Utilizing the New Glucometrics: A Practical Guide to Ambulatory Glucose Profile Interpretation.

TouchREVIEWS in endocrinology Pub Date : 2022-06-01 Epub Date: 2022-06-13 DOI:10.17925/EE.2022.18.1.20
John Doupis, Edward S Horton
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Abstract

Traditional continuous glucose monitoring and flash glucose monitoring systems are proven to lower glycated haemoglobin levels, decrease the time and impact of hypoglycaemia or hyperglycaemia and, consequently, improve the quality of life for children and adults with type 1 diabetes mellitus (T1DM) and adults with type 2 diabetes mellitus (T2DM). These glucose-sensing devices can generate large amounts of glucose data that can be used to define a detailed glycaemic profile for each user, which can be compared with targets for glucose control set by an International Consensus Panel of diabetes experts. Targets have been agreed upon for adults, children and adolescents with T1DM and adults with T2DM; separate targets have been agreed upon for older adults with diabetes, who are at higher risk of hypoglycaemia, and women with pregestational T1DM during pregnancy. Along with the objective measures and targets identified by the International Consensus Panel, the dense glucose data delivered by traditional continuous glucose monitoring and flash glucose monitoring systems is used to generate an ambulatory glucose profile, which summarizes the data in a visually impactful format that can be used to identify patterns and trends in daily glucose control, including those that raise clinical concerns. In this article, we provide a practical guide on how to interpret these new glucometrics using a straightforward algorithm, and clear visual examples that demystify the process of reviewing the glycaemic health of people with T1DM or T2DM such that forward-looking goals for diabetes management can be agreed.

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利用新的葡萄糖测量:一个实用的指南,动态葡萄糖剖面解释。
传统的连续血糖监测和瞬时血糖监测系统被证明可以降低糖化血红蛋白水平,减少低血糖或高血糖的时间和影响,从而改善儿童和成人1型糖尿病(T1DM)和成人2型糖尿病(T2DM)的生活质量。这些血糖传感设备可以产生大量的葡萄糖数据,这些数据可以用来为每个用户定义详细的血糖概况,这些数据可以与国际糖尿病专家共识小组设定的血糖控制目标进行比较。已就成人、儿童和青少年T1DM和成人T2DM的目标达成一致;对于低血糖风险较高的老年糖尿病患者和妊娠期患有T1DM的妇女,已经达成了单独的目标。与国际共识小组确定的客观测量和目标一起,传统连续血糖监测和快速血糖监测系统提供的密集血糖数据被用于生成动态血糖概况,该数据以视觉上有影响力的格式总结,可用于识别日常血糖控制的模式和趋势,包括那些引起临床关注的模式和趋势。在这篇文章中,我们提供了一个实用的指南,说明如何使用一个简单的算法来解释这些新的血糖测量,并提供了清晰的视觉示例,揭示了审查1型糖尿病或2型糖尿病患者血糖健康的过程,从而可以就糖尿病管理的前瞻性目标达成一致。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
2.40
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0.00%
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