PMID- 17547797 OWN - NLM STAT- MEDLINE DCOM- 20071129 LR - 20140226 IS - 0578-1426 (Print) IS - 0578-1426 (Linking) VI - 46 IP - 3 DP - 2007 Mar TI - [The reference values of glycemic parameters for continuous glucose monitoring and its clinical application]. PG - 189-92 AB - OBJECTIVE: To establish reference values of glycemic parameters for continuous glucose monitoring in Chinese. METHODS: Forty-eight individuals with normal glucose regulation were observed with continuous glucose monitoring system (CGMS) for 3 days. Indexes in CGMS were analyzed, including mean level of 24 h blood glucose (BG) values (24 h MBG) and its standard deviation (SDBG), percentage of time above 7.8 mmol/L or below 3.9 mmol/L, area under the curve (AUC) of BG above 5.6 mmol/L, the largest amplitude of glycemic excursions (LAGE), mean amplitude of glycemic excursions (MAGE) and absolute means of daily differences (MODD). RESULTS: (1) The upper limits of indexes for continuous glucose monitoring were as follows: 6.5 mmol/L for 24 h MBG, 6.0 mmol/L, 6.3 mmol/L and 6.0 mmol/L for mean BG levels 1 h before breakfast, lunch and dinner respectively, 7.0 mmol/L, 6.7 mmol/L and 7.0 mmol/L for mean BG levels 3 h after breakfast, lunch and dinner respectively, 1.4 mmol/L for SDBG, 5.7 mmol/L for LAGE, 3.4 mmol/L for MAGE and 1.4 mmol/L for MODD. The percentage of time over 7.8 mmol/L was less than 9%, while the percentage of time below 3.9 mmol/L was less than 20%. The AUC of BG above 5.6 mmol/L was less than 0.9 d x mmol x L(-1). There was no statistical difference among sex subgroups (P > 0.05). (2) The correlations of 24h MBG with MAGE, MODD and SDBG were not significant (P > 0.05). MAGE was positively correlated with SDBG (r = 0.93, P < 0.01). CONCLUSION: The reference values of glycemic parameters for continuous glucose monitoring are initially established and can be used as a temporary reference for clinical practice in Chinese. The CGMS profile can reflect the overall BG control and the feature of glycemic excursions in detail. FAU - Zhou, Jian AU - Zhou J AD - Shanghai Clinical Center for Diabetes, Shanghai Diabetes Institute, Department of Endocrinology and Metabolism, The Sixth People's Hospital, Affiliated to Jiaotong University, Shanghai 200233, China. FAU - Jia, Wei-ping AU - Jia WP FAU - Yu, Ming AU - Yu M FAU - Yu, Hao-yong AU - Yu HY FAU - Bao, Yu-qian AU - Bao YQ FAU - Ma, Xiao-jing AU - Ma XJ FAU - Lu, Wei AU - Lu W FAU - Hu, Cheng AU - Hu C FAU - Xiang, Kun-san AU - Xiang KS LA - chi PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Zhonghua Nei Ke Za Zhi JT - Zhonghua nei ke za zhi JID - 16210490R RN - 0 (Blood Glucose) SB - IM MH - Adult MH - Area Under Curve MH - Blood Glucose/*metabolism MH - China MH - Female MH - Humans MH - Male MH - Middle Aged MH - Monitoring, Physiologic/*standards MH - Reference Values EDAT- 2007/06/06 09:00 MHDA- 2007/12/06 09:00 CRDT- 2007/06/06 09:00 PHST- 2007/06/06 09:00 [pubmed] PHST- 2007/12/06 09:00 [medline] PHST- 2007/06/06 09:00 [entrez] PST - ppublish SO - Zhonghua Nei Ke Za Zhi. 2007 Mar;46(3):189-92.