ECE2024 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (383 abstracts)
Prevalence and characteristics of chronic obliterating arteritis of the lower limbs in a population of patients with type 2 diabetes
Nesrine Dhieb , Chaima Jemai , Maryam Cheikhrouhou , Chaima Sdiri , Zohra Hadj Ali , Olfa Lajili , Yosra Htira & Faika Ben mami
National Institute of Nutrition, Department C, Tunis, Tunisia
Introduction: Chronic obliterating arteritis of the lower limbs is common in patients with type 2 diabetes (T2D). Our aim was to determine the prevalence and characteristics in a tunisian population.
Methods: This was a cross-sectional study including 100 patients with T2D hospitalized in department C of the national institute of nutrition of Tunis. For each patient, we carried out a physical examination, we measured the systolic pressure index (SPI) and we retrieved biological parameters from medical records.
Results: Average age was 57.20±8.48 years. Women made up 74% of the population. 29% were smokers. Diabetes mean duration was 14.79±4.55 years. All patients were treated with insulin. The majority (70%) were on NPH insulin. Median BMI was 30.46 kg/m2; with extremes of 22.5 and 38.28 kg/m2. Mean HbA1C was 10,33% with extremes of 8 and 12%. Ischemic coronary artery disease and stroke was frequent by 10% and 3% respectively. The mean IPS was 0.86±0.12, with extremes of 0.4 and 1. The median value was 0.8. 18% of our population had chronic obliterating arteritis of the lower limbs. It was predominant in men (66.6%). All of these patients had hypercholesterolemia. Associated factors were smoking (P=0.03), BMI (P=0.008) and diabetic peripheral neuropathy (P<0.001).
Conclusion: Chronic obliterating arteritis of the lower limbs constitutes a risk factor for the development of diabetic foot ulcers. Early screening, smoking cessation and weight reduction to prevent this complication of reserved prognosis.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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