RELATIONSHIP BETWEEN OBESITY AND QUALITY OF GLYCEMIC CONTROL IN POSTMENOPAUSAL WOMEN WITH TYPE 2 DIABETES

Abstract

The aim of this paper was to study the relationship between the category of obesity and type of obesity with the quality of glucoregulation in postmenopausal women with type 2 diabetes (T2DM). Glycemic control was assessed according to ADA recommendations (2008). Subsequently, all the patients were divided into two groups - I group including 10 patients with T2DM and satisfactory glycemic control (HbA1c7%). All the patients were diagnosed with T2DM at least one year prior to examination and duration of postmenopausal period was at least one year. All the subjects used medical nutrition therapy and oral antidiabetics. Glycemic control was evaluated with fasting plasma glucose and HbA1c, category of obesity was assessed with body mass index (BMI) and type of obesity was evaluated with waist circumference and waist-to-hip ratio. It was shown that age of patients, duration of T2DM and duration of postmenopausal period did not influence the quality of glycemic control. Category of obesity and type of obesity did not show important correlation with glycemic control parameters. The waist circumference relationship with glycemic control parameters was found to be the best, and that was particularly expressed through moderate correlation with fasting plasma glucose.

Keywords

• obesity
• glucoregulation
• menopause
• diabetes mellitus