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My Experience with CGM
Routine assessment of blood sugar
Lab test
HbA1c
Home glucometer
testing
Food medication Exercise
BLOOD SUGAR
what we miss in regular blood test
assessment
 Blood sugar level variations
 The hidden patterns
Traditional blood glucose testing (24 hrs) Continuous monitoring
CONTINOUS GLUCOSE MONITORING DEVICE
 Sensor based technology
 Blood sugar reading every 15 mins
 Used for 14 days
 Data in the graph format
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
Cgm vs Glucometer
Lag Time
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
CGM Report
Analysing CGM data
Glucose Trend Arrows
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.
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
A Summary of proven benefits
My experience with CGM.pptx

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My experience with CGM.pptx

  • 2. Routine assessment of blood sugar Lab test HbA1c Home glucometer testing
  • 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
  • 15. A Summary of proven benefits