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

Table 7.

TIR, TBR, and TAR during a 24-h period, daytime, and nighttime in patients stratified by types of antidiabetic agents

Parameter Insulin and/or sulfonylureas HbA1c  < 53 HbA1c 53-63 HbA1c 64-74 HbA1c  ≥ 75 P value
Yes (n = 275) n = 77 n = 134 n = 46 n = 18
No (n = 724) n = 423 n = 252 n = 39 n = 10
TIR3.9–10 mmol/L (%) Yes 85.0 (77.5-91.7)d 74.7 (63.7-82.4)a,d 53.0 (37.0-67.7)a,b 35.1 (19.3-52.5)a,b <0.001
No 91.2 (84.9-95.4) 82.2 (68.9-88.5)a 57.4 (36.1-67.6)a,b 17.2 (4.95-27.2)a,b,c <0.001
TBR < 3.9 mmol/L (%) Yes 2.86 (0.39-8.33)d 0.52 (0.00-4.04)a,d 0.00 (0.00-2.86)a 0.00 (0.00-0.00)a,b <0.001
No 0.52 (0.00-2.21) 0.00 (0.00-0.26)a 0.00 (0.00-0.26)a 0.00 (0.00-0.00)a <0.001
TBR < 3.0 mmol/L (%) Yes 0.00 (0.00-0.91)d 0.00 (0.00-0.13)a,d 0.00 (0.00-0.00)d 0.00 (0.00-0.00)a,b <0.001
No 0.00 (0.00-0.00) 0.00 (0.00-0.00)a 0.00 (0.00-0.00) 0.00 (0.00-0.00) <0.001
TAR > 10.0 mmol/L (%) Yes 7.94 (3.65-14.2)d 23.6 (14.5-33.5)a,d 44.9 (27.5-61.3)a,b 64.9 (47.5-80.7)a,b <0.001
No 5.47 (2.34-12.2) 17.2(10.4-31.1)a 41.2 (32.4-63.9)a,b 82.8 (72.8-95.1)a,b,c <0.001
TAR > 13.9 mmol/L (%) Yes 0.00 (0.00-0.91) 2.15 (0.39-6.51)a,d 12.30 (4.04-19.58)a,b 18.80 (9.11-48.57)a,b <0.001
No 0.00 (0.00-0.52) 0.91 (0.00-3.13)a 8.20 (3.30-16.80)a,b 32.94 (21.35-70.18)a,b,c <0.001
TIR3.9–10 mmol/L (%), day Yes 85.2(77.6-91.5)d 68.6 (58.8-79.2)a,d 45.1(37.3-62.7)a,b 32.4 (18.1-41.5)a,b <0.001
No 91.0 (82.8-94.8) 77.6 (62.0-86.1)a 47.6 (30.3-67.5)a,b 15.8 (6.3-28.5)a,b,c <0.001
TBR < 3.9 mmol/L (%), day Yes 2.60 (0.35-5.90)d 0.35 (0.00-2.60)a,d 0.00 (0.00-1.39)a,d 0.00 (0.00-0.00)a,b <0.001
No 0.20 (0.00-1.74) 0.00 (0.00-0.17)a 0.00 (0.00-0.00)a 0.00 (0.00-0.00)a <0.001
TBR < 3.0 mmol/L (%), day Yes 0.00 (0.00-0.69)d 0.00 (0.00-0.17)a,d 0.00 (0.00-0.00)a,d 0.00 (0.00-0.00)a <0.001
No 0.00 (0.00-0.00) 0.00 (0.00-0.00)a 0.00 (0.00-0.00) 0.00 (0.00-0.00) 0.010
TAR > 10.0 mmol/L (%), day Yes 10.2 (4.34-17.7) 29.3 (16.5-41.2)a,d 54.3 (35.6-61.1)a,b 67.6(58.5-80.6)a,b <0.001
No 6.94 (2.95-16.0) 22.1 (13.2-38.0)a 52.4 (32.1-69.7)a,b 84.2 (71.5-93.8)a,b,c <0.001
TAR > 13.9 mmol/L (%), day Yes 0.00 (0.00-1.22) 2.26 (0.52-7.99)a,d 12.9 (5.38-21.4)a,b 22.0 (10.1-52.6)a,b <0.001
No 0.00 (0.00-0.69) 1.22 (0.00-3.91)a 10.8 (4.17-21.5)a,b 39.2 (23.6-72.9)a,b,c <0.001
TIR3.9–10 mmol/L (%), night Yes 90.6 (77.6-97.4)d 89.3 (77.1-96.4)d 72.9 (41.7-89.6)a,b 40.6 (10.4-91.2)a,b <0.001
No 97.9 (92.2-100.0) 95.3 (86.2-99.5)a 76.6 (59.9-92.2)a,b 16.7 (3.13-34.4)a,b,c <0.001
TBR < 3.9 mmol/L (%), night Yes 2.60 (0.00-13.5)d 0.00(0.00-5.73)a,d 0.00 (0.00-6.25)a 0.00 (0.00-0.00)a,b <0.001
No 0.00 (0.00-3.65) 0.00 (0.00-0.00)a 0.00 (0.00-0.00)a 0.00 (0.00-0.00)a <0.001
TBR < 3.0 mmol/L (%), night Yes 0.00 (0.00-0.52)d 0.00 (0.00-0.00)d 0.00 (0.00-0.00)d 0.00 (0.00-0.00)a 0.020
No 0.00 (0.00-0.00) 0.00 (0.00-0.00)a 0.00 (0.00-0.00) 0.00 (0.00-0.00) 0.002
TAR > 10.0 mmol/L (%), night Yes 0.00 (0.00-4.17)d 3.91 (0.00-15.6)a 14.8 (6.77-57.3)a,b 59.4 (8.85-89.6)a,b <0.001
No 0.00 (0.00-1.04) 3.05 (0.00-10.7)a 23.4 (4.17-40.1)a,b 83.3 (65.6-96.9)a,b,c <0.001
TAR > 13.9 mmol/L (%), night Yes 0.00 (0.00-0.00)d 0.00 (0.00-0.00)a,d 1.56 (0.00-13.02)a,b 16.2 (0.00-36.5)a,b <0.001
No 0.00 (00.00-0.00) 0.00 (0.00-0.00)a 0.00 (0.00-4.17)a,b 24.5 (8.85-62.0)a,b,c <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 types of antidiabetic agents 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.