Background: As diabetes mellitus is a major risk factor of sepsis, we aimed to evaluate the possible effects of diabetes mellitus and poor glycemic control on the diagnosis of sepsis.
Methods: In our retrospective study, we included diabetic, septic patients-in whom the diagnosis of sepsis was based on the systemic inflammatory response syndrome (SIRS) criteria ( = 112, SIRS group)-who had HbA1c levels measured either in the previous 30 days ( = 39, SIRS 30 d subgroup) or within 24 hours after their emergency department admission ( = 73, SIRS 24 h subgroup). We later selected those patients from the SIRS group, whose sequential organ failure assessment (SOFA) score was ≥2 ( = 55, SOFA group), and these patients were also divided based on the time of HbA1c measurement ( = 21, SOFA 30 d subgroup and = 34, SOFA 24 h subgroup).