I'm wanting to have a tummy tuck and breast augmentation - I'm a type 2 diabetic.

Based on you HA1C, your glucose is not as tightly controlled as most surgeons would prefer to minimize surgical complications.  I recommend you work closely with your PCP or endocrinologist to obtain tight glucose control for a prolonged period of time.  Once you have reached that goal, and are able to maintain control, that is a good time to meet with a plastic surgeon to see if you are able to proceed with elective surgery.  

hello thank you for your question and provided information as well..Based on your question, my recommendation is that you first consult with your endocrinologist and evaluate the sugar levels and the ok that you can submit to a surgical procedure.The second thing you would do is consult in person with a certified plastic surgeon to see what procedures apply and any questions in your case you get it.

Thanks for your question.
I agree with much of what has already been posted in response.  There is not an absolute A1C "cutoff" for surgery.  It is best used as one piece of the puzzle in determining your health and risk for surgery.  If you are otherwise healthy, a non-smoker, exercise regularly you should have a minimal increase in your risk.  That being said, an A1C below 7 as been shown to reduce infection and wound healing problems.  Be sure to consult with your physician to try and optimize your glycemic control prior to any surgery.
Best wishes.

 I appreciate your concern, and diabetes does somewhat increase the chance for complications with mommy makeover surgery, specifically Tummytuck  and if breast lift or reduction is needed. I have successfully operated on diabetics, but precautions need to be taken and risks understood.  Your first step would be to obtain medical clearance from your doctor and be certain that your diabetes is well controlled. Seek out a board-certified plastic surgeon to increase your chances of the best possible result because your case is complicated. Your surgeon may have to be more conservative with your tummy tuck and understand that wound healing after surgery may be a problem but one that can be overcome. Best of luck.

It would be better to have your HgbA1c to be lower in order to keep your risk lower.  Diabetics are at higher risk for complications such as poor wound healing and infection.  These risks increase when blood glucose levels are not tightly controlled.

It is best to check with the physician that manages your diabetes prior to scheduling surgery. Your plastic surgeon will help you make a decision based on that recomendation.

If you are otherwise healthy, do not smoke, and have a stable weight and good exercise tolerance, being a type 2 diabetic should not prevent you from having breast augmentation and tummy tuck.  It is important, however, to have your blood glucose levels as optimally controlled as possible.  Diabetic patients who have elevated fingersticks or A1c are at higher risk for complications like developing wounds at their incisions or infection postoperatively.  Tight glycemic control reduces your risk of having these types of issues after surgery.You may consider checking in with your endocrinologist to see how else you can optimize your blood sugar levels prior to having an elective major surgery like mommy makeover.  And as always, be sure to consult with an experienced, board certified plastic surgeon who will be able to guide you safely through your journey.Hope this helps, and best of luck,Dr. Lim

Thank you for the question.
 
Well controlled diabetes is not a contraindication to tummy tuck surgery and/or other elective plastic surgical procedures.  However, diabetics are at a greater risk of infection compared to non-diabetic patients. Always best to check with your primary care physician or endocrinologist for “medical clearance” prior to surgery. Managing your diabetic medications around the time of surgery (to avoid hypo as well as hyperglycemia), while you will have altered oral intake, will be important. I hope this  helps.  Best wishes.

As long as you are healthy and have your blood surgery under control after obtaining medical clearance you should be able to undergo surgery. You may be at slightly higher risk for complications such as infections and wound healing.Good Luck!