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.

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