Skip to main content

Table 2 The role of GV in diabetic macrovascular

From: Comprehensive elaboration of glycemic variability in diabetic macrovascular and microvascular complications

Metrics of GV

Measuring method

Individuals

Main results

References

Mean daily δ blood glucose

SMBG

160 patients with or without diabetes

Increased risk of macrovascular complications

[44]

MAGE

SMBG

204 patients with poorly controlled T2DM

Associated with coronary artery disease severity

[46]

MAGE

Flash glucose monitoring

50 patients with dysglycemia

Positively correlated with coronary artery spasm

[47]

MAGE and CV

CGM

35 T2DM patients on clopidogrel therapy

Provided additional diagnostic significance in identifying diabetic patients with HPR

[49]

SD of blood glucose

SMBG

327 patients with diabetes and acute coronary syndrome

An independent predictive factor for midterm major cardiovascular events

[51]

CV of FPG

SMBG

455 patients with T2DM

A novel risk factor for left cardiac structure and systolic function

[52]

CV and average real variability of FPG

SMBG

1791 individuals with T2DM

Significantly associated with cardiovascular disease

[10]

CV of FPG

SMBG

3769 individuals

Significantly associated incident diabetes, macrovascular events and mortality

[53]

VIM of FPG

SMBG

624,237 subjects with diabetes

Increased the risk of stroke, myocardial infarction, and all-cause mortality

[54]

CV of visit-to-visit FPG

SMBG

437 patients with T2DM and ST-segment elevation myocardial infarction

Independently predicted the incidence of left ventricular adverse remodeling

[55]

CV and VIM of HbA1c

SMBG

632 patients with T2DM and no history of cardiovascular disease

Increased the combined and additive risk for cardiovascular disease

[56]

Intra-individual mean, SD and CV of HbA1c

SMBG

5278 diabetic patients with no history of cardiovascular disease and atherosclerosis

Positively associated with macrovascular complications

[57]

SD and CV of HbA1c

SMBG

201 subjects with T2DM and arterial hypertension

Potentially predicted the progression of HFpEF

[58]

SD and CV of HbA1c

SMBG

902 patients with heart failure and T2DM

An independent predictive factor of all-cause mortality or composite endpoints

[59]

SD of HbA1c

CGM

100 type 2 diabetic patients with preserved left ventricular ejection fraction

Associated with poor left ventricular diastolic dysfunction

[60]

CV, SD and VIM of HbA1c

SMBG

420 diabetic patients after stent implantation

Independent predicted the incidence of in-stent restenosis

[61]

CV of HbA1c and FPG

SMBG

396 patients with T2DM

Positively associated with accelerated progression of coronary atherosclerosis

[62]

CV of HbA1c and FPG

SMBG

63,084 Chinese individuals with diabetes

Increased peripheral artery disease risk

[63]

  1. SMBG self-monitoring of blood glucose, MAGE mean amplitude of glycemic excursions, T2DM type 2 diabetes mellitus, CV coefficient of variation, CGM continuous glucose monitoring, HPR high platelet reactivity, SD standard deviation, FPG fasting plasma glucose, VIM variation independent of the mean, HFpEF heart failure with preserved ejection fraction