Endocrine Abstracts

BackgroundHypoglycemia is a well-established as a serious paraneoplastic complication of hepatocellular carcinoma (HCC). However, hypoglycemia presenting the first presentation of HCC is not frequent. In this regard, we present the case of a patient who had hypoglycemia as first manifestation of HCC.ObservationA 55yearold man presented to the Emergency Department with loss of consciousness preceded by dizzine...

BackgroundPrimary hyperparathyroidism (PHPT) results from inappropriate overproduction of parathyroid hormone from one or more of parathyroid glands with consequent hypercalcemia. Medical therapy by bisphosphonates is indicated for patients contraindicated for surgical treatment or those with therapy failure. We report the observation of a patient receiving zoledronic acid for persistent PHPT and who developped bisphosphonate-related osteonecrosis of the...

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, ...

IntroductionOver the past decades, the prevalence of overweight, especially obesity, has steadily increased. This global scourge has affected all populations including that of medical students. The objective of our work was to determine the prevalence of this pathology in the population of future physicians and to study the factors associated with it.MethodsThis is a cross-sectional study including 120 medica...

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...

Introduction: Micronutrients are involved in numerous physiological processes at the cellular level. They play an essential role in the synthesis of neurotransmitters, crucial for the brain’s optimal functioning. The aim of our study was to determine the association between micronutrient intake and brain function in type 2 diabetic patients using a validated questionnaire.Methods: A descriptive analysis was conducted on 115 type 2 diabetics. Each pa...

Introduction: Unhealthy dietary habits, such as the consumption of fast food and carbonated beverages, are associated with various health risks. Given their significant role in society, teachers are a group of particular interest in the context of health-related concerns. This study aimed to assess the prevalence of fast food and carbonated beverage consumption among teachers and to explore the influencing factors of these habits.Methods: This cross-sect...

Introduction: Depression and type 2 diabetes are often associated, but until now their exact relationship has remained unclear. The aim of our work was to evaluate the prevalence of depression in type 2 diabetic subjects and to determine its impact on glycemic control.Methods: This was a descriptive cross-sectional study conducted in the National Institute of Nutrition. We included 400 type 2 diabetic patients. To assess depression, we used the Hospital ...

Introduction: Micronutrient deficiencies can contribute to the development or exacerbation of gastrointestinal disorders especially in type 2 diabetic patients. The aim of our study was to determine the effect micronutrient status on gastrointestinal symptoms in diabetic patients.Methods: We conducted a retrospective descriptive study. We included 115 type 2 diabetics patients. A dietary survey was conducted for each patient to determine nutrient intake....