Endocrine Abstracts

Introduction: Alone or associated with other vascular risk factors, diabetes is responsible for heavy morbidity and mortality all over the world.

Objective of the Study: To stratify diabetic patients according to cardiovascular risk anddetermine the elements that increase this risk.

Materials and Methods: Retrospective, cross-sectional and descriptive study of patients followed in the endocrinology, diabetology and metabolic disease department of CHU IBN Rochd in Casablanca, The cardiovascular risk was assessed according to the recommendations of theEuropean Society of Cardiology (ESC), European Association for the Study of Diabetes (EASD) on diabetes and prediabete.

Results: Our study involved 557 diabetic patients, with an average age of 51.19 years, with a female predominance in 64% of cases. Among our patients; 79% had type 2 diabetes and 21% had type 1 diabetes. Mean HbA1c was 10.3%. For associated cardiovascular risk factors; 42% were hypertensive, 29% dyslipidemic, 16% were smokers and 30% had obesity. Regarding the degenerative complications of diabetes, 16% of cases already presented a cardiovascular event and 34% of patients had microangiopathy (10% nephropathy and 24% diabetic retinopathy). In our series, 40% were at very high risk, 39% at high risk and 21% had a moderate cardiovascular risk. In patients who were at very high cardiovascular risk, this was mainly linked to organ damage and the age of diabetes or the fact that diabetes was associated with another cardiovascular risk factor.

Conclusion: Our study has shown that the cardiovascular risk in diabetic patients is strongly linked to degenerative complications, hence the interest of their early detection and the use of the choice of anti-diabetics which have demonstrated better cardiovascular and renal prevention. .