Impacts of glycemic variability on the relationship between glucose management indicator from iPro™2 and laboratory hemoglobin A1c in adult patients with type 1 diabetes mellitus

• Published in: Therapeutic advances in endocrinology and metabolism 2020, Vol.11, p.2042018820931664-2042018820931664
• Main Authors: Liu, Hongxia, Yang, Daizhi, Deng, Hongrong, Xu, Wen, Lv, Jing, Zhou, Yongwen, Luo, Sihui, Zheng, Xueying, Liang, Hua, Yao, Bin, Qiu, Liling, Wang, Funeng, Liu, Fang, Yan, Jinhua, Weng, Jianping
• Format: Article
• Language: English
• Subjects: Coefficient of variation; Correlation analysis; Correlation coefficient; Correlation coefficients; Diabetes; Diabetes mellitus; Diabetes mellitus (insulin dependent); Glucose; Glycosylation; Hemoglobin; Laboratories; Mathematical analysis; Original Research; Patients; Quartiles; Sensors
• ISSN: 2042-0188; 2042-0196
• DOI: 10.1177/2042018820931664

Aims: Our aim was to investigate the impact of glycemic variability (GV) on the relationship between glucose management indicator (GMI) and laboratory glycated hemoglobin A1c (HbA1c). Methods: Adult patients with type 1 diabetes mellitus (T1D) were enrolled from five hospitals in China. All subjects wore the iPro™2 system for 14 days before HbA1c was measured at baseline, 3 months and 6 months. Data derived from iPro™2 sensor was used to calculate GMI and GV parameters [standard deviation (SD), glucose coefficient of variation (CV), and mean amplitude of glycemic excursions (MAGE)]. Differences between GMI and laboratory HbA1c were assessed by the absolute value of the hemoglobin glycation index (HGI). Results: A total of 91 sensor data and corresponding laboratory HbA1c, as well as demographic and clinical characteristics were analyzed. GMI and HbA1c were 7.20 ± 0.67% and 7.52 ± 0.73%, respectively. The percentage of subjects with absolute HGI 0 to lower than 0.1% was 21%. GMI was significantly associated with laboratory HbA1c after basic adjustment (standardized β = 0.83, p