Document Type

Journal Article

Publication Date

6-1-2016

Journal

Biomedical Journal

Volume

39

Issue

3

DOI

10.1016/j.bj.2016.06.002

Keywords

Adult; Aged; Blood Glucose; Body Weight; Diabetes Mellitus; Female; Hemoglobin A, Glycosylated; Humans; Male; Middle Aged; Obesity; Overweight; Reproducibility of Results; Retrospective Studies; Weight Loss

Abstract

Abstract

Background

We assessed the predictive accuracy of an empirically-derived score (weight loss, insulin resistance, and glycemic control: “WIG”) to predict patients who will be successful in reducing diabetes mellitus (DM) medication use with weight loss.

Methods

Case records of 121 overweight and obese patients with DM at two outpatient weight management centers were analyzed.

Results

Mean period of follow-up was 12.5 ± 3.5 months. To derive the “WIG” scoring algorithm, one point each was assigned to “W” (loss of 5% of initial body weight within the first 3 months of attempting weight loss), “I” (triglyceride [TGL]/highdensity lipoprotein ratio >3 [marker of insulin resistance] at baseline), and “G” (glycosylated hemoglobin [A1c%] >8.5 at baseline). WIG score showed moderate accuracy in discriminating anti-DM dose reductions at baseline, and after 3 months of weight loss efforts (likelihood ratios [LR] + >1, LR−0.7), and demonstrated good reproducibility.

Conclusions

WIG score shows promise as a tool to predict success with dose reductions of antidiabetes medications.

Keywords

  • Clinical score;
  • Diabetes mellitus;
  • Insulin resistance;
  • Obesity

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-No Derivative Works 4.0 License.

Peer Reviewed

1

Open Access

1

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