Diabetes technology

What Is the Influence of HIV Serostatus on HbA1c? A Prospective Analysis Using Continuous Glucose Monitoring

Diabetes CarePublished Prospective cohort study

Authors' conclusion

We performed a comprehensive assessment of glycemia to assess whether HIV serostatus influences HbA1c. We did not find any strong evidence that HIV serostatus influenced HbA1c. The results of our study support incorporating HbA1c into routine clinical blood work in PLWH.

Study context

Population
People living with HIV (PLWH) and age- and sex-matched HIV-negative participants recruited from clinics in Brighton, UK
Participants
60 vs 48
Exposure
PLWH vs HIV-negative participants
  • PLWHn = 60
  • HIV-negativen = 48reference
Outcome
Influence of HIV serostatus on HbA1c (regression models, separate models for CGM glucose, venous glucose and fructosamine)
Methodological detailsage- and sex-matched, single-centre, Dexcom G6 continuous glucose monitor (CGM) worn for up to 10 days; glucose measured during OGTT; fructosamine and paired HbA1c measured
  • Age- and sex-matched
  • Single-centre
  • Dexcom G6 CGM worn for up to 10 days; glucose measured during OGTT; fructosamine and paired HbA1c measured

Main finding

As reported in the abstract

Influence of HIV serostatus on HbA1c
  • HIV serostatus did not have a significant influence on HbA1c within the regression models

Observational data: associations, not effects.

Original publication

What Is the Influence of HIV Serostatus on HbA1c? A Prospective Analysis Using Continuous Glucose Monitoring. Diabetes Care. Published 28 May 2024. doi:10.2337/dc24-0225

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