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HBA1C AS A MARKER FOR HIGH RISK DIABETIC SURGICAL PATIENT

Nawfal Ali Mubark

Basrah Journal of Surgery مجلة البصرة الجراحية
ISSN: 16833589 Year: 2012 Volume: 18 Issue: 2 Pages: 53-56
Publisher: Basrah University جامعة البصرة

Abstract

HBA1C AS A MARKER FOR HIGH RISK DIABETICSURGICAL PATIENTNawfal Ali MubarkMB,ChB, DA, FICMS, Lecturer in Anesthesiology, Department of Surgery, College of Medicine,University of Basrah, Basrah, IRAQ.AbstractThe objective of this study is to determine high levels of HbA1c in diagnosed diabetics who areconsidered to be euglycemics. This prospective study was conducted in 2 hospitals, Al-Taalemee Teaching Hospital and Al-Basrah General Hospital. Data collection began inSeptember 2008 to March 2009. Sixty two diabetic patients were included in this study, all wereadults aging between 18 to 80 years. They were type I or II diabetics and their last measuredblood glucose was 120-150mgdl. Patients physical status was ASA classification I or II and willbe subjected to elective major and super major operations. Twenty six (42%) patients appearedto have high level of HbA1c (more than 6.5%), so HbA1c level is more accurate than the bloodglucose in determining the good glycemic controlled patients and in isolation of high risk diabeticsurgical patients. The baseline glucose levels and HbA1c are useful in checking the efficacy ofthe therapeutic control of diabetes.

Keywords

HBAC1 --- HIGH RISK DM --- diabetic surgical patients