TABLE 5.
Recommended Clinical Targets for CGM Parameters and Potential Interventions (31)
Metric | Target for Most People With Diabetes | Target for Older and Higher-Risk Individuals | Actions If Out of Target |
---|---|---|---|
CGM usage | 14 of the past 14 days; active 70% of the time | 14 of the past 14 days; active 70% of the time | Explore patient barriers to CGM use |
Average glucose | GMI <7% | GMI <8% | Review glucose range bar graph |
Glucose variability | %CV ≤36% | %CV ≤36% | Review glucose range bar graph |
Glucose ranges | TIR (70–180 mg/dL) >70% or 17 hours/day | TIR (70–180 mg/dL) >50% or 12 hours/day | Is there hyperglycemia or hypoglycemia? Address hypoglycemia first. |
TBR (<70 mg/dL) <4% or 1 hours/day; TBR (<54 mg/dL) <1% or 15 minutes/day | TBR (<70 mg/dL) <1% or 15 minutes/day | Identify and adjust contributing medications such as sulfonylureas, basal insulin, and bolus insulin. Explore self-management issues such as exercise, missed meals, and insulin dosing. | |
TAR (>180 mg/dL) <25% or 6 hours/day; TAR (>250 mg/dL) <5% or 1 hour/day | TAR (>250 mg/dL) <10% or 2.5 hours/day | Is the hyperglycemia fasting or post-meal? Consider medication adjustments. Explore self-management issues such as food choices and insulin dosing. |
TAR, time above range; TBR, time below range.