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Page 46
Volume 05
Journal of Clinical Nutrition & Dietetics
ISSN: 2472-1921
JOINT EVENT
June 17-18, 2019 London, UK
Nutrition World 2019
Euro Obesity 2019
June 17-18, 2019
&
26
th
World Nutrition Congress
15
th
Euro Obesity and Endocrinology Congress
Central obesity is an independent risk factor of poor glycaemic control at Dr. George Mukhari Academic
Hospital
Motetelo Alfred Mogale
1
, F Mosheshe
2
, Olunkule Towobola
2
and
Tsakani Stanford Mashele
2
1
Department of Biochemistry, Sefako Makgatho Health Sciences University, South Africa
2
Department of Internal Medicine, Sefako Makgatho Health Sciences University, South Africa
Background:
Results of previous studies on the effect of anthropometric measures of obesity, some economic status
variables and the presence of metabolic syndrome on glycaemic control are not consistent and appear to differ
among health institutions. We investigated the status of glycemic control and some of its determinants among adult
black patients with T2D at Dr George Mukhari Academic Hospital (DGMAH).
Method:
A random sample of 176 adult black South African patients with T2DM attending the diabetic clinic
at DGMAH was investigated in the current study. Fasting blood glucose, glycated Hemoglobin (HbA1c), lipid
profile components levels as well as anthropometric measures of obesity were measured using standard measuring
procedures for these variables. The presence of metabolic syndrome was assessed according to the International
Diabetic Federation criteria. Information related to patient’s socioeconomic status was collected by means of a
structured questionnaire. Associations between these factors and poor glycemic control were assessed by means of
binary and multivariate logistic analysis.
Results:
Glycemic control was found to be very poor at DGMAH. only 16.6% of the study subjects achieved
SEMDSA (2012) recommended target HbA1c value of less than 7.0%. Whereas binary logistic analysis revealed that
the married status, matriculation, increase waist circumference and duration of diabetes > 5 years may lead to poor
glycaemic control, multivariate logistic regression analysis indicated that only increased waist circumference was
independently associated with poor glycaemic control at DGMAH.
Conclusions:
Central obesity appears to be an independent risk factor for poor glycemic control among T2DM
patients DGMAH.
alfred.mogale@smu.ac.zaJ Clin Nutr Diet 2019, Volume 05