Investigation And Risk Factors Analysis Of Obese Type2Diabetes Mellitus Patients With Anxiety

Objective: To investigate anxiety and its risk factors, and improve the prevention andmanagement of anxiety in patients with Obese type2Diabetes Mellitus.Method: SAS (Self-rating Anxiety Scale) were used to evaluate the anxiety in514patients with T2DM (male280, female234) and divided them to obese group andnon-obese group. Assess the incidence of anxiety in each group. Sex, years, joboccupation, educational level, per capita household income, body mass index(BMI),diabetic complication, blood glucose control and the treatment comp lance werecompared between two groups, and their influence on anxiety were analyzed.Result:40.0%of obese patients with T2DM had anxiety, but non-obese patients justhave a incidence of30.2%. Compared to non-obese patients with T2DM, these obesepatients with T2DM had higher prevalence of cerebrovascular disease, hypertension,and diabetic nephropathy, poorer diet, blood pressure, blood glucose, serum lipidcontrol, more serious insulin resistance. Obese T2DM patients with anxiety had higherprevalence of low level education, cerebrovascular disease, and hypertension.Compared to non-obese T2DM patients with anxiety, obese T2DM patients with anxietyhad higher prevalence of cerebrovascular disease, hypertension, and diabeticnephropathy，higher level of blood pressure, fasting blood glucose, HbA1c, fastinginsulin concentration and Homa-IR. The anxiety of obese T2DM patients related to age,diastolic blood pressure, ABI. High diastolic blood pressure was risk factor to the anxiety of obese T2DM patients.Conclusion: There was higher incidence of anxiety in obese T2DM patients than innon-obese T2DM patients. Obese T2DM patients had poorer blood pressure, bloodglucose, serum lipid and diet control, higher prevalence of cardiovascular andcerebrovascular diseases, and more serious insulin resistance. Obese T2DM patientswith High diastolic blood pressure tend to suffer from anxiety. Objective To investigate anxiety and its risk factors, and improve the prevention andmanagement of anxiety in patients with type2Diabetes Mellitus.Methods SAS (Self-rating Anxiety Scale) were used to evaluate the anxiety in514patients with T2DM (male280, female234). Assess the incidence of anxiety. Sex, years,job occupation, educational level, per capita household income, body mass index(BMI),diabetic complication, blood glucose control and the treatment comp lance werecompared between patients with anxiety and patients without anxiety, and theirinfluence on anxiety were analyzed.Results32.5%of patients with T2DM had anxiety. The more the patients had diabeticcomplications, the easier the patients had anxiety. Compared to patients without anxiety,the patients with anxiety had higher fasting insulin concentration and treatment costs ofdiabetes every month, lower educational level and worse Self-rated health scale.Anxiety related to number of diabetes complications, hypertension grading, BMI, TG,fasting insulin concentration, treatment costs of diabetes every month and Self-ratedhealth scale significantly.Conclusion The anxiety incidence of T2DM patients was high. Low educational level,more diabetic complications, and high cost for treatment of diabetes were the importantrisk factors for T2DM patients who suffer anxiety. The patients with anxiety have moreserious insulin resistance and worse self-feeling of health.