INSULIN RESISTANCE AND TYPE 2 DIABETES: A TRANSVERSAL ANALYSIS IN A NUTRITIONAL INTERVENTION PROGRAM

Abstract

Introduction: Insulin resistance (IR) is often associated with diabetes type 2 (DM2), that presents itself asa morbidity of important impact due to its possible complications. Objectives: To identify individuals IRand DM2 and to evaluate possible differences in their sociodemographic, anthropometrics, of body andclinical compositions, and feeding behavior characteristics. Materials and methods: This is an observationalcross-sectional study. The study included 68 patients enrolled in a nutritional intervention programfor the prevention and treatment of cardiovascular diseases. Data were collected from records concerningthe first query. To identify insulin-resistant individuals it was used the HOMA-IR>2,7. Results: Twentyseven individuals were classified as the control group, 21 as insulin resistant and non-diabetics and 20 asdiabetics. Both insulin resistant and diabetics had higher BMI (p=0,001), body fat (p=0,001), circumferenceof waist (p=0,001) and hip (p=0,002), compared to the control group. More hypertensive diabetics(70%) were observed. The insulin resistant had lower levels of HDL (p=0,009) and higher of uric acid(p=0,033) compared to controls and higher LDL (p=0,031) when compared to diabetic. Those reportedgreater use of animal lard (15,8%) and changing habits on weekends (84,2%). Conclusions: The results of this study emphasize the importance of early detection of IR and nutrition intervention programsaiming at the weight control and combat hypertension in diabetic as in insulin resistant.