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Feature Articles

The Changing Landscape of Glycemic Targets: Focus on Continuous Glucose Monitoring

  1. Pamela R. Kushner1 and
  2. Davida F. Kruger2
  1. 1University of California Irvine, Irvine, CA
  2. 2Henry Ford Health System, Detroit, MI
  1. Corresponding author:
    Pamela Kushner, kushnerwellnesscenter{at}hushmail.com
Clinical Diabetes 2020 Oct; 38(4): 348-356. https://doi.org/10.2337/cd19-0093
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Abstract

Continuous glucose monitoring (CGM) provides comprehensive assessment of daily glucose measurements for patients with diabetes and can reveal high and low blood glucose values that may occur even when a patient’s A1C is adequately controlled. Among the measures captured by CGM, the percentage of time in the target glycemic range, or “time in range” (typically 70–180 mg/dL), has emerged as one of the strongest indicators of good glycemic control. This review examines the shift to using CGM to assess glycemic control and guide diabetes treatment decisions, with a focus on time in range as the key metric of glycemic control.

Footnotes

  • This article contains supplementary material online at https://doi.org/10.2337/figshare.12245486.

  • © 2020 by the American Diabetes Association
https://www.diabetesjournals.org/content/license

Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. More information is available at https://www.diabetesjournals.org/content/license.

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Clinical Diabetes: 38 (4)

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October 2020, 38(4)
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The Changing Landscape of Glycemic Targets: Focus on Continuous Glucose Monitoring
Pamela R. Kushner, Davida F. Kruger
Clinical Diabetes Oct 2020, 38 (4) 348-356; DOI: 10.2337/cd19-0093

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The Changing Landscape of Glycemic Targets: Focus on Continuous Glucose Monitoring
Pamela R. Kushner, Davida F. Kruger
Clinical Diabetes Oct 2020, 38 (4) 348-356; DOI: 10.2337/cd19-0093
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  • Article
    • Abstract
    • Limitations of A1C
    • Use of Continuous Glucose Monitoring
    • Vascular Complications Linked to Glucose Variability
    • Time in Range
    • Treatments Evaluated by CGM
    • Conclusion
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  • Improving Diabetes Control Using Lean Six Sigma Quality Improvement in an Endocrine Clinic in a Large Accountable Care Organization
  • Flash Continuous Glucose Monitoring: A Summary Review of Recent Real-World Evidence
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© 2021 by the American Diabetes Association. Clinical Diabetes Print ISSN: 0891-8929, Online ISSN: 1945-4953.