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January 1, 2019Obesity FactsOpen Access

Impact of Obesity on the Metabolic Control of Type 2 Diabetes: Results of the Turkish Nationwide Survey of Glycemic and Other Metabolic Parameters of Patients with Diabetes Mellitus (TEMD Obesity Study)

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Why the study?

The impact of obesity on metabolic control and macro- and microvascular complications in patients with type 2 diabetes is not fully apparent, particularly in Turkey where prevalence is highest in Europe.

Population

4,648 patients with type 2 diabetes under follow-up for at least 1 year in Turkey

Comparison

Overweight or obesity vs normal BMI

Design

Nationwide cross-sectional survey across 69 tertiary healthcare units in 37 cities

Authors

ASAlper SönmezVYVolkan YumukCHCem Haymana

Discussion

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Overview

Obesity-diabetes links signal need for integrated management; leaves open causal confirmation via prospective trials.

Structured PICO

P
Population
4,648 patients with type 2 diabetes under follow-up for at least 1 year in 69 tertiary healthcare units in 37 cities. Excluded: pregnant, younger than 18 years, decompensated liver disease, psychiatric disorders interfering with cognition or compliance, prior bariatric surgery, or undergoing renal replacement therapy.
O
Outcome
Prevalence of overweight and obesity, and the impact of obesity on metabolic controlsurrogate

In a Turkish nationwide survey, 90% of patients with type 2 diabetes were overweight or obese, which was significantly associated with poor metabolic control and microvascular complications.

Cite This Study

Sönmez et al. (2019) studied this question.

synapsesocial.com/papers/6a89c0509be9d02581bd7c44https://doi.org/10.1159/000496624
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