Endocrine Abstracts

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: The advent of insulin analogs has significantly reduced the undesirable effects of human insulin, particularly hypoglycemia. Beneficial effects on the lipid balance have also been described. The aimof our study was to describe the evolution of the lipidic parameters after the switch on insulin analogs.Patients and Methods: This is a longitudinal retrospective study about 61 patients with type 2 diabetes, switched to insulin analogs since at...

Dyslipidemia is a frequent pathology, especially in diabetics, which may require the use of lipid-lowering drugs such as statins. Our goal is to determine the impact of these molecules on the metabolic profile of a diabetic population with dyslipidemia.Methods: This is a retrospective study including 150 patients followed at the Tunis nutrition institute for diabetes and dyslipidemia.Results: The average BMI was 31.4 ± 6.1 kg/...

Introduction: Diabetic neuropathy is a degenerative complication of diabetes mellitus which can be restrictive. The objective of our work is to determine the prevalence of this complication in a type 2 diabetic population as well as its different risk factorsMethods: This is a retrospective study including 100 Tunisian type 2 diabetic patients followed up in the ‘C’ department at the National Nutrition Institute in Tunis.<p class="abstext...

Objective: Diabetic ketosis is very often a reason for emergency consultation in diabetics. The objective of our study was to assess the etiologies of ketotic decompensations in diabetics.Methods: It was a descriptive cross-sectional study of 80 diabetics hospitalized at the National Institute of Nutrition for ketotic decompensation. Each patient underwent a clinical examination with a standard biological assessment.Results: The av...

Introduction: Pseudoxanthoma elasticum (PXE), a multisystem heritable disorder, is characterized by ectopic mineralization of soft connective tissues. It is an autosomal recessive disorder in which mutations in the ABCC6 gene result in low levels of inorganic pyrophosphate (PPi).In its classic form, PXE is a late-onset, slowly progressing disease, and the major clinical problems relate to development of vascular complications, including hypertension, int...