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Glycated haemoglobin and associated variables in diabetics: Ilorin experience
S A Adebisi1, E K Oghagbon, A K Jimoh
1Department of Chemical Pathology and Immunology, Faculty of Health Sciences, University of Ilorin, P.M.B. 1515, Ilorin, Nigeria.
Insights
This study on type 2 diabetes mellitus found that while most patients had elevated hemoglobin glycation (HbA1c), factors like age, sex, and disease duration had little impact. Body mass index showed a poor correlation, but glycation appeared to decrease with higher BMI.
Area of Science:
- Endocrinology
- Metabolic Diseases
- Clinical Chemistry
Background:
- Type 2 diabetes mellitus (T2DM) is a global health concern characterized by hyperglycemia.
- Glycated hemoglobin (HbA1c) is a key biomarker for assessing long-term glycemic control in T2DM patients.
- Understanding factors influencing HbA1c is crucial for effective diabetes management.
Purpose of the Study:
- To investigate the extent of hemoglobin glycation in T2DM patients.
- To identify potential influencing factors such as age, sex, disease duration, and body mass index (BMI).
Main Methods:
- A cohort of 150 patients with T2DM was studied.
- HbA1c levels were measured.
- Data on patient demographics (age, sex), disease duration, and BMI were collected and analyzed.
Main Results:
- The mean HbA1c level was 8.0%, with approximately 64% of subjects exceeding 7.2%.
- Sex, age, and disease duration did not show a significant effect on HbA1c levels.
- A poor correlation was observed between BMI and HbA1c, though a trend suggested decreased glycation with increasing BMI.
- Nearly 70% of female diabetics were overweight.
Conclusions:
- Glycemic control, as indicated by HbA1c, is suboptimal in a significant portion of the studied T2DM population.
- Traditional factors like age, sex, and disease duration appear to have limited influence on HbA1c in this cohort.
- The relationship between BMI and glycemic control is complex, with a potential inverse association observed between BMI and HbA1c.
Abstract:
One hundred and fifty type 2 diabetes mellitus patients were investigated to determine extent of haemoglobin glycation and factors that might influence it. Factors so considered were age, sex, disease duration, and body mass index. The mean HbA(1c) was 8.0%. Ninety-six (about 64%) of the subjects had HbA(1c) > 7.2%. Seventy-one of these were males. Sex and age did not have significant effect on HbA(1c) and so was disease duration in our center. Almost 70% of the female diabetics were overweight. Correlation was very poor between BMI and haemoglobin glycation. However, assessment of the individual group results tended to suggest that glycation decrease with increasing BMI.
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