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April 26, 2026Diabetologia3 citationsOpen Access

Updated glucose management indicator (GMI) better aligns with HbA1c than current GMI: implications for clinical practice and reporting

RBRichard M. BergenstalYXYongjin XuTDTimothy C. Dunn

Key Points

  • This research aims to evaluate the accuracy of the updated glucose management indicator (uGMI) compared to the CGM-derived GMI in relation to HbA1c levels.
  • Evaluated the consistency of uGMI and CGM-derived GMI against HbA1c levels.
  • Analyzed performance at both low and high HbA1c ranges (<42mmol/mol and >58mmol/mol).
  • uGMI showed improved accuracy in aligning with HbA1c, particularly at lower levels (<42mmol/mol).
  • At higher HbA1c levels (>58 mmol/mol), uGMI also demonstrated better agreement than the CGM-derived GMI.

Abstract

Compared with the CGM-derived GMI, the uGMI provides more accurate and consistent agreement with HbA1c, particularly at lower (58 mmol/mol or 7.5% NGSP) HbA1c levels.

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Cite This Study

Bergenstal et al. (2026) studied this question.

synapsesocial.com/papers/69edac2e4a46254e215b3ecahttps://doi.org/10.1007/s00125-026-06739-w
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