Institute National Of Nutrition Of Tunis

Tunis, Tunisia

Institute National Of Nutrition Of Tunis

Tunis, Tunisia
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Oueslati I.,Institute National Of Nutrition Of Tunis | Oueslati I.,Tunis el Manar University | Ben Said R.,Institute National Of Nutrition Of Tunis | Ben Said R.,Tunis el Manar University | And 10 more authors.
Tunisie Medicale | Year: 2012

Background: Fasting during Ramadan may be a cause of poor glycaemic control in diabetic patients. Aim: To assess glucose excursions during Ramadan by using a continuous glucose monitoring system (CGMS). Methods: The interstitial glucose level was recorded over 72 hours during Ramadan and three months later, in five type 2 diabetic patients, aged 56 ± 5, treated with glimepiride and metformin. Results: During Ramadan, four patients experienced at least one episode of low glucose level (<0.7 g/l) during the monitoring. The frequency of these episodes was 0.6 episode/d with an average duration of 36 mn/d. These episodes occurred in the morning in half of the cases and in the hour before breaking the fast in 37.5% of the cases. Four patients experienced at least one episode of high glucose level (>1.8 g/l), with an average duration of 403 mn /d and with a frequency of two episodes /d. More than half episodes (53) occurred after the breaking of the fast. After Ramadan, CGM records showed at least one episode of low glucose in two patients with an average duration of 58 mn /d and a frequency of 1.3 episodes/d. Three patients experienced at least one episode of high glucose level with an average duration of 525 mn /d and a frequency of 1.46 episodes/day. Conclusion: The blood glucose profile of our patients during Ramadan is characterized by important glycaemic excursions.


Ounaissa K.,Institute National Of Nutrition Of Tunis | Berriche O.,Institute National Of Nutrition Of Tunis | Htira Y.,Institute National Of Nutrition Of Tunis | Othmen R.B.,Institute National Of Nutrition Of Tunis | And 2 more authors.
Tunisie Medicale | Year: 2015

Background: Exposure in utero to maternal diabetes is a risk factor for obesity and type 2 diabetes. It may contribute to the current epidemic outbreak of these diseases. Aim: to evaluate the impact of the exposure to maternal diabetes on the anthropometric profile of the offspring. Methods: This cross-sectional study was conducted in the department “A” of the National Institute of Nutrition. It involved 120 children and adolescents who were from 5 to 19 years old and recruited between October 2008 and November 2009. They were divided into two groups : • A first group of 80 children from diabetic mothers ; • A second control group of 40 children from non-diabetic pregnancies. They have had a clinical examination. Data about diabetic pregnancies were collected from the mothers'medical records. Results : body mass index and waist circumference of children from both groups were comparable. In both groups, two thirds of children had a normal weight (62.5 % in the first group versus 65% in the control group). Obesity is more common in children exposed to maternal hyperglycemia (31.3% versus 25% in the control group), but the difference is not statistically significant. The majority of obese children (88%) are those from diabetic mothers with type 2 or gestational diabetes. Conclusion: our results underline the need for early screening for gestational diabetes and an optimal management of diabetic pregnancy to reduce the metabolic risk in the offspring. © 2015 Maison du Medicine. All rights reserved.


Mami F.B.,Institute National Of Nutrition Of Tunis | Ammar I.B.,Institute National Of Nutrition Of Tunis | El Felah B.,Institute National Of Nutrition Of Tunis | Achour A.,Institute National Of Nutrition Of Tunis
Tunisie Medicale | Year: 2010

Background: the association of diabetes type 1 and celiac disease seems to pose many problems diagnostic, therapeutic and psychological. Aim of our work is to study in eight patients with type 1 diabetes associated with celiac disease their daily experience and the constraints that this pathological association imposes. Methods: This cross-sectional study involved eight patients with type 1 diabetes and celiac disease known for at least 1 year. All patients were given a thorough interrogation specifying the regular monitoring of the two diseases and the quality of the observance of the diabetic dietary and gluten-free diet, as well as an assessment of impact of diabetes. Results: the caloric intake in relation to the recommendations is very insufficient. Taking snack is not respected. There is also the consumption of certain foods containing gluten masked and regular consumption of sucrose by our patients despite a long-term evolution of diabetes (19 ± 6 years) and celiac disease (11 ± 7.8 years). Half of patients have degenerative complications of diabetes. Conclusion: In light of these results, a frequent evaluation of nutrition education in these patients and a psychological care seems necessary.


PubMed | Institute National Of Nutrition Of Tunis
Type: Journal Article | Journal: La Tunisie medicale | Year: 2012

Fasting during Ramadan may be a cause of poor glycaemic control in diabetic patients.To assess glucose excursions during Ramadan by using a continuous glucose monitoring system (CGMS).The interstitial glucose level was recorded over 72 hours during Ramadan and three months later, in five type 2 diabetic patients, aged 56 5, treated with glimepiride and metformin.During Ramadan, four patients experienced at least one episode of low glucose level (<0.7 g/l) during the monitoring. The frequency of these episodes was 0.6 episode/d with an average duration of 36 mn / d. These episodes occurred in the morning in half of the cases and in the hour before breaking the fast in 37.5 % of the cases. Four patients experienced at least one episode of high glucose level (>1.8 g/l), with an average duration of 403 mn /d and with a frequency of two episodes /d. More than half episodes (53) occurred after the breaking of the fast. After Ramadan, CGM records showed at least one episode of low glucose in two patients with an average duration of 58 mn /d and a frequency of 1.3 episodes/d. Three patients experienced at least one episode of high glucose level with an average duration of 525 mn /d and a frequency of 1.46 episodes/day.The blood glucose profile of our patients during Ramadan is characterized by important glycaemic excursions.

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