Author

Abstract

HBA1C AS A MARKER FOR HIGH RISK DIABETIC
SURGICAL PATIENT
Nawfal Ali Mubark
MB,ChB, DA, FICMS, Lecturer in Anesthesiology, Department of Surgery, College of Medicine,
University of Basrah, Basrah, IRAQ.
Abstract
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 120-150mgdl. 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.

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