Gender diversity of insulin sensitivity markers among patients of type 2 diabetes mellitus in northern India: A cross-sectional analytical study

Ravi Kant; Poonam Yadav; Surekha Kishore

doi:10.4103/jfmpc.jfmpc_400_20

Gender diversity of insulin sensitivity markers among patients of type 2 diabetes mellitus in northern India: A cross-sectional analytical study

J Family Med Prim Care. 2020 Jul 30;9(7):3315-3320. doi: 10.4103/jfmpc.jfmpc_400_20. eCollection 2020 Jul.

Authors

Ravi Kant¹, Poonam Yadav², Surekha Kishore³

Affiliations

¹ Department of Medicine, AIIMS, Rishikesh, Uttarakhand, India.
² College of Nursing, AIIMS, Rishikesh, Uttarakhand, India.
³ Department of Community and Family Medicine, AIIMS, Rishikesh, Uttarakhand, India.

Abstract

Background: Diabetes mellitus is a worldwide health problem with more than 80% diabetics living in LMIC. Biological and psychosocial factors are also responsible for gender diversity in T2DM which highlights the need for action to combat T2DM in India. The current study was undertaken to evaluate the gender diversity of insulin sensitivity markers among patients of T2DM in northern India and secondly, to assess and compare the quality of life among T2DM patients in northern India.

Material and methods: It was a cross-sectional analytical study enrolling 78 patients from tertiary care teaching hospital, India. Inclusion criteria was patients within the age group of 18-60 years, diagnosed with T2DM and on insulin therapy. Case reporting form, anthropometric measures, laboratory investigations, and diabetes quality of life (DQoL) instruments were used for data collection for the period of 3 months.

Results: The mean age of T2DM patients for males was 48.00 ± 9.92 years and for females was 49.96 ± 10.39 years. Male and female patients were 50% and 50%, respectively. WHR (P = 0.032), DBP (P = 0.000), body fat % (P = 0.04), and duration of diabetes (P = 0.001) had statistically significant association with insulin resistance (binary logistic regression analysis (P-value <0.05). Results show the statistically significant difference between means of WHR (t value = 4.702, P = 0.000) and body fat % (t value = 3.035, P = 0.000) in male and female T2DM patients (Independent't'-test) (P-value <0.05).

Conclusions: The study concludes that WHR, DBP, body fat %, and duration of diabetes were significant markers of insulin sensitivity. WHR and body fat % were the differential insulin sensitivity markers in male and female patients of T2DM in northern India. Diabetes adversely affects the quality of life in a nearly similar pattern in both male and female patients.

Keywords: C-peptide; diabetes; diversity; female; gender; insulin; male; markers; quality of life; sensitivity.