The Association Between Body Mass Index and Glycemic Control in Patients with Type 2 Diabetes Across Eight Countries: A Literature Review

Boye, Kristina S.

doi:10.19080/crdoj.2021.15.555904

Cited by 3 publications

(2 citation statements)

References 29 publications

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“…Prevalensi global tentang kelebihan berat badan dan obesitas meningkat dua kali lipat selama empat dekade terakhir, dengan 1,9 miliar (39%) orang dewasa hidup dengan kelebihan berat badan dan tambahan 650 juta (13%) dengan obesitas (Teufel et al, 2022). Obesitas diketahui meningkatkan kemungkinan berkembangnya banyak komplikasi umum diabetes, termasuk penyakit jantung, retinopati, dislipidemia, dan hipertensi (Martin et al, 2021).…”

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Indeks Massa Tubuh dan Kadar Gula Darah pada Pasien Diabetes Mellitus Tipe 2

Munadia,

Syarif,

Husna

2023

JKS

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This study aims to determine body mass index and blood sugar levels in patients with type 2 diabetes mellitus in Central Aceh. This research method is a quantitative study with a cross-sectional design. The results showed that the average age of the respondents was 57 years, the majority were women (66.7%), 71.9% had an average body mass index, and 55.2% had high blood sugar levels. In conclusion, managing and implementing the four pillars of diabetes mellitus can be used as a routine agenda in health services. Keywords: Diabetes Mellitus, Education, Body Mass Index, Blood Sugar Levels, Obesity

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“…Namun, sebagian besar individu masih gagal mencapai kontrol glikemik dan sebagian besar dari mereka yang tidak mencapai kontrol glikemik memiliki kelebihan berat badan atau obesitas. Mengingat adanya hubungan erat antara DMT2 dan obesitas, maka penurunan berat badan adalah tujuan terapi utama baik dalam pencegahan dan pengelolaan DMT2 (Martin et al, 2021).…”

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Indeks Massa Tubuh dan Kadar Gula Darah pada Pasien Diabetes Mellitus Tipe 2

Munadia,

Syarif,

Husna

2023

JKS

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Glycemic Control and Obesity Among People With Type 2 Diabetes in Europe and Australia: A Retrospective Cohort Analysis

Newson,

Divino,

Boye

et al. 2024

Diabetes Ther

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Introduction In people with type 2 diabetes (PwT2D) who also have obesity, efforts targeting weight loss, including lifestyle, medication and surgical interventions, are recommended. The objective of this study was to explore the relationship between glycemic control and obesity among PwT2D in Europe and Australia using recent real-world data and applying consistent methodology across countries. Methods Retrospective study utilizing IQVIA electronic medical records (EMR) databases grouped into panels based on specialty of contributing physicians. General practitioner (GP) and endocrinologist/diabetologist (E/D) panels were used in Germany and France, while GP panels were used in Italy, UK and Australia. The Spanish database included all physician specialties. The sample included PwT2D with glycated hemoglobin A1c (HbA1c) and body mass index (BMI) values measured within 90 days of each other between January 2015 and December 2018 (second record termed the ‘index date’). PwT2D had a 1-year baseline period and a recorded HbA1c at the end of the 1-year post-index period. Results The final sample comprised 194,729 PwT2D. At baseline, across countries/panels, 36.8–58.0% were above HbA1c target (HbA1c ≥ 7%) and 39.4–56.7% had obesity (BMI ≥ 30.0 kg/m 2 ). Mean HbA1c ranged from 6.9 to 7.6% and mean BMI ranged from 29.3–31.6 kg/m 2 . At baseline, a higher proportion of PwT2D with obesity (40.8–64.2%) were above HbA1c target compared to their counterparts without obesity (32.2–52.4%). A higher proportion of patients with obesity at baseline (38.1–60.6%) had post-index HbA1c above target compared to their counterparts without obesity (30.9–56.0%). In logistic regression, patients with obesity had substantially lower odds of post-index HbA1c below target compared to those without obesity in all countries/panels except for France (E/D), Spain and Australia. Conclusions This study presents data on HbA1c and BMI among type 2 diabetes (T2D) populations in Europe and Australia. A notable proportion of PwT2D had obesity and were above HBA1c target. Higher BMI was associated with poorer glycemic control. Supplementary Information The online version contains supplementary material available at 10.1007/s13300-024-01583-w.

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Dietary Practice and its Association with Glycemic Control among Individuals with Type 2 Diabetes Mellitus in Ethiopia: A Multi-Center Cross-Sectional Study

Kitaw,

Megiso,

Yesuf

et al. 2023

Preprint

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BackgroundType 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder that needs a comprehensive management plan. The integral role of nutrition therapy in diabetes management is getting special attention in guidelines though the practice is in a primitive stage, especially in resource limited settings where lifestyle modifications have a large role in the overburdened healthcare system. Understanding the current dietary practice and its effect on disease control in settings where a tertiary level care is provided is a critical step in providing targeted intervention. Therefore, the aim of the study was to assess dietary practice and its association with level of glycemic control among individuals with T2DM who were on follow-up at two large tertiary hospitals in Ethiopia.MethodsA hospital based cross-sectional study was conducted from January to March 2023 among 314 systematically selected individuals with T2DM who were on follow-up at diabetes clinics of St. Paul’s Hospital Millennium Medical College and Tikur Anbessa Specialized Hospital. Data was collected using a pre-tested structured questionnaire and summarized using frequency and median (interquartile range). To examine the association of dietary practice with level of glycemic control, a binary logistic regression model was run at 5% level of significance where Adjusted Odds Ratio (AOR) and 95% CI for AOR were used to interpret the results.ResultsFrom the 314 participants, 146 (46.5%) patients had adequate knowledge regarding the recommended dietary practices and only 42 (13.4%) of the individuals practiced a healthy diet. A total of 107 (34.1%, 95% CI=29.0%-39.2%) had optimal glycemic control. Poor dietary practice (AOR=7.93, 95% CI=2.63-23.89, p<0.001), obesity (AOR=2.74, 95% CI=1.05-7.18%, p=0.04), and taking combination oral anti-diabetic drugs (AOR=6.22, 95% CI=3.05-12.69, p<0.001) were significantly associated with suboptimal glycemic control.ConclusionsDietary knowledge and practice among individuals with T2DM were very low, as is the level of glycemic control, which are similar to studies conducted years back, indicating a lack of improvement in the desired behavior over time. Poor dietary practice in turn was associated with suboptimal glycemic control. It is important to target interventions that enhance the understanding and application of dietary practice in these individuals.

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The Association Between Body Mass Index and Glycemic Control in Patients with Type 2 Diabetes Across Eight Countries: A Literature Review

Cited by 3 publications

References 29 publications

Indeks Massa Tubuh dan Kadar Gula Darah pada Pasien Diabetes Mellitus Tipe 2

Indeks Massa Tubuh dan Kadar Gula Darah pada Pasien Diabetes Mellitus Tipe 2

Glycemic Control and Obesity Among People With Type 2 Diabetes in Europe and Australia: A Retrospective Cohort Analysis

Dietary Practice and its Association with Glycemic Control among Individuals with Type 2 Diabetes Mellitus in Ethiopia: A Multi-Center Cross-Sectional Study

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