A comparative analysis of insulin resistance among tribal and non-tribal population with Type 2 Diabetes using estimated glucose disposal rate

• Author Details:   
• Bibekananda Modak
• Bulbul Purkait
• RN Maity

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Objectives: To compare the Insulin resistance among Type 2 Diabetics of the local tribal and nontribal population who are reporting to OPD of Midnapur Medical College and Hospital.

Method: This was a Unicentric, cross sectional, observational study.

Estimated Glucose disposal rate which is used to analyse Insulin resistance among Type 1 Diabetics, has been utilized for the same in type 2 Diabetics.

Result: A significantly larger proportion of male non-tribals had uncontrolled FPG (? 130 mg/dl), HbA_1c (both ? 8.5% and ? 7%), estimated glucose disposal rate less than lower limit (i.e. ? 9 mg/kg/min) of the normal range, compared to the male tribals. Compared to the male tribals, a larger proportion of the male non-tribals had PPPG ? 180 mg/dl. A significantly larger proportion of female nontribals had uncontrolled PPPG, HbA_1c and estimated glucose disposal rate less than lower limit of the normal range, compared to the female tribals. Compared to the female tribals, a larger proportion of the female non-tribals had uncontrolled FPG.

Conclusion: Tribal Population with Type 2 Diabetes showed better achievement of Treatment goal.

 

Keywords: Type 2 Diabetes Mellitus, Insulin Resistance, Estimated Glucose disposal rate