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To evaluate whether diabetes diagnosis and level of diabetes control as reflected by higher preoperative glycosylated hemoglobin (HbA ) levels are associated with increased complication rates after hysterectomy and to identify a threshold of preoperative HbA level past which we should consider delaying surgery owing to increased risk of complications. Retrospective cohort study. Hospitals in the Michigan Surgical Quality Collaborative between June 4, 2012, and October 17, 2017. Women with and without a diabetes diagnosis. Hy