a decreasing trendp = 0.02
5 D portrays no significant trend in HbA1c in studies with a diabetes duration of <20 years (r = −0.08, p = 0.48), whereas a decreasing trend of 0.2% per decade was observed for baseline HbA1c in studies with an average disease duration of ≥20 years (r = −0.44, p = 0.02).