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What Does This A1C Value Regarding Tooth Extraction Indicate?
Question: My A1C is 7.8. Am I able to have a tooth extraction?
Brief Answer:
Diabetes
Detailed Answer:
Are you known to have diabetes?
If yes, are you on any medication for it?
If you have not been previously diagnosed with diabetes then in that case, it is quite likely you have it. There are tests to confirm this such a fasting glucose level.
Regardless, in order to safely proceed with tooth extraction it is important to have blood glucoses under 150 preferably.
The A1c test s a measure of the average glucose in your blood over the previous 3 months. It does not adequately nor accurately reflect your current glucose control.
The only way to know this information is to check your glucose levels with a monitor using a finger prick, or to go to a laboratory and have a venous sample taken.
Fasting blood glucose value by a glucometer give a fair idea about your diabetes status. You should also check it before lunch and before dinner and even at bedtime to get a representative picture
If most of these numbers are in the 100 to 150 range it is ok to proceed with tooth extraction.
Further I would like you to know that there are no published evidence based guidelines that provide a safe glucose threshold for tooth extraction. The general perception amongst providers is that, it is best to have diabetes well controlled before going ahead with any surgery
Diabetes
Detailed Answer:
Are you known to have diabetes?
If yes, are you on any medication for it?
If you have not been previously diagnosed with diabetes then in that case, it is quite likely you have it. There are tests to confirm this such a fasting glucose level.
Regardless, in order to safely proceed with tooth extraction it is important to have blood glucoses under 150 preferably.
The A1c test s a measure of the average glucose in your blood over the previous 3 months. It does not adequately nor accurately reflect your current glucose control.
The only way to know this information is to check your glucose levels with a monitor using a finger prick, or to go to a laboratory and have a venous sample taken.
Fasting blood glucose value by a glucometer give a fair idea about your diabetes status. You should also check it before lunch and before dinner and even at bedtime to get a representative picture
If most of these numbers are in the 100 to 150 range it is ok to proceed with tooth extraction.
Further I would like you to know that there are no published evidence based guidelines that provide a safe glucose threshold for tooth extraction. The general perception amongst providers is that, it is best to have diabetes well controlled before going ahead with any surgery
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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