Clinical Application of Time in Range and Other Metrics.
Grazia AleppoPublished in: Diabetes spectrum : a publication of the American Diabetes Association (2021)
Time in range (TIR) and other continuous glucose monitoring (CGM)-derived metrics have been standardized in international consensus conferences. TIR correlates closely with A1C; a TIR of 70% correlates to an A1C of 6.7-7%. Evidence is emerging on the association of TIR with long-term diabetes complications, and each 10% increase in TIR shows a substantial decrease in risk for long-term complications. Application of TIR to clinical practice can be easily done with a stepped approach to the analysis and interpretation of CGM-derived metrics and the ambulatory glucose profile report. Clinician education and partnership with patients are crucial for successful implementation of TIR and all CGM-derived metrics in clinical practice.
Keyphrases
- clinical practice
- end stage renal disease
- healthcare
- type diabetes
- chronic kidney disease
- ejection fraction
- cardiovascular disease
- newly diagnosed
- blood pressure
- risk factors
- quality improvement
- randomized controlled trial
- clinical trial
- metabolic syndrome
- adipose tissue
- blood glucose
- patient reported outcomes
- glycemic control
- data analysis