The Importance of Time in Range (TIR) for Continuous Glucose Monitoring (CGM) in the Clinical Practice for Diabetes

H. Bando
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Abstract

As to the development of treatment for diabetes, Continuous Glucose Monitoring (CGM) has been recently prevalent rapidly. By the analysis of real-time CGM, Ambulatory Glucose Profile (AGP) has been used. It includes time in range (TIR, 70-180 mg/dL), time above range (TAR, >181mg/dL), time below range (TBR, <69 mg/dL), Glycemic Variability (GV), Glucose Management Indicator (GMI), Glycemic variability, Coefficient Of Variation (CV%) and so on. TIR value indicating approximately 70% seems to correlate closely with the HbA1c level of 6.77.0%. Marked discordance of HbA1c values has been found between laboratory HbA1c and estimated HbA1c (eA1c) using GMI from CGM.
时间范围(TIR)在糖尿病临床实践中连续血糖监测(CGM)的重要性
在糖尿病治疗的发展中,连续血糖监测(CGM)近年来迅速普及。通过对实时CGM的分析,采用了动态葡萄糖谱(AGP)。它包括在范围内的时间(TIR, 70-180 mg/dL),在范围内的时间(TAR, >181mg/dL),在范围内的时间(TBR, <69 mg/dL),血糖变异性(GV),葡萄糖管理指标(GMI),血糖变异性,变异系数(CV%)等。TIR值约为70%,与HbA1c水平6.77.0%密切相关。实验室HbA1c值与使用CGM GMI估计的HbA1c (eA1c)之间存在明显的不一致。
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