Endocrine Abstracts

Objective: Old age represents a real factor for many co-morbidities dominated by metabolic disorders and cardiovascular disease and, which are the major challenges of health. Diabetes in the elderly is the sixth leading cause of mortality at this age. Our study has the objective to assess the Cardio Metabolic profile among patients with type 2 diabetes in hospital environment.

Methods: It is a descriptive study conducted on 300 diabetics type 2, over 65 years of age, followed in our unit, during the period between April 2016 and October 2017.

Results: The average age was 71 ±6.7 years (65–92) with a predominance of women (59.3%). Diabetes was unbalanced in 44.3% of patients with a duration exceeding 5 years in 70% of patients. All the subjects of our study have had degenerative complications like a type of microangiopathies: retinopathy (31%), neuropathy (50.3%) and nephropathy (40%), or a type of macroangiopathies (48.6%). In these patients the other cardiovascular risk factors found was: dyslipidemia (50.3%), hypertension (63.6%), smoking exclusively observed in male patients (14%), android obesity (21.3%), diabetic nephropathy (40%). A personal history of cardiovascular accident has been noted among 48.6% of our patients. The frequency of the metabolic syndrome diagnosed according to the criteria of the IDF (International Diabetes Federation) 2005 was 48%.

Discussion: The risk of cardiovascular diseases is increasing in parallel with age. The therapeutic preventive strategy requires a good medical management of diabetes and various associated risk factors. This study has shown that the association to cardiovascular risk factors is frequent among the elderly diabetics, which alters their quality of life and aggravates the functional and vital prognosis requiring a multidisciplinary coverage while knowing that the objectives and the therapeutic modalities will be adapted according to the patient the metabolic and age status.