Endocrine Abstracts

Introduction: Mental disorders are frequent in diabetic patients and this makes care difficult.

Objective: Evaluate the repercussions of psychiatric pathologies on glycemic balance and complications of diabetes and show the need to detect them systematically and treat them in these subjects.

Patients and methods: Analytical retrospective study from 2016 to 2023 on 68 diabetic patients also with mental disorders hospitalized in the Endocrinology Service of the Ibn Rochd CHU of Casablanca, HBA1C and diabetes complications have been evaluated.

Results: The average age of our patients was 44 years, 44 DT1 and 24 DT2, sex ratio ½, the average duration of diabetes was 13.42 years (1-25 years), the average duration of evolution of psychiatric disorders 5.7 years (1-9 years), the average HBA1C 8.9 % (7.9- 12.4). Among our patients 20 (29.41%) have an emotional disorder, 16 (23.53%) had a driving disorder and 32 (47.05%) had an anxious disorder. The HBA1 was higher with depression. All patients had poor therapeutic observance both for the treatment of diabetes and for psychopathology, 40 patients (58.82%) had been hospitalized for diabetic ketosis, 14 (20.58%) in the aftermath of an acido ketose and 14 (20.58 %) for serious hypoglycemia. In our series: 14 patients (20.58%) had diabetic retinopathy, 18 (26.47%) had an albumin report on positive urinary creatinine, 32.35%(n=22) had peripheral neuropathy. Low socio-economic status and mental disorders were associated with an elevation of HBA1C (p≤0, 05).

Conclusions: Psychiatric disorders in diabetic patients are associated with a glycemic imbalance and an increase in the risk of acute and degenerative complications.