Aug 14, 2025

Wie man einen AGP-Bericht liest und verwendet: Ein vollständiger Leitfaden zur Interpretation von kontinuierlichen Glukosemessdaten

1. Was ist AGP und warum wurde es entwickelt

AGP (Ambulantes Glukoseprofil) ist ein standardisierter grafischer Bericht basierend auf CGM-Daten.
Entwickelt in 1987 zur Vereinfachung der Interpretation von Glukosetrends.
Offiziell standardisiert in 2008 vom International Diabetes Center.
Seit 2013 in CGM-Konsensleitlinien empfohlen und seit 2020 in den ADA-Standards enthalten.
Zweck: Glukosedaten anschaulicher, vergleichbarer und klinisch nützlicher machen.

2. Aufbau des AGP Bericht

Der AGP-Bericht umfasst drei Kernabschnitte:

Zusammenfassung der Glukosekennzahlen: Quantitative Indikatoren für die glykämische Kontrolle.
24-Stunden-Glukoseprofil Grafik: Visueller Trend mit durchschnittlichen Tagesmustern.
Tagesansichten: Helfen, innerhalb des Tages Variabilität und Ausreißer zu erkennen.

Fokus: Die Kennzahlenübersicht bietet den klarsten Überblick über den allgemeinen glykämischen Status.

3. Die 10 wichtigsten Kennzahlen verstehen

In drei Kategorien gruppiert:

A. Qualitätskennzahlen der Daten

Tragetage & Sensoraktivität % → Zuverlässige CGM-Daten erfordern ≥14 Tage und ≥70% aktive Zeit.

B. Überblick zur Glukosekontrolle

Mittlerer Glukosewert
GMI (Glukose-Management-Indikator): Ersetzt eA1c; Ziel <7%.
Glykämische Variabilität (CV%): Ziel <36%, um Komplikationsrisiken zu reduzieren.

C. Bereichsbasierte Kennzahlen

TIR (Zeit im Bereich: 70–180 mg/dL): Ziel ≥70%.
TAR (Zeit über dem Bereich): >180 und >250 mg/dL werden erfasst.
TBR (Zeit unter dem Bereich): <70 und <54 mg/dL werden erfasst. → Verwenden Sie alle drei zusammen, um Risiken von Hyper- und Hypoglykämie zu bewerten.

4. Wie man Ziele für verschiedene Bevölkerungsgruppen anpasst

Standardziele: TIR ≥70%, TBR <4%, GMI <7% (die meisten Erwachsenen mit T1- oder T2-Diabetes)
Ältere oder Hochrisikopersonen: TIR ≥50%, TBR <1%
Schwangerschaft (Typ-1-Diabetes): TIR ≥70%, Zielbereich auf 63–140 mg/dL verschärft
Gestationsdiabetes oder T2D in der Schwangerschaft: Leitlinien entwickeln sich noch; kein fester TIR-Wert vorhanden

Interpretation immer an Alter, Zustand und Begleiterkrankungen anpassen.

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Wie man langfristige Glukosestabilität erhält: Wissenschaft, Strategien und Einstellung

[Special Bulk Purchase] SIBIONICS GS1 CGM Continuous Glucose Monitoring System（CGM） - SIBIONICS

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1. Was ist AGP und warum wurde es entwickelt

2. Aufbau des AGP Bericht

3. Die 10 wichtigsten Kennzahlen verstehen

4. Wie man Ziele für verschiedene Bevölkerungsgruppen anpasst

SIBIONICS GS1 CGM-kontinuierliches Glukoseüberwachungssystem

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