The Evaluation Of Metabolic Syndrome Frequency And Its Components In Newly Diagnosed Type-2 Diabetic Patients

Yıl 2012, Cilt: 12 Sayı: 4, 174 - 177, 01.04.2012

Muhammet Oktay Gülseren Oktay Yusuf Ertekin , Cemil Sönmez Feruze Sönmez

Öz

Purpose: We planned this study in order to identify the
relationship between metabolic syndrome and its components and the frequency of it in untreated type- 2 DM
patients and in patients with new diagnosis type 2- DM.
Methods: In the study, 220 diabetic patients were questioned on weight, height, waist circumference, body mass
index, fasting blood glucose, blood pressure, HbA1c, total
cholesterol, triglycerides, LDL, HDL data, in addition to the
components of metabolic syndrome in first-degree relatives.
Results: In our study on new diagnosed type-2 diabetic
patients, the frequency of metabolic syndrome (MS) was
found 70.5%,according to National Cholesterol Education
Program (NCEP), and 80% according to the International
Diabetes Federation (IDF) . The rates of MS by gender in
women and men was 84.8% and 75.6%, respectively. Obesity was found as the most frequent MS component in all
the first-degree relatives of the patients; parents, sisters,
brothers and children .
Discussion: Waist circumference was found to be the best
reflecting criteria of insulin resistance. According to the
NCEP criteria, no significant difference was found in fasting blood glucose levels in MS and non MS patients. The
reason for this was thought to be the fact that NCEP kept
fasting blood glucose threshold value low, in order to reduce the long-term risks.
The entity that obesity was found in all the first-degree
relatives of the diabetic patients aroused the suspicion
that obesity disease may be transferred with the same
genes with diabetes and insulin resistance.

Anahtar Kelimeler

Diabetes, insulin resistance, metabolic syndrome, obesity

Yeni Tespit Tip 2 Diyabetik Hastalarda Metabolik Sendrom Sıklığı ve Bileşenlerinin Değerlendirilmesi

Öz

Amaç:

Çalışmayı yeni tespit edilen veya hiç tedavi almamış tip 2 diyabetik hastalarda metabolik sendrom ve bileşenlerinin sıklığını ve ilişkisini belirleyebilmek amacıyla planladık.

Metod:

Çalışmaya alınan 220 diyabetik hastanın kilo, boy, bel çevresi, vücut kitle indeksi, açlık kan şekeri, tansiyon, HbA1c, total kolesterol, trigliserid, LDL, HDL verilerine ek olarak birinci derece akrabalarında, metabolik sendrom bileşenleri sorgulandı.

Sonuç:

Yeni tespit edilen tip 2 diyabetik hastalarla yaptığımız çalışmamızda, Metabolik Sendrom(MS) sıklığını Ulusal Kolesterol Eğitim Programı(NCEP)’na göre %70,5, Uluslararası Diyabet Federasyonu (IDF)’na göre %80 olarak tespitedildi. Cinsiyete göre kadın ve erkekte MS olma oranları sırayla %84,8 ve %75,6 idi. Hastaların birinci derece akrabaları olan ebeveyn, kardeş ve çocukların tümünde MS bileşeni olarak obezite birinci sırada yer aldı.

Tartışma:

İnsülin direncini en iyi yansıtan kriterin yine bel çevresi olduğu görüldü. NCEP’in kriterlerine göre MS olan ile olmayan hastaların AKŞ değerlerinde anlamlı bir farklılık saptanmamasının sebebi olarak NCEP’nin uzun dönemde riski azaltmak için AKŞ’nin eşik değerini düşük tuttuğu düşünüldü. Diyabetli hastaların anne, baba, kardeş ve çocuklarında obezitenin birinci sırada ve sıklıkla yer alması, obezitenin diyabet ve insülin direnci ile ortak genlerden aktarılabilecek bir hastalık olabileceği şüphesini uyandırdı.

Anahtar Kelimeler

Diyabet, insülin direnci, metabolik sendrom, obezite

Kaynakça

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