Interpreting Glucose Data from Continuous Glucose Monitors

Implements a wide range of metrics for measuring glucose control and glucose variability based on continuous glucose monitoring data. The list of implemented metrics is summarized in Rodbard (2009) . Additional visualization tools include time-series plots, lasagna plots and ambulatory glucose profile report.


iglu

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iglu: Interpreting data from Continuous Glucose Monitors (CGMs)

The R package ‘iglu’ provides functions for outputting relevant metrics for data collected from Continuous Glucose Monitors (CGM). For reference, see “Interpretation of continuous glucose monitoring data: glycemic variability and quality of glycemic control.” Rodbard (2009). For more information on the package, see package website.

To cite:

  • Broll S, Urbanek J, Buchanan D, Chun E, Muschelli J, Punjabi N and Gaynanova I (2021). Interpreting blood glucose data with R package iglu. PLoS One, Vol. 16, No. 4, e0248560.

  • Broll S, Buchanan D, Chun E, Muschelli J, Fernandes N, Seo J, Shih J, Urbanek J, Schwenck J, Gaynanova I (2021). iglu: Interpreting Glucose Data from Continuous Glucose Monitors. R package version 3.0.0.

iglu comes with two example datasets: example_data_1_subject and example_data_5_subject. These data are collected using Dexcom G4 CGM on subjects with Type II diabetes. Each dataset follows the structure iglu’s functions are designed around. Note that the 1 subject data is a subset of the 5 subject data. See the examples below for loading and using the data.

Installation

The R package ‘iglu’ is available from CRAN, use the commands below to install the most recent Github version.

# Plain installation
devtools::install_github("irinagain/iglu") # iglu package

# For installation with vignette
devtools::install_github("irinagain/iglu", build_vignettes = TRUE)

Example

library(iglu)
data(example_data_1_subject) # Load single subject data
## Plot data

# Use plot on dataframe with time and glucose values for time series plot
plot_glu(example_data_1_subject)

# Summary statistics and some metrics
summary_glu(example_data_1_subject)
#> # A tibble: 1 × 7
#> # Groups:   id [1]
#>   id         Min. `1st Qu.` Median  Mean `3rd Qu.`  Max.
#>   <fct>     <dbl>     <dbl>  <dbl> <dbl>     <dbl> <dbl>
#> 1 Subject 1    66        99    112  124.       143   276

in_range_percent(example_data_1_subject)
#> # A tibble: 1 × 3
#>   id        in_range_63_140 in_range_70_180
#>   <fct>               <dbl>           <dbl>
#> 1 Subject 1            73.9            91.7

above_percent(example_data_1_subject, targets = c(80,140,200,250))
#> # A tibble: 1 × 5
#>   id        above_140 above_200 above_250 above_80
#>   <fct>         <dbl>     <dbl>     <dbl>    <dbl>
#> 1 Subject 1      26.1      3.40     0.377     99.3

j_index(example_data_1_subject)
#> # A tibble: 1 × 2
#>   id        J_index
#>   <fct>       <dbl>
#> 1 Subject 1    24.6

conga(example_data_1_subject)
#> # A tibble: 1 × 2
#>   id        CONGA
#>   <fct>     <dbl>
#> 1 Subject 1  37.0

# Load multiple subject data
data(example_data_5_subject)

plot_glu(example_data_5_subject, plottype = 'lasagna', datatype = 'average')
#> Warning: Removed 5 rows containing missing values (`geom_tile()`).

below_percent(example_data_5_subject, targets = c(80,170,260))
#> # A tibble: 5 × 4
#>   id        below_170 below_260 below_80
#>   <fct>         <dbl>     <dbl>    <dbl>
#> 1 Subject 1      89.3      99.7    0.583
#> 2 Subject 2      16.8      78.4    0    
#> 3 Subject 3      72.7      95.9    0.848
#> 4 Subject 4      91.0     100      1.69 
#> 5 Subject 5      54.6      90.1    1.03

mage(example_data_5_subject)
#> Gap found in data for subject id: Subject 2, that exceeds 12 hours.
#> # A tibble: 5 × 2
#> # Rowwise: 
#>   id         MAGE
#>   <fct>     <dbl>
#> 1 Subject 1  87.2
#> 2 Subject 2 111. 
#> 3 Subject 3 115. 
#> 4 Subject 4  70.1
#> 5 Subject 5 146.

Shiny App

Shiny App can be accessed locally via

library(iglu)
iglu_shiny()

or globally at https://irinagain.shinyapps.io/shiny_iglu/. As new functionality gets added, local version will be slightly ahead of the global one.

Reference manual

It appears you don't have a PDF plugin for this browser. You can click here to download the reference manual.

install.packages("iglu")

4.2.2 by Irina Gaynanova, 2 years ago


https://irinagain.github.io/iglu/


Report a bug at https://github.com/irinagain/iglu/issues


Browse source code at https://github.com/cran/iglu


Authors: Elizabeth Chun [aut] , Steve Broll [aut] , David Buchanan [aut] , John Muschelli [aut] , Nathaniel Fernandes [aut] , Jung Hoon Seo [ctb] , Johnathan Shih [ctb] , Jacek Urbanek [ctb] , John Schwenck [ctb] , Marielle Hicban [ctb] , Mary Martin [ctb] , Pratik Patel [ctb] , Meyappan Ashok [ctb] , Nhan Nguyen [ctb] , Irina Gaynanova [aut, cre]


Documentation:   PDF Manual  


GPL-2 license


Imports caTools, dplyr, DT, ggplot2, ggpubr, gridExtra, hms, lubridate, magrittr, patchwork, pheatmap, scales, shiny, stats, tibble, tidyr, utils, zoo, gtable, grid, plotly

Suggests knitr, rmarkdown, testthat


Suggested by cgmguru.


See at CRAN