Olenik pt 3 Flashcards
GMI
mean glucose management indicator
conversion of cGM-derived mean glucose to an estimate of the current A1c level when data from active cGM use is at least >70% during a 14-day period
AGP
ambulatory glucose profile report
combines input from multiple displaying cGM data over a single 24-hour period
time above range measurements
above 180 mg/dL
above 250 mg/dL
goal of time spent above 180 mg/dL
<25%
<50% for high risk
goal of time spent above 250 mg/dL
<5%
<10% for high risk
time in range
TIR
time spent between 70 and 180mg/dL
1% is roughly 15 minutes
goal of TIR`
> 70%
50% for high risk
time below range
time spent under 70mg/dL (low)
time spent under 54 mg/dL (very low)
goal of time spent under 70mg/dL
<4%
<1% for high risk
goal of time spent under 54mg/dL
<1%
0% for high risk
time cGM active
percent of cGM readings were measured
typically during a 14 day period
goal of time cGM active
> 70%
%CV
percent coefficient of variation
a measure of glycemic variability
goal of %CV
less than or equal to 36%
D of DATAA
download data
start with global overview: what AGP/key metrics mean
ask what the patient has learned
what is going well with self management
first A of DATAA
assess safety
with hypoglycemia
interactive discussion of first A
identify the possible causes and solutions of hypoglycemia
T of DATAA
time in range
focus on the positives
interactive discussion of T
how to replicate the TIR
identify days or times where time in range is highest
second A of DATAA
areas to improve
moments of hyperglycemia
interactive discussion of second A
possible causes, solutions, and adjustments to self-management to prevent hyperglycemia
last A of DATAA
action plan
work collaboratively with the person with diabetes
key note of DATAA
at each step, express that this is information
its not good or bad
stand-alone cGMs
FreeStyle Libre 2
FreeStyle Libre 3
FreeStyle Libre 3 Plus
Dexcom G6
Dexcom G7
Medtronic Guardian Connect
Eversense E3
Stelo by Dexcom (OTC)
Professional cGMs
abbott FreeStyle Libre Pro
Medtronic iPro2
Dexcom G6 Pro
Abbott Stand-alone systems
back of the upper arm
1 hour warm up time
14 days wear (15 for plus)
Abbott Stand-alone systems interference
more than 500 mg of Vit C may falsely raise bg levels
dexcom G6
being phased out
dexcom G7
back of the upper arm (2+) or upper buttocks (2-6yo)
30 minute warm up
10 day wear
dexcom G7 interference
hydroxyurea may falsely raise bg levels
medtronic guardian connect
back of the upper arm/abdomen
2 hour warm up
7 day wear
medtronic guardian connect important NOTE
intended to complement, not replace information obtained from a fingerstick test with standard bg monitoring devices
medtronic guardian connect interference
acetaminophen may falsely raise
eversense e3
surgically inserted in-office
24 hour warm up time
6mo-1y wear (recently approved)
eversense e3 interference
tetracycline may falsely lower
mannitol/sorbitol administered via IV may falsely raise
stelo by dexcom
OTC only
back of the upper arm
30 minute warm up
15 day wear
stelo by dexcom interference
hydroxyurea may falsely raise
rule of 15
consume 1 serving (15 grams) of fast-acting carbohydrates
wait at least 15 minutes
steps to get out of low hypoglycemic event
1) check bg to confirm hypoglycemia
2) rule of 15
3) recheck blood glucose
if bg is still <70 after rule of 15
repeat process
if bg is >70 and greater than 1 hour until next meal
consume protein or long-acting carbohydrate snack
at least 30 grams
if bg is >70 and eating a meal within the hour
no further action necessary
how many glucose tablets is 15 grams?
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