4. what we miss in regular blood test
assessment
Blood sugar level variations
The hidden patterns
Traditional blood glucose testing (24 hrs) Continuous monitoring
5. CONTINOUS GLUCOSE MONITORING DEVICE
Sensor based technology
Blood sugar reading every 15 mins
Used for 14 days
Data in the graph format
6. Benefits of CGM
Avoid finger pricks
Easy to scan and assess the glucose value
Automatic measurement of glucose values 24*7
Can be used for 14 days
Water resistant
9. Added benefits of CGM
Can make decisions of food and physical exercise
Can adjust adjustments in next dose and correction dose if required
Helps to Keep blood sugar in range
Avoid high and low blood sugar levels
Gives us idea of how glucose spikes for various food types
Monitor our blood glucose patterns and thereby adjusting our dose
Very helpful for parents of T1 kids (newly diagnosed)
Long term goal – to avoid diabetic related complications
Reader also can be used for testing blood glucose and blood ketone in
emergencies
13. How to make best use of CGM -
‘Time in Range’
Time within
range
Time in Ranges refers to the percentage of time that a person with diabetes spends within their
Target Glucose Range, or above or below that target
Time above
range
Time below
range
For illustration purposes only. Not actual patient data.
14. Time In Ranges metrics provide more actionable
information than A1c alone
THE “TIME IN RANGES” INCLUDES THREE KEY MEASUREMENTS:
Percentage of readings and time per day within target glucose range
Time below target glucose range
Time above target glucose range
14 of 42
TIR: Time in Range; TBR: Time below Range
Source: Battelino T, Danne T, Bergenstal R, et al. Clinical Targets for Continuous Glucose Monitoring Data Interpretation: Recommendations From the International Consensus on Time in Range. Diabetes Care. 2019
Aug; 42(8):593-1603.: https://doi.org/10.2337/dci19-0028).
The primary goal for effective
and safe glucose control is to
increase the TIR while
reducing the TBR
INCREASE
TIR
TIME WITHIN RANGE
(TIR)
TIME ABOVE RANGE
(TAR)
TIME BELOW RANGE
(TBR) DECREASE TBR