Summary of A1c variability measures and HRH risk during 2-year follow-up period (n=342 058)*
Model† | OR (95% CI) | P value |
Model 1 | ||
A1c coefficient of variation (%) (ref <4) | ||
4–5.9 | 1.19 (1.04 to 1.36) | 0.011 |
6–9.4 | 1.28 (1.13 to 1.47) | <0.001 |
9.5–66 | 1.44 (1.26 to 1.65) | <0.001 |
A1c mean (%) (ref=7–7.9) | ||
<6 | 0.66 (0.56 to 0.78) | <0.001 |
6–6.9 | 0.78 (0.71 to 0.86) | <0.001 |
8–8.9 | 1.11 (1.00 to 1.24) | 0.060 |
≥9 | 1.53 (1.33 to 1.75) | <0.001 |
Model 2 | ||
A1c SD (ref <0.25) | ||
0.25–0.40 | 1.26 (1.10 to 1.45) | 0.001 |
0.41–0.68 | 1.36 (1.18 to 1.56) | <0.001 |
0.69–6.46 | 1.56 (1.35 to 1.81) | <0.001 |
A1c mean (%) (ref=7–7.9) | ||
<6 | 0.71 (0.59 to 0.84) | <0.001 |
6–6.9 | 0.81 (0.73 to 0.89) | <0.001 |
8–8.9 | 1.09 (0.98 to 1.22) | 0.125 |
≥9 | 1.49 (1.30 to 1.72) | <0.001 |
Model 3 | ||
Adjusted A1c SD (ref <0.62) | ||
0.62–0.97 | 1.08 (0.95 to 1.24) | 0.239 |
0.98–1.56 | 1.12 (0.98 to 1.27) | 0.103 |
1.57–17.40 | 1.37 (1.20 to 1.57) | <0.001 |
A1c mean (%) (ref=7–7.9) | ||
<6 | 0.67 (0.56 to 0.79) | <0.001 |
6–6.9 | 0.79 (0.71 to 0.87) | <0.001 |
8–8.9 | 1.09 (0.98 to 1.22) | 0.115 |
≥9 | 1.48 (1.29 to 1.70) | <0.001 |
*One patient was dropped from logistic regression due to missing service-connected disability.
†Each model was run with a measure of A1c variability in quartiles, A1c mean, and the covariates listed in the Methods section.
HRH, hypoglycemia-related hospitalization; ref, reference.