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Time in range

SueJB

Well-Known Member
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Type 1
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Just interested in what you aim for when looking at time in range for your sensor?
 
Personally 70% or more
 
I've rather left TIR as a metric as it's quoted (by my practice nurse) too often without any reference to variance (CV) and often in the absence of an average BG. So you can have a 100% TIR with all your readings at 7 mmol/L or 100% TIR with half at 4 and half at 10 and these are very different pictures. There is a %CV in LIbreview, so I go there if I'm interested.

However, time out of range is worse in that you can have 20% time out of range (TOR) with all readings at 3.8 or 20% TOR with all at 2.5 - massively different and Libreview doesn't have any algorithms to put these differences in a picture. It needs a TOR x BG (i.e. an area under the curve) function to be useful. Not sure if any of the other tools have this - anyone?.
 
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I've rather left TIR as a metric as it's quoted (by my practice nurse) too often without any reference to variance (CV) and often in the absence of an average BG. So you can have a 100% TIR with all your readings at 7 mmol/L or 100% TIR with half at 4 and half at 10 and these are very different pictures. There is a %CV in LIbreview, so I go there if I'm interested.

However, time out of range is worse in that you can have 20% time out of range (TOR) with all readings at 3.8 or 20% TOR with all at 2.5 - massively different and Libreview doesn't have any algorithms to put these differences in a picture. It needs a TOR x BG (i.e. an area under the curve) function to be useful. Not sure if any of the other tools have this - anyone?.
My mind boggles
 
As high as possible (I'm happy when in the 90%-100%) as I've done a lot of work to get there (Fully Closed Loop which should handle most of lives events without my chimpanzee (me) messing with anything and screwing it all up).

Currently running at 91% for the last 7 days - been impacted by post-Covid recovery so hopefully I can do better this week.
 
The recommendation is 70% in range with less than 5% below 4.0.
I do not aim for "as high as possible" because I aim to look after my mental health as well as my diabetes. For me 100% in range would require an obsessive dedication to my diabetes which is not healthy for me.
I usually achieve around 85%.

And my target is between 4.0 and 10.0 on a pump without HCL.
 
From X (or Twitter as I still call it): (link: https://x.com/AKoutnik/status/1797636130281787396)

Would more time in tight range (70-140mg/dL) versus time in range (70-180mg/dL) be associated with fewer complications? https://link.springer.com/article/10.1007/s00125-024-06171-y…
New data say: YES. New data suggests an observational link between time in tight range (70-140mg/dL; TITR) and time in range (70-180mg/dL; TIR) with microvascular and macrovascular complications.
No surprise: 10% improvement in TITR was associated with larger reductions in micro- and macrovascular complications than a 10% improvement in TIR. This data supports the dose-dependent impact of CGM glycemic metrics on complications (better glycemic control is superior) and also provides more evidence for CGMs association with complications.
@parthaskar
@TBattelino
@MCRiddell1
@MichaelMindrum
@BeyondType1
@JimJohnsonSci

1717522663909.png

My aded note TITR is 3.9 to 7.8mmol/L versus standard TIR3.9 to 10mmol/L
 
I don't particularly aim for anything, I know the recommendation is over 70% and I usually sit around 75%-85% but I try not to worry about it overly too much. As long as I know I'm not having too many big highs/lows. I'm on HCL so most of the work is done for me anyway and I don't need to think about it but even so I don't constantly monitor my blood sugar to make sure I am perfectly in range.
 
to be honest, I rarely think about it, but I looked at the diabox report and it's 82%. I only use injections
Screenshot_2024-06-04-21-14-03-023_com.outshineiot.diabox-edit.jpg
The more the better, but don't harass yourself. Mental health is no less important than diabetes. I think it's better to stick to the maximum value at which your psyche is normal
 
24% in range . Between 10.0 and 4.5 mmol/l
73% higher then 10.0 mmol/l
3% below 4.5 mmol/l
 
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