Diabetes complications

The Role of a Continuous Glucose Monitoring-Derived Glycation Ratio in the Development of Microvascular Complications

Diabetes Technol TherPublished Retrospective cohort study

Authors' conclusion

GR may be a useful marker for risk of diabetic microvascular complications.

Study context

Population
Patients with diabetes using continuous glucose monitoring (CGM) before the study, University of Washington; diabetes duration >20 years in 59%, median age 45 years
Participants
661 patients
Exposure
Glycation ratio as continuous variable, per 0.20-unit increase
Outcome
Association of GR with diabetic retinopathy (DR) and diabetic kidney disease (DKD)
Methodological detailsretrospective review, logistic regression
  • Retrospective review
  • Logistic regression

Main finding

As reported in the abstract

GR per 0.20-unit increaseEstimate (95% CI)P value
38% relative reduction in odds of DR
aOR for DR 0.62(0.45–0.86)
P = 0.004
Similar reduction in odds of DKD
OR for DKD 0.61(0.41–0.93)
P = 0.02

Per 0.20-unit increase, as printed

Observational data: associations, not effects.

Original publication

The Role of a Continuous Glucose Monitoring-Derived Glycation Ratio in the Development of Microvascular Complications. Diabetes Technol Ther. Published 10 February 2025. doi:10.1089/dia.2024.0580

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