Current Diabetes Reviews

Norman E. Cameron
University of Aberdeen
Aberdeen, Scotland
UK

Back

Measuring Glycaemic Variation

Author(s): Fergus J. Cameron, Susan M. Donath and Peter A. Baghurst

Affiliation: Dept of Endocrinology&Diabetes, Royal Children's Hospital, Flemington Rd, Parkville, Victoria 3052, Australia.

Abstract:

The measurement of glycaemic variation (GV) is conceived to be of clinical significance in determining diabetes outcomes. The debate as to the importance of GV has been complicated by studies using various meetrics of GV in qualitatively different datasets. The purpose of this review is to discuss the properties of 8 of the more commonly used metrics (M-value, MAGE, “J”-index, CONGA, BG rate of change, ADRR, Lability/HYPO score and GRADE). Comparable metrics that can be used to measure continuous glycaemic measurements (CGM) (SDBGL, “J”-index, MAGE, CONGA, GRADE) were then compared in assessing diabetic and non-diabetic datasets. In non-diabetic conditions there was very close correlation (correlation coefficients > 0.92) between SDBGL, MAGE and CONGA, however under diabetic conditions the correlation coefficients of the GV metrics diminished significantly. The varying GV metrics have varying inherent properties depending upon the purpose for which they were designed and should not be seen as being interchangeable. Investigators therefore need to be clear about the nature of their enquiry of GV and choose an appropriate metric.

Keywords: Glycaemic variation, Measurement, Comparison

Order Reprints Order Eprints Rights & PermissionsPrintExport

Article Details

VOLUME: 6
ISSUE: 1
Page: [17 - 26]
Pages: 10
DOI: 10.2174/157339910790442592