Cut point of waist circumference in Egyptian diabetic patients

Abdominal obesity is increasingly recognized as a major] risk factor for cardiovascular disease [CVD]. Compared with body mass index [BMI], waist circumference appear to be more strongly associated with metabolic risk factors.there are contradictor about the cut point of waist circumference in different ethnic group. Our aim therefore was to measure waist circumference and other criteria of the metabolic syndrome in Egyptian diabetic patients to determine Egyptian cut point for waist. 2651 diabetic patients with different duration of diabetes participated in this study. There is ethnic variation as regard waist circumference in diabetic Egyptian patients, mean WC [M = 102cm. F = 109cm]. It is clear that female waist is bigger than male and this is Egyptian variation- So cut point for metabolic syndrome must be changed due to ethnic variation. By using receiver-operating characteristic curves [ROC] the best point was [M = 94cm, F = 98cm] for waist cut point to determine metabolic syndrome and 30kg/m2 for body mass index. Correlation analysis proof that waist is better than BMI as a tool to detect diabetic complications like retinopathy and IHD. And regression analysis show that in diabetic female patient's glycaemic state is linked to large waist and in male, glycaemic state is linked to BMI

Follow up of diabetic complications

Some research found that certain diabetic complications occur more frequently in some racial minority groups. Rate of diabetic complications in real-world practice is higher than expected from the clinical trial setting, especially among patients with complications at diagnosis. This suggests that in diabetic patients racial differences may exist in macro vascular and micro vascular disease frequency. 340 diabetic patients were chosen randomly from out patients' clinic of the national institute of diabetes and endocrinology. They received conventional treatment.by different doctors with no special protocol for treatment and was examined twice once at 2004 and another at 2006. Our result showed that during three year there are significant deterioration in weight, BMI. ECG, retinopathy, FBS, AST, ALT, cholesterol, triglyceride, urea, uric acid, GFR, HBlAC.And there were significant improve as regard BP, ACR, LDL. The major complications develop by Egyptian diabetic patients within 3 years follow up was increase percent of retinopathy [27%], followed by teeth loss [23%] then IHD [5%] with no patient develop ESRD. also there are deterioration of GFR.. As regard risk factors there is deterioration in cholesterol followed by waist circumference, BMI, triglyceride then HDL.but significant improve in BP control In Egyptian diabetic patient nudus examination and lipid profile must checked regularly every three moth