Introduction: Hyperuricemia is common Type 2 diabetes at very high cardiovascular risk. Objective: Evaluate the relationship between hyperuricemia and diabetes type 2, and determine its predictive factors in this population. Patients and Methods: Retrospective study cross including 190 patients with diabetes type 2 hospitalized Service of Endocrinology of CHU Ibn Rushd Casablanca from January 2015 to December 2017. Hyperuricemia was defined as a serum uric acid concentration> 70 mg/L (men) and> 60 mg/L (women). The variables studied were the anthropometric measurements), cardiovascular factors (tobacco, hypertension, dyslipidemia), and degenerative complications (retinopathy, neuropathy, kidney failure, ischemic heart disease). The analyzes were performed by SPSS software. Results: Hyperuricemia was found in 26.5% of patients with a female predominance (76%), an average age of 55.9 years, and an average age of 12.4ans diabetes. The glycemic control was found in 84.6% of cases with mean glycated hemoglobin 8.6%. Factors associated al hyperuricemia were the blood pressure in 86% (p <0.05), dyslipidemia in 76.3% of cases (p <0.001) with hypertriglyceridemia in 48.3% of cases (p <0.02), and a hypoHDLémie 28% (p <0.001). The age, obesity, smoking, and glycemic control were associated significantly n al hyperuricemia. The research of degenerative complications of hyperuricemia has objectified renal impairment (GFR between 15 and 60ml / min) chez47% (p <0.001), it was kind of moderate in 35.8% (p <0.01) and severe in 5.1% (p <0.02), ischemic heart disease was found in 34% of cases (p <0.01). Conclusion: In our study, hyperuricemia in type 2 diabetes is common in female patients, especially with hypertension, dyslipidemia, and renal failure. Other factors such as age, obesity, smoking is not associated with hyperuricemia in type 2 diabetics.
Introduction After the age of 65 years, 17% of patients are obese and 4to10% are undernourished. The number of elderly patients in both obese and undernourished is little known in the general population but also in diabetic patients. Objective This study was to assess the prevalence of under nutrition and describe the factors that influence nutritional status in obese elderly diabetic patients. Patients and methods We conducted a cross-sectional study between September 2016 and February 2018, including 120 type 2 diabetic obese, aged 65 and over, collected in our unit. Nutritional status was assessed by the Mini Nutritional Assessment and by serum albumin assay. Statistical analysis was performed by epi Info 0.6. Software. Results The average age of patients was 71 years, 66% were female. The mean BMI was 33.4 kg / m2, 61% had at least a degenerative complications. Dyslipidemia was present in 51.6% of patients and hypertension in 58.3%. Malnutrition was found in 10.8% of patients and 28.3% were at risk of malnutrition. We found a significant correlation (p <0.05) between undernutrition and poly medication, the cholesterol-lowering and diabetic diet, dyslipidemia, nephropathy and the presence of chewing or swallowing disorders. Conclusion Under nutrition of the obese subject is an unknown clinical entity whose prevalence will increase significantly, specific studies about undernutrition among obese elderly patients become necessary especially diabetics.
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