What does the acronym ACDF stand for? Does it mean a Cervical Disc Fusion? Just guessing. I've had spinal stenosis for a long time as well as Degenerative Disc Disease. Mostly cervical. I have been having more and more issues concerning my balance, hand weakness, ear and neck pain. I also am having voice and swallowing issues. My shoulders have always been curved forward. Both shoulders now crack when I stretch and move my arms. I have had on and off Physical Therapy throughout the years. I Love to swim. When I swim my pain subsides. I have seen a Neurosurgeon who would'nt or couldn't do spine surgery on me due to being a Type 1 diabetic for 25 years. The risk was too high because my A1c wasn't at 6 or below. I was 42 when diagnosed with LADA (Latent Autoimmune Diabetes in Adults). At 40 I was first diagnosed with Type 2... Given Metformin that made me very sick until I was able to change Doctors. Given the correct test and diagnosis. Going from Insulin in glass and hypodermic needles to a pump ( for a short time) and now to sensors has been a big plus. My A1c was last at 6.8. I would like to hear from anyone who can relate and what their current choices have been to feel less pain. sandee