_id
683a1655c782e11e38d1b35f
id
10506
title
BeAM Value
full_title
BeAM Value
short_title
BeAM Value
med_description
Calculates the difference between bedtime and AM fasting glucoses.
short_description
Bedtime vs. AM glucose.
slug
beam-value
description
The BeAM value is the difference between bedtime and AM fasting glucoses.
keywords
BeAM, BeAM value, glucose, bedtime glucose, fasting glucose, AM fasting glucose, AM glucose, diabetes, diabetes mellitus, type 2 diabetes, t2dm, type II diabetes
complaint
[ "Fatigue", "Headache", "Polyuria", "Weight Loss/Gain" ]
formula
BeAM value = bedtime blood glucose – pre breakfast (AM) blood glucose
evidence
measurements
[ { "name": "Glucose", "unit": "glu", "error_min": "1", "error_max": "1700", "warn_min": "50", "warn_max": "1000", "conversion": "0.0555", "normal_max_si": "5.8", "normal_max_us": "105", "normal_min_si": "3.9", "normal_min_us": "70", "units_si": "mmol/L", "units_us": "mg/dL" } ]
information
Interpretation:
|
BeAM Value |
Level |
|
<0 mg/dL (<0 mmol/L) |
Low |
|
0-50 mg/dL (0-2.775 mmol/L) |
Medium |
|
>50 mg/dL (>2.775 mmol/L) |
High |
refrences
{ "Clinical Practice Guidelines": [], "Manufacturer Website": [], "Original/Primary Reference": [ { "href": "https://pubmed.ncbi.nlm.nih.gov/27110368/", "text": "Zisman A, Morales F, Stewart J, Stuhr A, Vlajnic A, Zhou R. BeAM value: an indicator of the need to initiate and intensify prandial therapy in patients with type 2 diabetes mellitus receiving basal insulin. BMJ Open Diabetes Res Care. 2016;4(1):e000171." } ], "Other References": [], "Outcomes": [], "Validation": [ { "href": "https://pubmed.ncbi.nlm.nih.gov/33776458/", "text": "Kress S, Borck A, Zisman A, Bramlage P, Siegmund T. A difference between bedtime and pre-breakfast plasma glucose levels indicates the need for prandial insulin in basal insulin-treated type 2 diabetic patients with normal fasting glucose. Diabetes Metab Syndr Obes. 2021;14:1215-1222." }, { "href": "https://pubmed.ncbi.nlm.nih.gov/30416973/", "text": "Siegmund T, Borck A, Zisman A, Bramlage P, Kress S. A higher blood glucose level pre-breakfast in comparison to bedtime is a contraindication for intensification of prandial insulin therapy in patients with type 2 diabetes - The impact of a negative BeAM value. J Clin Transl Endocrinol. 2018;14:34-38." } ], "Validations": [] }
pearls
usecase
- Use in patients who have diabetes mellitus type II and are not currently taking a prandial insulin as a part of their treatment plan.
- This calculation can be helpful in determining if prandial insulin administration is needed in controlling blood glucose levels.
reasons
Despite titrations of basal insulin and improvement in A1c levels, patients may still be experiencing elevated postprandial blood glucose levels. This tool can be used to determine if prandial insulin regimen is needed to achieve optimal blood glucose control.
next_advice
A high BeAM value is the result of elevated bedtime blood glucose levels and a relatively low AM blood glucose level. This ratio suggests that basal insulin titration optimization has been achieved and further mealtime control may be needed.
next_actions
next_management
A high BeAM result (>50mg/dL) may be an indicator of uncontrolled postprandial glucose. The addition of a prandial insulin should be considered in these patients.
diseases
[ "Diabetes Mellitus", "Hyperglycemia" ]
input_schema
{ "conditionality": null, "default": null, "fhir_rules": null, "inct": null, "label_en": "<p>Bedtime blood glucose</p>", "name": "bedtime", "optional": false, "tips_en": "", "type": "textbox", "unit": "glu" }
{ "conditionality": null, "default": null, "fhir_rules": null, "inct": null, "label_en": "<p>Pre breakfast (AM) blood glucose</p>", "name": "am", "optional": false, "tips_en": "", "type": "textbox", "unit": "glu" }
[ { "conditionality": null, "default": null, "fhir_rules": null, "inct": null, "label_en": "<p>Bedtime blood glucose</p>", "name": "bedtime", "optional": false, "tips_en": "", "type": "textbox", "unit": "glu" }, { "conditionality": null, "default": null, "fhir_rules": null, "inct": null, "label_en": "<p>Pre breakfast (AM) blood glucose</p>", "name": "am", "optional": false, "tips_en": "", "type": "textbox", "unit": "glu" } ]
instructions
Use this tool to determine if adding prandial insulin to an existing regimen may be appropriate in patients with Diabetes Mellitus Type II.
published
2024-02-14T21:30:40.715Z
purpose
[ "Formula" ]
search_terms
[ "BeAM", "BeAM value", "glucose", "bedtime glucose", "fasting glucose", "AM fasting glucose", "AM glucose", "diabetes", "diabetes mellitus", "type 2 diabetes", "t2dm", "type II diabetes" ]
seo
{ "keywords_en": "BeAM, BeAM value, glucose, bedtime glucose, fasting glucose, AM fasting glucose, AM glucose, diabetes, diabetes mellitus, type 2 diabetes, t2dm, type II diabetes", "meta_description_en": "The BeAM value is the difference between bedtime and AM fasting glucoses." }
specialty
[ "Endocrinology", "Family Practice", "Hospitalist Medicine", "Internal Medicine", "Primary Care" ]
departments
[ "Endocrine and Metabolic" ]
tags
[]
version_number
1
versions
[]
related
[ { "calcId": 10181, "short_title_en": "METS-IR ", "slug": "metabolic-score-insulin-resistance-mets-ir" }, { "calcId": 10529, "short_title_en": "C-Peptide to Glucose Ratio", "slug": "c-peptide-glucose-ratio" }, { "calcId": 10522, "short_title_en": "IDF-DAR Fasting Risk Assessment", "slug": "international-diabetes-federation-diabetes-ramadan-alliance-idf-dar-fasting-risk-assessment" } ]
ismed
false
section
[ "whenToUseViewed", "whyUseViewed", "nextStepsViewed", "evidenceViewed" ]
cleaned_departments
[ "endocrine" ]
cleaned_use
[ "Use in patients who have diabetes mellitus type II and are not currently taking a prandial insulin as a part of their treatment plan.", "This calculation can be helpful in determining if prandial insulin administration is needed in controlling blood glucose levels." ]
pub
false