Endocrine Abstracts

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...

Introduction: The American Diabetes Association (ADA) recommends an annual foot screening of patients podiatric risk for ulceration and amputation, to take effective preventive measures. However, the gradation of the podiatric risk remains insufficient, particularly in Tunisia, where epidemiological references remain missing. The aim of this study was to classify a population of diabetic patients according to the grade of podiatric risk by referring to the recommendations of t...

Introduction: Type 1 diabetes can be associated with one or more other autoimmune pathologies in case of predisposing immune background.The aim of our study was to research the autoimmune pathologies associated with type 1 diabetes and to describe the clinical and biological characteristics of this population.Patients and Methods: This is a retrospective descriptive study including 26 patients with type 1 diabetes with at least one...

Background and aim: Gestational Diabetes Mellitus (GDM) is the commonest medical pregnancy complication. Nutritional interventions come to the fore as one of the few levers for managing GDM, as many medications are either harmful to the growing fetus, or their toxicity is uncertain. The aim of this study was to assess the potential clinical features and nutritional risk factors of insulin treatment during GDM.Methods: This was a prospective study includ...

Background and aim : To determine clinical and metabolic predictors of persistant abnormal glucose tolerance in post partum after gestational diabetes mellitus (GDM). Methods: This was a prospective study including 150 patients with GDM who underwent 75g oral glucose tolerance test (OGTT) at 4-12 weeks after delivery. Results: The prevalence of abnormal glucose tolerance in post partum after GDM was 32,8 % ,...

Introduction: Type 1 diabetes affects the puberty and staturopondral development of young diabetics.Objective: Assess pubertal status in young DT1 patients and determine factors influencing pubertal development.Materiel and method: Retrospective study involving 89 type 1 diabetics aged ≤ 18 years hospitalized in the department C of the National Institute of Nutrition of Tunis between January 2022 and October 2022.<p class...

Background and Aim: Patients with diabetes mellitus(DM) are at increased risk of infections, with the urinary tract being the most frequent infection site. High rates of antibiotic prescription, including broad-spectrum antibiotics, for urinary tract infection (UTI) in these patients may further induce the development of antibiotic-resistant urinary pathogens. The aim of our study is to determine the epidemiology of UTI and resistance patterns of bacterial isolates in patients...

Background: Obesity is an expanding pathology in the world and in Tunisia. We conducted this study to assess the thyroid function in a population of obese women and to investigate the relationship of thyroid status parameters with clinical and metabolic parameters.Methods: This is a cross-sectional retrospective study about 50 obese women carried out at the obesity unit of department A of the National Institute of Nutrition in Tunis. We collected body ma...

Background: Shingles is dermatomal vesicular rash secondary to reactivation of latent varicella zoster virus. It is well recognized when it appears on the trunk, neck or face. Herpes zoster can be easily overlooked in case of dermatomal rash in lower extremity.Observation: A 32-year-old diabetic female was hospitalized for diabetic ketoacidosis. She had trouble walking because of painful rash on the plantar surface of the right foot. She reported the dev...

Introduction: Persons with diabetes may need to be hospitalized in order to improve diabetes balance. We aimed to evaluate the benefits from hospitalization in a diabetes department on glycemic parameters.Method: It was a descriptive cross-sectional study conducted on diabetic patients consulting for the first time after a hospitalization in the department (C) of the National Institute of Nutrition of Tunis for the management of a poorly controlled diabe...