Endocrine Abstracts

Introduction: The aim of diabetes treatment is to keep blood glucose levels as near to normal as possible. Training in self management of diabetes forms an essential part of diabetes management. Treatment should be agreed on an individual basiss and adress medical psychosocial and lifestyle issues. But how much diabetes patients are satisfaied about their treatment?Materials and Methods: Diabetes Treatment Satisfaction questionnaire (DTSQs</stron...

Introduction: The prevalence of diabetes has risen in recent years, leading to a growing number of travellers with diabetes. While travel can be therapeutic, it poses specific challenges for diabetic patients, requiring meticulous precautions.Objective: To assess the occurrence of complications during travel and diabetes control after travel.Methods: Cross-sectional study using a questionnaire, including out-patients with type 1 (T...

Introduction: Fasting during Ramadan is an obligatory practice for adultMuslims. Although exemptions exist in certain conditions, including diabetes, the majority ofdiabetic patients fast despite this concession with the risk of complications mainly hypoglycemic accidents.The aim of this study is to establish the relationship between hypoglycemic accidents and drug treatment, therapeutic education, clinical and biological characteristics oftunisian diabe...

Introduction: The glucose-6-phosphate dehydrogenase (G6PD) deficiency is the most common enzyme deficiency in humans. In red blood cells, the pentose phosphate pathway is the only source of nicotinamide adenine dinucleotide (NADPH), and defense mechanisms against oxidative damage are highly dependent on G6PD activity. The occurrence of acute haemolysis in patient with G6PD deficiency and diabetes has been reported and ascribed to various mechanisms. Her we report a case of pat...

Introduction: Insulin therapy ( IT) in type 2 diabetes( T2D) is an integral Pharmacologic Approache because of the progressive nature of the disease. Insulin improves glycemic control and reduces the risk of microvascular complications. It’s however associated with weight gain as a side effect which promotes insulinoresistance and cardiovascular morbi–mortality.In this work we evaluated long–term weight gain in insulin–treated pat...

Introduction: Diabetes is the leading cause of end-stage renal disease in Europe (12 to 30%). In the United States, it is the cause of more than half of the cases of this disease. Renal disease is a cardiovascular morbidity and mortality preacher which is three times more common in diabetic patients with diabetic nephropathy (DN). The aim of our study was to describe the factors of cardiovascular risk associated with ND in a group of type 2 diabetes (T2D) Tunisians.<p clas...

Background: Aging patients with type 2 diabetes mellitus have a higher risk of developing hypoglycemia. Many studies show the effect of beta-blockers in hiding hypoglycemia symptoms and therefore the occurrence of a severe hypoglycemia. These agents are commonly used in diabetic patients with coronary heart disease. The aim of this study was to assess whether the use of beta-blockersdeteriorates the glycemic control.Methods: We conducted a retrospective ...

Introduction: Hyperuricemia is associated with an increased risk of cardiovascular diseases. The aim of this study was to examine the relationship between lipid profile and blood uric acid levels in an adult population with obesity.Methods: Retrospective study including 200 patients with obesity who consulted the Obesity Unit of the National Institute of Nutrition in Tunis in 2021. Data were collected from patients’ medical records. The lipid profil...

Background: The management of diabetic foot starts with prevention, mainly based on the early detection of peripheral neuropathy and peripheral arterial disease, called podiatric risk assessment. This risk must be evaluated in all type 2 diabetics since the discovery. The aim of this study was the assessment of diabetic foot ulcer risk according to International Working Group on the Diabetic Foot (IWGDF) and the identification of risk factors for developing foot lesions.<p...

Background: The management of gestational diabetes mellitus (GDM) is based on nutrition therapy associated to insulin therapy in second intention if glycemic targets are not achieved. The aim of this study was to assess predictive factors of insulin requirement in a group of pregnant women with GDM.Methods: We conducted a retrospective study at the Outpatient Department and functional explorations, in the National Institute of Nutrition of Tunis, between...