Glycaemic Control, Lipid Profile, Blood Pressure and Body Weight Status Among Diabetics in Rural Malaysia

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL

International Medical Journal Malaysia Pub Date : 2020-11-20 DOI:10.31436/IMJM.V8I2.753

H. As, Y. Zaitun, M. Kandiah, S. Chan

{"title":"Glycaemic Control, Lipid Profile, Blood Pressure and Body Weight Status Among Diabetics in Rural Malaysia","authors":"H. As, Y. Zaitun, M. Kandiah, S. Chan","doi":"10.31436/IMJM.V8I2.753","DOIUrl":null,"url":null,"abstract":"ABSTRACT Introduction: Diabetes is associated with a high risk of cardiovascular disease. The management of blood glucose, dyslipidaemia and other modifiable risk factor, is a key element in the multifactorial approach to prevent complications of type 2 diabetes. Materials and Methods: A cross sectional study was conducted to determine the level of glycaemic control, lipid profile, blood pressure and body weight status among type 2 diabetics in rural Malaysia. A total of 237 diabetic subjects participated in this study. Physical examination was carried out, including measurements of height, weight, waist and hip circumferences, and systolic and diastolic blood pressure. Fasting venous blood samples were collected to determine the glucose level and lipid profile. Results: About 70% of the subjects had a high body mass index (BMI), equal to or above 25 kg/ m2. More than 60% of the subjects had systolic blood pressure = 140 mmHg and/or diastolic = 90 mmHg. Mean fasting blood glucose was 9.84±4.54 mmol/L. Mean total cholesterol was 5.18±1.35 mmol/L. High density lipoprotein cholesterol (HDLC) and triglyceride (TG) and glucose levels were higher in male than in female, but not statistically significant (p>0.05). However, low density lipoprotein cholesterol (LDLC) was higher in females than males (p<0.05). Mean HDLC was below 1.0 mmol/L in all subjects. Conclusion: Glycaemic control, lipid profile, blood pressure and body weight status were not satisfactory and may increase the risk of microvascular and macrovascular complications among these subjects. Appropriate intervention programs should be implemented for better diabetes control among rural subjects. KEYWORDS: Diabetic control, Diabetes, Rural, Malaysia","PeriodicalId":53575,"journal":{"name":"International Medical Journal Malaysia","volume":null,"pages":null},"PeriodicalIF":0.3000,"publicationDate":"2020-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Medical Journal Malaysia","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.31436/IMJM.V8I2.753","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}

引用次数: 2

Abstract

ABSTRACT Introduction: Diabetes is associated with a high risk of cardiovascular disease. The management of blood glucose, dyslipidaemia and other modifiable risk factor, is a key element in the multifactorial approach to prevent complications of type 2 diabetes. Materials and Methods: A cross sectional study was conducted to determine the level of glycaemic control, lipid profile, blood pressure and body weight status among type 2 diabetics in rural Malaysia. A total of 237 diabetic subjects participated in this study. Physical examination was carried out, including measurements of height, weight, waist and hip circumferences, and systolic and diastolic blood pressure. Fasting venous blood samples were collected to determine the glucose level and lipid profile. Results: About 70% of the subjects had a high body mass index (BMI), equal to or above 25 kg/ m2. More than 60% of the subjects had systolic blood pressure = 140 mmHg and/or diastolic = 90 mmHg. Mean fasting blood glucose was 9.84±4.54 mmol/L. Mean total cholesterol was 5.18±1.35 mmol/L. High density lipoprotein cholesterol (HDLC) and triglyceride (TG) and glucose levels were higher in male than in female, but not statistically significant (p>0.05). However, low density lipoprotein cholesterol (LDLC) was higher in females than males (p<0.05). Mean HDLC was below 1.0 mmol/L in all subjects. Conclusion: Glycaemic control, lipid profile, blood pressure and body weight status were not satisfactory and may increase the risk of microvascular and macrovascular complications among these subjects. Appropriate intervention programs should be implemented for better diabetes control among rural subjects. KEYWORDS: Diabetic control, Diabetes, Rural, Malaysia

查看原文本刊更多论文

马来西亚农村糖尿病患者的血糖控制、血脂、血压和体重状况

摘要:糖尿病与心血管疾病的高风险相关。血糖、血脂异常和其他可改变的危险因素的管理，是多因素方法预防2型糖尿病并发症的关键因素。材料和方法:进行了一项横断面研究，以确定马来西亚农村2型糖尿病患者的血糖控制水平、血脂、血压和体重状况。共有237名糖尿病患者参与了本研究。进行体格检查，包括测量身高、体重、腰围和臀围、收缩压和舒张压。采集空腹静脉血，测定血糖和血脂水平。结果:约70%的受试者体重指数(BMI)较高，等于或高于25kg / m2。超过60%的受试者收缩压= 140 mmHg和/或舒张压= 90 mmHg。平均空腹血糖为9.84±4.54 mmol/L。平均总胆固醇为5.18±1.35 mmol/L。男性高密度脂蛋白胆固醇(HDLC)、甘油三酯(TG)和葡萄糖水平高于女性，但无统计学意义(p < 0.05)。低密度脂蛋白胆固醇(LDLC)女性高于男性(p<0.05)。所有受试者的平均HDLC均低于1.0 mmol/L。结论:这些患者的血糖控制、血脂、血压和体重状况不理想，可能增加微血管和大血管并发症的发生风险。应实施适当的干预方案，以更好地控制农村受试者的糖尿病。关键词:糖尿病控制，糖尿病，农村，马来西亚

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Medical Journal Malaysia Medicine-Medicine (all)

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： International Medical Journal Malaysia (IMJM) is the official journal of the Kulliyyah (Faculty) of Medicine, International Islamic University Malaysia. It serves primarily as a forum for education and intellectual discourse for health professionals namely in clinical medicine but covers diverse issues relating to medical ethics, professionalism as well as medical developments and research in basic medical sciences. It also serves the unique purpose of highlighting issues and research pertaining to the Muslim world. Contributions to the IMJM reflect its international and multidisciplinary readership and include current thinking across a range of specialties, ethnicities and societies.