Endocrine Abstracts

Introduction: Diabetes in the elderly is often accompanied by other comorbidities, particularly dyslipidemia, which considerably increases the cardiovascular risk in these patients.

The aim of our work was to determine the lipid profile in elderly diabetic subjects.

Methods: This was a descriptive and analytical study carried out on 100 elderly type 2 diabetics hospitalized in our department for unbalanced diabetes. Each patient underwent a complete clinical examination, a biological assessment including the lipid assessment with a complete assessment of the impact of diabetes.

Results: The average age of our population was 69.36 years with a predominance of the age group ranging from 65 to 70 years (56%). There is a clear female predominance (74%). The average BMI was 26.7 kg/m². Only 14% of this population had a low socio-economic level. The majority had retained their autonomy (90%). The average duration of progression of diabetes was 15 years with an average HBA1c of 10.2%, of which 54% were on insulin therapy. The mean cholesterolemia was 4.89 ± 1.02 mmol/l, the mean triglyceridemia was 2.27 ± 1.22 mmol/l and the mean LDLemia was 2.24 ± 0.4 mmol/l. Our patients had isolated hypercholesterolemia in 11.2% of cases, hyper LD Lemia in 6.2% of cases and hypoHDLemia in 42.8% of cases. Isolated hypertriglyceridemia was noted in 14.8% of cases. Only 12% of our population had a correct lipid balance under treatment. The analytical study had not shown any positive association between the existence of dyslipidemia and the following factors: the level of HbA1c and the duration of diabetes.

Conclusion: Dyslipidemia is common in elderly diabetics, especially hypo-HDLemia and hypertriglyceridemia. Screening should be systematic and adequate management will prevent cardiovascular accidents.