Study of Anthropometric and Biological parameters in a Diabetic population of Casablanca, Morocco

Abstract

Diabetes mellitus is a public health problem. Our objective is to study the epidemiological profile of diabetes in a population of Casablanca in the Sidi-Othmane district. A retrospective study which took place from January 2007 to May 2018. It is a collection of anthropometric parameters and certain biological parameters. Statistical analysis was studied using the Pearson test and the Student test. The p value <0.05 is statistically significant. A total of 1479 subjects were collected, mainly women (78.7%), with an average age of 56 ± 11 years. The average BMI is 28.34 ± 5.11 kg / m². 40.45% of patients are overweight and 31% obese. The average fasting blood glucose = 1.82 ± 0.73 g / l while the average postprandial glycemia = 2.55 ± 1.16 g / l. Mean HbA1c = 7.6 ± 1.4% confirming the poor glycemic control observed. A significant correlation was observed between glycated hemoglobin (HbA1c) and fasting blood glucose (r² = 0.58, p = 0.001). Hypertension was found in 43.7% of the diabetics. The lipid balance of our patients is characterized by an average cholesterolemia of 2 ± 0.41g / l, HDLc = 0.5 ± 0.21g / l, LDLc: 1.73 ± 0.43g / l and a triglyceride level = 1.37 ± 0.73 g / l. Of the 21.4% of diabetics who died, 58% were women. The most serious causes of death are linked to hypertension. The study shows the existence of factors predisposing to fatal complications that must be worked on to at least reduce the costly complications to manage. The use of HbA1c as a means of controlling the glycemic balance of individuals is a practical and motivating tool for the primary prevention of degenerative complications of diabetes.