HBA1C levels and related factors of patients with type 2 diabetic who applied to Endocrine Policlinic of Elazig Training and ReseachHhospital

Type II Diabetes is an ilness which is getting more and more widespread. It is crucial to control and keep an eye on HbA1c level in the blood. This research aimed to understand the relation between the level of HbA1c and the features of demographic, metabolic and physical activity of the patients with type II diabetic who applied to endocrine poliklinic of Elazığ Tranining and Research Hospital.All our patients who applied to the hospital between February and May in 2011 and who are all adult patients with type II diabetes are included in the research. In these 4 months, 500 patients are asked to fill in a questinnaire. To evaluate the metabolic control levels, fasting plasma glucose (FPG) concentration of level, HbA1c, HDL cholesterol, blood pressure valves and body-mass-index, waist circumference, hip circumference measurements are taken.% 58 (290 people) of the patiens are female and % 42 (210 people) is male. The avarage age is 54,78±12,07 years. % 40 is not primary-school graduate or is illiterate. The body-mass-index for men is 27,83±4,58 kg/m2, whereas it is 31,35±6,40 kg/m2 for women. The fasting plasma glucose (FPG) concentration of level in avarage is for 201,67±91,85 men and 206,08 ±97,59 for women and 204,23±95,16 mg/dl in general. % 65,4 % of the patients use anti-diabetic drugs, the % 34,6 uses insulin. 59 % of patients say that their blood HbA1c level checked about every three months.While the HbA1c avarege value for the men included in the research is 9,09±2,36 mg/dl, for women it is 9,12±2,57 mg/dl. % 23,8 of men and % 23,4 of women have reached to the aimed level which is 6,5-7 mg/dl. The HbA1c avarage is different for the ones using insulin and for the ones taking anti-diabetic drugs. While for the former group the HbA1c avarage 10,2±2,5, for the other group it is 8,5 ±2,3 mg/dl. HbA1c avarage value is 9,4±2,5, for inactive and 8,4±2,3 for moderate levels of physical activite, 8,8±2,5 for high levels of physical activite people. So, There is a significant reletion. While HbA1c avarage value is 9,5±2,5 for those whose body-mass index is 29,9 kg/m2 , it is 8,6±2,3 mg/dl for those whose body-mass-index is 30 or over 30. Therefore, There is again a significant but this time negative relation between body-mass index and HbA1c levels. There is another similar negative relation between waist circumference and HbA1c level,too. HbA1c avarage value is 9,8 ±2,7 for those whose waist circumference is ?88 cm and it is 9,2±2,3 for those whose waist circumference is between 89 cm and 101 cm and it is 8,7±2,5 mg/dl for those whose waist circumference is ?102 cm.As a result, patients blood HbA1c levels are not at the ideal level. According to the research results it may be recommended that patients should be educated about observing their HbA1c level and other measurements regularly. And their physical activity, nutrition and weight-gain must be under control.