The clinical objective of minimizing the magnitude and frequency of fluctuations in blood glucose concentrations throughout the day, often assessed using continuous glucose monitoring data. Excessive variability signals underlying insulin resistance or impaired pancreatic beta-cell function, contributing to systemic inflammation and accelerated cellular aging. Effective management supports stable energy availability.
Origin
This term originates in diabetology and metabolic monitoring, combining “glycemic” referring to glucose, “variability” describing the oscillation, and “management” indicating active control strategies. It moves beyond simple average glucose metrics.
Mechanism
Management strategies focus on synchronizing nutrient intake with insulin action and physical activity timing. By balancing macronutrient composition, controlling meal size, and ensuring adequate post-prandial muscle glucose uptake through exercise, the system reduces the need for large, acute swings in insulin and counter-regulatory hormones. This stabilizes the glucagon-insulin axis, leading to a flatter, healthier glucose profile.
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