Association between Glucose Time in Range and Carotid Artery Intima-media Thickness in Type-2 Diabetes Mellitus

Fang SUN; Shiying HUANG; Shu LIU; Jingyun FU

doi:10.12259/j.issn.2095-610X.S20230427

Volume 44 Issue 4

Apr. 2023

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Fang SUN, Shiying HUANG, Shu LIU, Jingyun FU. Association between Glucose Time in Range and Carotid Artery Intima-media Thickness in Type-2 Diabetes Mellitus[J]. Journal of Kunming Medical University, 2023, 44(4): 48-52. doi: 10.12259/j.issn.2095-610X.S20230427

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Fang SUN, Shiying HUANG, Shu LIU, Jingyun FU. Association between Glucose Time in Range and Carotid Artery Intima-media Thickness in Type-2 Diabetes Mellitus[J]. Journal of Kunming Medical University, 2023, 44(4): 48-52. doi: 10.12259/j.issn.2095-610X.S20230427

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Association between Glucose Time in Range and Carotid Artery Intima-media Thickness in Type-2 Diabetes Mellitus

doi: 10.12259/j.issn.2095-610X.S20230427

Dept. of Endocrinology，The 1st Affiliated Hospital of Kunming Medical University， Kunming Yunnan 650032，China

Received Date: 2022-07-17
Available Online: 2023-04-12
Publish Date: 2023-04-25

Abstract

Abstract

Objctive To investigate the association between glucose time in range and carotid artery intima-media thickness in type-2 diabetes mellitus. Methods A total of 232 patients with type 2 diabetes were selected and divided into two groups based on the thickness of the common carotid artery intima-media, ie CIMT ≥ 0.8 cm in the abnormal group and < 0.8 cm in the normal group. Height and weight were measured, biochemical indexes and dynamic blood glucose parameters were detected, and glucose TIR values were calculated to compare the differences of indexes and TIR values between the two groups. Pearson correlation was used to analyze the correlation between CIMT and CGM indexes. Binary Logistic regression analysis examined the relationship between CIMT and CGM indexes. Results The TIR value of CIMT < 0.8 cm group was significantly higher than that of CIMT ≥ 0.8 cm group [ （77.22±23.26） nmol/L vs （69.47±22.03） nmol/L], and CIMT was negatively correlated with TIR. TIR was positively correlated with SDBG, MBG and TAR. Binary logistic regression suggested that the decrease of TIR （P = 0.016） and the increase of SDBG （P = 0.025）, MBG （P = 0.006） and TAR （P = 0.014） were risk factors for CIMT thickening. Conclusion In patients with type 2 diabetes, there was a negative correlation between TIR and CIMT, and decreased TIR values may be an independent risk factor for thickening of the common carotid artery intima-media.
- Continuous glucose monitoring,
- Glucose time in range,
- Type 2 diabetes mellitus,
- Carotid artery intima-media thickness

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