184-LB: Lipid and HbA1c Profiles among People with Lean and Overweight Type 2 Diabetes in the Peruvian Amazon

Type 2 DM in patients with BMIs > 25 is well defined. Gaps exist in understanding lean diabetes (LD), those with BMI 150mg/dL was less than expected compared to OOD (χ2 = 4.30, df = 1, p = 0.038). We found a larger than expected portion of LD. Consistent with other studies, LD had higher HbA1c levels and less incidences of elevated triglycerides. Elevated blood lipids may be more important when screening OOD. For LD the focus should center on controlling HbA1c levels. Cause for concern is the high number of LD concealed in this study, in a population with a low prevalence of diabetes, and regional physicians could overlook screening in this population. Disclosure D. C. Robbins: None. B. C. Dean: None. C. Gerhold: None. M. Mosher: None. J. Camargo: None. Funding KU Diabetes Institute