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. 2024 Nov 14;16:271. doi: 10.1186/s13098-024-01508-4

Table 2.

Comparison of CGM-derived glycemic control and variability indices in pregnant women based on glycemic status

CGM Measures Total (n = 167) Non-IR (n = 118) IR (n = 40) p Non-GDM (n = 137) GDM (n = 30) p
Glycemic control index
 Mean daily glucose, mmol/L 4.46 (4.37, 4.56) 4.35 (4.26, 4.43) 4.84 (4.57, 5.12) 0.003 4.35 (4.27, 4.43) 5.02 (4.69, 5.36) 0.002
 GMI, mmol/mol 33.79 (33.34, 34.24) 33.21 (32.82, 33.61) 35.60 (34.25, 36.99) 0.003 33.23 (32.86, 33.61) 36.44 (34.79, 38.16) 0.002
 J-index 9.86 (9.43, 10.32) 9.29 (8.93, 9.67) 11.68 (10.21, 13.36) 0.017 9.26 (8.92, 9.61) 13.17 (11.32, 15.31) 0.006
 TIR, % 77.82 (74.74, 81.02) 76.86 (73.36, 80.51) 81.91 (74.55, 89.99) 0.073 77.63 (74.42, 80.97) 78.68 (69.67, 88.86) 0.587
 TAR, % 0.93 (0.72, 1.21) 0.74 (0.56, 0.97) 1.52 (0.77, 3.01) 0.092 0.64 (0.50, 0.82) 2.70 (1.57, 4.65) 0.033
 TBR, % 10.83 (8.96, 13.09) 12.34 (9.86, 15.44) 6.50 (4.43, 9.53)  < 0.001 11.64 (9.50, 14.27) 7.32 (4.37, 12.26) 0.003
Glycemic variability index
 SD, mmol/L 1.03 (1.00, 1.08) 0.99 (0.96, 1.03) 1.13 (1.01, 1.27) 0.056 0.98 (0.95, 1.01) 1.33 (1.18, 1.50) 0.002
 CV, % 23.19 (22.47, 23.92) 22.88 (22.09, 23.69) 23.44 (21.64, 25.39) 0.457 22.52 (21.83, 23.24) 26.46 (24.23, 28.90) 0.009
 MAGE, mmol/L 2.70 (2.60, 2.81) 2.62 (2.51, 2.72) 2.93 (2.62, 3.27) 0.080 2.56 (2.47, 2.65) 3.46 (3.07, 3.90) 0.002

Data are presented as geometric mean (95% confidence interval). Nine women without IR status data were excluded. CGM, continuous glucose monitoring; IR, insulin resistance based on HOMA2-IR at least 1.22; GDM gestational diabetes mellitus based on 2013 WHO criteria, GMI, glucose management indicator, TIR percentage of time in range 3.5–7.8 mmol/L, TAR percentage of time above target range 7.8 mmol/L, TBR percentage of time below target range 3.5 mmol/L, SD standard deviation, CV coefficient of variation, MAGE mean amplitude of glycemic excursions

p-value derived from independent t-test from log-transformed CGM-derived glycemic indices