“Time in Range म्हणजे नेमकं काय?” ⏳ CGM series मध्ये हा प्रश्न आता खूप विचारला जातो “Sir… HbA1c बघायचं की Time in Range?” माझ्या मते हा प्रश्न थोडा चुकीचा आहे कारण दोघंही महत्त्वाचे आहेत… पण दोघं वेगवेगळ्या गोष्टी सांगतात. 1 HBA1C म्हणजे काय? HbA1c आपल्याला गेल्या २–३ महिन्यांतील sugar ची average (सरासरी) कल्पना देतो. जसं एखाद्या विद्यार्थ्याचं वार्षिक report card पण त्यातून हे कळत नाही: • कोणत्या दिवशी तो आजारी होता • किती वेळा चुका झाल्या • रोजचा performance कसा होता 2 Time in Range TIR म्हणजे काय? Time in Range म्हणजे… 24 तासांपैकी तुमची sugar किती वेळ target range (लक्ष्य श्रेणी) मध्ये होती? CGM हे सतत मोजत राहतं. सोप्या भाषेत: HbA1c = Average Time in Range = Actual daily performance 3 Range म्हणजे नेमकं काय? बहुतेक diabetes patients साठी: 70 ते 180 mg/dL ही target range मानली जाते. म्हणजे: जर तुमची sugar दिवसातील 90% वेळ या range मध्ये असेल… तर Time in Range = 90% 4 मग HbA1c आणि Time in Range मध्ये फरक कुठे पडतो? दोन व्यक्तींचा HbA1c 6.5% असू शकतो. पण: पहिल्या व्यक्तीची sugar: 100 → 130 → 120 → 110 अशी stable असते दुसऱ्या व्यक्तीची sugar: 70 → 220 → 80 → 250 → 90 अशी roller coaster सारखी असते Average सारखा… पण metabolism पूर्ण वेगळा. आणि हाच फरक HbA1c अनेक वेळा पकडू शकत नाही. 5 म्हणून Time in Range ला वाढतं महत्त्व मिळत आहे कारण तो दाखवतो: • spikes किती वेळा येतात • sugar किती वेळ high राहते • recovery किती चांगली होते • body food ला कसा response देतं हे रोजच्या जीवनाशी जास्त संबंधित असतं. 6 Research / संशोधना मध्ये आता Time in Range ला एक महत्त्वाचा metabolic marker म्हणून पाहिलं जात आहे साधारणपणे: 👉 TIR > 70% हे अनेक diabetes patients साठी चांगलं मानलं जातं. 👉 TIR > 90% हे अनेक healthy individuals मध्ये दिसू शकतं. पण numbers पेक्षा context महत्त्वाचा असतो. 7 मग कोणता number जास्त महत्त्वाचा? माझ्या मते… HbA1c आपल्याला मोठं चित्र दाखवतो. Time in Range आपल्याला त्या चित्रामागची कथा सांगतो आणि clinical practice मध्ये अनेक वेळा कथा जास्त शिकवते. आजची Take Home Learning 👇 HbA1c सांगतो: “गेल्या काही महिन्यांची सरासरी काय होती?” Time in Range सांगतो: “दिवसभर शरीर प्रत्यक्षात कसं काम करत होतं?” आणि अनेक वेळा… Average normal असू शकतो पण patterns अजून सुधारायचे असतात. Like | Repost | Follow Dr Ravindra L. Kulkarni, MD, DNB, FSCAI (Cardiology) Just For Hearts Follow 👉 @KulkarniRL #CGM #TimeInRange #SugarPatterns #MetabolicHealth

【ADA 2026 注目研究④】🏥🤖 ADA2026では、AIDING試験（Automated Insulin Delivery In the Hospital）が注目。 CGM＋インスリンポンプ＋AIを組み合わせ、“入院中の血糖管理自動化”を目指す研究です📈 これまで入院中は、1日複数回のインスリン注射で血糖を調整していましたが、人（医師・医療スタッフ）が対応するため、血糖悪化への介入が遅れやすいという課題がありました。 今回の試験では、AID群で「目標血糖範囲内で過ごす時間（Time in Range）」が有意に改善。さらにその効果は、1型糖尿病、ステロイド使用、腎機能低下、HbA1c高値など様々な患者群で一貫して認められました。 さらに、看護師主導ワークフローでも運用可能であり、“実臨床で広く使える可能性”が期待されています。AI・CGM・インスリンポンプなど、糖尿病テクノロジーの進化が今後の糖尿病医療を大きく変えていくかもしれません。 #ADA2026 #AIDING試験 #糖尿病 #CGM #インスリンポンプ #AID #人工膵臓 #AI医療 #1型糖尿病 #2型糖尿病 #TimeInRange #血糖管理 #糖尿病専門医

CGM vs. standard care in type 2 diabetes — the numbers are striking. 🧵 RCT data at 32 weeks. CGM didn’t just improve HbA1c — it shifted the entire glucose distribution. Both groups started at HbA1c ~8.8% and TIR ~40%. At 32 weeks: 📉 HbA₁c: 7.9% (CGM) vs 8.4% (control) p<0.05 📈 Time in Range: 60% (CGM) vs 50% (control) p<0.05 📉 Time above range (>13.9): 12% (CGM) vs 21% (control) p<0.05 Significant differences were seen as early as week 16. 💡 Real-time glucose feedback changes behavior — and the data prove it. CGM belongs in the T2D toolkit. #Diabetes #CGM #T2D #TimeInRange #HbA1c #MedEd #MedTwitter

Time in range goals can be individualized to each person, but experts have recommended goals that have shown proven health benefits. Check them out above and learn more about time in range at diatribenews.org/4cOME5k. #TimeInRange #T1D #T2D #LADA #GDM #Diabetes #DiabetesNews

Participando en el @RCasinoMadrid durante la celebración de los 5.000 implantes #Iluvien en España (organizado por @BrillPharma). Hablé sobre #edemamaculardiabético y la importancia del concepto #TimeinRange. Un placer compartir mesa y debate con grandes colegas. 👁️👏

Diabetes and hearing loss are actually closely connected… Joanne Rinker is breaking down how diabetes and glucose levels can affect your hearing—and what you can do to live the healthiest life possible. Read more at diatribenews.org/49Lqpvx. #TimeInRange #DiabetesComplications

Time-in-range changes — and it’s okay. Life shifts, hormones shift, seasons change, routines get messy. Your numbers will reflect that. It doesn’t mean you’re failing. It just means you’re human. Share this with someone who needs to hear “it’s okay” out loud. #T1DTips #T1D #T1DCommunity #DiabetesNerd #TimeInRange #BloodSugarPatterns #DiabetesRealTalk

Time-in-range strategy, every time you go high, part 1. Another high? Before you write it off, pause. Highs aren’t random chaos, they’re little breadcrumbs that point straight to what needs tweaking. #T1DTips #T1D #T1DCommunity #DiabetesNerd #TimeInRange #HighBloodSugar #BloodSugarPatterns

Time-in-range strategy, part 5. You know that morning blood sugar climb you didn’t earn? Say hello to dawn phenomenon. Your body wakes up before you do, and your insulin has to catch up. #T1DTips #T1D #T1DCommunity #DiabetesNerd #TimeInRange #DawnPhenomenon #BloodSugarPatterns

Time-in-range strategy, part 4. Your basal insulin is a full-on juggling act. Too much, and you drop; too little, and you climb. Getting it right means learning how your body moves through the day and matching your background insulin to that rhythm. Share this with someone still trying to get their background insulin right. #T1DTips #T1D #T1DCommunity #DiabetesNerd #TimeInRange #BasalInsulin #BloodSugarPatterns

More and more data is coming out that shows why using #TimeInRange in #diabetes management can help people thrive. To get the latest news like this straight to your inbox, sign up for our free newsletter at timeinrange.org/sign-up/!

Time in range isn’t about becoming the “perfect diabetic.” It’s not a grade. It’s not a measure of willpower. It’s just information — a snapshot of what’s working and what might need adjusting. You can’t fail at data. You can only learn from it. Perfection isn’t the goal. Progress is. #T1DTips #T1D #T1DCommunity #DiabetesNerd #TimeInRange #ProgressNotPerfection #RealTalkDiabetes

قراءة مستقرة عند 91 mg/dL تعكس فعالية مضخات الأنسولين الذكية في تحقيق توازن دقيق بين الأنسولين وسكر الدم. أنظمة التوصيل الآلي للأنسولين (AID) تُعد نقلة نوعية في رعاية مرضى السكري، إذ تُحسّن الوقت داخل النطاق (TIR)، وتقلل خطر الهبوط والارتفاع، وتمنح المريض حرية أكبر في حياته اليومية 👏🏻 #سكري #سكري_الان #فضاء_السكري #DiabetesTechnology #InsulinPump #AutomatedInsulinDelivery #TimeInRange #CGM #DiabetesCare #SmartDiabetesManagement #ADA2025 #DiabeterAlAhsa

A special shoutout to @kirstendeklerk from 🇿🇦 She read theglucoseneverlies.com/faq-… and said: “Wow — amazing, but it can get pretty heavy!” Then she gave 3 game-changing ideas 👇 1. Not all CGMs measure glucose the same way 2. The capillary (finger-prick) level shows the true highs your body experiences. 3. We need one global accuracy standard so TIR means the same thing everywhere. Big thanks to @kirstendeklerk for driving this forward. @parthaskar @WilmotEmma @diabetes_chat @GbdocTChost @diabettech @DTN_UK @DiabetesUK @ABCDiab @drpratikc @TBattelino #CGM #Diabetes #TimeInRange #GlucoseNeverLies

The Glucose Never Lies® — Ep 6: 10 Tips for TIR. theglucoseneverlies.com/top-… #TimeInRange #GNLPodcast

The Glucose Never Lies® — Ep 6: 10 Tips for TIR. theglucoseneverlies.com/top-… #TimeInRange #GNLPodcast

Wait… your doctor said your A1C is too low? Yep, it happens. Most of the time we hear “bring your A1C down.” But if it drops below 6%, your doctor might actually raise an eyebrow. Why? Because a super-low A1C can be a red flag for too many lows. That number isn’t just about averages — it’s about balance. And if your average looks amazing but you’re spending too much time crashing, that’s not safer. The goal isn’t just a shiny A1C. It’s fewer highs, fewer lows, and more time in range. So if you’ve ever heard “your A1C is too low,” it doesn’t mean you’re failing. It means your doctor wants you safe and steady. Have you ever been told your A1C was too low? #A1CGoals #TooLow #TimeInRange #DiabetesJourney #T1Dtips #DiabetesNerd

Your A1C is a snapshot. But your daily data tells the story. When you check in with your numbers, ask yourself: 👉 Is my blood sugar spending enough time around my target A1C? Because your A1C isn’t just the lab result you get every few months — it’s the average of all those hours in between. If you’re mostly hanging out near your target, your A1C will reflect it. If you’re not, that’s the clue. It’s less about chasing perfection and more about asking, where am I spending my time? Share this with someone who’s working on time in range. #A1CGoals #TimeInRange #DiabetesManagement #T1DLife #t1dTips #DiabetesNerd

What if your definition of “high” is holding your A1C back? I made 150 my “high” and stopped letting those numbers hang out. I took action sooner. Small tweaks. Faster corrections. Less time letting things drift up for no reason. That shift paid off — a full 1% drop in my A1C. Save this as a reminder that small changes matter. #A1CGoals #Type1Diabetes #BloodSugarManagement #DiabetesSupport #DiabetesLife #TimeInRange #T1DMoments #T1Dtips #DiabetesAwareness #T1DTools #SmallChangesBigResults #DiabetesJourney #T1DManagement #KnowYourNumbers #DiabetesNerd

Your A1C is based on your red blood cells — literally. It measures how much glucose has stuck to those cells over the past few months. The longer the cells live, the more sugar they can collect. But here’s the catch: Not everyone’s red blood cells live the same amount of time. If yours die off faster or live longer than average, your A1C might look lower or higher than your actual day-to-day numbers. That’s why it’s helpful to look at time in range with your A1C — because your meter or CGM shows the real-time story your red blood cells can’t always tell. Tracking both gives you a clearer picture of what’s really going on. If you're learning how to read beyond the A1C, give this post a like. #A1C #TimeInRange #T1D #DiabetesFacts #BloodSugarBasics #DiabetesNerd #KnowYourNumbers #CGM #DiabetesAwareness #Type1Diabetes