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For diabetic women considering DIEP, do you recommend they keep their A1c at a certain level prior to surgery? Do they have higher rate of failure with flaps?

HbA1c should be under 7. This is consistent with good long-term blood sugar control which is vital for minimizing complications. Uncontrolled diabetics do have a much higher risk of suffering a complication, especially in terms of poor healing after any surgery.

We routinely perform breast reconstruction on well-controlled diabetics. In our experience these patients have the same DIEP flap success rates as non-diabetic patients.

I hope that info helps.

Dr C
http://www.PRMA-enhance.com

New answer by drchrysopoulo (Physician - Surgery - Plastic (Verified)) in topic(s) Breast Surgery, Breast Reconstruction, Surgery, DIEP Flap Breast Reconstruction, Diabetic

1 Answer | 6 months ago

For diabetic women considering DIEP, do you recommend they keep their A1c at a certain level prior to surgery? Do they have higher rate of failure with flaps?

1 Answer | Started 6 months ago

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