Do clinic–metabolic and somatotypic features affect the degree of need (insulin dependence or requiremence) for insulin in women with adult onset diabetes and obesity?

Turiev Georgy Sergeevich

To determine the impact clinic–metabolic and somatotype peculiarity on various degree of insulin dependence or insulin requiremence with Adult Onset diabetes (AOD) in 91 women [14 – insulin depentent (type 1), 60 – insulin requirement variant (IRV) type 2 and 17 – classic type 2] were examination. Body composition (comatometric indexes: WHR, CI, ATR, WTR, IAM, WSR), HOMA - IR and clinicometabolical markeres [CorI, hipertension, fetus macrosomia, acantosis nigricans (AN), hiperandrogenia] were assessed. All somatometric markers of andromorphia had strong (WHR, CI) to significance (WTR, WSR, IAM, ATR) state in IRV type 2 and classic type 2 DM counterweight type 1 DM. Type 1 DM assosiated with gynoid, whereas IRV type 2 and classic type 2 DM - with android somatotype. HOMA, hypertension, AN were significantly conjgation in IRV type 2 and classic type 2 DM, but not with type 1 DM. The presence of gynecomorphia is significantly more likely to be of type 1 whereas andromorphy are more likely to be of the insulin consuming variant of type 2 DM.

Keywords:Diabites (DM), AOD, obesity, gynoid, android, somatotype, insulinresistens, insulin requirement variant (IRV).