Variation of interstitial glucose measurements assessed by continuous glucose monitors in healthy, nondiabetic individuals

Juvenile Diabetes Research Foundation Continuous Glucose Monitoring Study Group, Larry A Fox, Roy W Beck, Dongyuan Xing, H Peter Chase, Lisa K Gilliam, Irl Hirsch, Craig Kollman, Lori Laffel, Joyce Lee, Katrina J Ruedy, William V Tamborlane, Michael Tansey, Darrell M Wilson, Juvenile Diabetes Research Foundation Continuous Glucose Monitoring Study Group, Larry A Fox, Roy W Beck, Dongyuan Xing, H Peter Chase, Lisa K Gilliam, Irl Hirsch, Craig Kollman, Lori Laffel, Joyce Lee, Katrina J Ruedy, William V Tamborlane, Michael Tansey, Darrell M Wilson

Abstract

Objective: To characterize glucose levels during daily living using continuous glucose monitors (CGMs) in nondiabetic individuals.

Research design and methods: Seventy-four healthy children, adolescents, and adults aged 9-65 years with normal glucose tolerance used a blinded CGM device for 3 to 7 days.

Results: Sensor glucose concentrations were 71-120 mg/dl for 91% of the day. Sensor values were <or=60 or >140 mg/dl for only 0.2% and 0.4% of the day, respectively. Sensor glucose concentrations were slightly higher in children than adults (P = 0.009) and were slightly lower during the night than day (95 vs. 99 mg/dl, P < 0.001).

Conclusions: Glucose values <or=60 and >140 mg/dl, measured with CGM, are uncommon in healthy, nondiabetic individuals. CGM may be useful to evaluate glucose tolerance in nondiabetic individuals over time. Furthermore, these data provide a basis for comparison for studies that use CGM to assess glucose control in subjects with diabetes.

References

    1. Zhou J, Li H, Ran X, Yang W, Li Q, Peng Y, Li Y, Gao X, Luan X, Wang W, Jia W: Reference values for continuous glucose monitoring in Chinese subjects. Diabetes Care 2009;32:1188–1193

Source: PubMed

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