HbA1c as a marker for high risk diabetic surgical patient

Abstract EN

The objective of this study is to determine high levels of HbA1c in diagnosed diabetics who are considered to be euglycemics.

This prospective study was conducted in 2 hospitals, Al- Taalemee Teaching Hospital and Al-Basrah General Hospital.

Data collection began in September 2008 to March 2009.

Sixty two diabetic patients were included in this study, all were adults aging between 18 to 80 years.

They were type I or II diabetics and their last measured blood glucose was 120-150mg\dl.

Patients physical status was ASA classification I or II and will be subjected to elective major and super major operations.

Twenty six (42 %) patients appeared to have high level of HbA1c (more than 6.5 %), so HbA1c level is more accurate than the blood glucose in determining the good glycemic controlled patients and in isolation of high risk diabetic surgical patients.

The baseline glucose levels and HbA1c are useful in checking the efficacy of the therapeutic control of diabetes.