Recommendations for Standardizing Glucose Reporting and Analysis to Optimize Clinical Decision Making in Diabetes: The Ambulatory Glucose Profile (AGP)

被引:217
作者
Bergenstal, Richard M. [1 ]
Ahmann, Andrew J. [2 ]
Bailey, Timothy [3 ,4 ]
Beck, Roy W. [5 ]
Bissen, Joan [1 ]
Buckingham, Bruce [6 ]
Deeb, Larry [7 ]
Dolin, Robert H. [8 ]
Garg, Satish K. [9 ]
Goland, Robin [10 ]
Hirsch, Irl B. [11 ]
Klonoff, David C. [12 ]
Kruger, Davida F. [13 ]
Matfin, Glenn [1 ]
Mazze, Roger S. [1 ]
Olson, Beth A. [1 ]
Parkin, Christopher [14 ]
Peters, Anne [15 ]
Powers, Margaret A. [1 ]
Rodriguez, Henry [16 ]
Southerland, Phil [17 ]
Strock, Ellie S. [1 ]
Tamborlane, William [18 ]
Wesley, David M. [1 ]
机构
[1] Int Diabet Ctr Pk Nicollet, Minneapolis, MN 55416 USA
[2] Oregon Hlth & Sci Univ, Harold Schnitzer Diabet Hlth Ctr, Portland, OR 97201 USA
[3] AMCR Inst, San Diego, CA USA
[4] Univ Calif San Diego, San Diego, CA 92103 USA
[5] Jaeb Ctr Hlth Res, Tampa, FL USA
[6] Stanford Univ, Lucille Packard Childrens Hosp, Palo Alto, CA 94304 USA
[7] Florida State Univ, Tallahassee, FL 32306 USA
[8] Lantana Consulting Grp, E Thetford, VT USA
[9] Univ Colorado Denver, Barbara Davis Ctr Childhood Diabet, Aurora, CO USA
[10] Columbia Univ, Med Ctr, New York, NY USA
[11] Univ Washington, Seattle, WA 98195 USA
[12] Univ Calif San Francisco, San Francisco, CA 94143 USA
[13] Henry Ford Hlth Syst, Detroit, MI USA
[14] CGParkin Commun Inc, Boulder City, NV USA
[15] Univ So Calif, Los Angeles, CA USA
[16] Univ S Florida, Tampa, FL USA
[17] Team Type 1, Atlanta, GA USA
[18] Yale Univ, New Haven, CT USA
关键词
IMPROVED GLYCEMIC CONTROL; INSULIN PUMP THERAPY; SEVERE HYPOGLYCEMIA; MONITORING-SYSTEM; HBA(1C) VALUES; WEIGHT-GAIN; TYPE-1; VARIABILITY; MORTALITY; MANAGEMENT;
D O I
10.1089/dia.2013.0051
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Underutilization of glucose data and lack of easy and standardized glucose data collection, analysis, visualization, and guided clinical decision making are key contributors to poor glycemic control among individuals with type 1 diabetes. An expert panel of diabetes specialists, facilitated by the International Diabetes Center and sponsored by the Helmsley Charitable Trust, met in 2012 to discuss recommendations for standardization of analysis and presentation of glucose monitoring data, with the initial focus on data derived from CGM systems. The panel members were introduced to a universal software report, the Ambulatory Glucose Profile (AGP), and asked to provide feedback on its content and functionality, both as a research tool and in clinical settings. This paper provides a summary of the topics and issues discussed during the meeting and presents recommendations from the expert panel regarding the need to standardize glucose profile summary metrics and the value of a uniform glucose report to aid clinicians, researchers, and patients.
引用
收藏
页码:198 / 211
页数:14
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