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Endocrine Abstracts (2024) 99 EP790 | DOI: 10.1530/endoabs.99.EP790

ECE2024 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (383 abstracts)

Prevalence and characteristics of chronic obliterating arteritis of the lower limbs in a population of patients with type 2 diabetes

Nesrine Dhieb , Chaima Jemai , Maryam Cheikhrouhou , Chaima Sdiri , Zohra Hadj Ali , Olfa Lajili , Yosra Htira & Faika Ben mami


National Institute of Nutrition, Department C, Tunis, Tunisia


Introduction: Chronic obliterating arteritis of the lower limbs is common in patients with type 2 diabetes (T2D). Our aim was to determine the prevalence and characteristics in a tunisian population.

Methods: This was a cross-sectional study including 100 patients with T2D hospitalized in department C of the national institute of nutrition of Tunis. For each patient, we carried out a physical examination, we measured the systolic pressure index (SPI) and we retrieved biological parameters from medical records.

Results: Average age was 57.20±8.48 years. Women made up 74% of the population. 29% were smokers. Diabetes mean duration was 14.79±4.55 years. All patients were treated with insulin. The majority (70%) were on NPH insulin. Median BMI was 30.46 kg/m2; with extremes of 22.5 and 38.28 kg/m2. Mean HbA1C was 10,33% with extremes of 8 and 12%. Ischemic coronary artery disease and stroke was frequent by 10% and 3% respectively. The mean IPS was 0.86±0.12, with extremes of 0.4 and 1. The median value was 0.8. 18% of our population had chronic obliterating arteritis of the lower limbs. It was predominant in men (66.6%). All of these patients had hypercholesterolemia. Associated factors were smoking (P=0.03), BMI (P=0.008) and diabetic peripheral neuropathy (P<0.001).

Conclusion: Chronic obliterating arteritis of the lower limbs constitutes a risk factor for the development of diabetic foot ulcers. Early screening, smoking cessation and weight reduction to prevent this complication of reserved prognosis.

Volume 99

26th European Congress of Endocrinology

Stockholm, Sweden
11 May 2024 - 14 May 2024

European Society of Endocrinology 

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