Endocrine Abstracts

Introduction: Diabetes balance is associated with a reduction in mortality and in cardiovascular risk in patients with diabetes ^1,2. The aim of this study was to determine the causes of chronic diabetes imbalance in hospitalized patients with diabetes.

Methods: A cross-sectional study was conducted in a department of diabetology at the Institute of Nutrition of Tunis during 3 months (from September 2021 until December 2021). Patients hospitalized for an imbalanced diabetes were included. ResultsWe included 65 patients. The sex ratio (M/F) was 0.66. Among patients included,84.6% were type 2 diabetics, while 15.4% were type 1 diabetics. The mean age was 55.04±16.69years [16-87]. The mean Body Mass Index (BMI) was 29.09 ±6.95 kg/m² [16.63- 51.14]. The mean glycated hemoglobin (HbA1c) level was 10.88% ±1.6 [7.5 -14]. The Mean hospital stay was 5.07±2.53 days [2 -15]. Almost all the patients (92.3%) were receiving insulin. Diet deviation and therapeutic errors were found respectively in 64.6% and 40% of patients with chronic diabetes imbalance. Poor compliance and skipped injections were found in 26.2% of patients. Lipodystrophies were found in 10.8% of cases. Symptoms of insulinopenia were found in 26.2% of patients. Infections were documented in 6.2% of patients among whom urinary infections were found in 77.4% of cases. Improper handling of insulin was found in 3% of patients.

Conclusion: Any diabetes service should provide highly structured diabetes education program to help people with diabetes learn basic information about diabetes and its management, adopt healthy eating habits through nutrition education, including meal-planning.References1. Arnold LW, Wang Z. The HbA1c and All-Cause Mortality Relationship in Patients with Type 2 Diabetesis J-Shaped: A Meta-Analysis of Observational Studies. Rev. Diabet. Stud. RDS. 2014;11 (2):138-52. 2. Cavero-Redondo I, Peleteiro B, Álvarez-Bueno C, Rodriguez-Artalejo F, Martínez-Vizcaíno V. Glycatedhaemoglobin A1c as a risk factor of cardiovascularoutcomes and all-cause mortality in diabetic and non-diabeticpopulations: a systematicreview and meta-analysis. BMJ Open. 1 juill2017; 7 (7):e015949.