Endocrine Abstracts

Introduction

The number of elderly diabetics continues to increase and represent a large and great fraction of the elderly and diabetics. Thus the objective of our study is to show the particularities in this population.

Materials and Methods

This is a retrospective study included 107 type 2 diabetic patients aged 65 years and older hospitalized in an Endocrinology-Diabetology and Nutrition department of Mohamd VI university hospital center oujda, over a period of 6 years. The data collection and analysis performed by SPSS V21.

Results

The average age of our patients is 72.5 ± 14% years, with a sex ratio of 0.55. The average duration of evolution is 10 ± 14% years. The reason for hospitalization was dominated by diabetic imbalance in 60% followed by simple ketotic decompensation in 20% of cases. Hypertension and dyslipidemia were present in 67% and 21% of patients respectively. Overweight and obesity were the most frequent abnormalities on clinical examination: 28% and 15% respectively. Mean HbA1c at admission was 10.3 ± 2.3%. Dyslipidemia in 35% of cases. 64% had macroangiopathy: Ischemic heart disease (35%), ischemic STROKE (12.3%), arteriopathy (5%), stroke (13%), 46% had microangiopathy: nephropathy (31%), retinopathy (20%), neuropathy (10%). Therapeutically, the majority of our patients were put on insulin: 65%, Hb1aC in 3 months was on average 8.2 ± 2%.

Discussion-Conclusion

The prevalence of diabetes in the elderly is steadily increasing, and management must be tailored to each patient’s individual profile, given the frequency of complications, co-morbidities, and high risk of hypoglycemia. R Gómez-Huelgas, F Gómez Peralta, L Rodríguez Mañas, F Formiga, M Puig Domingo, J J Mediavilla Bravo, C Miranda, J Ena. Treatment of type 2 diabetes mellitus in elderly patients, Rev Esp Geriatr Gerontol: Mar-Apr 2018;53(2):89 99. doi: 10.1016/j.regg.2017.12.003. D. Graillot V. Quipourt, B. Bouillet, J.-M. Petit, P. Manckoundia, Type 2 diabetes in the elderly: what specificities?, . La Revue de Médecine Interne – Volume 33, Issue 10–2012 doi: 10.1016/j.revmed.2012.06.001

Funding sources

No funding was received for this work.