ECE2022 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (318 abstracts)
Tunisian Institute of Nutrition, The A Department of Diabetology and Nutrition, Tunis, Tunisia
Introduction: Type 2 diabetes is a chronic, silent disease. Patients with diabetes could experience complications during the evolution of their disease. We studied the presence of degenerative complications during the initiation of insulin.
Methods: Cross-sectional study including a group of patients with type 2 diabetes requiring a switch to insulin, hospitalized at the A department of Diabetology and Nutrition in the National Institute of Nutrition of Tunis between July 2021 and December 2021. The data was collected by consulting medical records.
Results: We included 50 patients with type 2 diabetes hospitalized for a switch to insulin, 44% were men, 56% were women, with an average age of 51 years, the averge duration of diabetes was 6 years, 10% had diabetes for less than a year. We found that 32% of the patients had diabetic retinopathy, 18% had diabetic nephropathy, 40% had diabetic neuropathy, 10% had a history of stroke, 2% had a history of transient ischemic attack, 20% had a coronary diseace, 4% suffered from chronic obliterative arterial disease of the lower limbs.
Conclusion: In our study degenerative complications were present during the initiation of insulin. This could be explained by the therapeutic inertia in type 2 diabetes. The switch to insulin when indicated is necessary to prevent degenerative complications of diabetes.