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Pre-op Gastric Bypass Gastric bypass surgery dates, insurance issues, emotional preparation, etc.

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Old 04-28-2008, 03:32 PM   #1 (permalink)
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Default Blood test Hgb A1c

Just got my blood test results. Hgb A1c too high at 9.2 need to be at 8 or less for the surgery to take place. Has anyone else had this problem? Just wondering how long it will take for Hgb Ac1 to drop (by cutting out all sugar), PCP was willing to retest in 30 days.
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Old 04-28-2008, 05:28 PM   #2 (permalink)
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I had this problem last summer but it was for a different surgery (to repair an abdominal scar with 2 incisional hernias). I was only on oral meds at that time. I stressed out, gained some weight, didn't work on the diabetes and ended up cancelling the surgery my self.

Since then I started on insulin (in Jan) and within 6 weeks time I dropped from the 8's down to 6.1. If you aren't on insulin, maybe you might consider taking it in order to get your surgery.
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Old 04-28-2008, 06:02 PM   #3 (permalink)
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Quote:
Originally Posted by EDPACECAR View Post
Just got my blood test results. Hgb A1c too high at 9.2 need to be at 8 or less for the surgery to take place. Has anyone else had this problem? Just wondering how long it will take for Hgb Ac1 to drop (by cutting out all sugar), PCP was willing to retest in 30 days.
I wish you luck, The easiest and quickest way to lower A1c is to cut out carbs. If you are at <9 youre daily BG must me around 245 or so, that is way too high. Surgery or not, for your health you must work on it.
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Old 04-28-2008, 06:03 PM   #4 (permalink)
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The Hgb A1c test is an indicator of how well your diabetes is under control (or not) over the past several weeks. Most endocrinologists want their type 2 diabetic patients on oral meds to be under 6.5 to be considered 'controlled'. I am not a physician but I am a health care professional, and 9.2 seems to be on the high side to me.
If your not on meds already, please go see a specialist.

Good luck.
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Old 04-28-2008, 07:01 PM   #5 (permalink)
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Yep, I had the same problem. I had to get mine down to 8 too before they would do surgery. Mine was higher than yours because I had just been diagnosed as a diabetic. I was immeadiately put on oral meds and we played around with meds and dosages for the next 3 months when I was retested and thankfully it was below 8 when I was retested. It sounds like you may need your meds readjusted. I would suggest you talk to your pcp to make some changes to get your blood sugar under better control.
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Old 04-28-2008, 07:22 PM   #6 (permalink)
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Default Thanks for all your help

I just started oral meds on 04/15/2008. I can already see a downward trend in blood sugar starting in the past day or two. With average of 220 ( the month before oral meds), the past three tests were 140, 130 and 129. Well see how it goes as I am going to cut out all processed sugar and really keep carbs down as much as possible. Just that things were going well towards surgery and this is the first time the Hgb Ac1 level was over 8. Since I have a long vacation scheduled late Sept. (out of the country) I was hoping to have surgery before Mid June so I would have 3 months to heal and get on solid foods. If not I guess I will have to wait till Nov. Again thanks for all the replies.
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Old 04-29-2008, 06:03 AM   #7 (permalink)
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You might want to do a little research on the glycemic index and how quickly different carbs are converted to blood sugar. The faster a carb becomes blood sugar, the quicker you body responds with insulin...slower carbs make for more even blood sugars. Just google glycemic index and you'll learn alot....
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