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Endocrine Abstracts (2023) 90 EP332 | DOI: 10.1530/endoabs.90.EP332

ECE2023 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (355 abstracts)

Acute complications in incarcerated diabetics treated seen in the emergency room

Nezha Raki , Nassim Essabah Haraj , Siham El Aziz & Asma Chadli


UHC Ibn Rochd, Endocrinology, Diabétology, Nutrition and Metabolic, Casablanca, Morocco


Introduction: The management of a diabetic patient in a prison environment is often delicate, which explains the frequency of acute complications in diabetics during the period of incarceration.

Purpose of the study: Describe acute complications in incarcerated diabetic patients and to describe their management within the endocrinology and metabolic diseases department at the CHU IBN ROCHD in Casablanca.

Method: This is a retrospective descriptive study over a period of 2 years from January 1, 2020 to November 30, 2022, including diabetic patients who consulted for acute complications in the endocrinology department during their period of incarceration.

Results: During this study period, 86 detained diabetics consulted for acute complications. Among them, 6 were female (7%), against 80 male patients (93%). The average age of prisoners was 36, with an age range of 18 to 68. Among the population studied, 83.5% had at least one toxic history (tobacco, alcohol, cannabis and psychotropic drugs), most of the patients, i.e. 78.6%, were type 2 diabetics and 21.4% type 1 diabetics with an average duration of diabetes of 15.4 years, 63% of patients were on insulin therapy while 27.4% were on oral antidiabetics and 9.6% on no treatment. The most common reasons for consultation were diabetic ketosis in 54.6% of cases and major hyperglycemia in 42.3% of cases. Among the causes of decompensation, there was a predominance of respiratory infections (41.6%), urinary infections (28.4%) and diabetic foot (15.3%), discontinuation of treatment in particular insulin therapy in type 1 diabetics was involved in 12.4% of cases. Patient care required either hospitalization for a few days (on average 7 days) in 56.3% of cases, or day hospitalization in 31.5% of cases, while 12.2% of patients required only outpatient care. All patients benefited from therapeutic and nutritional education during the hospitalization period, with follow-up consultation thereafter.

Conclusion: Our study showed the high frequency of diabetes-related complications in people in prison. The development of specialized consultations, in particular by telemedicine, as well as therapeutic education are essential to improve the care of incarcerated diabetic patients.

Volume 90

25th European Congress of Endocrinology

Istanbul, Turkey
13 May 2023 - 16 May 2023

European Society of Endocrinology 

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