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Comment on Underwood et al. Preoperative A1C and Clinical Outcomes in Patients With Diabetes Undergoing Major Noncardiac Surgical Procedures. Diabetes Care 2014;37:611–616

I read with interest the paper by Underwood et al. (1). Their data give credence to the recommendations made by 2011 Joint British Diabetes Societies Inpatient Care Group national guideline on the management of people with diabetes undergoing surgery or procedures (2). The U.K. document suggests a cutoff HbA1c of 8.5% (69 mmol/mol) before proceeding to elective surgery to minimize the …