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. 2022 Jul 31;107(10):e3990–e4003. doi: 10.1210/clinem/dgac459

Table 5.

TIR, TBR, and TAR during a 24-h period, daytime, and nighttime in patients stratified by age

Parameter Years HbA1c  < 53 HbA1c 53-63 HbA1c 64-74 HbA1c  ≥ 75 P value
<65 (n = 434) n = 222 n = 151 n = 43 n = 18
≥65 (n = 565) n = 278 n = 235 n = 42 n = 10
TIR3.9–10 mmol/L (%) <65 92.3 (87.2-95.6)d 80.3 (69.1-87.1)a 52.9 (36.1-65.8)a,b 26.7 (6.77-38.4)a,b,c <0.001
≥65 88.5 (82.7-94.7) 76.4 (66.2-86.2)a 57.4 (41.3-70.6)a,b 32.9 (9.38-52.5)a,b,c <0.001
TBR < 3.9 mmol/L (%) <65 0.65 (0.00-2.47) 0.00 (0.00-0.78)a 0.00 (0.00-0.65)a 0.00 (0.00-0.00)a <0.001
≥65 0.78 (0.00-3.78) 0.00 (0.00-1.04)a 0.00 (0.00-1.04)a 0.00 (0.00-0.00)a <0.001
TBR < 3.0 mmol/L (%) <65 0.00 (0.00-0.00) 0.00 (0.00-0.00) 0.00 (0.00-0.00) 0.00 (0.00-0.00) 0.042
≥65 0.00 (0.00-0.13) 0.00 (0.00-0.00)a 0.00 (0.00-0.00) 0.00 (0.00-0.00) 0.008
TAR > 10.0 mmol/L (%) <65 5.21 (2.47-10.9) 18.1 (11.9-30.5)a 44.8 (32.4-63.9)a,b 72.8 (61.6-93.2)a,b,c <0.001
≥65 6.58 (2.60-14.2) 22.8 (11.3-32.8)a 41.9 (28.0-50.2)a,b 67.1 (47.5-90.6)a,b,c <0.001
TAR > 13.9 mmol/L (%) <65 0.00 (0.00-0.39) 1.04 (0.00-3.65)a 8.85 (3.91-21.5)a,b 26.3 (17.1-60.1)a,b,c <0.001
≥65 0.00 (0.00-0.65) 1.30 (0.00-4.69)a 9.64 (3.65-16.15)a,b 21.4 (11.6-41.0)a,b <0.001
TIR3.9–10 mmol/L (%), day <65 91.5
(84.4-95.0)d
76.9
(63.2-85.1)a
46.7
(33.3-64.6)a,b
22.9
(6.3-41.2)a,b,c
<0.001
≥65 88.7
(80.6-94.1)
71.9
(58.2-84.4)a
46.3
(36.7-63.2)a,b
28.4
(9.7-37.1)a,b,c
<0.001
TBR < 3.9 mmol/L (%), day <65 0.35
(0.00-2.26)
0.00
(0.00-0.52)a
0.00
(0.00-0.17)a
0.00
(0.00-0.00)a
<0.001
≥65 0.35
(0.00-2.60)
0.00
(0.00-0.52)a
0.00
(0.00-0.52)a
0.00
(0.00-0.00)a
<0.001
TBR < 3.0 mmol/L (%), day <65 0.00
(0.00-0.00)
0.00
(0.00-0.00)
0.00
(0.00-0.00)
0.00
(0.00-0.00)
0.258
≥65 0.00
(0.00-0.00)
0.00
(0.00-0.00)
0.00
(0.00-0.00)
0.00
(0.00-0.00)
0.157
TAR > 10.0 mmol/L (%), day <65 6.25
(2.95-13.4)d
22.1
(13.9-35.9)a
53.3
(31.8-66.7)a,b
77.1
(58.9-93.8)a,b,c
<0.001
≥65 8.51
(3.47-17.7)
27.4
(14.4-41.8)a
53.5
(36.8-61.1)a,b
71.6 (62.9-90.3)a,b,c <0.001
TAR > 13.9 mmol/L (%), day <65 0.00 (0.00-0.52) 1.39 (0.00-4.17)a 10.8 (4.17-21.9)a,b 30.5 (16.9-62.1)a,b,c <0.001
≥65 0.00 (0.00-0.87) 1.56 (0.00-6.25)a 11.4 (4.49-21.4)a,b 23.8 (12.2-51.7)a,b <0.001
TIR3.9–10 mmol/L (%), night <65 97.40 (91.7-100.0) 93.2 (81.8-97.9)a 63.5 (33.3-81.8)a,b,d 29.7 (6.77-50.5)a,b,c <0.001
≥65 97.4 (88.5-100.0) 94.3 (84.1-99.5)a 84.1 (66.7-92.7)a,b 33.9 (9.90-94.8)a,b <0.001
TBR < 3.9 mmol/L (%), night <65 0.00 (0.00-2.60)d 0.00 (0.00-0.52)a 0.00 (0.00-0.52) 0.00 (0.00-0.00)a <0.001
≥65 0.52 (0.00-7.29) 0.00 (0.00-1.04)a 0.00 (0.00-3.65) 0.00 (0.00-0.00) <0.001
TBR < 3.0 mmol/L (%), night <65 0.00 (0.00-0.00) 0.00 (0.00-0.00) 0.00 (0.00-0.00) 0.00 (0.00-0.00) 0.163
≥65 0.00 (0.00-0.00) 0.00 (0.00-0.00) 0.00 (0.00-0.00) 0.00 (0.00-0.00) 0.048
TAR > 10.0 mmol/L (%), night <65 0.00 (0.00-2.60)d 5.73 (0.00-15.1)a,d 33.9 (10.9-60.8)a,b,d 70.3 (49.5-93.2)a,b,c <0.001
≥65 0.00 (0.00-0.52) 2.08 (0.00-11.5)a 11.2 (4.17-27.1)a,b 66.2 (5.21-90.1)a,b <0.001
TAR > 13.9 mmol/L (%), night <65 0.00 (0.00-0.00) 0.00 (0.00-0.00)a 1.04 (0.00-14.06)a,b 18.5 (5.21-47.4)a,b,c <0.001
≥65 0.00 (0.00-0.00) 0.00 (0.00-0.00)a 0.00 (0.00-5.21)a,b 9.11 (0.00-28.7)a,b <0.001

Data are median (Q1-Q3). Differences between the 4 hemoglobin A1c groups were tested using the Kruskal-Wallis test with the post hoc Steel-Dwass test. Differences between patients stratified by age in each hemoglobin A1c category were tested with the Wilcoxon rank-sum test.

Abbreviations: TAR, time above range; TBR, time below range; TIR, time in range.

a P < 0.05 vs. HbA1c <  53.

b P < 0.05 vs HbA1c 53-63.

c P < 0.05 vs HbA1c 64-74.

d P < 0.05 between subgroups.