Table 4

HRs for incidence of CVD associated with variability in HbA1c and SBP stratified according to mean HbA1c and SBP levels

Mean HbA1c<7.0%Mean HbA1c≥7.0%Interaction pMean SBP<130 mm HgMean SBP≥130 mm HgInteraction p
HR (95% CI)p ValueHR (95% CI)p ValueHR (95% CI)p ValueHR (95% CI)p Value
Events/patients37/33844/29437/30644/326
Model 1
 HbA1cCV (1SD increment)1.20 (0.76 to 1.88)0.441.37 (1.00 to 1.87)0.0520.99 (0.65 to 1.52)0.971.77 (1.28 to 2.46)0.00070.018
 SBPCV (1SD increment)1.33 (0.97 to 1.81)0.0761.30 (0.89 to 1.88)0.180.791.59 (1.11 to 2.29)0.0131.16 (0.86 to 1.56)0.34
Model 2
 HbA1cVIM (1SD increment)1.17 (0.83 to 1.66)0.371.38 (0.99 to 1.93)0.0540.96 (0.64 to 1.44)0.851.73 (1.25 to 2.38)0.00090.016
 SBPVIM (1SD increment)1.32 (0.97 to 1.80)0.0761.31 (0.90 to 1.90)0.160.821.59 (1.12 to 2.28)0.0111.19 (0.89 to 1.60)0.25
  • All models were adjusted for mean HbA1c, mean SBP, number of visits (ln-transformed), age, sex, diabetes duration, BMI, TC/HDL-C, eGFR, baseline smoking status, baseline alcohol intake, baseline use of insulin, and baseline use of antihypertensive agents.

  • BMI, body mass index; CV, coefficient of variation; CVD, cardiovascular disease; eGFR, estimated glomerular filtration rate; HbA1c, glycated hemoglobin; HDL-C, high-density lipoprotein cholesterol; SBP, systolic blood pressure; TC, total cholesterol; VIM, variation independent of mean.