The Relationship Of Obesity To Haemoglobin A1c Levels In Type 2 Diabetes Mellitus Patients Using The Government Health Insurance Program

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Adhani Windari, Surati , Jeffri Ardiyanto , Dede Kurniasih , Devi Etivia Purlinda , Teguh Budiharjo , Djoko Priyatno

Abstract

Background : The prevalence of diabetes mellitus patients tends to increase. The number of Diabetes Mellitus (DM) patients in women is higher than in men, because women have a higher increase in body mass index (BMI) than men. 80% of adults with type 2 diabetes are overweight or obese. The examination haemoglobin (HbA1c) levels aims to provide an overview of the average sugar levels for the last three months and reflect the daily blood sugar control of type 2 DM patients.
Purpose : This study aims to determine the relationship between obesity and HbA1c levels in type 2 DM Patients Using The Government Health Insurance Program.
Method : This is an observational study, using a cross sectional design with a sample size of 892. Obesity was measured using BMI (Body Mass Index) and HbA1c levels were measured by venous blood examination. Primary data are weight and height as the basis for measuring BMI, while secondary data are the results of laboratory examinations for HbA1c levels. Data analysis using Chi Square test.
Results: The results showed that 76.3% of respondents were female, 23.7% male, 10.2% of respondents were obese, 89.8% of respondents were not obese. 90.6% of women have high HbA1c levels, 88.6% of obese respondents have high HbA1c levels. The results of the analysis show that gender p value = 0.154 and obesity p value = 0.357
Conclusion: There is no relationship between obesity and gender on HbA1c levels in type 2 DM patients.

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