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Table 3 The role of GV in diabetic microvascular

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

Metrics of GV

Measuring method

Individuals

Main effects

References

SD of HbA1c

SMBG

4231 patients with T2DM and albuminuria

Increased the risk of albuminuria

[65]

CV of HbA1c

SMBG

1383 T2DM patients

An independent risk factor for deterioration of renal function

[66]

SD of HbA1c

SMBG

388 patients with diabetes and chronic kidney disease

Positively associated with the risk of chronic kidney disease progression

[68]

SD of HbA1c

SMBG

604 patients with T2DM

Significantly associated with progression of DN

[69]

MAGE

CGM

40 patients with T1DM or T2DM

An independent risk factor for DPN

[70]

TIR

Flash glucose monitoring

364 individuals with diabetic peripheral neuropathy

Negatively correlated with the risk of painful DN

[71]

CV of visit-to visit FPG

SMBG

2773 patients with T2DM

Increased the risk of DPN

[72]

CV of visit-to visit FPG

SMBG

36,152 individuals with T2DM

Potent predictors of DPN

[73]

CV and mean of HbA1c

SMBG

563 T2DM patients

Significantly increased the risk of DPN

[74]

Intrapersonal mean, SD and CV of HbA1c

SMBG

238 patients with T2DM

Strongly associated with the degree of severity of cardiovascular autonomic neuropathy

[75]

Intrapersonal mean, SD and CV of HbA1c

SMBG

223 patients with T2DM

Strongly associated with the severity of peripheral neuropathy

[76]

TIR

CGM

3262 patients with T2DM

Inversely correlated with the severity of DR

[78]

CV and SD of HbA1c

SMBG

220 patients with T1DM

Positively associated with DR and impaired renal function

[80]

CV of HbA1c

SMBG

415 patients with T1DM

Independently associated with the risk of DR development

[81]

  1. SD standard deviation, SMBG self-monitoring of blood glucose, T2DM type 2 diabetes mellitus, CV coefficient of variation, DN diabetic neuropathy, MAGE mean amplitude of glycemic excursions, CGM continuous glucose monitoring, DPN diabetes peripheral neuropathy, T1DM type 1 diabetes mellitus, TIR time in range, FPG fasting plasma glucose, DR diabetic retinopathy