Endocrine Abstracts

Introduction: The incidence of diabetes mellitus is increasing worldwide and is a major public health problem. The aim of our study was to determine the relationship between fat and visceral mass with the glycemic balance of diabetic patients.

Patients and methods: A prospective study, conducted over 9 months from March to December 2018, in the endocrinology department of Ibn Rochd University Hospital of Casablanca, in 75 patients with type 2 diabetes and type 1 with more than 10 years of evolution the day hospital. The body composition was interpreted by the OMROM BF 508 impedance meter, according to the standards of use based on WHO recommendations. Statistical analysis made by Spss software version 25.0.

Results: The participants had a mean age of 47.71±11.15 years with a female predominance (58.7%), a mean waist circumference (104.4±21 cm), an average BMI of 31.34 kg/m² et a predominant DT2 (80%). Average HBA1c (9.5%). Degenerative complications Retinopathies (55%), Nephropathy (25%), Neuropathies (20%). The comorbidities HTA (30%) and Dyslipidemias (40%). The thresholds of the impedancemetry were for mean body fat (37.20±8.32%) and visceral fat (13.3±5%). Degenerative complications were statistically higher in patients with increased body and visceral fat (35%, P=0.03). We found a strongly positive correlation between body fat, visceral fat, waist circumference, and HBA1c (P<0.0001, r: 0.7).

Conclusion: These results suggest that body composition may be predictive of insulin resistance, requiring a more rigorous follow-up aimed at improving the management of diabetic patients.