Research Article

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.

MeasureFormulaeVariablesSignificanceAdvantagesLimits

Standard deviation (SD) = mean of glycemic observations
= number of observations
Variation or dispersion from the averageEasy to determineIt 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 averageEasy to determineSame 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 equivalentlyThe 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
Intraday glycemic swings occurring over predetermined intervals (CONGA-1 = 1-hour interval; CONGA-2 = 2-hour interval; CONGA-4 = 4-hour interval)Accurate measure of intraday glycemic variabilityDifficult to calculate