STUDY FOR EVALUATION OF HbA1c TRENDS AND BMI IN GLYCEMIC CONTROL IN A TERTIARY MEDICAL COLLEGE, WEST BENGAL

Dr. Lekha Biswas; Dr. Suhena Sarkar

Volume : VIII, Issue : XI, November - 2019

STUDY FOR EVALUATION OF HbA1c TRENDS AND BMI IN GLYCEMIC CONTROL IN A TERTIARY MEDICAL COLLEGE, WEST BENGAL

Dr. Lekha Biswas, Dr. Suhena Sarkar

Abstract :

OBJECTIVE: To evaluate HbA1c trends and Body Mass Index (BMI) in glycemic controlled among adult diabetic patients & try to investigate the relationship between age, sex, demography & quality of life of type 2 Diabetes Mellites patients by measuring the concentration of HbA1c level in whole blood. MATERIALS AND METHOD: This observational, cross sectional, hospital–based study was conducted among 150 diabetic patients attending the Diabetic outpatient department over a period of 6 months of a Medical College hospital of Kolkata. Collected data was analysed using descriptive statistics to determine the correlation of HbA1c trends and BMI in glycaemic controlled among adult diabetic patients and investigate the relationship between age, demography and gender and the quality of Type 2 DM care. RESULT: In this study which has conducted among 150 diabetic patients, we have found that the predominant age group of diabetic patients is 50. There is a positive correlation between urbanization and occurrence of diabetes (around 87% from urban area). We have seen that females (61%) are more prone to diabetes than male participants. We found that the HbA1c trends of below 7(61%) are mostly predominating among the patients, that means we are having a desirable HbA1c control. We have also found that the study participants are mostly overweight, having a high BMI range, (37%) i.e., of more than 25. And lastly there is also a positive correlation between the high BMI and poor quality of T2DM, i.e., poor HbA1c trends. CONCLUSION: Overall study suggests that BMI is associated with glycaemic control and hence HbA1c can be used as a helpful prospective biomarker and a reliable measure of chronic glycemia and correlates well with the risk of long–term diabetes complications. So, it can be the test of choice for monitoring and chronic management of diabetes and can provide the local standards of care and clinical practice guidelines for the management of diabetes that are easily affordable and available to the health care providers and applicable to our country at the national level.