Diabetes complications

Diabetic peripheral neuropathy and glycemic variability assessed by continuous glucose monitoring: A systematic review and meta-analysis

Diabetes Res Clin PractPublished Systematic review and meta-analysis

Authors' conclusion

Our findings support a link between higher GV and an increased risk of DPN in patients with diabetes.

Study context

Population
Patients with T1D and T2D with continuous glucose monitoring (CGM)-derived glycemic variability (GV) metrics
Participants
3,649 patients9 studies
Comparison
Higher vs lower CGM-derived glycemic variability
Outcome
Association between GV metrics and risk of developing diabetic peripheral neuropathy (DPN)

Pooled result

As reported in the abstract

Incidence of DPN by increased GV metric

SD: OR

2.58 (1.45-4.57) (95% CI)

Mean amplitude of glycemic excursions (MAGE): OR

1.90 (1.01-3.58) (95% CI)

Mean of daily difference (MODD): OR

2.88 (2.17-3.81) (95% CI)

Original publication

Diabetic peripheral neuropathy and glycemic variability assessed by continuous glucose monitoring: A systematic review and meta-analysis. Diabetes Res Clin Pract. Published 27 June 2024. doi:10.1016/j.diabres.2024.111757

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