Medical check-up might indicate Diabetes!! Will it lead to rejection?

[grishan1]

PandFeb2013, thank you... This long immigration process makes me a bit paranoid

 

[treb_812]

I am diabetic too, and waiting for medical request. But my blood sugar is under control. Hope this will not be a problem.

 

[venugopalt]

Thanks PandFeb2013 for your response.

My blood sugar is under control, normally between 6 and 7, but my recent HBA1C is 0.07.
My family doctor told that it is little higher and made some changes to medication.

Do you think if HBA1C is 0.07 ,I will have to see endocrinologist?

 

[PandFeb2013]

Thanks PandFeb2013 for your response.

My blood sugar is under control, normally between 6 and 7, but my recent HBA1C is 0.07.
My family doctor told that it is little higher and made some changes to medication.

Do you think if HBA1C is 0.07 ,I will have to see endocrinologist?

Hi venugopalt, as per my understanding from what I have read in the IMEI for diabetes, I can see that if blood sugar level is above 6 and HBA1C is above 0.065 then the applicant is referred to an endocrinologist. I have pasted the link below. HBA1C indicates the level for the prior 3 months and if high shows that the condition is not controlled within the limits that it should be. But in your case you are already diagnosed as a diabetic and are under medication. Hence it does not make sense for CIC to refer you to an endocrinologist as the job of the endocrinologist is the same as what you family physician is doing i.e. To prescribe you medication to control the condition. My case is different in the sense that I did not know I was diabetic until the CIC medical tests revealed that I was and hence the referral to see a specialist. But again if CIC follows the same process as per the IMEI for diabetes then every applicant with higher levels of blood sugar and HBA1C will be referred to an endocrinologist. Hope that they don't in your case and your application goes through smoothly without any delays. Best of luck on your journey and happy holidays!!

http://www.cic.gc.ca/english/department/partner/pp/pdf/IMEI_Diabetes.pdf

 

[spookyb]

Hi venugopalt, as per my understanding from what I have read in the IMEI for diabetes, I can see that if blood sugar level is above 6 and HBA1C is above 0.065 then the applicant is referred to an endocrinologist. I have pasted the link below. HBA1C indicates the level for the prior 3 months and if high shows that the condition is not controlled within the limits that it should be. But in your case you are already diagnosed as a diabetic and are under medication. Hence it does not make sense for CIC to refer you to an endocrinologist as the job of the endocrinologist is the same as what you family physician is doing i.e. To prescribe you medication to control the condition. My case is different in the sense that I did not know I was diabetic until the CIC medical tests revealed that I was and hence the referral to see a specialist. But again if CIC follows the same process as per the IMEI for diabetes then every applicant with higher levels of blood sugar and HBA1C will be referred to an endocrinologist. Hope that they don't in your case and your application goes through smoothly without any delays. Best of luck on your journey and happy holidays!!

http://www.cic.gc.ca/english/department/partner/pp/pdf/IMEI_Diabetes.pdf

PandFeb, I can't be sure about this, and different PPs may do this differently, but I agree with you that diagnosed diabetics are not referred to an endocrinologist, nor are they made to do HbA1C tests, or fasting glucose tests, since those are basically a diagnostic tool. My PP asked me to do a serum creatinine and not either of the other two tests since I do them every 3 months anyway and already have a diagnosis. If the serum creatinine is abnormal, generally you should be referred to a kidney specialist and not an endo. I think since you had not been diagnosed before, you were referred to an endo to give a diagnosis, which seems a bit of an overkill because any doctor can diagnose diabetes, and mostly only Type 1s go to endos.

 

[inayatH]

PandFeb, I can't be sure about this, and different PPs may do this differently, but I agree with you that diagnosed diabetics are not referred to an endocrinologist, nor are they made to do HbA1C tests, or fasting glucose tests, since those are basically a diagnostic tool. My PP asked me to do a serum creatinine and not either of the other two tests since I do them every 3 months anyway and already have a diagnosis. If the serum creatinine is abnormal, generally you should be referred to a kidney specialist and not an endo. I think since you had not been diagnosed before, you were referred to an endo to give a diagnosis, which seems a bit of an overkill because any doctor can diagnose diabetes, and mostly only Type 1s go to endos.

Hello Spookyb

Where did u do your medicals...
I informed doctor that I'm diabetic and was asked to take Serum creatine, Urinalysis and HBA1c.
Called CIC and they informed that they received my medicals and it is still in process of review.

Not sure how much more time it is going to take....

It would be helpful, if someone who is diabetic and completed the PR process can provide more info.

 

[PandFeb2013]

PandFeb, I can't be sure about this, and different PPs may do this differently, but I agree with you that diagnosed diabetics are not referred to an endocrinologist, nor are they made to do HbA1C tests, or fasting glucose tests, since those are basically a diagnostic tool. My PP asked me to do a serum creatinine and not either of the other two tests since I do them every 3 months anyway and already have a diagnosis. If the serum creatinine is abnormal, generally you should be referred to a kidney specialist and not an endo. I think since you had not been diagnosed before, you were referred to an endo to give a diagnosis, which seems a bit of an overkill because any doctor can diagnose diabetes, and mostly only Type 1s go to endos.

Thanks for your comments Spookyb. I totally agree with you. Referral to an endocrinologist in my case is an overkill when I can be given the same treatment by a family physician. In fact I recently spoke to an endocrinologist who herself said that my case is not required to be seen by an endo and getting an appointment would take time as my case would be given low priority. She has currently referred my case to her division head to see if my priority can be upgraded to get a faster appointment but looks bleak. The situation I am in currently is quite frustrating where in I can get treated by my family physician to get my condition under control but I still need to go through the works of getting an appointment and visiting an endo for my application to move forward even though it is known that it will cause a huge delay. It just does not make sense.

 

[spookyb]

Hello Spookyb

Where did u do your medicals...
I informed doctor that I'm diabetic and was asked to take Serum creatine, Urinalysis and HBA1c.
Called CIC and they informed that they received my medicals and it is still in process of review.

Not sure how much more time it is going to take....

It would be helpful, if someone who is diabetic and completed the PR process can provide more info.

I did my medical in Calgary just this past week. So I doubt it's been uploaded yet. When did you do yours?

 

[venugopalt]

Thanks PandFeb2013 and Spookyb for your responses.
Hopefully you get your endo specialist appoitnement soon.

So I guess I will have to take Serum Creatinine and Urinalysis test. As I am expecting my medicals somewhere at the of Jan '14 ( June 2013 applicant), I think it will be good to get these tests done now through my family doctor and see if there are any abnormalities and take corrective action.

Spookyb, are you diabetic? Did you inform them when you went for your medicals?
Any particular suggestions for diabetic people from your experience?

Thanks in advance for all your suggestions.

 

[inayatH]

I did my medical in Calgary just this past week. So I doubt it's been uploaded yet. When did you do yours?

I did initial medicals on Nov 20. Then they called for additional tests on dec 2nd.

Results sent to cic on dec 10th.
And as per Cic they are still in process of review.
Many of my friends who did medicals in december already got PPR.

 

[spookyb]

Thanks PandFeb2013 and Spookyb for your responses.
Hopefully you get your endo specialist appoitnement soon.

So I guess I will have to take Serum Creatinine and Urinalysis test. As I am expecting my medicals somewhere at the of Jan '14 ( June 2013 applicant), I think it will be good to get these tests done now through my family doctor and see if there are any abnormalities and take corrective action.

Spookyb, are you diabetic? Did you inform them when you went for your medicals?
Any particular suggestions for diabetic people from your experience?

Thanks in advance for all your suggestions.

I am prediabetic, and I informed them at my medical. My only suggestion is to let them know, that way you won't be sent to an endocrinologist for diagnosis. There is just one extra test if you tell them you have diabetes

 

[priyankm]

I am prediabetic, and I informed them at my medical. My only suggestion is to let them know, that way you won't be sent to an endocrinologist for diagnosis. There is just one extra test if you tell them you have diabetes

PandFeb2013 and Spookyb

Just an update regarding my case.
Im diabetic, doctor advised for additional tests and HBA1C was little bit higher, however Creatine and Urinalysis was normal.
My results were uploaded on 16th December. I got PPR on 6th Jan.

 

[esbex550]

I did initial medicals on Nov 20. Then they called for additional tests on dec 2nd.

Results sent to cic on dec 10th.
And as per Cic they are still in process of review.
Many of my friends who did medicals in december already got PPR.

did you get your PPR?

 

[inayatH]

Want to thank god and all the forum members for the guidance, I finally received PPR.

 

[PandFeb2013]

Want to thank god and all the forum members for the guidance, I finally received PPR.

Congratulations inayatH!!!! Can you please let us know the results of your tests and blood sugar and HBA1C values?

An update on my application is that I have recently received an appointment with the endocrinologist for early Feb after which my results will be sent to CIC for further process. Hoping for a fast decision time after that. Also my 60 months time line to complete medicals ends on Feb 5 for which I have already sent a email to CIC to provide extension but have not yet received a reply. Will I be provided an extension? How long should I wait before sending a reminder?