About the HbA1c in the elderly

Anais Farcet, Geraldine Delalande, Charles Oliver and Frédérique Retornaz
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Charles Oliver: AMU ALLSH - Aix-Marseille Université - Faculté des Arts, Lettres, Langues et Sciences Humaines - AMU - Aix Marseille Université
Frédérique Retornaz: CGD 13 - Centre Gérontologique Départemental de Marseille

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Abstract: HbA1c product of non enzymatic glycation of HbA increases in relation ă with the mean blood glucose level during the former 2-3 months. HbA1c ă levels are correlated with the development of diabetic complications and ă HbA1c assessment is now the gold standard for evaluation of diabetes ă control. HbA1c level should not be higher than 7% to avoid these ă complications. However, in aged peoples, the objectives of diabetes ă control vary according to their health status. It must be good with ă HbA1c lower than 7-75% in healthy subjects and more relax in subjects ă with symptoms of frailty and risks of non perceived and self corrected ă hypoglycemia. Under these conditions, HbA1c values lower than 8 to 9% ă are advised. Nevertheless, hypoglycemia episodes may occur in patients ă with high HbA1c and capillary glucose follow-up is necessary for ă detection of such complications.

Keywords: Quality (search for similar items in EconPapers)
Date: 2016-03
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Published in Gériatrie et psychologie & neuropsychiatrie du vieillissement, 2016, 14 (1), pp.42-48. ⟨10.1684/pnv.2016.0588⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-01482505

DOI: 10.1684/pnv.2016.0588

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