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The Ambulatory Glucose Profile (AGP) Report shows data measured by continuous glucose monitoring (CGM) in a standardised and visual format, providing a comprehensive overview of the glucose profile for a person with diabetes.^1-3 This gives people with diabetes and their healthcare professionals a better understanding of glucose levels and acts as a tool to support shared decision making.^1-3

Dr. Richard Bergenstal, International Diabetes Center, Minneapolis, explains how to use the AGP to get a quick overview of a person’s glycaemic variability and pinpoint areas for improvement.

The one-page AGP Report is based on glucose levels measured over the course of each day and night.¹ The report displayed combines the daily data to show glucose levels over several days or weeks displayed in the context of a typical 24-hour day. Fourteen days of CGM data are generally sufficient to generate a reliable AGP Report.¹ Where there is large glucose variability, a longer period of measurement may be useful.

The standardised report has been welcomed by the diabetes community² and is recommended by the American Diabetes Association (ADA) in the 2023 Standards of Medical Care in Diabetes.⁴

Example one-page AGP Report

Example of a one-page AGP Report showing 14-days of CGM data.²

DOWNLOAD AGP REPORT INFOGRAPHIC

The AGP Report displays core CGM metrics and targets, as well as glucose fluctuations and daily glucose profiles.^1,3 Time in Range (TIR), Time Above Range (TAR; the percentage of time spent above 180 mg/dL) and Time Below Range (TBR; the percentage of time spent below 70 mg/dL) are presented as a stacked, colour coded bar chart:

TIR is represented in green. According to clinical guidance, most people* with diabetes should spend at least 70% of the day (around 17 hours), in the target glycaemic range of 70 to 180 mg/dL (3.9 to 10 mmol/L).²
TBR, indicating hypoglycaemia, is represented in red (low) and dark red (very low). Most people with diabetes* should spend less than 4% of their day (one hour)** below range.²
TAR, indicating hyperglycaemia, is represented in yellow (high) and orange (very high). Most people with diabetes* should spend less than 25% of their day (six hours)^† above range.²

*For older and/or high-risk people with diabetes, the TIR target is lowered to >50% and TBR reduced to <1% at <70 mg/dL (<3.9 mmol/L).²

*^**<1% of this time should be spent in the “very low” TBR of <54 mg/dL (3.0 mmol/L).*²

^†<5% of this time should be spent in the “very high” TAR of >250 mg/dL (13.9 mmol/L).²

Up next:

Getting started with Time in Range

Understanding the Ambulatory Glucose Profile

Example one-page AGP Report

*For older and/or high-risk people with diabetes, the TIR target is lowered to >50% and TBR reduced to <1% at <70 mg/dL (<3.9 mmol/L).2

**<1% of this time should be spent in the “very low” TBR of <54 mg/dL (3.0 mmol/L).2

†<5% of this time should be spent in the “very high” TAR of >250 mg/dL (13.9 mmol/L).2

*For older and/or high-risk people with diabetes, the TIR target is lowered to >50% and TBR reduced to <1% at <70 mg/dL (<3.9 mmol/L).²

*^**<1% of this time should be spent in the “very low” TBR of <54 mg/dL (3.0 mmol/L).*²

^†<5% of this time should be spent in the “very high” TAR of >250 mg/dL (13.9 mmol/L).²