Clinical Targets for Continuous Glucose Monitoring Data Interpretation: Recommendations From the International Consensus on Time in Range

被引：2912

作者：

Battelino, Tadej ^{[1
,2
]}

Danne, Thomas ^{[3
]}

Bergenstal, Richard M. ^{[4
]}

Amiel, Stephanie A. ^{[5
]}

Beck, Roy ^{[6
]}

Biester, Torben ^{[3
]}

Bosi, Emanuele ^{[7
]}

Buckingham, Bruce A. ^{[8
]}

Cefalu, William T. ^{[9
]}

Close, Kelly L. ^{[10
]}

Cobelli, Claudio ^{[11
]}

Dassau, Eyal ^{[12
]}

DeVries, J. Hans ^{[13
,14
]}

Donaghue, Kim C. ^{[15
]}

Dovc, Klemen ^{[1
,2
]}

Doyle, Francis J. ^{[12
]}

Garg, Satish ^{[16
,17
]}

Grunberger, George ^{[18
]}

Heller, Simon ^{[19
]}

Heinemann, Lutz ^{[20
]}

Hirsch, Irl B. ^{[21
]}

Hovorka, Roman ^{[22
,23
]}

Jia, Weiping ^{[24
]}

Kordonouri, Olga ^{[3
]}

Kovatchev, Boris ^{[25
]}

Kowalski, Aaron ^{[26
]}

Laffel, Lori ^{[27
,28
]}

Levine, Brian ^{[10
]}

Mayorov, Alexander ^{[29
]}

Mathieu, Chantal ^{[30
]}

Murphy, Helen R. ^{[31
]}

Nimri, Revital ^{[32
]}

Norgaard, Kirsten ^{[33
]}

Parkin, Christopher G. ^{[34
]}

Renard, Eric ^{[35
,36
,37
]}

Rodbard, David ^{[38
]}

Saboo, Banshi ^{[39
]}

Schatz, Desmond ^{[40
]}

Stoner, Keaton ^{[41
]}

Urakami, Tatsuiko ^{[42
]}

Weinzimer, Stuart A. ^{[43
]}

Phillip, Moshe ^{[32
,44
]}

机构：

[1] Univ Med Ctr Ljubljana, Univ Childrens Hosp, Dept Pediat Endocrinol Diabet & Metab, Ljubljana, Slovenia

[2] Univ Ljubljana, Fac Med, Ljubljana, Slovenia

[3] Kinder & Jugendkrankenhaus Bult, Diabet Ctr Children & Adolescents, Hannover, Germany

[4] Int Diabet Ctr Pk Nicollet, Minneapolis, MN USA

[5] Kings Coll London, Diabet Res Grp, London, England

[6] Jaeb Ctr Hlth Res, Tampa, FL USA

[7] Univ Vita Salute San Raffaele, IRCCS San Raffaele Hosp, Diabet Res Inst, Milan, Italy

[8] Stanford Med Ctr, Dept Pediat, Div Endocrinol & Diabet, Stanford, CA USA

[9] Amer Diabet Assoc, Alexandria, VA USA

[10] Close Concerns & DiaTribe Fdn, San Francisco, CA USA

[11] Univ Padua, Dept Informat Engn, Padua, Italy

[12] Harvard Univ, Harvard John A Paulson Sch Engn & Appl Sci, Cambridge, MA 02138 USA

[13] Profil, Neuss, Germany

[14] Univ Amsterdam, Acad Med Ctr, Amsterdam, Netherlands

[15] Univ Sydney, Childrens Hosp Westmead, Sydney, NSW, Australia

[16] Univ Colorado Denver, Aurora, CO USA

[17] Barbara Davis Ctr Diabet, Aurora, CO USA

[18] Grunberger Diabet Inst, Bloomfield Hills, MI USA

[19] Univ Sheffield, Acad Unit Diabet Endocrinol & Metab, Sheffield, S Yorkshire, England

[20] Sci Consulting Diabet, Neuss, Germany

[21] Univ Washington, Sch Med, Dept Med, Div Metab Endocrinol & Nutr, Seattle, WA 98195 USA

[22] Univ Cambridge, Wellcome Trust MRC Inst Metab Sci, Cambridge, England

[23] Univ Cambridge, Dept Paediat, Cambridge, England

[24] Shanghai Jiao Tong Univ, Affiliated Peoples Hosp 6, Shanghai Key Lab Diabet Mellitus,Shanghai Diabet, Dept Endocrinol & Metab,Shanghai Clin Ctr Diabet, Shanghai, Peoples R China

[25] Univ Virginia, Ctr Diabet Technol, Charlottesville, VA USA

[26] JDRF, New York, NY USA

[27] Harvard Med Sch, Joslin Diabet Ctr, Pediat Adolescent & Young Adult Sect, Boston, MA 02115 USA

[28] Harvard Med Sch, Joslin Diabet Ctr, Sect Clin Behav & Outcomes Res, Boston, MA 02115 USA

[29] Endocrinol Res Ctr, Moscow, Russia

[30] Katholieke Univ Leuven, Clin & Expt Endocrinol, Leuven, Belgium

[31] Univ East Anglia, Norwich Med Sch, Norwich, Norfolk, England

[32] Schneider Childrens Med Ctr Israel, Natl Ctr Childhood Diabet, Jesse Z & Sara Lea Shafer Inst Endocrinol & Diabe, Petah Tiqwa, Israel

[33] Steno Diabet Ctr Copenhagen, Gentofte, Denmark

[34] CGParkin Commun Inc, Henderson, NV USA

[35] Montpellier Univ Hosp, Dept Endocrinol Diabet & Nutr, Montpellier, France

[36] Univ Montpellier, Inst Funct Genom, Montpellier, France

[37] INSERM, Clin Invest Ctr, Montpellier, France

[38] Biomed Informat Consultants LLC, Potomac, MD USA

[39] DiaCare, Ahmadabad, Gujarat, India

[40] Univ Florida, Pediat Endocrinol, Gainesville, FL USA

[41] dQ&A Market Res Inc, San Francisco, CA USA

[42] Nihon Univ, Sch Med, Dept Pediat, Tokyo, Japan

[43] Yale Univ, Sch Med, Dept Pediat, New Haven, CT 06510 USA

[44] Tel Aviv Univ, Sackler Fac Med, Tel Aviv, Israel

来源：

DIABETES CARE | 2019年 / 42卷 / 08期

基金：

美国国家卫生研究院;

关键词：

AMERICAN-DIABETES-ASSOCIATION; DAILY INSULIN INJECTIONS; G5 CGM SYSTEM; GLYCEMIC CONTROL; FOLLOW-UP; SEVERE HYPOGLYCEMIA; TREND ARROWS; EUROPEAN ASSOCIATION; SENSING TECHNOLOGY; IMPAIRED AWARENESS;

D O I：

10.2337/dci19-0028

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

Improvements in sensor accuracy, greater convenience and ease of use, and expanding reimbursement have led to growing adoption of continuous glucose monitoring (CGM). However, successful utilization of CGM technology in routine clinical practice remains relatively low. This may be due in part to the lack of clear and agreed-upon glycemic targets that both diabetes teams and people with diabetes can work toward. Although unified recommendations for use of key CGM metrics have been established in three separate peer-reviewed articles, formal adoption by diabetes professional organizations and guidance in the practical application of these metrics in clinical practice have been lacking. In February 2019, the Advanced Technologies & Treatments for Diabetes (ATTD) Congress convened an international panel of physicians, researchers, and individuals with diabetes who are expert in CGM technologies to address this issue. This article summarizes the ATTD consensus recommendations for relevant aspects of CGM data utilization and reporting among the various diabetes populations.

引用

页码：1593 / 1603

页数：11

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