Diabetic complications occur in both sexes but impaired sexual function in people with diabetes, largely debated in men, is less documented in women. Objective: The aim of the study was to evaluate the prevalence of sexual dysfunction in women with diabetes and to investigate associated factors. Patients and Methods: In a cross-sectional study, Women living with diabetes attending the outpatient diabetes center of Cotonou completed the validated questionnaires of the Female Sexual Function Index. After clinical examination, Medical records of patients were consulted to complete information on the diabetes, its control and complications. Square Chi test was used for statistical analysis. Difference observed were considered significant for p<0.05. Results: A total of 184 women with diabetes were included in the study. Mean age of patients was 52.9 ± 10.3 years with extremes of 24 and 80 years. The mean duration of the diabetes was 6.9 ± 5.8 years (extremes: one month and 27 years. The prevalence of sexual dysfunction was 84.2% (155/184). Factors associated with high prevalence of sexual dysfunction were age of patient higher or equal to 50 years (p=0.003), low instruction level (p=0.03), low monthly income (p=0.04), Parity or gestity higher or equal to 4 (p=0.01), high blood pressure (p=0.0001), the presence of neuropathy (p=0.013), diabetes duration higher or equal to 5 years (p=0.007). There was no association of sexual dysfunction with body mass index or with central obesity. In multivariate analysis, only diabetes duration and gestity remained significantly associated with sexual dysfunction. Conclusion: Sexual function impairment is very frequent in women with diabetes but not often investigated. It can constitute a major cause of alteration of quality of life. More attention must be paid to this condition in clinical practice.

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Aim: To determine the prevalence of peripheral arterial disease and its risk factors in type 2 diabetic outpatients. Materials and Methods: It was a descriptive and analytical cross-sectional study, which included 146 diabetic out patients seen. Peripheral arterial disease (PAD) has been accessed using Ankle-Brachial Index and Arterial Doppler Ultrasound . PAD was defined by an ABI value ≤ 0.9 in either of the legs Data management and analysis were performed using Epi-Info software. A p value <0.05 was considered significant. Results: The overall prevalence of peripheral arterial disease was 62.3%. Factors statistically associated with peripheral arterial disease were age (p=0.009), duration of diabetes greater than 10 years (p=0.006) and presence of peripheral neuropathy (p=0.0005). Conclusion: The prevalence of peripheral arterial disease is high in type 2 diabetic outpatients. A systematic screening and suitable management should be done in order to prevent cardiovascular events often associated.

Aim : To study the seasonal characteristics of hyperglycemic decompensations in the endocrinology department of the CNHU-HKM of Cotonou. Materials and methods :It was a cross-sectional, descriptive, and study of diabetic patients hospitalized from January 1, 2010 to December 31, 2019. Diabetic patients hospitalized for ketosis decompensation and/or hyperglycemic hyperosmolar syndrome were included in this study. The meteorological data used were obtained from the climate observation network of the Direction de la Météorologie Nationale (DMN) du Bénin. We have considered the means of rainfall and temperature per month and per year. Results : A total of 613 patients were included during the study period. The mean age of the patients was 46.77±15.84 years. The frequency of hyperglycemic hyperosmolar syndrome and ketoacidosis was 14.7% and 69.5% respectively. Hyperglycemic crises were more frequent during the rainy season and periods of low temperature. The main precipitating factors were infections and non-adherence to treatment. The main infectious sites involved in hyperglycemic crises were pulmonary (19%), urogenital (21.3%) and malaria (26.8%). The frequency of these different infections was higher during the rainy season with a statistically significant difference (p=0.02) for malaria. Conclusion : The frequency of hyperglycemic crises was high and had a seasonal distribution. The most frequent precipitating factors were infections and non-adherence to treatment. Those factors were more frequent in the rainy season.