T2 Diabetes and Surgery

antmeal

Newbie
Messages
4
I have T2 diabetes (15 years) and I have now developed a prolapsed disc in my back. I have had a guided cortisone by CT, which hasn't worked and I am told by two physiotherapists (The Neurosurgeon's proposed next step), that neither one is able to help me with the Tpain of the Prolapsed Disc. Both physios have written to my neurosurgeon to advise. Despite being told initially that he would operate, my Neurosurgeon now tells me that, that no one will do the operation to alleviate my pain, because I have diabetes and the danger with anesthetic. Has anyone ever come across this situation? I am in agony!
 

Freema

Expert
Messages
7,346
Type of diabetes
Type 2
Treatment type
Diet only
I have T2 diabetes (15 years) and I have now developed a prolapsed disc in my back. I have had a guided cortisone by CT, which hasn't worked and I am told by two physiotherapists (The Neurosurgeon's proposed next step), that neither one is able to help me with the Tpain of the Prolapsed Disc. Both physios have written to my neurosurgeon to advise. Despite being told initially that he would operate, my Neurosurgeon now tells me that, that no one will do the operation to alleviate my pain, because I have diabetes and the danger with anesthetic. Has anyone ever come across this situation? I am in agony!

so sad to hear that... is your diabetes out of control or have you gotten you blood glucose down to normal by eating very low carbs ? do you take insuline ?

I guess they wouldn´t refuse if it wasn´t real dangerous...
Did you ask if you could do anything to be more able to get help...?
have you stopped almost eating carbs and have a strickt diet ?
 

Indy51

Expert
Messages
5,540
Type of diabetes
Type 2
Treatment type
Diet only
Some doctors have been known to postpone surgery and give the patient a goal A1c to get below before they will operate. If your doctor hasn't done that, then I think I'd be asking for a second opinion.
 

Neohdiver

Well-Known Member
Messages
366
Type of diabetes
Type 2
Treatment type
Tablets (oral)
I had surgery for breast cancer 7 months after diagnosis with T2 diabetes.

My blood glucose was under tight control by then, and I was just barely overweight.

Had my blood glucose not beein under control OR had I still been obese, I would have had far fewer treatment options because of the risks associated with surgery/healing .

I'm not aware of any anesthesia risk - the primary risk is not healing well.
 

AndBreathe

Master
Retired Moderator
Messages
11,339
Type of diabetes
I reversed my Type 2
Treatment type
Diet only
I have T2 diabetes (15 years) and I have now developed a prolapsed disc in my back. I have had a guided cortisone by CT, which hasn't worked and I am told by two physiotherapists (The Neurosurgeon's proposed next step), that neither one is able to help me with the Tpain of the Prolapsed Disc. Both physios have written to my neurosurgeon to advise. Despite being told initially that he would operate, my Neurosurgeon now tells me that, that no one will do the operation to alleviate my pain, because I have diabetes and the danger with anesthetic. Has anyone ever come across this situation? I am in agony!

Hello Antmeal. I'm sorry to hear you're having these issues.

I think what would be useful to you to find out exactly what aspects of your diabetes and the anaesthetic mean you are not a candidate for surgery.

As others have said, it is not too uncommon, unfortunately, that surgery is deferred due to diabetes, and there have even been a few people who have had a diabetes diagnosis when they have had their pre-op assessments.

As I understanding it, as far as your blood sugars are concerned, your HbA1c should be 60/7.5% or less, due to the additional risks of poor healing. Obviously, any other health conditions you may not have mentioned would also be taken into account.

I would suggest, in the first instance, you make an appointment to see or speak to your GP to ask him exactly what this is likely to mean, and furthermore, what the next steps are relating to your condition, if surgery is either completely non-viable, or if there is something that could be worked on to improve the surgical options, how you manage the time in between - something like a specialist pain management clinic.

I do hope you find a way forward with this. Living with pain is so very wearing.
 
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enzina

Well-Known Member
Messages
289
Type of diabetes
LADA
Treatment type
Insulin
Dislikes
pain, being dependent, egoistic people & jealousy
I've had spinal surgery on two levels twice and all went well. Due to the morphin before the surgeries i was never hungry and so the bg's were low although a1c at operation last year nearly 9.:wideyed:
 

Daibell

Master
Messages
12,650
Type of diabetes
LADA
Treatment type
Insulin
Hi. Having diabetes is not a good reason to withhold surgery. Having high blood sugar may be. I would get your HBa1C nearer to 6.5%'ish and seek the surgeon or another's opinion. I had a hernia repair 4 months ago and the only concern with all the medics was to make sure my blood sugar was stable and that they were handling it well. In itself it wasn't an issue.