Endocrine Abstracts

Introduction: Diabetes is a real problem of public health. One of the main preoccupations that arises from it are the cardiovascular complications that are associated to it. In our context, the socioeconomic conditions and the isolation of certain regions constitute a brake that cannot be neglected in the diagnosis, the observance of the treatments and the regular supervision. The aim of this study is to raise the particularities related to the cardiovascular risk factors in the population of a rural region.

Patients and method: Transversal descriptive study, realized on a health campaign day in the rural region of Imessouane (82km far from Agadir) and concerning diabetic patients of the region. The anthropometric parameters, the glycemic balance and the cardiovascular risk, using the NHAES score, have been evaluated.

Results: The average age was 52.2 years with a feminine predominance. Type 2 diabetes has been found in 98.4% of the cases, the average duration of the diabetes was 5.1 years. Also, 72.9% of the diabetic patients were under oral treatment and 72.9% consulted a doctor regularly for their diabetes. The average glycated hemoglobin was 7.9%. The hypertension and the dyslipidemia were found in 29% of the cases. The patients had a regular physical activity in 68% of the cases. The cardiovascular risk was above 30% in 31.4%.

Discussion: The access to healthcare keeps being a real problem, especially in the remote areas. The progress of this day enabled as well to evaluate the epidemiological and clinical characteristics of these patients, having access to unique sociodemographic and epidemiologic data as there are almost no studies done in remote areas. The glycemic balance stays precarious as the follow-ups are non-sufficient. In our rural population, very active by their agricultural activities, the cardiovascular risk is lower than some similar studies done in the same conditions but to a more sedentary population.