Status Survey of Central Obesity Complicating Type 2 Diabetes in Community

Objective To understand the correlation between Type 2 diabetes mellitus (T2DM) and concomitant central obesity as well as condition of reaching standard of blood glucose monitored by general family medical management in middle area of Pudong community. Methods There were 1 055 cases of T2 DM patients recorded in chronic disease information system of Pudong center for disease control and prevention in Shanghai Pudong Lingqiao Community.Altogether 901 (85.40%) valid questionnaires were included to investigate their gender, age, course, blood pressure, blood lipid (TG, TC, LDL-C and HDL-C), DPG, Hb A1 c, Body Mass Index (BMI), waistline, hipline, and WHR, all of which were conducted the baseline survey and correlation analysis. Results Of the 901 patients with T2DM, there were 403 cases accompanying central obesity (44.73%), and 498 cases of non central obesity (55.27%).There were significant differences in course distribution between the patients with central obesity and non central obesity group (χ²=7.399, P=0.025).The rate of FPG, HbA1c and blood lipids in the non central obesity group was higher than those in the central obesity group (P < 0.05). Conclusion It was found that more than half of T2 DM patients who had received the General Practitioner intervention had acceptable FPG and HbA1c level, and accompanying central obesity had lower FPG and lipid level rate.To strengthen the community obesity intervention, especially central obesity intervention is one of the important preventions and treatments of diabetes patients.