ECE2019 ePoster Presentations Diabetes, Obesity and Metabolism (42 abstracts)
Institut National de Nutrition de Tunis, Tunis, Tunisia.
Introduction: Metabolic syndrome (MS) is a high-risk vascular risk situation. The aim of this study was to assess the prevalence of MS in a population of diabetic patients.
Methods: It was a descriptive study conducted from March to September 2017 on 122 diabetics hospitalized at the National Institute of Nutrition. The SM is defined according to the IDF 2005 criteria. All patients underwent careful questioning, a complete clinical examination with anthropometric measurements.
Results: The average age of our population was 52.4±7.3 years. The sex ratio was 0.96. All patients in our population were type 2 diabetics. The average waist circumference was 94.4±11.1 cm and the mean BMI was 28.8±4.8 kg/m2. The prevalence of MS was 65.2% with female predominance (71%). The mean BMI in this group was 31.5±4.8 kg/m2 and the average waist circumference was 103.1±9.9 cm. 45.1% of patients were hypertensive, 37.4% had hypertriglyceridemia and 21.6% had low HDLemia. In our population, 36.7% had a severe MS (defined by the presence of at least 4 criteria) and 6% of the patients met all the criteria of the MS. Microangiopathic degenerative complications of diabetes were present in 64.5% of patients with DM whose 54.8% of patients were in the renal failure stage, 53.2% had neuropathy and 32.2% had diabetic retinopathy. Of the macroangiopathic complications, 5.7% had a history of stroke, 4.9% had a history of MI, and 11.5% reported unexplained chest pain.
Conclusion: The consequences of the SM imply its effective diagnosis for a global management of the comorbidities detected. An adapted education program would contribute to better screening and case management.