Endocrine Abstracts

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...

IntroductionModerate hypertriglyceridemia is exceedingly common in diabetes, and there is growing evidence that it contributes to residual cardiovascular risk in statin-optimized patients. Added to lipid lowering drugs and lifestyle intervention, an optimal glycemic control is necessary. The aim of our study was to compare triglyceride levels in diabetic patients before and after initiating insulin therapy.Methods<p class="abst...

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...

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: Lipid abnormalities are frequent in type 2 diabetes. They increase the risk of cardiovascular events, morbidity and mortality in these patients. The aim of this study was to determine the lipid profile in patients with diabetes during hospitalization.Method: We conducted a prospective study in the department of diabetology in the National Institute of Nutrition in Tunis from October 2021 to January 2022. This work was carried out on the med...

Introduction: Diabetes balance is associated with a reduction in mortality and in cardiovascular risk in patients with diabetes 1,2. The aim of this study was to determine the causes of chronic diabetes imbalance in hospitalized patients with diabetes.Methods: A cross-sectional study was conducted in a department of diabetology at the Institute of Nutrition of Tunis during 3 months (from September 2021 until December 2021). Patients hospitaliz...

Introduction: The chronic hyperglycemia related to inadequately controlled diabetes is involved in the onset of degenerative complications, responsible for disabilities. The objective of the present study was to determine the long-term complications observed in hospitalized patients with diabetes.Methods: We used a prospective study conducted in the department of diabetology in the National Institute of Nutrition (Tunisia). This work was carried out on t...

Introduction: Diabetes is a chronic disease. Its management may require frequent hospitalization. The aim of our study was to determine hospitalization reasons in the diabetic department of The National Institute of Nutrition of Tunis.Method: It was a prospective study conducted in the department of diabetology in the National Institute of Nutrition in Tunis for three months. The study was carried out on the medical records of hospitalized patients.<...

Introduction: The metabolic syndrome is associated with an increased cardiovascular risk. The objective of our study was to describe the metabolic profile of postmenopausal diabetic women and to investigate a link between menopause and metabolic syndrome.Methods: A retrospective study of 30 postmenopausal women with type 2 diabetes was performed in the Nutrition C department of the national institute of Nutrition Tunisia between January and March 2022.</...