Hi
Are there any ladies on here who are diabetic? I am just wondering what was an acceptable HbA1c to your Consultant to be eligible for hysterectomy
surgery? I have spoken to one of the CNS today who said it needs to be between 20-41! When I went on oral Progesterone last summer it made my glucose go under 5 every morning. No help from the Consultant regarding why as she was not a Diabetes expert! When I had my last HbA1c it said "good control" on my patient record with my GP. Message today Consultant wants my HbA1c lower.
Hi Muffin
Hopefully someone with diabetes will see this and be able to help.
In the meantime I will pop a link that may help.
Diabetes and surgery | Macmillan Cancer Support
There is also a Macmillan Booklet that I will link below.
Hope this helps
Jane
Hi Muffin758
I have type 2 diabetes which was diagnosed only last year, and not prior to the surgeries I’ve had. It has however been a factor in deciding that a further surgery I require is too risky for me now and will not go ahead.
However, what struck me about your post was the numbers. The hba1c test and fingertip daily blood tests use different numbers, and are showing different things, so I just wondered if there is some confusion over that? Apologies if I have misunderstood.
You talked about daily testing, so that’s giving you a number at that specific time when you test by taking a fingertip blood test. it could be a different number at another time in the day if you’ve eaten for example, The hba1c test Iis a measurement taken to show a different number which is a based on average glucose levels over a spread of 2 or 3 months.
On the fingertip daily blood test you are looking for a low number-something between 4-7 if you have diabetes. I’ve never done this daily testing myself.
When I was diagnosed, my hba1c levels were coming up as around 49 or 50 (I was having blood tests monthly after a stroke) and that put me (just) in the category of diabetic. I received my latest results recently and discussed them with my gp.
My result has reduced to 45, which is considered a good reduction since my diagnosis last summer and my gp was happy with that, and told me it was within the pre diabetic range now. However, I would hope that it will lower by my next testing to take me into the “normal” range, which would be around 42, or 6.5 expressed as a percentage. I don’t take any medication for diabetes, but do take multiple other daily medications, so I control my levels with diet and weight loss only.
You haven’t said what your hba1c levels were, so it’s hard for me to comment further, other than I think there might be confusion about the numbers. Your CNS mentioning an upper level of 41 would suggest the upper level of normal expected in a non-diabetic person who has had HbA1c testing.
Numbers higher than that put a person into either the pre diabetic or diabetic range, where there could be potentially be complications in any surgery, so it seems like your nurse is hoping to reduce your current levels prior to having the operation.
Sarah xx
