Chronic hyperglycemia tied to worse surgical outcomes

March 16, 2014
Chronic hyperglycemia tied to worse surgical outcomes

(HealthDay)—Chronic hyperglycemia (A1C >8 percent) is associated with poor surgical outcomes, as measured by an increased hospital length of stay (LOS), according to a study published in the March issue of Diabetes Care.

Patricia Underwood, Ph.D., from Brigham and Women's Hospital in Boston, and colleagues utilized data from the National Surgical Quality Improvement Program database and the Research Patient Data Registry of the Brigham and Women's Hospital to identify patients admitted to the hospital for at least one day after undergoing noncardiac surgery (2005 to 2010). Patients with diabetes with an available A1C value within three months before surgery were divided into four groups: A1C ≤6.5 percent (109 patients); >6.5 to 8 percent (202 patients); >8 to 10 percent (91 patients); and >10 percent (47 patients).

The researchers found that patients with A1C values between 6.5 and 8 percent had a hospital LOS similar to the matched control group (888 subjects; P = 0.5). For those with A1C values ≤6.5 or >8 percent, the hospital LOS was significantly longer, compared with the (P < 0.05). A higher A1C value was associated with increased hospital LOS even after adjustments for age, sex, , race, type of surgery, Charlson Comordity Index, smoking status, and glucose level on the day of surgery (P = 0.02).

"Providing a preoperative intervention to improve glycemic control in individuals with A1C values >8 percent may improve , but prospective studies are needed," the authors write.

Explore further: High blood sugar levels linked to increased wound complications after surgery

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

High blood sugar levels linked to increased wound complications after surgery

October 1, 2013
A new study released today shows that among patients undergoing surgery for chronic wounds related to diabetes, the risk of wound-related complications is affected by how well the patient's blood sugar levels are controlled ...

Info, motivation, behavioral skill affect med adherence

March 12, 2014
(HealthDay)—Patients' adherence-related information, motivation, and behavioral skills (IMB) are important targets for interventions promoting adherence to diabetes medications, according to a study published online March ...

Bariatric surgery in T1DM teens doesn't aid glycemic control

September 27, 2013
(HealthDay)—Despite significant weight loss, improvements in cardiovascular risk factors, and quality of life, bariatric surgery does not necessarily lead to improved glycemic control in adolescents with type 1 diabetes ...

Hemoglobin A1C inadequate for postpartum diabetes screening

June 19, 2012
(HealthDay) -- For postpartum women who have had gestational diabetes mellitus (GDM), the hemoglobin A1c (A1C) test criteria alone or in combination with fasting glucose test criteria does not provide sensitive and specific ...

Post-pregnancy deterioration in glycemic control in T1DM

February 14, 2013
(HealthDay)—Women with type 1 diabetes experience post-pregnancy deterioration in glycemic control and sustained weight gain, according to research published online Dec. 18 in Diabetes Care.

Longer LOS for new heart failure in medicaid patients

March 4, 2014
(HealthDay)—Medicaid patients and patients with more comorbidities have a longer length of stay (LOS) for incident heart failure, compared to other hospitalized cases, according to a study published in the January/February ...

Recommended for you

A step closer to a cure for adult-onset diabetes

October 23, 2017
In healthy people, exosomes – tiny structures secreted by cells to allow intercellular communication – prevent clumping of the protein that leads to type 2 diabetes. Exosomes in patients with the disease don't have the ...

Diabetes pill might replace injection to control blood sugar

October 17, 2017
(HealthDay)— An injectable class of diabetes medication—called glucagon-like peptide-1 or GLP-1—might one day be available in pill form, research suggests.

Skimping on sleep may contribute to gestational diabetes

October 17, 2017
The amount of time spent sleeping in the United States has dropped significantly in the past twenty years with almost a quarter of women and 16 percent of men experiencing insufficient sleep. Now, a new study has found that ...

Artificial pancreas performs well in clinical trial

October 16, 2017
During more than 60,000 hours of combined use of a novel artificial pancreas system, participants in a 12-week, multi-site clinical trial showed significant improvements in two key measures of well-being in people living ...

Omega-6 fats may help prevent type 2 diabetes

October 11, 2017
The risk of developing type 2 diabetes could be significantly reduced by eating a diet rich in omega-6 polyunsaturated fats, a new study suggests.

Where there's type 1 diabetes, celiac disease may follow

October 10, 2017
(HealthDay)—Parents of young children with type 1 diabetes need to be on the lookout for symptoms of another autoimmune condition—celiac disease, new research suggests.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.