ISSN 1470-3947 (print) | ISSN 1479-6848 (online)

Endocrine Abstracts (2009) 20 P383

Impact of age, gender, DM duration and BMI on metabolic control of T2DM patients in Jordan

Fares Haddad, Omar Malkawi, Abdallah Abdelaziz, Khaldon Srehein, Alia Izzat, Reem Qadah, Ala’a Rifa’i & Niveen Foqaha

King Hussein Medical Center, Amman, Jordan.

Aim: To assess the impact of age, sex, duration of diabetes and body mass index confounders on diabetes control in a Jordanian cohort of T2DM at endocrine clinic at KHMC.

Patients and methods: Patients randomly selected over 18 months from outpatient clinic at KHMC in Amman-Jordan. Diabetes control assessed by mean of latest 3 HbA1c and FBS. Patients were divided in 2 groups according to age (<55 years vs >55 years), gender, duration (<10 years vs >10 years) and BMI (normal, overweight, and obese according to WHO criteria). Statistical analysis is performed using SPSS11.5.Good diabetes control is assessed according to ADA criteria.

Results: A total of 405 patients were selected (223 males, 182 females). 115 patients (28.4%) were having a good control with HbA1c <7%. About 25.6% of males and 31.9% of females were having good control (P=0.161).

There was no difference in diabetes control of those <55 years (n=183) versus those >55 years (n=222) (29 vs 28%; P=0.812). Females in both age groups were having none statistically significant better control than males. Of those of DM duration <10 year (n=242), 34.7% were having good control versus only 19% for those >10 year duration (n=163) (P value=0.001, RR=1.83 (1.27–2.62), OR=2.26 (1.38–3.73)). Females were again having a better diabetic control in both duration groups, P=0.024.

There was no difference in diabetic control in all BMI categories studied. Thirty percent of overweight patients were having good control versus <20% in normal and obese patients.

The mean HBA1c in males was 8.1±1.7 vs 7.9±1.5% in females. For the group <10 year, HBA1c was 7.75±1.5 vs 8.32±1.54% in those >10 year. The mean HBA1C of the group aged<55 years was 8.1±1.8 vs 7.9±1.5 in those >55 years of age.

Conclusion: In the Jordanian cohort with T2DM, the diabetic control was modest at 28.4%. Females were having a better diabetic control at all categories. There is no difference in diabetic control when genders, BMI or age confounders were studied.

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