John Libbey Eurotext

Gériatrie et Psychologie Neuropsychiatrie du Vieillissement

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About the HbA1c in the elderly Volume 14, issue 1, Mars 2016

Authors
1 Pôle gériatrique, Centre gérontologique départemental, Marseille, France
2 Faculté de médecine, Aix Marseille Université, Marseille, France
3 EA3279, Évaluation des systèmes de soins-santé perçue, Faculté de Médecine, Aix Marseille Université, Marseille, France
4 Unité de soins et de recherche en médecine interne et maladies infectieuses, Hôpital européen, Marseille, France
* Tirés à part

HbA1c product of non enzymatic glycation of HbA increases in relation with the mean blood glucose level during the former 2-3 months. HbA1c levels are correlated with the development of diabetic complications and HbA1c assessment is now the gold standard for evaluation of diabetes control. HbA1c level should not be higher than 7% to avoid these complications. However, in aged peoples, the objectives of diabetes control vary according to their health status. It must be good with HbA1c lower than 7-7.5% in healthy subjects and more relax in subjects with symptoms of frailty and risks of non perceived and self corrected hypoglycemia. Under these conditions, HbA1c values lower than 8 to 9% are advised. Nevertheless, hypoglycemia episodes may occur in patients with high HbA1c and capillary glucose follow-up is necessary for detection of such complications.