Clinical Conference: It is the time to change and design new glycaemic metrics in order to look for a better glucose control?

Abstract

An adequate glycemic control prevents and/or delays the development and/or progression of chronic complications in patients with Diabetes Mellitus (DM). In order to adjust insulin doses, in type 1 or insulinized type 2 DM patients, with multiple insulin injections and or insulin pumps the traditional capillary glucose self-monitoring (GSM) showed a lot of limitations to generate an ade-quate data record, is invasive and has low adherence.

New continuous glucose monitoring (CGM) systems provide not only more complete and dynamic information nor allows as to know continuous and real-time readings of interstitial glucose. CGM had built new glucose metrics like Time in Range, Time above the Range and Time Below the Rage and also the Glucose management indicator giving us a more wide information about glycaemic variability and glucose tendencies. Yes, there are robust data showing us that it is the time to change and design new glycemic metrics in order to look for a better glucose control.