Correlation between time on target and glycated hemoglobin in people with diabetes mellitus: systematic review

Authors

  • Rafael Aparecido Dias Lima Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em Enfermagem, Ribeirão Preto, SP, Brasil. http://orcid.org/0000-0002-5700-1333
  • Daiane Rubinato Fernandes Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em Enfermagem, Ribeirão Preto, SP, Brasil. Bolsista da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brasil. http://orcid.org/0000-0002-9363-0057
  • Rute Aparecida Casas Garcia Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em Enfermagem, Ribeirão Preto, SP, Brasil. http://orcid.org/0000-0002-1908-4262
  • Lucas Ariel da Rocha Carvalho Universidade Federal de Minas Gerais, UniEscola de Engenharia, Belo Horizonte, MG, Brasil. http://orcid.org/0000-0003-3086-3985
  • Renata Cristina de Campos Pereira Silveira Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em Enfermagem, Ribeirão Preto, SP, Brasil. http://orcid.org/0000-0002-2883-3640
  • Carla Regina de Souza Teixeira http://orcid.org/0000-0002-8887-5439

DOI:

https://doi.org/10.1590/1518-8345.6655.4090

Keywords:

Diabetes Mellitus; Glycated Hemoglobin A; Blood Glucose Self-Monitoring; Continuous Glucose Monitoring; Glycemic Control; Systematic Review

Abstract

Objective: to analyze the correlation between time on target and glycated hemoglobin in people living with diabetes mellitus and carrying out continuous blood glucose monitoring or self-monitoring of capillary blood glucose. Method: systematic review of etiology and risk based on JBI guidelines and reported according to Preferred Reporting Items for Systematic Reviews and Meta- Analyses, covering six databases and grey literature. The sample included 16 studies and methodological quality was assessed using JBI tools. Protocol registered in the Open Science Framework, available at https://doi.org/10.17605/OSF.IO/NKMZB. Results: time on target (70-180 mg/dl) showed a negative correlation with glycated hemoglobin, while time above target (>180 mg/dl) showed a positive correlation. Correlation coefficients ranged between -0.310 and -0.869 for time on target, and between 0.66 and 0.934 for time above target. A study was carried out on a population that performed self-monitoring. Conclusion: there is a statistically significant correlation between time on target and time above target with glycated hemoglobin. The higher the proportion in the adequate glycemic range, the closer to or less than 7% the glycated hemoglobin will be. More studies are needed to evaluate this metric with data from self-monitoring of blood glucose.

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Published

2023-12-04

Issue

Vol. 31 (2023)

Section

Review Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

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 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Correlation between time on target and glycated hemoglobin in people with diabetes mellitus: systematic review. (2023). Revista Latino-Americana De Enfermagem, 31, e4090. https://doi.org/10.1590/1518-8345.6655.4090