Cardiovascular risk in type 1 diabetes

Arem Marwa El; Amor Bilel Ben; Hanene Sayadi; Ines Khochteli; Ekram Hajji; Hela Marmouch; Sana Abid; Ines Bayar

doi:10.1530/endoabs.99.EP845

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Endocrine Abstracts (2024) 99 EP845 | DOI: 10.1530/endoabs.99.EP845

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

Cardiovascular risk in type 1 diabetes

Marwa El Arem , Bilel Ben Amor , Hanene Sayadi , Inès Khochteli , Ekram Hajji , Héla Marmouch , Sana Abid & Ines Bayar

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Hospital Fatouma Bourguiba, Endocrinology

Objectives: The aim of our work is to evaluate the prevalence of cardiovascular risk factors in type 1 diabetics aged between 10 and 20 years.

Patients and methods: Retrospective study including 54 type 1 diabetic patients, followed at the endocrinology department of Fatouma Bourguiba hospital of Monastir during the year 2023.

Results: The mean age was 34.3 ±1.33 years with a female predominance (sex ratio=F/H) =2. they were all poorly balanced with a mean HbA1C=10.7±2.7%. the mean BMI was 22.8 ± 3.7 kg/m², with overweight observed in 12.9% and no patient was obese. the prevalence of smoking and hypertension were 16.4% and 7.3% respectively. The lipid profile showed LDL>1 g/l in 31% and hypoHDL-haemia in 31.4%. Diabetic nephropathy was found in 20% of patients, only one of whom had stage 4 renal failure. Diabetic retinopathy was found in 38.2%, half of whom had proliferative DR. Cardiovascular problems were mainly ischaemic heart disease (10.9%). Only one patient suffered a stroke.

Conclusion: These results suggest that after a decade of evolution, a diabetic accumulates several cardiovascular risk factors. This underlines the importance of comprehensive management of glycaemic control and other cardiovascular risk factors to improve cardiovascular morbidity.