About the HbA1c in the elderly
Résumé
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.