Clinical Targets for Continuous Glucose Monitoring Data Interpretation: Recommendations From the International Consensus on Time in Range

Abstract

Improvements in sensor accuracy, greater convenience and ease of use, and expanding reimbursement have led to growing adoption of continuous glucose monitoring (CGM). However, successful utilization of CGM technology in routine clinical practice remains relatively low. This may be due in part to the lack of clear and agreed-upon glycemic targets that both diabetes teams and people with diabetes can work toward. Although unified recommendations for use of key CGM metrics have been established in three separate peer-reviewed articles, formal adoption by diabetes professional organizations and guidance in the practical application of these metrics in clinical practice have been lacking. In February 2019, the Advanced Technologies & Treatments for Diabetes (ATTD) Congress convened an international panel of physicians, researchers, and individuals with diabetes who are expert in CGM technologies to address this issue. This article summarizes the ATTD consensus recommendations for relevant aspects of CGM data utilization and reporting among the various diabetes populations.

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Affiliated Institutions

• KU Leuven BE
• Profil Institute for Metabolic Research DE
• Diabetes Care & Hormone Clinic IN
• Harvard University US
• Jaeb Center for Health Research US
• University of Virginia US
• University of Cambridge GB
• King's College London GB
• University of Padua IT
• Yale University US
• University of Ljubljana SI
• Nihon University JP
• American Diabetes Association US
• Children's Hospital at Westmead AU
• Endocrinology Research Center RU
• Amsterdam UMC Location University of Amsterdam NL
• Wellcome Trust GB
• Wellcome/MRC Institute of Metabolic Science GB
• Ljubljana University Medical Centre SI
• Université de Montpellier FR
• University of Amsterdam NL
• Stanford Medicine US
• Park Nicollet Clinic US
• Tel Aviv University IL
• Inserm FR
• Grunberger Diabetes Institute US
• University of East Anglia GB
• Vita-Salute San Raffaele University IT
• Schneider Children's Medical Center IL
• Breakthrough T1D US
• Institut de Génomique Fonctionnelle FR
• Steno Diabetes Centers DK
• Shanghai Sixth People's Hospital CN
• University of Colorado Denver US
• University of Florida US
• Close Concerns (United States) US
• The University of Sydney AU
• University of Washington US
• University of Sheffield GB
• Shanghai Jiao Tong University CN
• Kinderkrankenhaus auf der Bult DE
• Joslin Diabetes Center US

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