Effect of obesity, socioeconomic status and gender on glycemic control in diabetic patients
Rozina Arshad, Sarwat Iqbal, Uzma Sarwar, Muhammad Amir, Saman Waqar, Agha Syed Ali Haider Naqvi.
Abstract
Objective: To determine the association of gender, obesity and socioeconomic status with the control of blood sugar.
Methodology: This was prospective cross-sectional study was conducted from May to October 2015. A total of 766 patients were enrolled at SIDER (Sakina Institute of Diabetes and Endocrine Research Center) who visited Shalamar Hospital, Lahore. Only pre-diagnosed diabetic subjects were included. All the data was analyzed statistically and p˂0.05 was considered as significant.
Results: Out of 766 patients, 309 (40.3%) were male and 457 (59.7%) females. Mean BMI, age and BSR were 29.26 kg/m2, 48.72 years and 264.12 mg/dl, respectively. In the Low /Lower middle and upper middle/high socioeconomic status patients, mean HbA1c was 11.09±3.46 (p=0.001) and 10.04±3.33 (p=0.001), respectively. In male and female, the mean HbA1c was 10.54±3.36 (p=0.025) and 11.02±3.52 (p=0.001), respectively. In the normal and overweight BMI group, the mean HbA1c was 7.14±1.30 (p=0.025) and 11.42±3.33 (p=0.001), respectively.
Conclusion: Most individuals with Type II diabetes mellitus had poor glycemic control. Our study also concludes that obesity, socioeconomic status and gender have statistically significant association with the control of blood glucose.
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