Lack of Association of A1C With Postoperative Complications in Children With Type 1 or Type 2 Diabetes

Grace Kim; McKenna C Richards; Abigail B Smith; Kathleen M Strybos; Xiaofan Huang; Kristen Staggers; Stephen A Stayer; Rahul G Baijal

doi:10.2337/cd23-0002

Lack of Association of A1C With Postoperative Complications in Children With Type 1 or Type 2 Diabetes

Clin Diabetes. 2024 Winter;42(1):65-73. doi: 10.2337/cd23-0002. Epub 2023 Aug 1.

Authors

Grace Kim¹, McKenna C Richards², Abigail B Smith², Kathleen M Strybos², Xiaofan Huang³, Kristen Staggers³, Stephen A Stayer⁴, Rahul G Baijal⁴

Affiliations

¹ Department of Pediatrics, Division of Diabetes and Endocrinology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX.
² Baylor College of Medicine, Houston, TX.
³ Dan L. Duncan Institute for Clinical and Translational Research, Baylor College of Medicine, Houston, TX.
⁴ Department of Pediatric Anesthesiology, Perioperative, and Pain Medicine, Baylor College of Medicine, Texas Children's Hospital, Houston, TX.

PMID: 38230331
PMCID: PMC10788671 (available on 2025-12-01)
DOI: 10.2337/cd23-0002

Abstract

Not meeting recommended A1C targets may be associated with postoperative complications in adults, but there are no studies reporting on the relationship between preoperative A1C and postoperative complications in children with type 1 or type 2 diabetes. The objective of this study was to determine whether elevated A1C levels were associated with an increased incidence of postoperative complications in children with diabetes presenting for elective noncardiac surgery or diagnostic procedures. It found no such association, suggesting no need to delay elective surgery in children with diabetes until A1C is optimized.