Table 5

Associations between FLP-CGM-derived metrics and albuminuria severity

ParameterOR (95% CI)P value
Mean glucose (1 mmol/L increase)
 Model 11.26 (1.17 to 1.35)<0.001
 Model 21.24 (1.15 to 1.34)<0.001
 Model 31.24 (1.14 to 1.36)<0.001
 Model 41.28 (1.14 to 1.45)<0.001
SD (1 mmol/L increase)
 Model 11.86 (1.50 to 2.31)<0.001
 Model 21.81 (1.45 to 2.27)<0.001
 Model 31.72 (1.33 to 2.21)<0.001
 Model 41.57 (1.18 to 2.08)0.002
CV (1% increase)
 Model 11.02 (1.00 to 1.05)0.053
 Model 21.02 (1.00 to 1.05)0.066
 Model 31.02 (0.99 to 1.04)0.288
 Model 41.02 (0.99 to 1.05)0.251
MAGE (1 mmol/L increase)
 Model 11.20 (1.12 to 1.28)<0.001
 Model 21.19 (1.11 to 1.27)<0.001
 Model 31.17 (1.09 to 1.26)<0.001
 Model 41.14 (1.05 to 1.24)0.001
TIR3.9–10 mmol/L (10% increase)
 Model 10.97 (0.74 to 0.85)<0.001
 Model 20.80 (0.75 to 0.86)<0.001
 Model 30.81 (0.75 to 0.89)<0.001
 Model 40.81 (0.72 to 0.90)<0.001
TAR>10 mmol/L (1% increase)
 Model 11.02 (1.02 to 1.03)<0.001
 Model 21.02 (1.01 to 1.03)<0.001
 Model 31.02 (1.01 to 1.03)<0.001
 Model 41.02 (1.01 to 1.03)<0.001
TAR>13.9 mmol/L (1% increase)
 Model 11.04 (1.02 to 1.05)<0.001
 Model 21.04 (1.02 to 1.05)<0.001
 Model 31.03 (1.02 to 1.05)<0.001
 Model 41.03 (1.01 to 1.05)0.002
TBR<3.9 mmol/L (1% increase)
 Model 11.01 (0.98 to 1.04)0.436
 Model 21.01 (0.98 to 1.04)0.523
 Model 30.99 (0.96 to 1.03)0.697
 Model 41.01 (0.97 to 1.03)0.751
TBR<3.0 mmol/L (1% increase)
 Model 11.01 (0.92 to 1.10)0.914
 Model 21.00 (0.91 to 1.09)0.927
 Model 30.97 (0.87 to 1.07)0.502
 Model 40.98 (0.89 to 1.08)0.663
LBGI (1-unit increase)
 Model 10.98 (0.90 to 1.07)0.675
 Model 20.98 (0.90 to 1.07)0.623
 Model 30.94 (0.85 to 1.03)0.190
 Model 40.98 (0.89 to 1.08)0.683
HBGI (1-unit increase)
 Model 11.09 (1.06 to 1.13)<0.001
 Model 21.08 (1.05 to 1.11)<0.001
 Model 31.08 (1.05 to 1.12)<0.001
 Model 41.09 (1.04 to 1.13)<0.001
MODD (1 mmol/L increase)
 Model 11.98 (1.62 to 2.43)<0.001
 Model 21.97 (1.59 to 2.44)<0.001
 Model 31.83 (1.42 to 2.37)<0.001
 Model 41.70 (1.26 to 2.29)<0.001
IQR (1 mmol/L increase)
 Model 11.68 (1.44 to 1.98)<0.001
 Model 21.70 (1.44 to 2.01)<0.001
 Model 31.61 (1.42 to 1.97)<0.001
 Model 41.53 (1.21 to 1.93)<0.001
HbA1c (1% increase)
 Model 11.68 (1.43 to 1.98)<0.001
 Model 21.56 (1.31 to 1.85)<0.001
 Model 31.39 (1.14 to 1.69)0.001
  • Model 1: crude.

  • Model 2: adjusted for age, gender, BMI, and duration of diabetes.

  • Model 3: adjusted for variables in model 2 plus systolic blood pressure, total cholesterol, HDL cholesterol, logarithm of triglycerides, serum uric acid, estimated glomerular filtration rate, smoker, alcohol consumption, presence of diabetic retinopathy, use of insulin therapy, use of ACE inhibitors and/or angiotensin II receptor blockers, use of statins, and use of antiplatelet agents.

  • Model 4: adjusted for variables in model 3 plus HbA1c.

  • BMI, body mass index; CV, coefficient of variation; FLP-CGM, FreeStyle Libre Pro continuous glucose monitoring; HbA1c, hemoglobin A1c; HBGI, high blood glucose index; HDL, high-density lipoprotein; LBGI, low blood glucose index; MAGE, mean amplitude of glycemic excursions; MODD, mean of daily differences; TAR, time above range; TBR, time below range; TIR, time in range.