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The Fallacy of Average: How Using HbA1c Alone to Assess Glycemic Control Can Be Misleading
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<blockquote data-quote="tim2000s" data-source="post: 1580191" data-attributes="member: 30007"><p>It's more that the only evidence recognised by NICE is based on the DCCT study, which has very clear correlations between lower A1C and reduced relative risk of complications. </p><p></p><p>The science (and evidence) of improved TIR/reduced standard deviation and better outcomes is very much in its infancy (we've had "accurate" CGM for less than 5 years) and the cost of systems to monitor and prove this is relatively high. Until we have a better data set and cheaper monitoring solutions, as much as the cutting edge research states it frequently, these measures will not become the go to standard.</p></blockquote><p></p>
[QUOTE="tim2000s, post: 1580191, member: 30007"] It's more that the only evidence recognised by NICE is based on the DCCT study, which has very clear correlations between lower A1C and reduced relative risk of complications. The science (and evidence) of improved TIR/reduced standard deviation and better outcomes is very much in its infancy (we've had "accurate" CGM for less than 5 years) and the cost of systems to monitor and prove this is relatively high. Until we have a better data set and cheaper monitoring solutions, as much as the cutting edge research states it frequently, these measures will not become the go to standard. [/QUOTE]
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