For Your Healthcare Professional Only:
Patterns:
- High and Low Pattern messages appear when the app detects a pattern of blood glucose readings that repeatedly fall above the High or below the Low Target Blood Glucose Limits your patient sets in the app.
- See My Settings for information on setting High and Low Target Blood Glucose Limits.
- Patterns for the most recent 14 days are displayed.
- NOTE:
- Results that are HI (above 600 mg/dL) and LO (below 20 mg/dL) are included in Patterns.
- Any single blood glucose reading can be included in only one pattern.
- Manually-entered blood glucose readings are not included in patterns.
- Changing the High and Low limits will reset the Patterns. When either limit is changed, the app will reevaluate blood glucose readings in order to determine new patterns.
- Definition of High and Low Patterns:
1. High Pattern – a minimum of 3 results that exceed the Upper Limit on different days, in the last 5 days, all within a 3-hour period.
2. Low Pattern – a minimum of 2 results that exceed the Lower Limit on different days, in the last 5 days, all within a 3-hour period.
- These pattern definitions are consistent with accepted clinical literature 1-5.
- 1. Nathan D., Buse J., Davidson M., Heine R., Holeman R., Sherwin R., Zenman B. (2009). Medical Management of Hyperglycemia in Type 2 Diabetes: A Consensus Algorithm for the Initiation and Adjustment of Therapy; A Consensus Statement of the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care Vol. 32, pp 1-11.
- 2. International Diabetes Centre; (2008). Insulin Basics (Second Edition). 3800 Park Nicolett Boulevard, Minneapolis, pp 82-84.
- 3. Hirsch B., Bergenstal R., Parkin C., Wright E. Jr., Buse B. (2005). A Real-World Approach to Insulin Therapy in Primary Care Practice Clinical Diabetes Vol. 23(2).
- 4. Davies, M. J., D’Alessio, D. A., Fradkin, J., Kernan, W. N., Mathieu, C., Mingrone, G., ... & Buse, J. B. (2018). Management of hyperglycemia in type 2 diabetes, 2018. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes care, 41 (12), 2669-2701.
- 5. ADA Guidelines; (2020). Introduction: Standards of Medical Care in Diabetes—2020. Diabetes Care 2020 Jan; 43 (Supplement 1): S1-S2.
- Definition of High Recurring Patterns and Low Recurring Patterns:
1. High Recurring Pattern: A minimum of 2 High Patterns in the last 14 days, where the time of day of the blood glucose readings that make up the High Patterns were all recorded within a 4-hour period.
2. Low Recurring Pattern: A minimum of 2 Low Patterns in the last 14 days, where the time of day of the blood glucose readings that make up the Low Patterns fall within a 4-hour period.
