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GLYCEMIC CONTROL STATUS IN OVERWEIGHT AND OBESE POSTMENOPAUSAL TYPE 2 DIABETIC PATIENTS
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Abstract
Objectives: To investigate the status of glycemic control in overweight and obese postmenopausal type 2 diabetic patients. Subjects and methods: A prospective cross-sectional descriptive study on 112 overweight and obese postmenopausal type 2 diabetic patients who visited the Outpatient Department, Bach Mai Hospital from January 2023 to August 2023. Results: The average age was 68.1 ± 8.3 years old; the average age of menopause was 50.8 ± 2.8 years; > 70% of patients have experienced menopause for more than 10 years. The rate of having type 2 diabetes for over 10 years is the highest at 58.0%. The mean BMI was 25.7 ± 2.4 kg/m2. The average waist circumference is 90.9 ± 6.9 with a waist circumference ≥ 80 cm accounting for 97.3%. The rate of HbA1c < 7% was 30.4%, the mean HbA1c was 8.2 ± 1.6%. The average fasting blood glucose was 8.5 ± 2.7 mmol/L. There was a relationship between the rate of achieving HbA1c < 7% and the number of menopausal symptoms. Conclusions: Glycemic control status is still poor. Overweight and obesity have a significant role in attaining disease control goals. Treatment must be personalized, while emphasizing the role of nutrition and exercise in achieving weight-control objectives.
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Keywords
diabetes, menopause, overweight, obesity.
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