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    A Review of Continuous Glucose Monitoring-Based Composite Metrics for Glycemic Control

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    Author
    Nguyen, M.
    Han, J.
    Spanakis, E.K.
    Kovatchev, B.P.
    Klonoff, D.C.
    Date
    2020
    Journal
    Diabetes technology & therapeutics
    Publisher
    Mary Ann Liebert
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1089/dia.2019.0434
    Abstract
    We performed a literature review of composite metrics for describing the quality of glycemic control, as measured by continuous glucose monitors (CGMs). Nine composite metrics that describe CGM data were identified. They are described in detail along with their advantages and disadvantages. The primary benefit to using composite metrics in clinical practice is to be able to quickly evaluate a patient's glycemic control in the form of a single number that accounts for multiple dimensions of glycemic control. Very little data exist about (1) how to select the optimal components of composite metrics for CGM; (2) how to best score individual components of composite metrics; and (3) how to correlate composite metric scores with empiric outcomes. Nevertheless, composite metrics are an attractive type of scoring system to present clinicians with a single number that accounts for many dimensions of their patients' glycemia. If a busy health care professional is looking for a single-number summary statistic to describe glucose levels monitored by a CGM, then a composite metric has many attractive features.
    Keyword
    Composite index
    Composite metrics
    Continuous glucose monitoring
    Diabetes treatment
    Glycemic control
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85089203118&doi=10.1089%2fdia.2019.0434&partnerID=40&md5=53e87377c5c3b0ac9b7e97e124917226; http://hdl.handle.net/10713/13578
    ae974a485f413a2113503eed53cd6c53
    10.1089/dia.2019.0434
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