The Ambulatory Glucose Profile—the new “electrocardiogram” for diabetes?


Volume 15, Number 3, 2013


Recommendations for Standardizing Glucose Reporting and Analysis to Optimize Clinical Decision Making in Diabetes: The Ambulatory Glucose Profile (AGP) Bergenstal, et al

Despite advances in diabetes treatment, glycemic control remains suboptimal. In 2012, an expert panel of diabetes specialists identified the following as barriers:

  • The inability of the HbA1c level to characterize diurnal glucose patterns.
  • Underutilization of self-monitoring of blood glucose (SMBG) and continuous glucose monitoring (CGM) data.
  • Lack of easy and standardized glucose data collection, analysis, and visualization. Poor adherence to insulin therapy, possibly related to fear of hypoglycemia.

With the goal of developing recommendations for standardized reporting and analysis, panel members reviewed a universal software report, the Ambulatory Glucose Profile (AGP), created by Mazze et al. Participants agreed, the AGP ‘‘Dashboard’’ approach is analogous to the electrocardiogram, which visualizes standardized data. Piloting is underway to incorporate the AGP ‘‘Dashboard’’ into an electronic medical record.

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