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ABSTRACT: Objective
To determine the individual persistence of the relationship between mean sensor glucose (MG) concentrations and hemoglobin A(1c) (A1C) from the Juvenile Diabetes Research Foundation Continuous Glucose Monitoring (CGM) Randomized Trial.Research design and methods
MG was calculated using CGM data for 3 months before A1C measurements at 3, 6, 9, and 12 months for the CGM group and at 9 and 12 months for the control group. An MG-to-A1C ratio was included in analysis for subjects who averaged ≥4 days/week of CGM use.Results
Spearman correlations of the MG-to-A1C ratio between consecutive visits 3 months apart ranged from 0.70 to 0.79. The correlations for children and youth were slightly smaller than those for adults. No meaningful differences were observed by device type or change in A1C.Conclusions
Individual variations in the rate of hemoglobin glycation are persistent and contribute to the inaccuracy in estimating MGs calculated from A1C levels.
SUBMITTER: Wilson DM
PROVIDER: S-EPMC3114360 | biostudies-literature | 2011 Jun
REPOSITORIES: biostudies-literature

Wilson Darrell M DM Xing Dongyuan D Cheng Jing J Beck Roy W RW Hirsch Irl I Kollman Craig C Laffel Lori L Lawrence Jean M JM Mauras Nelly N Ruedy Katrina J KJ Tsalikian Eva E Wolpert Howard H
Diabetes care 20110419 6
<h4>Objective</h4>To determine the individual persistence of the relationship between mean sensor glucose (MG) concentrations and hemoglobin A(1c) (A1C) from the Juvenile Diabetes Research Foundation Continuous Glucose Monitoring (CGM) Randomized Trial.<h4>Research design and methods</h4>MG was calculated using CGM data for 3 months before A1C measurements at 3, 6, 9, and 12 months for the CGM group and at 9 and 12 months for the control group. An MG-to-A1C ratio was included in analysis for sub ...[more]