Comparison of Glucose and HBA1C Values Between Finger- Piercing and Continuous Glucose Monitoring Sensor Using Gh-Method: Math-Physical Medicine (no. 293)| Stephy Publishers

 


Current Investigations in Clinical and Medical Research - (CICMR)| Stephy Publishers

Abstract

This article discusses the fundamental characteristics of measured glucose levels and predicted glycated hemoglobin A1c (HbA1c) values among three sets of collected data, measured finger-piercing and continuous glucose monitoring (CGM) sensor device collected glucose levels at 15-minute (15-min) and 5-minute (5-min) intervals. The average glucose (in milligram per deciliter-mg/dL) is listed below:

Finger glucose: 109 mg/dL (100%)

Sensor at 15-min: 120 mg/dL (109%)

Sensor at 5-min: 117 mg/dL (107%)

Using candlestick chart, the comparison of average glucoses during this period between two sensor glucose (mg/dL) data (15-min/5-min) are as follows:

Open glucose: 108/111

Close glucose: 115/115

Maximum (max) glucose: 170 /175

Minimum (min) glucose: 85/83

Average glucose: 120/117

Additional analysis of time above range (TAR)≥140 mg/dL for hyperglycemia, time within the range (TIR) from 70-140 mg/dL for normal, time below range (TBR)≤70 mg/dL for hypoglycemia based on two sensor candlesticks revealing the following information in a specific format of TAR%/ TIR%/TBR%.

15-min:18.3%, 80.5%, 1.2%

5-min: 17.0%, 81.9%, 1.1%

By evaluating the results of the TIR analysis, the 5-min glucose levels appear to be marginally healthier (1.4%) than the 15-min ones. During the coronavirus pandemic (COVID 19) quarantine period, the author lived a rather unique lifestyle which is extremely calm with regular routines, such as eating home-cooked meals and exercising on a regular basis. As a result, his HbA1c has decreased from 6.6% to 6.3% with an average A1c of 6.4% without taking any diabetes medications. However, these three different measurement methods still provide three different sets of glucoses levels which are within a 10% margin of differences, while the HbA1c values are particularly close to each other between the finger-piercing and CGM 15-min.

Keywords

Glucose, Finger-piercing, Candlestick chart, Glycated hemoglobin A1c

Introduction

This article discusses the fundamental characteristics of measured glucoses and predicted HbA1c values among three sets of collected data, measured finger-piercing (finger) and CGM sensor device collected glucoses at 15-minute (15-min) and 5-minute (5- min) intervals.


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