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Why is the Ambulatory sugar Profile (AGP) an important tool when assessing sugar?

AGP is a visual snapshot of a patient’s typical day using dense sugar data revealing hypoglycaemic and hyperglycaemic trends behind A1c results to facilitate better patient therapy and interaction. sugar variability in addition to A1c result may be a more reliable indicator of glycemic control than A1c alone.¹ AGP goes beyond A1c by revealing hypoglycaemia, hyperglycaemia and sugar variability. The most important identified aspect of AGP is that it reveals sugar variability, post-prandial sugar excursions and hypoglycemic trends.² High sugar variability can lead to increased risk for hypoglycaemia. This is because efforts to control the highs can result in dangerous lows at the other side of the range.³'⁴ AGP reveals sugar variability by 2 measures. The distance between the 5th and 95th percentile curves shows how widely sugar readings have varied at that time of the day. A median curve that rises and falls shows sugar instability across the day.

 1Hirsch I and Brownlee M. Should minimal blood sugar variability become the gold standard of glycemic control? Journal of Diabetes and its Complications, 2005:19:178-181. 2Kohnert K. Vogt L. Salzsieder E. Advances in understanding sugar variability and the role of continuous sugar monitoring. Eur Endocrinol. 2010: 6:53-56. 3 Bergenstal RM, Ahmann AJ, Bailey T, et al. Recommendations for standardizing sugar reporting and analysis to optimize clinical decision making in diabetes: the ambulatory sugar profile (AGP). Diabetes Technol & Ther. 2013;15(3):198-211. 4Data on file. Abbott Laboratories Limited.

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