Glycemic Variability Assessed by Continuous Glucose Monitoring and Short-Term Outcome in Diabetic Patients Undergoing Percutaneous Coronary Intervention: An Observational Pilot Study
Table 1
Indexes of glycemic variability.
Measure
Formulae
Variables
Significance
Advantages
Limits
Standard deviation (SD)
= mean of glycemic observations = number of observations
Variation or dispersion from the average
Easy to determine
It does not weigh greater and lower glycemic excursions; it does not address non-Gaussian skewed asymmetrical distribution or outliers
Coefficient of variability (CV)
SD = standard deviation = mean of glycemic observations
Normalized measure of dispersion from the average
Easy to determine
Same limitations as SD
Mean amplitude of glycemic excursions (MAGE)
= blood glucose changes from peak to nadir = number of valid observations = 1 SD for a 24-h period
Average size of glycemic excursions (MAGE-up: from nadirs to peaks, indicating hyperglycemic fluctuations; MAGE-down: from peaks to nadirs, indicating hypoglycemic fluctuations)
It weighs hypoglycemic and hyperglycemic fluctuations equivalently
The definition of “significant” glycemic peaks and nadirs is arbitrary
Continuous overall net glycemic action (CONGA-)
, ,
= time = number of observations = number of observations over × 60 min from a predetermined time