Post traumatic type 1 diabetes mellitus (insulin-dependent): a case report

Karrouri, Rabie

doi:10.11604/pamj.2014.19.328.5632

Cited by 4 publications

(13 citation statements)

References 9 publications

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“…These findings will be presented in a separate publication. Other common risk factors associated with diabetes type 2 included age, having a higher BMI, being divorced/widowed/separated, having never attended school, illiteracy, comorbid hypertension, hyperlipidemia, family history, sedentary lifestyle, history of traumatic exposure, and refugee status (21, 22, 29, 32, 69, 83, 84).…”

Section: Resultsmentioning

confidence: 99%

“…Multiple studies point to the relationship between stress and personal loss incurred in natural disasters and conflict, and a subsequent rise in occurrences of impaired fasting glucose (IFG) and diabetes mellitus (DM) among survivors (34,47,(68)(69)(70). One such retrospective cohort study by An et al (68) investigated the long-term impact of stresses from the 1976 Tangshan earthquake on the occurrences of impaired IFG and DM among survivors and found that the incidences of IFG and DM for the exposure groups were significantly higher than that for the control group (P = 0.043 for IFG; P = 0.042 for diabetes), with those who had lost relatives exhibiting a higher diabetes incidence than those who had not lost relatives.…”

Section: Diabetesmentioning

confidence: 99%

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Systematic review on chronic non-communicable disease in disaster settings

Ngaruiya

Bernstein

Leff

et al. 2020

Preprint

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Background: Non-communicable diseases (NCDs) constitute the leading cause of mortality globally. Low and middle-income countries (LMICs) not only experience the largest burden of humanitarian emergencies but are also disproportionately affected by NCDs, yet primary focus on the topic is lagging. We conducted a systematic review on the effect of humanitarian disasters on NCDs in LMICs assessing epidemiology, interventions, and treatment. Methods: A systematic search in MEDLINE, MEDLINE (PubMed, for in-process and non-indexed citations), Social Science Citation Index, and Global Health (EBSCO) for indexed articles published before December 11, 2017 was conducted, and publications reporting on NCDs and humanitarian emergencies in LMICs were included. We extracted and synthesized results using a thematic analysis approach and present the results by disease type. The study is registered at PROSPERO (CRD42018088769). Results: Of the 85 included publications, most reported on observational research studies and almost half (48.9%) reported on studies in the Eastern Mediterranean Region (EMRO), with scant studies reporting on the African and Americas regions. NCDs represented a significant burden for populations affected by humanitarian crises in our findings, despite a dearth of data from particular regions and disease categories. The majority of studies included in our review presented epidemiologic evidence for the burden of disease, while few studies addressed clinical management or intervention delivery. Commonly cited barriers to healthcare access in all phases of disaster and major disease diagnoses studied included: low levels of education, financial difficulties, displacement, illiteracy, lack of access to medications, affordability of treatment and monitoring devices, and centralized healthcare infrastructure for NCDs. Screening and prevention for NCDs in disaster-prone settings was supported. Refugee status was independently identified both as a risk factor for diagnosis with an NCD and conferred worse morbidity. Conclusions: An increased focus on the effects of, and mitigating factors for, NCDs occurring in disaster-afflicted LMICs is needed. While the majority of studies included in our review presented epidemiologic evidence for the burden of disease, research is needed to address contributing factors, interventions, and means of managing disease during humanitarian emergencies in LMICs.

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Section: Resultsmentioning

confidence: 99%

Section: Diabetesmentioning

confidence: 99%

Systematic review on chronic non-communicable disease in disaster settings

Ngaruiya

Bernstein

Leff

et al. 2020

Preprint

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“…Plusieurs études ont pu faire un rapprochement entre l’état de stress post-traumatique et la survenue d’un diabète post-traumatique. Karrouri R ont rapporté le cas clinique d’un enfant Tunisien victime d’un état de stress post-traumatique secondaire au conflit Libyen sur les frontières tuniso-libyennes ayant engendré dans les jours qui suivent le diagnostic d’un diabète de type 1 [5]. Ce cas souligne la prépondérance de cette maladie dans les zones de conflits armés qui sont les lieux de lourds facteurs de stress psychiques et physiques.…”

Section: Discussionunclassified

“…Le rôle du stress dans la pathogénie du diabète de type 1 est un sujet toujours controversé [2-4]. Bien que certains gènes soient impliqués dans la susceptibilité génétique à ce type de diabète, certains auteurs évoquent l’hypothèse que l’exposition à certains évènements environnementaux pourrait précipiter l’apparition de la maladie, voire en être la cause [5]. Plusieurs auteurs ont étudié les facteurs de stress antérieurs et concomitants à l’apparition du diabète de type 1 et la plupart ont pu justifier une relation significative entre les facteurs de stress et l’apparition de la maladie, ce qui a fait naitre la possibilité d’un nouveau sous type du diabète auto-immune: le diabète post-traumatique [2, 5, 6].…”

Section: Introductionunclassified

“…Parmi les patients sujets aux traumatismes physiques, les militaires occupent une grande place du fait de leur exposition sur le terrain à de multiples agressions. La possibilité qu’un état de stress post-traumatique secondaire à une situation de stress physique ou psychique pouvant engendrer un diabète post-traumatique ultérieur n’a été étudié dans le domaine militaire que par très peu d’études qui n’ont pas pu affirmer le rôle direct du traumatisme dans la survenue du diabète [5, 7]. Le diabète post-traumatique reste un type de diabète non considéré dans la classification du diabète par l’American Diabetes Association.…”

Section: Introductionunclassified

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Diabète de type 1 post-traumatique chez un soldat de l’armée

Ach¹,

Hasni²,

Abdelkarim³

et al. 2018

Pan Afr Med J

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L'influence du stress comme facteur précipitant l'apparition du diabète de type 1 est un sujet largement étudié dans la littérature. La relation entre les traumatismes physiques et psychologiques et le diabète ont été un sujet rarement étudié en milieu militaire. Le diabète post-traumatique reste toujours un sujet controversé. Nous rapportons le cas d'un soldat tunisien, sans antécédents personnels ou familiaux d’auto-immunité, qui a été diagnostiqué pour un diabète de type 1 au décours d’une agression physique lors de conflits sociaux entre les forces de l’ordre et les citoyens.

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Systematic review on chronic non-communicable disease in disaster settings

et al. 2022

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Background Non-communicable diseases (NCDs) constitute the leading cause of mortality globally. Low and middle-income countries (LMICs) not only experience the largest burden of humanitarian emergencies but are also disproportionately affected by NCDs, yet primary focus on the topic is lagging. We conducted a systematic review on the effect of humanitarian disasters on NCDs in LMICs assessing epidemiology, interventions, and treatment. Methods A systematic search in MEDLINE, MEDLINE (PubMed, for in-process and non-indexed citations), Social Science Citation Index, and Global Health (EBSCO) for indexed articles published before December 11, 2017 was conducted, and publications reporting on NCDs and humanitarian emergencies in LMICs were included. We extracted and synthesized results using a thematic analysis approach and present the results by disease type. The study is registered at PROSPERO (CRD42018088769). Results Of the 85 included publications, most reported on observational research studies and almost half (48.9%) reported on studies in the Eastern Mediterranean Region (EMRO), with scant studies reporting on the African and Americas regions. NCDs represented a significant burden for populations affected by humanitarian crises in our findings, despite a dearth of data from particular regions and disease categories. The majority of studies included in our review presented epidemiologic evidence for the burden of disease, while few studies addressed clinical management or intervention delivery. Commonly cited barriers to healthcare access in all phases of disaster and major disease diagnoses studied included: low levels of education, financial difficulties, displacement, illiteracy, lack of access to medications, affordability of treatment and monitoring devices, and centralized healthcare infrastructure for NCDs. Screening and prevention for NCDs in disaster-prone settings was supported. Refugee status was independently identified both as a risk factor for diagnosis with an NCD and conferring worse morbidity. Conclusions An increased focus on the effects of, and mitigating factors for, NCDs occurring in disaster-afflicted LMICs is needed. While the majority of studies included in our review presented epidemiologic evidence for the burden of disease, research is needed to address contributing factors, interventions, and means of managing disease during humanitarian emergencies in LMICs.

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Post traumatic type 1 diabetes mellitus (insulin-dependent): a case report

Cited by 4 publications

References 9 publications

Systematic review on chronic non-communicable disease in disaster settings

Systematic review on chronic non-communicable disease in disaster settings

Diabète de type 1 post-traumatique chez un soldat de l’armée

Systematic review on chronic non-communicable disease in disaster settings

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