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About the HbA1c in the elderly

Author

Listed:
  • Anais Farcet
  • Geraldine Delalande
  • 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)

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.

Suggested Citation

  • Anais Farcet & Geraldine Delalande & Charles Oliver & Frédérique Retornaz, 2016. "About the HbA1c in the elderly," Post-Print hal-01482505, HAL.
    • Handle: RePEc:hal:journl:hal-01482505
    DOI: 10.1684/pnv.2016.0588
    as

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