title: [About the HbA1c in the elderly].
abstract: 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.
authors.affiliation: Pôle gériatrique, Centre gérontologique départemental, Marseille, France.
authors.forename: Anaïs
authors.initials: A
authors.lastname: Farcet
authors.affiliation: Pôle gériatrique, Centre gérontologique départemental, Marseille, France.
authors.forename: Géraldine
authors.initials: G
authors.lastname: Delalande
authors.affiliation: Pôle gériatrique, Centre gérontologique départemental, Marseille, France, Faculté de médecine, Aix Marseille Université, Marseille, France.
authors.forename: Charles
authors.initials: C
authors.lastname: Oliver
authors.affiliation: Pôle gériatrique, Centre gérontologique départemental, Marseille, France, EA3279, Évaluation des systèmes de soins-santé perçue, Faculté de Médecine, Aix Marseille Université, Marseille, France, Unité de soins et de recherche en médecine interne et maladies infectieuses, Hôpital européen, Marseille, France.
authors.forename: Frédérique
authors.initials: F
authors.lastname: Retornaz
mesh_terms: D000368:Aged / Q000502:physiology*; D000369:Aged, 80 and over / Q000502:physiology*; D001786:Blood Glucose; D003920:Diabetes Mellitus / Q000097:blood* / Q000175:diagnosis; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000175:diagnosis; D006442:Glycated Hemoglobin / Q000032:analysis / Q000378:metabolism*; D006801:Humans
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin
keywords: HbA1c; blood glucose; diabetes; elderly