Surgery and A1C Level

[CPM1994]

I am curious about guys with T2 diabetes who have had implant surgery. My A1C is in the mid 8’s due to some indulging during the holidays. My surgeon says there is no measurable increase of risk of infection for diabetics with A1C’s at goal and those not at goal unless the reading is above 10. I am curious how your discussions with your docs have gone regarding A1C. Note: I am confident my blood sugar will be at goal at the time of surgery (10 days pending insurance pre-approval) - but it will take longer for an A1C to reflect that - Dennis.

[Frederickdave]

I'm a type I, insulin dependent diabetic. My disease is well controlled with an A1c of 7%. My surgeon still opted for the AMS, antibiotic-coated device in an over abundance of caution to minimize the risk of infection. I heal very quickly and gave never had an infection. Still was his choice. I bow to his experience. Infections are rarities w modern surgical techniques.

[Witsend]

If you can get a Rx for Freestyle Libre patch, wear that and you can show 14 days of glucose history that could satisfy you and your doctor you are doing well.

[CPM1994]

I'm a type I, insulin dependent diabetic. My disease is well controlled with an A1c of 7%. My surgeon still opted for the AMS, antibiotic-coated device in an over abundance of caution to minimize the risk of infection. I heal very quickly and gave never had an infection. Still was his choice. I bow to his experience. Infections are rarities w modern surgical techniques.

My surgeon immediately decided on the AMS too for the same reason. I guess I’m going through the pre-surgery worry phase.

[CPM1994]

If you can get a Rx for Freestyle Libre patch, wear that and you can show 14 days of glucose history that could satisfy you and your doctor you are doing well.

Great idea but because of my defense-related job I cannot wear anything traceable for security reasons. I am testing manually 3 times a day or more so I should have a reasonable idea where I stand.

[Witsend]

Ala Johnny Carson- I did not know that.

The Russians have probably hacked the patches already, ha

[Player98]

type 1.5 here (well that’s what my endocrinologist calls me) on insulin pump. My surgeon had my blood work done two weeks before my surgery. I assumed they also was checking to make sure my a1c was in a good range. They also monitored my blood sugar levels while in surgery and gave me insulin if I needed. I think that my surgeon also choose to use the AMS because of the antibiotic coating because of infection and diabetic don’t always heal fast.