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Endocrine Abstracts (2024) 99 EP1077 | DOI: 10.1530/endoabs.99.EP1077

Tunis, dapartment A, Tunis, Tunisia


Introduction: Hypertension is common in elderly diabetic patients, and is responsible for an increased cardiovascular risk and an acceleration of the degenerative effects of diabetes.

Objectives: To determine the characteristics of hypertension in elderly diabetic patients.

Patients and Methods: Descriptive study including 100 hypertensive type 2 diabetic patients aged >65 years followed up in department A of the national institute of nutrition in Tunis. Hypertension was defined as blood pressure ≥140/90 mmHg. Variables studied were anthropometric measurements, cardiovascular factors (smoking, hypertension, dyslipidemia), degenerative complications (retinopathy, neuropathy, nephropathy, ischemic heart disease) and treatment administered (Insulin therapy, oral antidiabetics, antihypertensive).

Results: The mean age of our patients was 73±2.4 years, predominantly female (65.1% of cases). The mean duration of diabetes was 10.4 years, with 42% of patients on insulin therapy and 28% on oral antidiabetics. The diagnosis of diabetes preceded that of hypertension in 58.7% of cases. Sixty-three percent of patients had Grade I hypertension. Mean BMI was 27.8±4.6 kg/m2. Dyslipidemia was found in 85.7% of our patients. Ischemic heart disease was found in 32.5% of cases, and 19% of patients had a history of ischemic stroke. Retinopathy was found in 61.4% of patients, neuropathy in 23.8%.

Discussion: The frequency and severity of hypertension in elderly diabetics are unique, requiring comprehensive management of cardiovascular risk factors in order to improve quality of life in this population.

Volume 99

26th European Congress of Endocrinology

Stockholm, Sweden
11 May 2024 - 14 May 2024

European Society of Endocrinology 

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