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Peer-Reviewed Publication
Diabetologia2026;69(8):2182-2188.August 1, 2026Journal Article

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

Richard M Bergenstal1, Yongjin Xu2, Timothy C Dunn2, Pratik Choudhary3, Ramzi A Ajjan4
1International Diabetes Center, HealthPartners Institute, Minneapolis, MN, USA. richard.bergenstal@parknicollet.com.
2Clinical Affairs, Abbott Diabetes Care, Alameda, CA, USA.
3Diabetes Research Centre, University of Leicester, Leicester, UK.
4The LIGHT Laboratories, Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.

Abstract

AIMS/HYPOTHESIS: The continuous glucose monitoring (CGM)-derived glucose management indicator (GMI) is valuable to people with diabetes, and healthcare professionals and organisations for assessing overall glucose levels, optimising management plans. However, the current GMI can both over- and underestimate HbA1c, which can create clinical difficulties. Our aim was to improve the agreement between…

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