Endocrine Abstracts

Introduction: Primary biliary cirrhosis and autoimmune hepatitis are two chronic liver diseases. An overlap of the characteristic signs of these two conditions, determining an ‘Overlap syndrome’ can be seen. Type 1 diabetes can be associated with this syndrome due to the autoimmune predisposition.Observation: We report the case of a young type 1 diabetic patient referred to our service for additional management of a glycemic imbalance. This i...

Introduction: Diabetes is the leading cause of end-stage renal disease in Europe (12 to 30%). In the United States, it is the cause of more than half of the cases of this disease. Renal disease is a cardiovascular morbidity and mortality preacher which is three times more common in diabetic patients with diabetic nephropathy (DN). The aim of our study was to describe the factors of cardiovascular risk associated with ND in a group of type 2 diabetes (T2D) Tunisians.<p clas...

Introduction: Diabetic pregnancy is a high risk pregnancy. The objective of our study was to study the clinical-biological profile of pregnant women with gestational diabetes.Methods: It was a retrospective study of 82 pregnant diabetic women admitted to the day hospital of the National Nutrition Institute in Tunis for the management of gestational diabetes. All patients received regular follow-up until delivery.Results: The averag...

Background: Aging patients with type 2 diabetes mellitus have a higher risk of developing hypoglycemia. Many studies show the effect of beta-blockers in hiding hypoglycemia symptoms and therefore the occurrence of a severe hypoglycemia. These agents are commonly used in diabetic patients with coronary heart disease. The aim of this study was to assess whether the use of beta-blockersdeteriorates the glycemic control.Methods: We conducted a retrospective ...

Introduction: The prevalence of Gestational diabetes mellitus (GDM) has been increasing recently. Educating women of childbearing age about GDM, its risk factors and complications may help its prevention and improve its outcomes. Hence, the aim of this study was to assess the level of knowledge of Tunisian pregnant women about gestational diabetes, its risk factors and its consequences.Methods: We conducted a cross-sectional study among pregnant women wh...

Introduction: Diabetes mellitus, evolving as a silent epidemic, is a chronic metabolic disease associated with high morbidity and mortality among the patients. In addition to its micro and macrovascular complications as well as its impact on quality of life, evidence has shown that patients with diabetes mellitus are prone to poor sleep quality [1]. This study aims to evaluate the sleep quality (SQ) in patients with type 2 diabetes mellitus (T2DM) and to determine possible fac...

Introduction: Diabetic peripheral neuropathy (DPN) is one of the most common and early manifested complication in adults with type 2 diabetes leading to severe repercussions including foot ulcers, amputations and chronic pain. Furthermore painful diabetic neuropathy can also negatively impact a wide range of key human physiological processes including sleep disturbance [1]. The aim of our study was to determine the effect of neuropathic pain on sleep component.<p class="ab...

Introduction: Sleep and physical activity (PA) are crucial lifestyle components for primary prevention. Governments worldwide have aimed to promote regular PA among diabetic patients to prevent complications and reduce mortality rates. Furthermore, literature data suggests that physical activity contributes to an enhancement in sleep quality1. This study aims to assess the level of PA and the sleep quality (SQ) in adults with type 2 diabetes and analyze the correlat...

Introduction: Depression is a frequent pathology in elderly subjects, due to lifestyle changes, age and the high frequency of comorbidities. Our study aimed to assess the prevalence of depression in a group of elderly diabetics and to investigate its impact on diabetes control.Methods: This was a cross-sectional study, conducted in a group of 200 type 2 diabetic patients, aged 70 years or more. We screened for depression using the 15-point geriatric depr...

Introduction: The number of elderly diabetics is increasing in Tunisia. We aimed to describe, sociodemographic, clinical and evolutionary profile of elderly diabetic patients.Methods: Retrospective study of elderly diabetic subjects was carried out. Data were collected from patients’ medical records and by questioning during a direct interview with patients.Results: Twohundred patients aged 70 and over, were included. The aver...