Rajaei M, Bosarge PL, Griffin RL, et al. - Researchers here examined how long-term glycemic control affected the outcomes in trauma patients presenting to the University of Alabama at Birmingham Hospital. Among a total of 26,134 assessed patients, shorter hospital and ICU stay as well as fewer days on ventilator support were reported for those without diabetes or excellent glycemic control (ND-EGC). Compared with those with ND-EGC, those with moderate and poor glycemic control were at higher risk of renal failure. In addition, higher urinary tract infection risk was noted for those with poor control. All less-than-excellent glycemic control groups exhibited similar strength of observed associations for pneumonia and mortality. Findings thereby indicate increased risks of developing pneumonia, renal failure, urinary tract infection, and death among trauma patients with worse long-term glycemic control. The risks and outcomes of diabetic trauma patients can be prognosticated with HbA1c.