Abstract

Despite its prominence, glycemic control is an important part of diabetes care. Worldwide, diabetic mellitus is a serious health issue and accounts for considerable morbidity and mortality. In a hospital-based retrospective cross-sectional analysis of records of 920 patients with diabetes registered at the Diabetes and Endocrinology Center of Kirkuk Teaching Hospital, HbA1c was used as an indicator of glycemic control. Appropriate statistical analyses was applied for compare glycemic control between diabetes subtypes, and the relationship between lifestyle/anthropometric parameters and glycemic control was applied by multivariable linear, logistic, and ordinal regression analyses, respectively.

Most of the ninety-two subjects were Type 2 diabetes patients (89.3%) and women (61.4%). The percentage of patients with HbA1c <7.0% was not over 12.6%, and that of patients who had poor glycemic control was 59.1%. Prevalences of both obesity and central obesity were also high. Neither of being current smoking nor a sedentary lifestyle had a relationship with glycemic control in statistical tests, but BMI was negatively correlated with glycemic control at logistic regression model. Poor glycemic control and high BMI, in particular waist circumference, are prevalent in adult diabetic patients. The only anthropometrics significantly associated with glycemic control were waist circumference, suggesting that it seems to offer additional clinical usefulness over traditional anthropometry in the routine tests of diabetes.