuisance requiring many visits to my primary care physician, and interfering with my mobility. Now, I realize there are folks with more egregious panniculus sag issues, but the fact that it interferes with mobility is an important consideration.
      One thing I have to say is that this surgery is drastically different from any other I've had. Things occur that are deemed routine, expected even, after a panniculectomy that would be downright unacceptable after any other procedure. This plastic surgery experience is definitely a learning experience that is still unfolding as I key this entry. For one thing, the swelling is a story all it's own, I had no clue my abdomen could get so large, so quickly, without causing my skin to just split open - it's crazy! So far, I'm pleased to have been able to get this procedure despite may be perceived as drawbacks, just to get the pendulous adipose tissue demon off of my person. Here are a few links to information about this procedure for anyone considering it in the future:
      https://www.yourbariatricsurgeryguide.com/panniculectomy/ https://www.healthline.com/health/panniculectomy https://www.yourplasticsurgeryguide.com/tummy-tuck/panniculectomy/ https://www.plasticsurgery.org/reconstructive-procedures/panniculectomy/safety https://www.ncbi.nlm.nih.gov/books/NBK499822/ I hope you find this information helpful. I will provide updates periodically on my progress of this surgical recovery. Have a wonderful day! 
      · 2 replies
      1. Panda333

        Thank you and good luck to you!

      2. SabrinaGoddess

        WOW, thank you for sharing all this with us!

  • Trending Topics

  • Together, we have lost...
      lbs
    ×