Diabetes technology

Glycated Albumin Correlates With Time-in-Range Better Than Hemoglobin A1c (HbA1c) or Fructosamine

J Clin Endocrinol MetabPublished Exploratory secondary analysis of a prospective study

Authors' conclusion

GA is the most accurate predictor of TIR over 8 weeks compared with other glycemic indices, which may assist in clinical evaluation of changes in treatment where CGM is not possible and it is too early to use HbA1c

Study context

Population
Individuals with T1D and T2D using continuous glucose monitoring (CGM), 8 US clinicsIndividuals with T1D 18 · T2D 16
Participants
34 individuals
Comparison
Glycated albumin (GA) vs HbA1c vs fructosamine correlation with CGM parameters
  • Group 1n = 22
  • Group 2n = 12
Primary endpoint
Pearson correlations between CGM and glycemic indices; ROC analysis of glycemic index values predictive of TIR >70%
Follow-up
24 weeks
Methodological detailsexploratory comparative analyses, CGM subgroup, multicentre
  • Exploratory comparative analyses
  • CGM subgroup
  • Multicentre

Primary result

As reported in the abstract

ROC: GA predicted time in range (TIR) >70% during weeks 2 to 24 (AUC)

>0.80

GA cutoff for TIR >70% (sensitivity and specificity 0.88)

17.5%

HbA1c cutoff for TIR >70% (sensitivity and specificity 0.86)

7.3%

Original publication

Glycated Albumin Correlates With Time-in-Range Better Than HbA1c or Fructosamine. J Clin Endocrinol Metab. Published 1 June 2023. doi:10.1210/clinem/dgad298

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