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Diabetes mellitus (DM) is present in 10-15% of the surgical population. It is a known risk factor for adverse postoperative outcomes. UK perioperative guidance recommends optimizing glycemic control preoperatively, aiming for a target glycated hemoglobin (HbA 1c ) of &lt; 69 mmol/mol. However, real-world compliance with this guidance remains unknown. The aim of our study was to determine how many patients with DM undergoing elective orthopedic and vascular surgery had a preoperative HbA 1c of &lt; 69 mmol/mol. We also reviewed the surgical reasons for non-concordance with the recommended preoperative HbA 1c target.

diabetes therapy

Achieving a Preoperative Target HbA1c of &lt; 69 mmol/mol in Elective Vascular and Orthopedic Surgery: A Retrospective Single Center Observational Study