Ambulatory Glucose Profile

Ambulatory Glucose Profile (AGP) can be used to review glycaemic control with each of your patients and can help you focus on aspects of their glycaemic control to support their daily diabetes management.

Le profil glycémique ambulatoire (AGP)
Le profil glycémique ambulatoire (AGP)
Le profil glycémique ambulatoire (AGP)

Introduction

There are four key components of an AGP:

  • Median
  • 25th–75th Percentile
  • 5th–95th Percentile
  • Target Glucose Range

Each of these elements tells a clear story about your patients’ glucose control and variability over a selected time period.

BLACK/BLUE SOLID LINE: Median Line

The ‘average’ (middle) point of all glucose levels that shows ‘what usually happens’ during a day.2 Look at whether it is in the target glucose range and how much it swings up and down throughout the day.

INNER BLUE-SHADED BAND: 25th to 75th Percentile

This band indicates where glucose levels are ‘half the time’. Look at width of the band throughout the day. The wider this band is, the more variable the glucose levels are day-to-day.2

OUTER GREY-SHADED BAND: 5th to 95th Percentile

This band indicates more ‘occasional’ high or low glucose levels. Look at areas where the band is widest, this indicates more day-to-day variation at these times.2

TWO PARALLEL LINES: Target Glucose Range

This is the corridor where glucose levels should be as much as possible. According to international consensus, the target glucose range is usually 3.9 mmol/L–10 mmol/L for adults with type 1 and type 2 diabetes who are not pregnant, not older, or at risk.1

The benefits of reviewing AGP

The benefits of reviewing an AGP during a diabetes clinical review

✓ AGP is a visually impactful way to quickly identify times of greater risk of hypoglycaemia or unwanted glucose variability.2

✓ The visual format of the AGP allows the eye to quickly focus on areas that may need review and these can be assessed in terms of how significant they are by their timing, duration and how low glucose has fallen.2

✓ You can use the elements of the AGP in a systematic and straightforward way to help identify trends in glucose control. This includes not only the areas that may require remedial action, but also the parts of each day that reveal when glucose is in range and you are able to reinforce and encourage behaviour choices.2

benefits of AGP

      

Learn about AGP in practice and discover our 4-Step Guide to Managing an AGP Review

AGP & LibreView

Easily visualise AGP for your patients with LibreView₼ 

LibreView is a secure, cloud-based diabetes management system. It provides both healthcare professionals and patients with access to a consistent set of clear, intuitive reports that make it easier and faster to discover patterns and trends.

With the AGP report on LibreView you can:

  • See Time in Target guidelines and an overview of patient glucose data
  • Quickly assess your patient’s AGP
  • Identify trends and patterns at a glance
  • Identify specific times of deviation with the Daily Glucose Profiles

Additional Resources

Training Resources

Explore our training resources to help you to
help your patients understand the Ambulatory
Glucose Profile.

References & Disclaimers

Images are for illustrative purposes only. Not real patient or data.

1. Battelino T, Danne T, Bergenstal RM, et al. Clinical targets for continuous glucose monitoring data interpretation: recommendations from the international consensus on time in range. Diabetes Care. (2019);42(8):1593-1603.

2. Gibb, F. W., Jennings, P., Leelarathna, L., & Wilmot, E. et al. AGP in Daily Clinical Practice: A guide for use with the Freestyle Libre Flash Glucose Monitoring System. British Journal of Diabetes. Retrieved June 30, 2022, from https://doi.org/10.15277/bjd.2020.240

₼ The LibreView website is only compatible with certain operating systems and browsers. Please check www.LibreView.com for additional information.

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