Diabetes technology

Quantification of the relation between continuous glucose monitoring observation period and the estimation error in assessing long-term glucose regulation

BMJ Open Diabetes Res CarePublished Retrospective cohort study

Authors' conclusion

Although there is currently no consensus on what is an acceptable MAE, this study provides insight into how MAEs of CGM-derived metrics change according to the used observation period within a population and may thus be helpful for clinical decision-making.

Study context

Population
Patients with diabetes using continuous glucose monitoring (CGM), DIABASE cohort (ZGT hospital, The Netherlands)
Exposure
CGM observation windows of 1 to 89 days vs a 90-day reference window
Outcome
MAE of trailing aggregates of CGM-derived metrics (TIR, time below range (TBR), glucose management indicator (GMI), glycemic variability) for window lengths of 1 to 89 days vs the 90-day reference

Main finding

As reported in the abstract

TIR estimation below a MAE threshold of 5%

Subjects with time in range (TIR) MAE <5% using 14 days of CGM data

65%

Observation period needed for 90% of subjects below a TIR MAE threshold of 5%

29 days

Observational data: associations, not effects.

Original publication

Quantification of the relation between continuous glucose monitoring observation period and the estimation error in assessing long-term glucose regulation. BMJ Open Diabetes Res Care. Published 26 February 2025. doi:10.1136/bmjdrc-2024-004768

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