ECE2024 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (383 abstracts)
Hedi Chaker Hospital, Sfax, Tunisia
Introduction: Tunisia is a country classified as high cardiovascular risk with a population tending towards aging and the appearance of chronic diseases.
Objective: Analyze the management of chronic diseases in elderly subjects with type 2 diabetes (T2DM)
Material and methods: This is a retrospective study of T2D patients hospitalized in the endocrinology-diabetology department of Hedi Chaker Sfax University Hospital between January and March 2023.
Results: We included 50 patients, with a median age of 69.5. The sex ratio (F/M)=1.7. The associated diseases were hypertension (74%) and hyperlipidemia (70%). The average number of tablets was 6.75±3 tablets/day. For diabetes, the treatment regimen includes oral antidiabetics (OADs) exclusively in 52% of cases, insulin in 26% of cases and mixed treatment in 22% of cases. Only 12% met the glycated hemoglobin targets (mean HbA1c=10.81±2.74). For hypertension, 68% were on ACE inhibitors, 34% on calcium channel blockers, 20% on diuretics and 18% on ARA2. Hypertension was uncontrolled in 68% of patients. For dyslipidemia, 68% of patients were placed on statins. LDL targets were not achieved in 76% of diabetic patients.
Discussion: We deduce that the elderly in Tunisia require intensification of education on hygienic and dietary rules and encouragement for the prescription of medicinal combinations.