TIR readings from a CGM complemented A1c readings and provided a more complete picture of glucose control in patients with T2D taking basal insulin, in a post-hoc analysis of the SWITCH PRO clinical trial. EndoTwitter diabetes
TIR was inversely related to A1c, with the strongest correlation following treatment intensification.
Thomas, from the University of Chicago, Illinois, also noted that CGM is used in endocrinology clinics and increasingly in primary care clinics,"often to determine glycemic patterns to optimize therapeutic management but also to review TIR and, importantly, time below range to reduce the incidence ofAnd people with type 2 diabetes are using CGM, Thomas noted, to understand their individual responses to medications, food choices, sleep quality and duration, exercise, and other day-to-day...
"I foresee CGM and TIR being widely used in clinical practice for people living with type 2 diabetes," she said,"especially those who have ever had an A1c over 8%, those with a history of hypoglycemia, and those treated with medications that are known to cause hypoglycemia."Goldenberg and colleagues set out to better understand how the emerging TIR metric compares with the traditional A1c value.
Glycemic control was evaluated using a blinded professional CGM . The primary outcome was TIR, which was defined as the percentage of time spent in the blood glucose range of 70 to 180 mg/dL.
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