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Endocrine Abstracts (2024) 99 EP857 | DOI: 10.1530/endoabs.99.EP857

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

Screening for obliterating arteriopathy of the lower limbs in type 2 diabetics using the systolic pressure index

Ramla Mizouri , Berriche Olfa , Rym Ben Othman , Nadia Ben Amor & Jamoussi Henda


Institut De Nutrition, Tunis, Tunisia


Introduction: Lower limb arterial disease (PAAD) is a serious complication of diabetes and is particularly common in patients at high cardiovascular risk. Its management in diabetic patients is a major public health problem, with sometimes tragic consequences for the patient. The objective of our work was to detect PAD in type 2 diabetics.

Materials and Methods: This was a descriptive cross-sectional study involving 122 type 2 diabetics hospitalized at the National Institute of Nutrition. Systolic pressure index (SPI) was measured using a Spengler pocket Doppler. Obliterative arteriopathy of the lower limbs is defined by a systolic pressure index less than 0.9 or more or less significant arterial incompressibility (mediacalcosis) by an ABI greater than 1.3.

Results: The average age of our patients was 52.4±7.3 years with a sex ratio of 0.96. The duration of diabetes was 11.07±3.3 years. The majority of patients (78.7%) were on insulin therapy. The average HBA1c was 9.8%. The average BMI of our population was 28.18 kg/m2. More than a third (35.2%) of our patients were smokers and 39.8% were sedentary. Hyper-LDLemia type dyslipidemia was found in 56.2% of patients. Arterial hypertension was present in 45.1% of patients. Macroangiopathic complications were dominated by ATCD of stroke (5.7%) and MI (4.9%). The ABI was less than 0.9 in 38.5% of cases and greater than 1.3 in 3.3% of cases, of which more than half of the cases (58%) were asymptomatic.

Conclusion: Obliterating arteriopathy of the lower limbs (PAAD) is a frequent and serious complication in diabetic patients. Which underlines the interest of an effective preventive approach and early detection.

Volume 99

26th European Congress of Endocrinology

Stockholm, Sweden
11 May 2024 - 14 May 2024

European Society of Endocrinology 

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