Table 8.
Parameter | eGFR (mL/min/1.73 m2) | HbA1c < 53 | HbA1c 53-63 | HbA1c 64-74 | HbA1c ≥ 75 | P value |
---|---|---|---|---|---|---|
<60 (n = 227) | n = 114 | n = 84 | n = 22 | n = 7 | ||
≥60 (n = 772) | n = 386 | n = 302 | n = 63 | n = 21 | ||
TIR3.9–10 mmol/L (%) | <60 | 90.3 (83.9-95.3) | 75.3 (66.2-86.5)a | 54.3 (37.8-62.2)a,b | 36.6 (9.4-41.4)a,b | <0.001 |
≥60 | 90.8 (84.1-94.9) | 79.2(67.2-86.7)a | 55.2(36.1-68.0)a,b | 27.2 (7.2-47.4)a,b,c | <0.001 | |
TBR < 3.9 mmol/L (%) | <60 | 1.69 (0.00-6.12)d | 0.13 (0.00-1.89)a | 0.20 (0.00-2.73) | 0.00 (0.00-0.00)a | <0.001 |
≥60 | 0.52 (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 | |
TBR < 3.0 mmol/L (%) | <60 | 0.00 (0.00-0.26)d | 0.00 (0.00-0.00)d | 0.00 (0.00-0.00) | 0.00 (0.00-0.00) | 0.080 |
≥60 | 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-) | 0.004 | |
TAR > 10.0 mmol/L (%) | <60 | 4.69 (1.69-11.3)d | 23.6 (11.5-33.1)a | 42.7(36.1-61.6)a,b | 63.4 (58.6-90.6)a,b | <0.001 |
≥60 | 6.07 (2.73-12.9) | 19.5 (11.5-31.8)a | 44.3 (28.0-63.9)a,b | 72.8 (52.6-92.8)a,b,c | <0.001 | |
TAR > 13.9 mmol/L (%) | <60 | 0.00 (0.00-0.39) | 1.30 (0.20-4.62)a | 12.6 (4.56-16.0)a,b | 19.7 (11.6-67.8)a,b | <0.001 |
≥60 | 0.00 (0.00-0.65) | 1.11 (0.00-4.04)a | 8.59 (3.65-20.3)a,b | 24.9(17.3-52.3)a,b,c | <0.001 | |
TIR3.9–10 mmol/L (%), day | <60 | 90.6 (81.4-95.4) | 70.8 (58.4-83.7)a | 49.1 (36.7-57.5)a,b | 34.9(9.73-41.5)a,b | <0.001 |
≥60 | 89.9 (81.9-94.4) | 75.0 (60.2-84.9)a | 46.2 (33.3-64.6)a,b | 23.6 (6.25-37.1)a,b,c | <0.001 | |
TBR < 3.9 mmol/L (%), day | <60 | 0.87 (0.00-4.34)d | 0.00 (0.00-1.22)a,d | 0.09 (0.00-1.39)d | 0.00 (0.00-0.00)a | <0.001 |
≥60 | 0.35 (0.00-1.91) | 0.00 (0.00-0.52)a | 0.00 (0.00-0.00)a | 0.00 (0.00-0.00)a | <0.001 | |
TBR < 3.0 mmol/L (%), day | <60 | 0.00 (0.00-0.17)d | 0.00 (0.00-0.00) | 0.00 (0.00-0.00) | 0.00 (0.00-0.00) | 0.236 |
≥60 | 0.00 (0.00-0.00) | 0.00 (0.00-0.00) | 0.00 (0.00-0.00) | 0.00 (0.00-0.00) | 0.132 | |
TAR > 10.0 mmol/L (%), day | <60 | 6.16 (2.26-13.7)d | 27.8 (14.6-41.6)a | 50.7 (42.5-62.6)a,b | 65.1 (58.5-90.3)a,b | <0.001 |
≥60 | 7.81 (3.47-16.5) | 23.7 (13.9-39.2)a | 53.8 (32.1-66.7)a,b | 76.4 (62.9-93.8)a,b,c | <0.001 | |
TAR > 13.9 mmol/L (%), day | <60 | 0.00 (0.00-0.52) | 1.57 (0.17-6.16)a | 12.9 (5.40-19.1)a,b | 19.8 (10.1-72.7)a,b | <0.001 |
≥60 | 0.00 (0.00-0.69) | 1.39 (0.00-5.21)a | 10.94(4.34-21.9)a,b | 26.6 (20.0-54.0)a,b,c | <0.001 | |
TIR3.9–10 mmol/L (%), night | <60 | 95.8 (87.0-100.0)d | 92.2 (80.5-99.0) | 73.4 (34.4-83.3)a,b | 29.2 (8.33-78.1)a,b | <0.001 |
≥60 | 97.9 (91.7-100.0) | 94.3 (83.3-99.0)a | 74.0 (46.9-90.6)a,b | 30.2 (9.90-66.2)a,b,c | <0.001 | |
TBR < 3.9 mmol/L (%), night | <60 | 2.60 (0.00-10.4)d | 0.00 (0.00-1.04)a | 0.00 (0.00-9.38) | 0.00 (0.00-0.00)a | <0.001 |
≥60 | 0.00 (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 (%), night | <60 | 0.00 (0.00-0.00) | 0.00 (0.00-0.00) | 0.00 (0.00-0.00) | 0.00 (0.00-0.00) | 0.152 |
≥60 | 0.00 (0.00-0.00) | 0.00 (0.00-0.00) | 0.00 (0.00-0.00) | 0.00 (0.00-0.00) | 0.035 | |
TAR > 10.0 mmol/L (%), night | <60 | 0.00 (0.00-0.52) | 3.91 (0.00-13.0)a | 19.8 (4.69-33.3)a,b | 70.8 (21.9-91.7)a,b | <0.001 |
≥60 | 0.00 (0.00-1.56) | 3.13 (0.00-12.5)a | 18.8 (6.25-53.1)a,b | 69.8 (33.9-90.1)a,b,c | <0.001 | |
TAR > 13.9 mmol/L (%), night | <60 | 0.00 (0.00-0.00) | 0.00 (0.00-0.00)a | 0.52 (0.00-14.1)a,b | 17.7 (2.60-53.1)a,b | <0.001 |
≥60 | 0.00 (0.00-0.00) | 0.00 (0.00-0.00)a | 0.52 (0.00-6.77)a,b | 16.2 (2.60-47.4)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 renal function in each hemoglobin A1c category were tested with the Wilcoxon rank-sum test.
Abbreviations: eGFR, estimated glomerular filtration rate; 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.