Want to show you something interesting
Now, most of my type 2 diabetes patients are on Acarbose.
Recently a patient was mine was not placed on Acarbose. He was on basal insulin with other OADs. I want to show you his AGP...
His AGP is very interesting. Look at the post meal excursions on a patient not on Acarbose.
Eventhough his Time in Range is good, high glycemic variablity is pretty high
This is his data from @Tidepool_org
His Time in range is 68% which is not too bad, but his SD is 45 mg/dl (I would like that in the 30's in a patient with mean glucose of 110 mg/dl) and his Coefficient of variation is 41% (should be less than 33%)
The same day another patient showed up. Similar profile. He was also put on Basal insulin + OAD, but in his case we used Acarbose.
Look at his AGP data. Very little intraday variablity. So simply dont see those post meal peaks
Now look at the @Tidepool_org data of Patient 2
Similar Average glucose value and GMI, but higher time in range and lower glycemic variablity
Despite the minor problems like flatulence etc, I just thing Acarbose works. It just work so well in Indian type 2 diabetes patient.
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