Association of body mass index and HBA1C in patients with type II diabetes; [Ti̇p II di̇yabetli̇ hastalarda deri̇ bulgularinin vücut ki̇tle i̇ndeksi̇ ve HBA1C i̇le i̇li̇ş ki̇si̇]
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Date
2009
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Abstract
Diabetes mellitus is a chronic metabolic disorder characterized by disturbance of the carbonhydrate and lipid metabolism. At least 30% of the diabetic patients have any type of cutaneous manifestation during the course of disease. Some skin conditions are specific to diabetes mellitus however, while most of them may also occur in nondiabetics. In this study, we aimed to investigate the type and frequency of skin lesions in type II diabetic patients, as well as their correlation with HbA1c and body mass index (BMI). One hundred nine type II diabetic outpatients were evaluated for their HbA1c levels, BMI and cutaneous manifestations. At least one skin condition was observed in 74,3 % of the patients. Fungal infections (66 patients, 60,6 %), xerosis (58 patients, 53,2 %), skin tags (43 patients, 39,4 %) and plantar hyperkeratosis (40 patients, 36,7 %) were the mostly observed ones. There was no correlation between skin lesions and age, sex, HbA1c levels and duration of diabetes. Only plantar hyperkeratosis was correlated with BMI (p=0,01). A type II diabetes mellitus is related with obesity and insuline resistance, we observed that plantar hyperkeratosis, skin tags and fungal infections in relation to these situations were frequent in our study group. There was no correlation between HbA1c and skin findings. Though many dermatosis related with diabetes were related, there is no diagnostic skin finding and those seen in diabetics are also observed in nondiabetics.