Endocrine Abstracts

Introduction: Elderly diabetics are often fragile patients at high cardiovascular risk. The medical, human and socio-economic impact of diabetes is heavy in the elderly. Symptoms in this particular population are often insidious and atypical, which can delay diagnosis and the establishment of effective treatment. Indeed, management is not always easy because it must take into account multiple parameters. The objective of our study was to study the observance and particularitie...

Introduction: Diabetes mellitus is a disease that is progressing at an alarming rate in the world. In the elderly, the symptoms are often insidious and atypical, which can delay the diagnosis and the establishment of effective treatment. Indeed, management is not always easy because it must take into account multiple parameters. The objective of our study was to study the clinico-biological and etiological profile of diabetes discovered after the age of 65 years.<p class="...

Background: Patients undergoing bariatric surgery have a higher prevalence of non alcoholic liver fatty disease (NAFLD) than the general population; however, its assessment and the accurate staging of fibrosis are often complicated because noninvasive tests are not very accurate in patients with morbid obesity, and liver biopsy cannot be performed as a routine exam. Aim: The aim of this study was to determine the prevalence of non alcoholic fatty liver d...

Objective: The objective of our study is to describe the lipid parameters of pregnant women with diabetes during the three trimesters of pregnancy.Materials and methods: This is a retrospective study that looked at 44 diabetic pregnant women. Clinical biological data were collected from medical records. The personal history of dyslipidemia, pathologies, and medications that may interfere with lipid parameters have been eliminated.R...

Introduction: Obesity exposes to multiple complications, including cardiovascular and metabolic ones. It can also cause respiratory problems, which are still insufficiently researched. The objective of this study was to detect respiratory abnormalities in a group of obese people followed in an obesity unit.Methods: This was a descriptive and analytical cross-sectional study of 100 obese patients consulting at the human obesity research unit of the Nation...

Introduction: The global pandemic spread of SARScov2 has led to a heavy medical and socio-economic toll since December 2019. Patients suffering from chronic diseases were particularly affected during the lockdown period due to difficulties in accessing care. The aim of our study was to evaluate the impact of the 2-month lockdown introduced in Tunisia in March 2020 on diabetic patients’ glycemic control.Materials and methodsRetrospective study involving 54 diabetic patient...

Introduction: Diabetes is the cause of ophthalmological complications that are all the more severe when the balance of diabetes is precarious. Among the non-retinal ocular targets of diabetes is damage to the optic nerve. The diagnosis of diabetic mononeuritis should only be made after excluding other causes of neuropathy.Observation: We report the case of a patient referred to our service for equilibration of diabetes. This is a 59-year-old patient, typ...

Obesity is a major public health problem. It is a privileged provider of a constellation of metabolic abnormalities, particularly lipids, increasing the risk of morbidity and mortality and hampering the quality of life of the obese.Material and methods: We conducted a prospective study on 100 obese patients recruited at the Human Obesity Research Unit at the National Institute of Nutrition in Tunis. Our patients benefited from an assay of fasting insulin...

Introduction: Diabetes mellitus is the leading cause of neuropathy worldwide. Non-retinal diabetic complications including oculomotor damage represent 1 to 3% of ocular manifestations of diabetes. The affected oculomotor nerves are essentially the external oculomotor nerve (VI), the common oculomotor nerve (III), and more rarely, the pathetic nerve (IV).Observation: We report the case of a patient referred to our department for additional management of r...

Introduction: The diabetic foot is a frequent, serious and costly complication of diabetes. The prevention of diabetic foot involves a systematic podiatric evaluation of diabetic patients to identify the foot at risk. The aim of our study was to determine the podiatric risk in a Tunisian diabetic population according to the classification of the International Working Group on the Diabetic Foot (IWGDF) and the factors associated with podiatric risk.Method...