Endocrine Abstracts

Introduction: Fasting during Ramadan is an obligatory practice for adult Muslims. Although exemptions exist in certain conditions,including diabetes, the majority of diabetic 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 of tunisian diabetic patients during ...

Introduction: In Tunisia, the prescription of insulin analogs is increasingly « automatic » by practicians, convinced by this treatment superiority over human insulin in diabetes management. The aim of our study is to determine whether the analogs prescription modalities and advantages are known by the patients, and to assess the factors associated with this knowledge.Patient and Methods: We conducted a retrospective study including 65 diabetic...

Introduction: High blood pressure and type 2 diabetes are two pathologies that are often closely linked. The objective of our work is to determine the prevalence of hypertension and its effects on degenerative complications in a type 2 diabetic population.Methods: This is a retrospective study including 147 patients, followed at the Tunis National Institute of Nutrition for type 2 diabetes and comorbidities.Results: The mean age of...

IntroductionInsulin therapy can lead to obesity which can affect the comorbidities of the type 2 diabetes. Should we consider the body mass index (BMI) before prescribing it?MethodsOur study is prospective, randomized and comparative.We recruited patients with type 2 diabetes hospitalized for a switching to insulin in the C department of diabetology and nutrition at the National Nutrition Institute in Tunis, ...

IntroductionDiabetic retinopathy is a serious complication of type 2 diabetes, which compromise the visual function and impair the quality of life of these patients. A rapid lowering of blood glucose especially when starting insulin therapy can worsen this retinopathy. We studied the variation of the initial daily insuline dose in the presence of diabetic retionopathy.MethodsOur study is prospective randomize...

IntroductionUncontrolled patients with oral antidiabetics may require injectable treatment including insulin. We studied the variation of the initial daily insuline dose with the duration of diabetes.MethodsWe conducted a prospective randomized study. We recruited patients with type 2 diabetes hospitalized for a switching to insulin in the C department of diabetology and nutrition at the National Nutrition In...

Background: Amputation is the major complication of diabetic foot. The aims of our study were to assess prevalence of amputation in a group of long-standing type 1 diabetic patients and to determine its risk factors.Methods: We conducted a cross-sectional study including type 1 diabetic patients followed at the National Institute of Nutrition of Tunis. All patients had a duration of diabetes ≥ 20 years. Clinical and biological data were collected f...

Introduction: Data from literature suggest that combination of autoimmune diseases may have a major physical and psychological impact on type 1 diabetic patients. The aim of our study was to assess the impact of autoimmune thyroiditis on diabetic retinopathy.Methods: We conducted a descriptive observational retrospective study of type 1 diabetic patients, followed at the National Institute of Nutrition and Food Technology of Tunis, between December 2019 ...

Background: While sexual dysfunction in men with type 1 diabetes is well known, sexual dysfunction in women remains a neglected issue. The aim of this study was to assess the sexual quality of life (SQOL) of women with long-standing type 1 diabetes.Methods: We conducted a cross-sectional study of women followed at the National Institute of Nutrition and Food Technology of Tunis. We included women with type 1 diabetes for 20 years or more. Women who were ...

Background: Lower extremity artery disease (LEAD) is a common complication of diabetes, with increasing prevalence with duration and/or the coexistence of other cardiovascular risk factors. The Ankle-brachial index (ABI) is the first diagnostic step after clinical examination, for screening and diagnosis of LEAD. The aim of our study was to evaluate the ABI in a group of long-standing type 1 diabetic patients.Methods: We conducted a cross-sectional study...