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Endocrine Abstracts (2020) 70 EP251 | DOI: 10.1530/endoabs.70.EP251

Institut National de Nutrition de Tunis, Service C, Tunisia


Objective: Diabetic ketosis is very often a reason for emergency consultation in diabetics. The objective of our study was to assess the etiologies of ketotic decompensations in diabetics.

Methods: It was a descriptive cross-sectional study of 80 diabetics hospitalized at the National Institute of Nutrition for ketotic decompensation. Each patient underwent a clinical examination with a standard biological assessment.

Results: The average age of the patients was 58.36 years with a male predominance (54%). Diabetes was type 2 in 82% of the cases. The average duration of diabetes was 13.87 ± 4.5 years of which 80.8% were on insulin therapy. The mainly found decompensation factor was an infection observed in 48% of cases. It was a bronchopulmonary infection in 36% of the cases and a urinary tract infection in 32% of the cases. Therapeutic non-compliance or discontinuation of treatment was observed in 22% of the cases. An inaugural ketosis was found in 19% of the cases and an error in the injection sites was found in 3% of the cases. Excessive deviation from diet was noted in 1% of patients. The rest of the cases remain unexplained.

Conclusion: A good education is always beneficial for the diabetic in order to survive with his chronic illness away from complications and stressful situations.

Volume 70

22nd European Congress of Endocrinology

Online
05 Sep 2020 - 09 Sep 2020

European Society of Endocrinology 

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