Q: What level of Hb A1C is considered acceptable before surgery?
Answer: HbA1C < 8.5-9%
Elevated A1C levels and perioperative high blood sugar in diabetic patients may increase the risk of postoperative infectious and cardiovascular complications. In general Hb A1C > 8.5-9 % is considered at higher risk.
1. American Diabetes Association. 14. Diabetes Care in the Hospital. Diabetes Care 2017; 40:S120.
2. Membership of the Working Party, Barker P, Creasey PE, et al. Peri-operative management of the surgical patient with diabetes 2015: Association of Anaesthetists of Great Britain and Ireland. Anaesthesia 2015; 70:1427.
3.Kao LS, Meeks D, Moyer VA, Lally KP. Peri-operative glycaemic control regimens for preventing surgical site infections in adults. Cochrane Database Syst Rev 2009; :CD006806.