Clinical Application of Time in Range and Other Metrics | Zendy

Grazia Aleppo | Zendy

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Clinical Application of Time in Range and Other Metrics

Author(s) -

Grazia Aleppo

Publication year - 2021

Publication title -

diabetes spectrum

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.716

H-Index - 31

eISSN - 1944-7353

pISSN - 1040-9165

DOI - 10.2337/ds20-0093

Subject(s) - medicine , clinical practice , continuous glucose monitoring , general partnership , diabetes mellitus , ambulatory , term (time) , intensive care medicine , medical physics , type 1 diabetes , physical therapy , endocrinology , physics , finance , quantum mechanics , economics

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.

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