Endocrine Abstracts

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: The aim of diabetes treatment is to keep blood glucose levels as near to normal as possible. Training in self management of diabetes forms an essential part of diabetes management. Treatment should be agreed on an individual basiss and adress medical psychosocial and lifestyle issues. But how much diabetes patients are satisfaied about their treatment?Materials and Methods: Diabetes Treatment Satisfaction questionnaire (DTSQs</stron...

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...

Introduction: The glucose-6-phosphate dehydrogenase (G6PD) deficiency is the most common enzyme deficiency in humans. In red blood cells, the pentose phosphate pathway is the only source of nicotinamide adenine dinucleotide (NADPH), and defense mechanisms against oxidative damage are highly dependent on G6PD activity. The occurrence of acute haemolysis in patient with G6PD deficiency and diabetes has been reported and ascribed to various mechanisms. Her we report a case of pat...

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...