From: Glycemic variability: adverse clinical outcomes and how to improve it?
Types of GV | Subjects | Effects | References |
---|---|---|---|
Short-term GV | |||
TIR | 3262 patients with type 2 diabetes | Inversely correlated with DR | [27] |
Day-to-day FPG variability | 7637 patients with type 2 diabetes | Increased risks of severe hypoglycemia and all-cause mortality | [29] |
MAGE | 417 patients with ACS | Predicted the poor prognosis for patients with acute coronary syndrome | [32] |
Mean daily δ blood glucose | 160 patients with transcatheter aortic valve implantation | Increased the risk of macrovascular complications | [35] |
MAGE | 204 patients with type 2 diabetes | Increased coronary artery disease severity | [36] |
MAGE | 50 patients with dysglycemia | Positively correlated with coronary artery spasm | [37] |
MAGE | 2666 hospitalized patients with CAD | Positively associated with poor prognosis in CAD patients | [38] |
Incremental glucose peak | 2758 patients with type 2 diabetes | Positively associated with aortic stiffness and maladaptive carotid remodeling | [39] |
MAGE | 40 patients with type 1 or type 2 diabetes | Positively associated with DPN | [51] |
LBGI and HBGI | 140 patients with type 2 diabetes | Increased the risk of hypoglycemia | [66] |
LBGI | 73 patients with type 1 diabetes | Increased the risk of hypoglycemia | [67] |
Day‐to‐day fasting SMBG variability | 1221 patients with type 1 or type 2 diabetes | Increased the risk of overall symptomatic, nocturnal symptomatic and severe hypoglycemia | [68] |
CONGA, MAG and MAGE | 83 patients with type 2 diabetes | Predicted the nocturnal hypoglycemia | [69] |
Mean blood glucose | 62 patients with type 2 diabetes | Predicted the hypoglycemia | [70] |
CV within a day | 6101 critically ill adults | Increased the risk of mortality and hypoglycemia | [72] |
IQR | 28,353 patients with type 2 diabetes | Increased the risk of mortality | [73] |
Long-term GV | |||
Visit-to-visit variability of FPG | 654 patients with type 2 diabetes | Predicted the renal composite outcome | [31] |
SD during initial hospitalization | 327 patients with diabetes and ACS | Predicted the midterm macrovascular complications | [40] |
Visit-to-visit variability of FPG | 53,607 patients initially without CVD | Increased the risk of CVD and all-cause mortality | [41] |
Visit-to-visit variability of FPG | 1791 patients with type 2 diabetes | Positively associated with the risk of CVD | [42] |
Visit-to-visit variability of FPG | 455 patients with type 2 diabetes | Independently associated with annualized changes in left cardiac structure and function | [43] |
Visit-to-visit variability of FPG | 3769 patients initially without CVD | Increased the risk of incident diabetes, CVD and mortality | [44] |
Visit-to-visit variability of FPG | 3,211,319 patients without diabetes | Independently associated with CVD and mortality | [45] |
Visit-to-visit variability of HbA1c | 632 patients with type 2 diabetes | Predicted the additive risk for CVD incidence | [46] |
Visit-to-visit variability of HbA1c | 972 patients with type 2 diabetes | Positively associated with macrovascular complication | [47] |
Visit-to-visit variability of HbA1c | 201 patients with type 2 diabetes | Potentially predicted the progression of HFpEF | [48] |
Visit-to-visit variability of HbA1c | 902 patients with type 2 diabetes and heart failure | Predicted all-cause mortality | [49] |
Visit-to-visit variability of FPG | 2773 patients with type 2 diabetes | Positively correlated with DPN | [52] |
Visit-to-visit variability of FPG | 36,152 patients with type 2 diabetes | Predicted the risk of DPN | [53] |
Visit-to-visit variability of HbA1c | 563 patients with type 2 diabetes | Positively associated the risk of DPN | [54] |
Visit-to-visit variability of HbA1c | 220 patients with type 1 diabetes | Positively associated the risk of DPN | [55] |
Visit-to-visit variability of HbA1c | 223 patients with type 2 diabetes | Positively associated with the severity of DPN | [56] |
Visit-to-visit variability of HbA1c | 451 patients with type 1 diabetes | Increased the risk of DR | [58] |
Visit-to-visit variability of HbA1c | 895 patients with type 2 diabetes | Positively associated with progression of DN | [60] |
Visit-to-visit variability of HbA1c | 4231 patients with type 2 diabetes | Increased the risk of DKD | [61] |
Visit-to-visit variability of HbA1c | 1383 patients with type 2 diabetes | Increased the deterioration of renal function | [62] |
Visit-to-visit variability of HbA1c | 388 patients with type 2 diabetes | Positively associated with renal progression | [64] |
Visit-to-visit variability of FPG | 3569 patients with type 2 diabetes | Increased the risk of mortality | [74] |
Visit-to-visit variability of HbA1c | 15,733 patients with type 2 diabetes | Strongly predicted all-cause mortality | [75] |
Visit-to-visit variability of FPG | 1136 patients with type 2 diabetes | Predicted all-cause mortality | [76] |
Visit-to-visit variability of FPG | 42,418 hypertensive patients | Increased the risk of mortality | [77] |
CV and SD during hospitalization | 20,303 hospitalized patients | Increased longer hospitalization and mortality | [78] |
Visit-to-visit variability of HbA1c | 6048 patients with type 1 diabetes | Increased mortality and earlier hospital admission | [79] |
Visit-to-visit variability of HbA1c | 58,832 patients with type 2 diabetes | Positively associated with overall mortality and emergency hospitalization | [80] |
Visit-to-visit variability of HbA1c | 9483 patients with type 2 diabetes | Predicted all-cause mortality | [81] |
Visit-to-visit variability of HbA1c | 837 patients with type 2 diabetes | Predicted depressive symptoms | [83] |
Visit-to-visit variability of FPG | 3307 adults before the onset of diabetes | Increased the risk of cognitive function | [84] |
Visit-to-visit variability of HbA1c | 2640 patients with type 1 or type 2 diabetes | Increased the potential risk of later tumorigenesis | [86] |