Sociodemographic, clinical and evolutionary profile of elderly diabetics

Maryam Cheikhrouhou; Kamilia Ounaissa; Chaima Sdiri; Emna Bornaz; Nesrine Dhieb; Haifa Abdesslem; Chiraz Amrouche

doi:10.1530/endoabs.99.EP1073

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Endocrine Abstracts (2024) 99 EP1073 | DOI: 10.1530/endoabs.99.EP1073

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

Sociodemographic, clinical and evolutionary profile of elderly diabetics

Maryam Cheikhrouhou , Kamilia Ounaissa , Chaima Sdiri , Emna Bornaz , Nesrine Dhieb , Haifa Abdesslem & Chiraz Amrouche

Err

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national nutrition institute, Department of Nutritional Diseases D, Tunisia

Introduction: The number of elderly diabetics is increasing in Tunisia. We aimed to describe, sociodemographic, clinical and evolutionary profile of elderly diabetic patients.

Methods: Retrospective study of elderly diabetic subjects was carried out. Data were collected from patients’ medical records and by questioning during a direct interview with patients.

Results: Twohundred patients aged 70 and over, were included. The average duration of diabetes was 16.5±9.2 years. More than half of the patients were illiterate (53.5%) and 43.5% had a low socioeconomic level. Almost14.5% of diabetic elderly livedalone, 32% lived with spouses and 53.5% lived with their families. Smoking was reported by 22.5% of patients. The most frequent comorbidities were dyslipidemia, hypertension and obesity noted in respectively 88%, 76% and 40% of patients. The treatment of diabetes was insulin only or combined with oral antidiabetics in 75% of patients. The average HbA1c was 8,66% and 56,5% of subjectshad not reached their glycemic goals. Regarding the impact of diabetes, One-third of patients had at least one macroangiopathy. Concerning microangiopathy: retinopathy, neuropathy and nephropathy were noted in respectively 52.5%, 47% et 41% of patients.

Conclusion: In elderly people with diabetes, social fragility and precariousness, associated with numerous cardiovascular risk factors, make it challenging for clinicians to help them to achieve individualized therapeutic goals.