The Relationship Between Metabolic Control and Complications and Segmental Body Fat Distribution in Type 2 Diabetics

Aim: The aim of this study was to determine the relationship between metabolic status and complications and distribution of body fat in diabetic patients. Material and Methods: In this cross-sectional study files of 485 type 2 diabetes mellitus patients who applied to Zonguldak Bulent Ecevit University Obesity and Diabetes Research and Application Center between 6 April 2017 and 21 March 2018 were examined.Sociodemographic data, duration of disease, fasting blood glucose, gylcated hemoglobin, lipidprofil, complications, biometric measurements, body fat distribution and diet, exercise and type of treatment were recorded and analyzed. Results: In our study population, 59.6% (n=289) of the patients were female and 40.4% (n=196) were male. In the last examinations, 92.9% of the patients had a fasting blood glucose, 61.1% had total cholesterol, 54.2% had TG and 49.1% had LDL-k levels higher than normal. In 74.9% of patients, gylcated hemoglobin was found to be higher than 6.5% and in 62.9% of them was higher than 7.0%. Patients with at least one complication had higher disease duration, waist circumference, fasting blood glucose, body mass index averages than those without complication (p<0.05). When total body fat ratios were evaluated by age, 26.0% of women were overfat, 62.3% were obese, 37.2% of males were overfat, 46.0% were obese. The total body fat ratio of those who exercise is lower than those who do not. Different treatment procedures and disease duration do not affect total body fat ratios (p>0.05). Conclusion: According to the results of our study, most of the type 2 diabetes patients were obese. Total body fat was lower in the patients who exercised. Patients with at least one complication had higher disease duration, waist circumference, fasting blood glucose, body mass index averages. While the diagnosis, treatment and follow-up of obesity and diabetes mellitus, anthropometric parameters, body fat ratio distribution, treatment processes and metabolic status are important interactions. When evaluating the diseases together, each one should be taken into consideration as more meaningful results will be obtained