Endocrine Abstracts

Introduction: Gestational diabetes mellitus (GDM) is the most common endocrinopathy in pregnancy. Its management is based on hygienic and dietary measures associated, if needed, with insulintherapy. Therapeutic goals must be quickly reached in order to limit complications. GDM has some therapeutic and progressive particularities which could alter the quality of life of patients. The aim of our study was to evaluate the nutritional intake of a population of women with GDM and t...

Objective: The aim of this study is to assess the balance of diabetes in patients taking insulin analogues based on a recent value for their glycated hemoglobin.Methods: 2915 diabetics were evaluated for the period from March to April 2019 with as inclusion criteria a recent glycated hemoglobin and a duration of insulin treatment analogues of more than one year.Results: Glycated hemoglobin is lower than 7 in only 8% of cases and gr...

Introduction: Pregnancy in case diabetes complicated by chronic renal failure is characterized by a very high maternal and fetal risk.Method: We report the case of a patient with diabetes and chronic renal failure at the hemodialysis stage who wishes to lead a pregnancy despite all the risks involved and of which she had been informed beforehand.Results: This is a 39-year-old patient, with type 1 diabetes for 26 years. Her diabetes...

Introduction: International recommendations prohibit fasting of the month of Ramadan in patients with diabetes, particularly unbalanced ones.The aim of our study was to describe the evolution of the glycemic balance in unbalanced diabetics with an HbA1C before the fasting greater than 10%.Patients and Methods: This is a descriptive evaluative study carried out on 25 patients with type 2 and with an HbA1C before fasting greater than...

Aim: The objective of our study is to describe the evolution of the parameters of the lipid balance after fasting in a population of diabetic women, and to determine if the BMI before the fast is associated with the variation of these parameters.Materials and methods: This is a prospective evaluative study conducted on 44 female patients with type 2 diabetes who have received prior education and therapeutic adjustment adapted according to the recommendat...

Introduction: After the fast of the month of Ramadan, the lipid balance of the elderly patients with diabetes can be modified. The aim of our study was to describe the evolution of the parameters of the lipid balance after the fast of Ramadan in a population of elderly diabetic subjects.Patients and methods: This is a prospective evaluative study conducted in a population of 20 patients with type 2 diabetes aged over 65 years. This population had benefit...

Introduction: Few studies have examined the adherence to anti–diabetic treatment in patients with diabetes during the fast of the month of Ramadan.The aim of our study was to describe the adherence to antidiabetic treatment in patients with diabetes before and during the fast.Patients and Methods: This is a descriptive and analytical study carried out on 140 diabetics who have fasted the month of Ramadan. The risk stratificat...

Introduction: The diagnosis of diabetes often precedes the onset of degenerative complications.Method: We report the case of a patient who had consulted for a poor foot plantar perforation evolving for 3 months before the diagnosis of diabetes.Results: He is a 57-year-old active smoking patient with a family history of diabetes and hypertension who presented to the emergency department of the Tunis National Nutrition Institute for ...

Introduction: Sensitive neuropathy is a degenerative complication of diabetes, precipitated by chronic glycemic imbalance. It is estimated that it is present in 50% of diabetics, and that it requires treatment in 10 to 20% of cases.This study aimedto assess the prevalence of sensitive neuropathy and to identify the factors associated with it in a population of patients with diabetes.Patients and Methods: This is a descriptive and a...

Aims: To assess the knowledge of diabetic patients on the health of their feetand to identify the associated factors with good knowledge, while providing podiatric advice.Methodology: It was a descriptive and analytical transversal prospective studyabout 100 diabetic patients (44 men, 56 women; age range 29–87 years). They had an evaluation of their knowledge on the diabetic foot, using a pre-established questionnaire as well as a metabolic evaluat...