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

Table 8.

TIR, TBR, and TAR during a 24-hour period, daytime, and nighttime in patients stratified by renal function

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.