Endocrine Abstracts

Introduction: High blood pressure (HBP) is a public health problem because it is a major cause of global morbidity and mortality. Antihypertensive therapy has evolved significantly in recent years to reduce the number of tablets to improve adherence therapy.Purpose of our work: The purpose of our work was to estimate the risk of non-compliance with antihypertensive treatments for a population of hypertensive and diabetic patients, by using a validated ca...

BackgroundDiabetes is often associated with other cardiovascular (CV) risk factors such as dyslipidemia, wich increases the risk of degenerative disease and contributes to elevate morbi-mortality in these patients. The aim of this study was to assess the CV risk level of diabetic patients and to determine the rate of lipid targets achievement.Methodsit was a descriptive cross-sectional study including 100 dia...

IntroductionInsulin therapy in gestational diabetes (GD) is the second line of therapy after failure of diet rules (DR). The aim of our study was to determine the predictive factors for switching to insulin in gestational diabetes.MethodThis is a descriptive cross-sectional retrospective study, including 82 patient files followed at the gestational diabetes unit of the National nutrition institute.<p clas...

IntroductionThe respect of dietetic rules constitutes the cornerstone of the management of gestational diabetes (GD). The aim of our study was to describe the spontaneous food intake in Tunisian women followed for GD.MethodsThis is a descriptive and retrospective study, including 82 patients followed at the gestational diabetes unit of the National Institute of Nutrition. We analyzed: age, pre-conceptional bo...

The pregnancies conceived after chemotherapy for trophoblastic neoplasia should be followed with clinical surveillance due to higher rates of some pregnancy complications especially when associated with diabetes mellitus. We report the case of a 30-year-old nulliparous woman, obese, had been diagnosed with type 2 diabetes mellitus for 10 years, without micro or macrovascular complications, treated by conventional insulin therapy, with a history of low-risk gestational chorioca...

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...

IntroductionTraditionally, there has been a stepwise introduction of glucose-lowering interventions, with the final ’step’ of insulin therapy being administered 10–15 years after diagnosis. Both patients and physicians are often reluctant to start insulin because of fears of painful injections, hypoglycemia, and weight gain. The aim of our study was to assess the effectiveness of initial basal insulin therapy on glycaemic control in type 2...

IntroductionWeight gain represents a considerable challenge in type 2 diabetes mellitus patients with insulin therapy and a frequent cause of delay in initiation of treatment with insulin. The aim of our study was to describe the features of diabetic obese patient when switching to insulin therapy.MethodsIt was a retrospective study which enrolled 61 patients with type 2 diabetes divided in two groups: patien...

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...