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Endocrine Abstracts (2024) 99 EP1073 | DOI: 10.1530/endoabs.99.EP1073

national nutrition institute, Department of Nutritional Diseases D, Tunisia


Introduction: The number of elderly diabetics is increasing in Tunisia. We aimed to describe, sociodemographic, clinical and evolutionary profile of elderly diabetic patients.

Methods: Retrospective study of elderly diabetic subjects was carried out. Data were collected from patients’ medical records and by questioning during a direct interview with patients.

Results: Twohundred patients aged 70 and over, were included. The average duration of diabetes was 16.5±9.2 years. More than half of the patients were illiterate (53.5%) and 43.5% had a low socioeconomic level. Almost14.5% of diabetic elderly livedalone, 32% lived with spouses and 53.5% lived with their families. Smoking was reported by 22.5% of patients. The most frequent comorbidities were dyslipidemia, hypertension and obesity noted in respectively 88%, 76% and 40% of patients. The treatment of diabetes was insulin only or combined with oral antidiabetics in 75% of patients. The average HbA1c was 8,66% and 56,5% of subjectshad not reached their glycemic goals. Regarding the impact of diabetes, One-third of patients had at least one macroangiopathy. Concerning microangiopathy: retinopathy, neuropathy and nephropathy were noted in respectively 52.5%, 47% et 41% of patients.

Conclusion: In elderly people with diabetes, social fragility and precariousness, associated with numerous cardiovascular risk factors, make it challenging for clinicians to help them to achieve individualized therapeutic goals.

Volume 99

26th European Congress of Endocrinology

Stockholm, Sweden
11 May 2024 - 14 May 2024

European Society of Endocrinology 

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