Hospital back to querying diabetes

[Ladymuck2022]

Hello,

Please bear with me. I’m on Wegovy private last dose taken 19/04/25, last weekends dose was missed when a trip to A&E turned into admission followed by emergency surgery Sunday afternoon on the lower leg foot which I came through well from but an infection remains. There was an ultrasound done yesterday and then I managed to make it through the mri today.

My parents aren’t the type to turn up with the WG and I get you can’t take private prescription on nhs premises.

The hospital I am in took the HbA1c on Sunday, surely it doesn’t take that long to turn this blood test around?

The ward staff have taken to very random finger prick tests, but worried at least 3 randoms now are getting near 10 (on accu chek I’m a 4/5/6 girl)
The machine they use doesn’t look like accu-chek

I contacted the hospital records team to see if I can keep check with reports and test results but the operator said I needed to be at point of discharge to access these?

The blood test results would have been back the same day. They take 4 hours max for non urgent bloods.
They will be using a regularly calibrated machine. Do they check with the first drop of blood or wipe it away then re squeeze to make sure they aren’t picking anything up on your finger?
Why are you phoning the records team instead of asking ward staff?

Have you asked the ward staff for your hba1c?

Ah thank you. It was just the randomness of the check they pitch up with a dab of cotton wool or the wipes, click and we come to a 9+. My understanding is ideally first thing on get up, may prick hour before meal and then leave it to 1 to 2 hours after eating then do it again, then very last thing before bed or if ever feeling strange.

the ward staff don’t want to know they have said they are aware of people having to go for WLJ private which to be fair I did know too as I pick up from a pharmacy 10 mins on from hospital . I asked directly today, am I a diabetic. The answer back was I don’t know. So I just put a call in to records without giving my details.

Now completely unbeknownst to me, my parents tried to get answers and ended up walking away from a senior nurse so I accept they could be adding heat to the fire here too. When I was away for mri another doc backed up what I said I was told Sunday

After the mri I know I shouldn’t but I took a look at my file I got sent to that with and one of the pages (largely papers for the tummy blood thinners it said I was spoken to about HRT and deny being on it, again this is puzzling as I actually self stopped HRT on 22nd. (and a private consultation start of last week supported me with that decision)

Sorry for rambling I really hope this mri with contrast will help the way or it is just a few more days and we’re over the other side.
I accept it may be a long process to get this foot back. What a shame I’m not one of the bigger people with loose skin that may have been a save.

HbA1c results can take a few days in some labs. They are a little different to most regular blood tests. There are point of care HbA1c tests, but they are not as accurate, and only really used in areas that see patients you might struggle to get to give a regular blood sample.

Im a bit confused about your post. Are you getting wegovy privately for weight loss, not diabetes? Have you previously been diagnosed with diabetes? If not, why would you be testing your glucose levels with an Accucheck meter?

If you are taking a diabetes medication (Wegovy) then your HbA1c could be in the non diabetic range currently, but that would not necessarily mean you are not diabetic, just that if you have diabetes you have it under control thanks to your medication. Do you know what your previous HbA1c results might have been? Has your gp or practice nurse previously diagnosed you with diabetes, or pre diabetes?

Foot problems are a well known complication in people with diabetes.

The wording regarding your HRT status is perfectly normal. You said you don’t take it now, this is a denial, and so is recorded as such. “Patient denies…” is usual speak in medical records. It doesn’t mean they are disbelieving you, it just means you said you don’t use it. As an example, if you had been asked if you had night sweats and you had said no, then it would have been noted as “ladymuck denies night sweats”. It’s just medical jargon.