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Overweight and Obese Diabetes Patients More Likely to Get Recommended Screenings

BMI not a barrier for recommended screenings and exams in overweight and obese diabetes patients….

164,721 patients with diabetes were assessed, according to and categorized as either healthy-weight (12%), overweight (30%), obese class I (28%), obese class II (17%), or obese class III (14%). Only 41% of patients reached their goal A1c level of <7%, however, 58% achieved the LDL goal of <100 mg/dL. 82% reached the blood pressure goal of <140/90 mmHg and 54% reached the blood pressure goal of <130/80 mmHg.

After adjusting for comorbidities, the data showed that overweight and obese patients were more likely to get all four screenings including HbA1c, eye exam, nephropathy screening, and lipid screening compared to the healthy-weight participants.

Overweight and obese participants were less likely to reach their glucose and blood pressure goal. However, LDL control among the overweight and obese participants tended to increase across all BMI categories with obese class III being more likely to reach their goal compared to the healthy-weight patients. These results may suggest the need for more interventions to improve glycemic and blood pressure control in diabetic patients who are overweight or obese.

Practice Pearls:
  • Diabetic patients with higher BMIs tend to have more routine and recommended screenings and exams.
  • Overweight and obese diabetic patients were less likely to reach their glucose and blood pressure goal despite having recommended screenings but more likely to reach their LDL goal.

Ryan DS. Am J Manag Care. 2014;20:e1-7.