Central obesity is an independent risk factor of poor glycaemic control at Dr. George Mukhari Academic Hospital

Motetelo Alfred Mogale; F Mosheshe; Olunkule Towobola; Tsakani Stanford Mashele

Central obesity is an independent risk factor of poor glycaemic control at Dr. George Mukhari Academic Hospital

Joint Event on 26^th World Nutrition Congress & 15^th Euro Obesity and Endocrinology Congress
June 17-18, 2019 London, UK

Motetelo Alfred Mogale, F Mosheshe, Olunkule Towobola and Tsakani Stanford Mashele

Department of Biochemistry, Sefako Makgatho Health Sciences University, South Africa Department of Internal Medicine, Sefako Makgatho Health Sciences University, South Africa

Posters & Accepted Abstracts: J Clin Nutr Diet

Abstract

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.