Management of chronic diseases in elderly diabetics

Mouna Elleuch; Wissal Ghamgui; Salah Dhouha Ben; Lilia Affes; Mouna Mnif; Ftama Mnif; Nadia Charfi; Kacem Feten Hadj; Nabila Rekike; Mohammed Abid

doi:10.1530/endoabs.99.EP791

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Endocrine Abstracts (2024) 99 EP791 | DOI: 10.1530/endoabs.99.EP791

ECE2024 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (383 abstracts)

Management of chronic diseases in elderly diabetics

Mouna Elleuch , Wissal Ghamgui , Dhouha Ben Salah , Lilia Affes , Mouna Mnif , Ftama Mnif , Nadia Charfi , Feten Hadj Kacem , Nabila Rekike & Mohammed Abid

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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.