Using Multiple Measures of Glycemia to Support Individualized Diabetes Management: Recommendations for Clinicians, Patients, and Payers

2012 
CME Certification — 1.0 AMA PRA Category 1 Credit(s)™ CME ACCREDITATION NEEDS ASSESSMENT/PROGRAM OVERVIEW There is a need for greater caution in interpreting glycated hemoglobin (A1C) results, which can be inaccurate in individual patients for a wide variety of reasons beyond the patient's control. In addition, A1C alone may not reflect critical aspects of glycemia. A panel of clinical experts from Europe and North America was convened to reexamine our glucose measuring tools and determine ways in which they can better be applied toward more purposeful processes of glycemic management. Among the main issues addressed were the clinical situations in which A1C should not be used, the role of alternative biomarkers in identifying aspects of glycemic dysregulation not captured by A1C, and the value of using patients' own glucose data to consolidate therapeutic, educational, and behavior-change objectives. TARGET AUDIENCE This activity has been designed to meet the educational needs of physicians and registere...
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