Searchable abstracts of presentations at key conferences in endocrinology
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21st European Congress of Endocrinology

Lyon, France
18 May 2019 - 21 May 2019

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18-21 May 2019, Lyon, France

ePoster Presentations

Diabetes, Obesity and Metabolism

ea0063ep31 | Diabetes, Obesity and Metabolism | ECE2019

Interrelation between obesity, metabolic syndrome and molecular-genetic mechanisms of their formation

Smirnova Olga , Kasparov Eduard , Moskalenko Olga

Introduction: Metabolic syndrome (MS) is a disease that develops in obesity in adult patients with the development of numerous metabolic and vascular disorders. In patients with MS, the risk of developing cardiovascular diseases is increased compared to the general population by 1.78 times as a whole and 2.25 times in women. Currently, the number of overweight children and the development of metabolic complications such as fatty liver, hypertension, and type 2 diabetes are inc...

ea0063ep32 | Diabetes, Obesity and Metabolism | ECE2019

Personality traits in the morbidly obese patients awaiting bariactric surgery and in the group of patients who have undergone surgery

Rivero Daniel Medina , Gavira Isabel Maria Mateo , Escandon Laura Larran , Martin Amelia Rodriguez , Diosdado Manuel Aguilar

Objectives: To evaluate the psychosocial aspects in a group of patients in follow-up in specific consultation of bariatric surgery prior to the intervention and in a group of patients intervened.Methods: Cross-sectional study of patients in follow-up in the specific morbid obesity consultation of the University Hospital Puerta del Mar (Cádiz) not intervened and a group intervened and in a group intervened, at 6–12 months of follow-up.<p cla...

ea0063ep33 | Diabetes, Obesity and Metabolism | ECE2019

The effects of metabolic dysfunction (obesity diabetes type II) on the cervical epithelium cytology from Pap test survey

Tsagareli Zurab , Datunashvili Ekaterine , Melikadze Ekaterine , Nikobadze Elene , Kvachadze Tinatin , Gogiashvili Liana

Abstract: The effects of diabetes type II and obesity on the cervical epithelium reaction were studied on the Georgian population based of Pap-test survey. Goal is to examine the association between obesity, metabolic disorders (diabetes, thyroid dysfunction) and cervical Pap test results. Study group includes 56 patients. According to the Georgian Low, written informed consent was required. From the study population, we used data zf all 56 women aged 23–52 years. The soc...

ea0063ep34 | Diabetes, Obesity and Metabolism | ECE2019

Prevalence of high blood pressure in a group of Tunisian obese

Khiari Marwa , Mizouri Ramla , Boukhaytia Fatma , Zahra Hager , Boumefteh Saida , Othman Rym Ben , Mahjoub Faten , Berriche Olfa , Jamoussi Henda

The progression of obesity around the world is largely responsible for the high blood pressure (HBP) most commonly associated with this condition. This morbid association leads to an increase in morbid cardiovascular mortality. The aim of our work was to study the prevalence of hypertension in a group of Tunisian obese people. This is a descriptive cross-sectional study conducted at the Obesity Unit of the Tunis Institute of Nutrition about 100 obese patients who visited betwe...

ea0063ep35 | Diabetes, Obesity and Metabolism | ECE2019

Efficacy of combination of ezetimibe and rosuvastatin in patients with dyslipidemia in type 2 diabetes mellitus

Mirmaksudov Mirakhmadjon

Aim: The increase in the prevalence of type 2 diabetes is a major public health problem worldwide. In patients with diabetes, the risk of developing CVD is greatest. Atherosclerotic diseases are the main cause of death in type 2 diabetes. Thus, ischemic heart disease, as a macrovascular complication of diabetes is the main cause of death in patients with diabetes, with 90% of patients suffering from type 2 diabetes. A modern strategy for treating patients with diabetes involve...

ea0063ep36 | Diabetes, Obesity and Metabolism | ECE2019

Diabetic ketoacidosis

Hoxha Edlira , Hoxha Violeta , Husi Gerond , Fureraj Thanas , Celo Eni , Ylli Agron

Diabetic ketoacidosis is a well- known and a major acute complication of diabetes, mainly of the patients with type 1 diabetes. It is not uncommon in patients with type 2 diabetes. This situation is characterised by the presence of serum ketones greater than 5 mEq/l and ketonuria, a blood glucose level greater than 250 mg/dl, a blood PH less than 7.3 and a serum bicarbonate level of less than 18 mEq/l. There are different factors that cause ketoacidosis. DKA can be the initial...

ea0063ep37 | Diabetes, Obesity and Metabolism | ECE2019

Abstract Unavailable....

ea0063ep38 | Diabetes, Obesity and Metabolism | ECE2019

Lipid profile and cardiovascular risk in psoriatic arthritis

Kostoglou-Athanassiou Ifigenia , Kostopoulos Markos , Athanassiou Lambros , Tsakiridis Pavlos , Athanassiou Panagiotis

Introduction: Psoriatic arthritis (PsA) is a chronic systemic autoimmune disorder. Currently, various biologic agents are administered in PsA patients, improving significantly disease manifestations as well as quality of life. Biologic treatment may have an effect on lipid profile and the cardiovascular risk in the disease.Aim: The aim was to follow-up a group of PsA patients and to evaluate comorbidities, lipid profile and cardiovascular risk and the ef...

ea0063ep39 | Diabetes, Obesity and Metabolism | ECE2019

Lipid profile changes during menopausal transition

Inaraja Veronica , Gimeno Esteban Jodar , Abad Ricardo Sainz de la Cuesta

The adult female life could be divided into three broad phases: reproductive, perimenopause and postmenopause. The perimenopause starts 2 years before last bleeding and the postmenopause begins 12 months after amenorrhea (Harlow SD y Group 2012). Cardiovascular disease is the main cause of mortality in postmenopausal women and the factors that increase cardiovascular risk are well known but there is no evidence of relationship between menopause and cardiometabolic changes. Som...

ea0063ep40 | Diabetes, Obesity and Metabolism | ECE2019

Afraid that your prediabetic patients may develop type 2 diabetes with statins? Give red yeast rice + berberin a try!

Kuzior Agnieszka , Nivelo-Rivadeneira Manuel Esteban , Fernandez-Trujillo-Comenge Paula Maria , Santana-Suarez Ana Delia , Acosta-Calero Carmen , Gonzalez-Diaz Paula , Dieguez-Moreno Alberto , Martinez-Martin Francisco Javier

Aim: To establish the effect of a supplement containing 250 mg red yeast rice extract, 525 mg berberine and 50 mg coenzyme Q10 on insulin sensitivity in patients with hypercholesterolemia and prediabetes.Methods: For this open, uncontrolled study, patients of age 30–75 years, with hypercholesterolemia (LDL cholesterol >130 mg/dl and triglycerides <300 mg/dl), and prediabetes without overt cardiovascular disease, untreated in the previous 6 m...

ea0063ep41 | Diabetes, Obesity and Metabolism | ECE2019

Characterization of essential hypertension vs secondary hypertension in late childhood and adolescence: Experience in an outpatient hypertension clinic

Fernandez-Trujillo-Comenge Paula Maria , Kuzior Agnieszka , Nivelo-Rivadeneira Manuel Esteban , Acosta-Calero Carmen , Suarez Ana Delia Santana , Aja-Curbelo Victoria Sainz de , Medina Raquel Rodriguez , Martinez-Martin Francisco Javier

Aim: Description of the differences between patients diagnosed of essential (EH) vs. secondary (SH) hypertension in our Outpatient Hypertension Clinic.Methods: Review of the Clinical Records and of the relevant literature. Comparisons were made by non-paired t-test in continuous variables and Fisher’s exact test in discrete variables.Results: From 1994 to 2018, 49 patients < 20 years old were referred to our (mostly adult)...

ea0063ep42 | Diabetes, Obesity and Metabolism | ECE2019

High level hypertriglyceridemia fluctuation

Verissimo David , Ivo Catarina , Pires Vitoria , Passos Dolores , Silva Joao , Lopes Luis , de Castro Joao Jacome , Marcelino Mafalda

Introduction: Hypertriglyceridemia (hyperTG) may increase the risk of cardiovascular disease and values above 1000 mg/dl are a risk factor for pancreatitis, including non-fasting measurements. The American Heart Association suggested that providers could use nonfasting triglycerides >200 mg/dl to identify hyperTG states. When an elevated result is observed, a fasting triglyceride measure may be reassessed, with exception for extreme levels (for example approximately 1000 m...

ea0063ep43 | Diabetes, Obesity and Metabolism | ECE2019

A diagnosis challenge: endogenous hyperinsulinism and negative localisation tests: case report

Fernandez-Ladreda Mariana Tome , Schuldt Maria Belen Ojeda , Cuenca Jose Carlos Padillo

Introduction: Persistent hyperinsulinemic hypoglycemia may be caused either by a solitary tumor of the pancreas secreting excessive amount of insulin, known as insulinoma or, rarely, by nesidioblastosis. Nesidioblastosis is a rare cause of persistent hyperinsulinemic hypoglycemia in adults.Methods: We describe the case of a 25-year-old male patient who was referred to our clinic for repeted hypoglycemia episodes.Results: Our patien...

ea0063ep44 | Diabetes, Obesity and Metabolism | ECE2019

Feasibility and effectiveness of a low carbohydrate diet in a traditionally high carbohydrate intake population

Gopal Jayashree , Vasanth Sowmiya

Background: India ranks among the countries with a relatively high proportion of calories (71%) from carbohydrates (1). Various types of ‘low’ carbohydrate diets have had intermittent popularity over the past century, most of which also recommend high intake of animal protein. This would not be suitable for a predominantly vegetarian population (32% of Indians are vegetarian compared with <5% in Western societies) (2).Aim: We wanted to test...

ea0063ep45 | Diabetes, Obesity and Metabolism | ECE2019

Insulin resistance and metabolic disorders in women with morbid obesity

Boukhayatia Fatma , Oueslati Ibtissem , Hassen Hana Belhadj , Hammami Bassem , Grira Wafa , Feki Moncef , Chaker Fatma , Chihaoui Melika

Introduction: Metabolic abnormalities are usually linked with obesity. However, a proportion of obese individuals might not be at an increased risk of metabolic complications of obesity and therefore their phenotype can be referred to as metabolically healthy obesity. The aim of our study was to evaluate the metabolic status in women with morbid obesity and to determine its association with insulin resistance.Methods: In a cross sectional study, we enrol...

ea0063ep46 | Diabetes, Obesity and Metabolism | ECE2019

Prevalence of non alcoholic fatty liver disease in women with morbid obesity

Boukhayatia Fatma , Oueslati Ibtissem , Hassen Hana Belhadj , Hammami Bassem , Boukriba Seif , Chaker Fatma , Yazidi Meriem , Mizouni Habiba , Chihaoui Melika

Introduction: Obesity related disease complications reduce life quality and expectancy and increase health care costs. Non-alcoholic fatty liver disease (NAFLD) is one of the major complications associated with obesity and is considered to be the hepatic manifestation of the metabolic syndrome. Our objective was to determine the prevalence of the NAFLD and to identify its clinical and biological associated factors in women with morbid obesity.Methods: Th...

ea0063ep47 | Diabetes, Obesity and Metabolism | ECE2019

Clinical and metabolic characteristics in a population of obese tunisian women with polykystic ovary syndrome (pkos)

Jemai Chaima , Faten Mahjoub , Senda Sellami , Nadia Alaya , Olfa Berriche , Henda Jamoussi

Introduction: PCOS is common in Tunisia. It is characterized by the high frequency of clinical and metabolic abnormalities associated with cardiovascular risk. The aim of our work was to describe the clinico-metabolic profile of a Tunisian women population with polycystic ovary syndrome.Methods: This is a prospective study conducted on 53 Tunisian patients with PCOS, referred by their gynecologist to the Obesity Unit of A departement of the National Inst...

ea0063ep48 | Diabetes, Obesity and Metabolism | ECE2019

Assessment of body composition (service experience)

Odiki Lygie Sephora Kibhat , El Aziz Siham , Benbaa Salma , Chadli Asma

Purpose: The evaluation of body composition using indirect techniques is used to estimate the nutritional status of patients. The objective of our study was to determine the profile of patients’ body composition according to the bioelectrical impedance meter and to study its relationship to body mass index and waist circumference.Patients and methods: Cross-sectional study, conducted over 9 months from March to December 2018, in the endocrinology de...

ea0063ep49 | Diabetes, Obesity and Metabolism | ECE2019

Side effects of topical corticosteroids in the treatment of psoriasis: a case report

Šimonienė Diana , Auglytė Ieva , Liolytė Simona

Using topical corticosteroids, severe adverse reactions occur very rarely, especially - adrenal insufficiency. We describe the case of a patient who presented adrenal insufficiency using topical GCC. 28 y/o female with a history of mild form psoriasis was treated with topical GCC (DERMOVATE) for about 12 years. Thinned skin, translucent vascular-network all over the body (~6 years), weight gain (+10 kg/12 months) and spontaneous haematomas appeared within the time and progress...

ea0063ep50 | Diabetes, Obesity and Metabolism | ECE2019

Diabetes secondary to pancreatectomy an inevitable complication

Abderrahmane Samir , Brahim Oudjit

Introduction: Patients undergoing extensive pancreatic resection for benign pancreatic disease are subject to significant metabolic complications and may develop insulin-dependent diabetes that is difficult to balance due to the lack of a counter-regulatory mechanism. Diabetes appears classically after removal of more than 80% of the pancreas, especially with a risk of severe and prolonged hypoglycaemia. We illustrate the problem with the following clinical case.<p class="...

ea0063ep51 | Diabetes, Obesity and Metabolism | ECE2019

Effect of diabetes and high blood pressure association on degenerative complications of diabetes

Khiari Marwa , Zribi Sabrine , Zahra Hager , Boukhayatia Fatma , Hatira Yosra , Temessek Aroua , Mami Faika Ben

High blood pressure is a condition that is frequently associated with diabetes. It aggravates the prognosis of the diabetic by increasing the cardiovascular risk and accelerating the occurrence of degenerative complications. The aim of our work was to study the effect of the association of high blood pressure and diabetes on the degenerative complications of diabetes. This is a descriptive retrospective study conducted at the C department of the National Institute of Nutrition...

ea0063ep52 | Diabetes, Obesity and Metabolism | ECE2019

Penitentiary: diabetes and metabolic risk

Oukit Loubna , Askaoui Sara , El Mghari Ghizlane , El Ansari Nawal

Introduction: The prison environment is a space that involves some restrictions. However, diabetic patients require special attention. The aim of this work is to evaluate the impact of this area on the glycemic control and the metabolic profile.Patients and method: Descriptive cross-sectional study carried out on a day of health campaign in a penitentiary center, in the sector for men, and concerned the 62 known diabetic patients of the institution.<...

ea0063ep53 | Diabetes, Obesity and Metabolism | ECE2019

Immunological interference with hemoglobin A1c assay

Chaabouni Khansa , Chaabouni Akram , Marrekchi Rim , Yaich Mahdi , Naifar Manel , Kacem Faten Hadj , Elleuch Aida , Mohamed Abid , Kamel Jamoussi , Fatma Ayedi

Introduction: The quality of assay methods for HbA1c assessment has importantly improved last decades, however analytical interferences due to variants of hemoglobin remain of matter vigilance. Immunological interferences, although no longer described, may also occur.Observation: A 84-years-old woman without significant medical history was explored for polyneuropathy. Additional investigation as HbA1c was requested. As no value of HbA1c was obtained when...

ea0063ep54 | Diabetes, Obesity and Metabolism | ECE2019

Diabetes mellitus revealed by hemichorea: a case report

Mekni Sabrine , Grira Wafa , Bennour Marwa , Oueslati Ibtissem , Rejeb Ones , Yazidi Meriem , Chaker Fatma , Chihaoui Melika

Abnormal movements like hemichorea are rarely described as neurological manifestations of hyperglycemia. It is occur in nonketotic hyperglycemia with a pathognomonic radiological findings. We report a case of a 70 years old women with no past medical history who presented to the emergency department with abnormal limb movements. It was repetitive, brief, involuntary movement of the right arm evolving for 5 days. On admission, neurological examination showed right hemichorea. S...

ea0063ep55 | Diabetes, Obesity and Metabolism | ECE2019

Münchhausen syndrome: in the light of 4 observations

Askaoui Sara , Lmghari Guizlane , Rafi Sana , El Ansari Nawal

Definition: Fake hypoglycaemia in children and adults is due to self-administration of insulin or insulin secretagogue. They represent one of the best described facets of the Münchhausen syndrome. Here we report four cases of false hypoglycemia following insulin injection.Material and method: Prospective study that took place over 2 years to collect 4 hospitalized cases for etiological assessment of severe hypoglycaemia up to 0.2 g/l and complicated...

ea0063ep56 | Diabetes, Obesity and Metabolism | ECE2019

Diabetic foot in images

Faiz Hajare , Aziz Siham El , Mjabber Amal , Chadli Asma

Introduction: The diabetic foot is considered as the crossroad of degenerative complications of diabetes (neuropathy, arterial disease, deformity). This is a public health problem with socio-economic implications. The objective of this work is to illustrate the different lesions of the diabetic foot in images.Materials and methods: We included all hospitalized patients in the Endocrinology Department of the University Hospital of Casablanca during 18 mon...

ea0063ep57 | Diabetes, Obesity and Metabolism | ECE2019

Diabetic foot: screening and prevention

Kaidi Fatimazahra , Aziz Siham El , Mjabber Amal , Chadli Asmaa

Introduction: The screening of patients at diabetic foot risk and the implementation of prevention measures are justified by the frequency and severity of amputations.The aim of this study was to:– Screen diabetic feet at risk.– List the risk factors associated with the diabetic foot at risk.– Present the methods of management of diabetic foot at risk in our service.<...

ea0063ep58 | Diabetes, Obesity and Metabolism | ECE2019

Epidemiological and clinical features of the diabetic foot in the elderly

Kaidi Fatimazahra , Aziz Siham El , Mjabber Amal , Chadli Asmaach

Introduction: The diabetic foot is a major public health problem with amputation risk is important. Diabetes podiatric complications of are dominated by diabetic neuropathy, diabetic arterial disease and infection. The aim of this study was to identify the epidemiological and clinical characteristics of the diabetic foot in the elderly.Patients and Methods: It was an observational prospective study, conducted in our department between January and Decembe...

ea0063ep59 | Diabetes, Obesity and Metabolism | ECE2019

Prevalence and characteristics of metabolic syndrome in diabetics

Mizouri Ramla , Rezgani Imen , Sebai Imen , Khiari Marwa , Boukhayatia Fatma , Naceur Khadija Ben , Zribi Sabrine , Temessek Aroua , Mami Faika Ben

Introduction: Metabolic syndrome (MS) is a high-risk vascular risk situation. The aim of this study was to assess the prevalence of MS in a population of diabetic patients.Methods: It was a descriptive study conducted from March to September 2017 on 122 diabetics hospitalized at the National Institute of Nutrition. The SM is defined according to the IDF 2005 criteria. All patients underwent careful questioning, a complete clinical examination with anthro...

ea0063ep60 | Diabetes, Obesity and Metabolism | ECE2019

Kidney failure without proteinuria in a population of diabetic women: can we incriminate diabetes?

Jemai Chaima , Hajer Kandara , Mahdi Kalthoum Med , Maram Mosbeh , Emna Feleh , Hana Belhadj , Manel Jemel , Ines Kammoun

Introduction: The pathophysiology of diabetic nephropathy is characterized by proteinuria which often precedes the decline in creatinine clearance. The objective of our study was to describe the clinical and metabolic characteristics of a population of diabetic femele patients with renal failure without proteinuria.Methods: This is a retrospective study that included 37 diabetic women who had been hospitalized at the National Institute of Nutrition of Tu...

ea0063ep61 | Diabetes, Obesity and Metabolism | ECE2019

Comprehensive approach towards pediatric diabetes management: policy initiatives in developing country

Pal S , Roy T , Gupta G

Issues: In developing nations diagnosis of diabetes brings mental-trauma/depression in family. Focused treatment for pediatric age-group is unavailable in developing-countries. 26% of diagnosed diabetics are children’s. Adequately trained physicians/Nurses in issues of pediatric-diabetes provide continuity of care, relief from depression and smooth transition from diagnosis to treatment. Qualitative collaborative relationship between these makes diabetics life bearable. O...

ea0063ep62 | Diabetes, Obesity and Metabolism | ECE2019

Impact of the month of Ramadan on the metabolic profile of non-fasting diabetic patients

Odiki Lygie Sephora Kibhat , Aziz Siham El , Chadli Asma

Introduction: Ramadan is the 9th month of the Islamic calendar, where Muslims are fasting from dawn to sunset. The diabetic patient is exposed to multifactorial risks. Few studies have examined the effect of Ramadan on non-fasting people. The objective of our study was to determine the effects of the fast on the metabolic profile of non-gambling diabetic patients.Patients and methods: Prospective study including 50 non-fasting patients recruited within t...

ea0063ep63 | Diabetes, Obesity and Metabolism | ECE2019

Correlation of body composition and glycemic profile of diabetic patients

Sephora Lygie , Odiki Kibhat , Aziz Siham El , Bensbaa Salma , Chadli Asma

Introduction: The incidence of diabetes mellitus is increasing worldwide and is a major public health problem. The aim of our study was to determine the relationship between fat and visceral mass with the glycemic balance of diabetic patients.Patients and methods: A prospective study, conducted over 9 months from March to December 2018, in the endocrinology department of Ibn Rochd University Hospital of Casablanca, in 75 patients with type 2 diabetes and...

ea0063ep64 | Diabetes, Obesity and Metabolism | ECE2019

Intensive treatment for obesity at our hospital

Matsuura Bunzo , Senba Hidenori , Yamamoto Shin , Miyake Teruki , Furukawa Shinya , Hiasa Yoichi , Watanabe Yuji

Since 2006 at our hospital, lifestyle modification, such as diet and exercise, for obese patients has been provided through a team approach with a physician, dietician, physical therapist and psychologist. From 2016, a surgeon, anesthesiologist and nurse were added to the team for metabolic/bariatric surgery. The aims of this study are to clarify the effectiveness and problems of lifestyle modification, and to clarify the characteristics of patients who transferred for surgica...

ea0063ep65 | Diabetes, Obesity and Metabolism | ECE2019

Addressing issues of diabetes patients community: evaluation in resource poor settings

Pal S , Roy T , Shastri V

Issues: Adolescent diabetes social stigma in India. Such diabetics needs proper guidance/information/treatment-counselling outlets. This is burning issue in developing-nations like India. Hence we all need to unite & form a comprehensive diabetes care & counselling policy plan at ECE conference. Treatment options must be suitable for developing-nations considering cost of Rx. Incorporating NGO’s in such efforts is very effective.Our Project ...

ea0063ep66 | Diabetes, Obesity and Metabolism | ECE2019

Whole-body insulin resistance (WBIR) evolving in four stages and its evolutionary effect on the body weight

Lee Song Jae , Kim Whanwoo , Shin Sang Won

Insulin resistance (IR) may be defined as the physiological condition, in which insulin signaling is somehow deranged somewhat irreversibly such that insulin is of little use to cells or tissues. Specific roles of insulin are quite different in the muscle tissue, adipose tissue, and liver. Accordingly, detailed aspects of IR would be very tissue-specific. Meanwhile, IR may develop first in the muscle tissue with a relatively low cell turnover and then progress, in sequence, to...

ea0063ep67 | Diabetes, Obesity and Metabolism | ECE2019

Vitamin D as a predictor of insulin resistance in PCOS

Farih Salma , Ongoth Farel Elilie Mawa , Latrech Hanane

Introduction: PCOS is the most common female endocrine disorder with a prevalence of approximately 5–10% in women of reproductive age. PCOS includes hyperandrogenic features, infertility and insulin resistance among others. Lately, Vitamin D has been involved in the etiology of various disorders.Objective: The aim of our study is to define the role of vitamin D as an etiological and predictive factor in PCOS.Materials and meth...

ea0063ep68 | Diabetes, Obesity and Metabolism | ECE2019

Lack of definite association of vitamin D deficiency with diabetic neuropathy: Investigation in Greek and in Bangladeshi patients

Papadakis Georgios , Zambelis Thomas , Kokotis Panagiotis , Karandreas Nikolaos

Aim: Determination of the 25(OH) vitamin D levels in Greek-born and in Bangladeshi immigrant patients in Greece with diabetes with and without polyneuropathy.Materials and methods: The method for the detection and staging of polyneuropathy proposed by Dyck, 1988 was used.Results: A total of 111 Bangladeshi immigrants and 101 Greek diabetic patients took part in the study. Vitamin D levels were significantly lower in Bangladeshi tha...

ea0063ep69 | Diabetes, Obesity and Metabolism | ECE2019

Multiple causes of hyponatremia, which one is the most severe? – case report

Jakubikova Iva , Pelikanova Terezie

Introduction: Hyponatremia is a frequently encountered electrolyte disturbance in clinical practice. The etiology should be searched and revisited properly to be able to guide the appropriate management.Case-report: A 39-years old woman with type 1. diabetes since childhood, after combined pancreas-kidney transplantation with good stable functions of both organs, was admitted to our internal ward for overall fatigue, fever, unspecific abdominal pain with...

ea0063ep70 | Diabetes, Obesity and Metabolism | ECE2019

Influence of obesity on glycemic balance in type 2 diabetics

Mizouri Ramla , Rezgani Imen , Khiari Marwa , Boukhayatia Fatma , Hatira Yosra , Temessek Aroua , Mami Faika Ben

Introduction: Obesity poses a significant health risk and is linked to several comorbidities, including diabetes. The aim of our study was to evaluate the impact of obesity on glycemic control in type 2 diabetics.Methods: It was a descriptive and analytical study, conducted in 200 diabetic patients hospitalized at the National Institute of Nutrition of Tunis. Each patient received a biological assessment including glycated hemoglobin (HbA1c) and a glycem...

ea0063ep71 | Diabetes, Obesity and Metabolism | ECE2019

Multidisciplinary approach for diabetes management: developing nations healthcare model

Chaturvedi Manju

Background: This is a patient advocacy effort by a Non-government-Organization from developing nation. In addition to drug treatment, patients’ improvement in health status and quality of life may depend on their ability and willingness to adhere to all their therapies and undertake self-care activities.Methodology: Traditionally, life style changes have been promoted through hospital delivered interventions. However, to reach larger number of peopl...

ea0063ep72 | Diabetes, Obesity and Metabolism | ECE2019

Nutritional support in diabetic gastroparesis

Rivero Daniel Medina , Gavira Isabel Maria Mateo , Escandon Laura Larran , Lopez Francisco Javier Vilchez , Diosdado Manuel Aguilar

Woman, 40 years old. Smoker and habitual drinker, history of toxic consumption, anxiety-depressive syndrome, postsurgical hypothyroidism after total thyroidectomy for multinodular goiter in substitution treatment. Diabetes mellitus type 1 diagnosed in 2001 as a result of pregnancy, unstable, with poor chronic glycemic control, requiring frequent admissions to our hospitalization plant due to episodes of ketoacidosis. It requires high insulin requirements and does not present m...