ECE2021 Audio Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (223 abstracts)
Taher Sfar University Hospital, Endocrinology Department, Mahdia, Tunisia
Introduction
The metabolic syndrome (MS) presents a major public health problem, especially in elderly diabetics. The objective of this study is to assess the frequency and characteristics of MS in elderly diabetics.
Patients and methods
Retrospective study of 94 diabetic subjects over the age of 65 years who were hospitalized in the endocrinology department of Mahdia or followed at the outpatient clinic between November and December 2020.
Results
The mean age was 71 ± 5 years with extremes of 65 and 90. The female predominance was remarkable. Almost all of our patients had type 2 diabetes. The mean duration of diabetes was 12 ± 8 years. MS was present in 74.6% of patients. In these patients, elements of MS other than diabetes were: hypertension in 24% of cases, hypoHDLemia in 18% of cases, hypertriglyceridemia in 42% of cases and android obesity in 54% of cases. One third of these patients presented with cardiovascular disease: myocardial infarction (18%), stroke (6%), arteritis of the lower limbs (10%) and significant carotid stenosis (1%).
Conclusion
Through our study, we found that MS is very common among elderly diabetics. Adequate management of these patients appears to be necessary in order to avoid cardiovascular morbidity and mortality.