[Multiple medication use in diabetic patients aged]

Multiple medication use is especially common in those with diabetes aged due to multiple illnesses, certain chronic diseases and disabling of the growing demand for care, treatment advances, but also some over-prescription. To assess the achievement of treatment goals in a population of older diabetics, to analyze drug consumption and to derive a practical driving prevention. This descriptive retrospective study was interested in 600 cases of diabetic patients older than 60 years, recruited from the diabetes followed at the National Institute of Nutrition and Health Unit in Tunis Sidi Hassine involving three local clinics to during the years 2009-2010. The average age of the study population was 70 +/- 0.5 years with extremes from 65 to 92 years. In our study, 91% of patients between 2 and 5 chronic diseases and the majority of subjects suffering from disabilities. The number of drugs prescribed in our subjects [all dosage forms combined] varies between 1 and 4,with a peak of interest to patients treated with 2-4 drugs, encountered in 91% of cases. The similarity of shapes and colors of certain drugs often confusing. Multiple medication use is common in older diabetic subjects. Hence the need for good coordination between prescribers to prevent abuse and ensure the correct therapeutic education of patients and their families

[Tunisian children reference for body mass index and prevalence of obesity]

The prevalence of obesity in children is known to be increasing rapidly worldwide but few population-based surveys have been undertaken in North Africa and in the Middle East. Report the means of body mass index with values corresponding to the different percentiles in boys and girls by age from a large nationally representative sample of the Tunisian children population. The second aim was to estimate the prevalence of obesity and over weight in children and adolescent using the 85th and 95th body mass index percentile respectively derived from the U.S.A first National Health and Nutrition Survey and also the International cut off points for body mass index for overweight and obesity proposed by the International Obesity Task Force and Rolland Cachera. We have used data from the Tunisian National Nutrition Survey, a cross sectional health study providing a large nationally representative sample of the Tunisian population including 3885 children and adolescent. The mean of BMI was of 16.63 +/- 2.58 Kg/m[2] among boys and 17.36 +/- 3.52 Kg/m[2] a in girls. The BMI increased with age and more precociously in girls [10 years] that in boys [13-14 years]. The rnean+2SD of the BMI approached the 95th percentile. It is noticed that our 85th percentile and 95th percentile as well in the girls and in boys were lower than the same percentiles of the children of other countries [NHANES I, IOTF] and that our 97th percentile is higher than that of the French according to tables of Roland Cachera. By considering the NHANES I and the IOTF, the prevalence of obesity were rather weak [<5%] but high according to the tables of Roland Cachera [3 to 11%]. The prevalence of obesity was low in 1996 according to references of the NHANES I and IOTF but high according to tables' of Roland Cachera. Prevention of obesity by a healthy way of life remains the most effective means in the long and undoubtedly less expensive realizing programs of regular monitoring

[Malitus diabetes of elderly patients: therapeutic recommendations]

In the elderly diabetic patient, therapeutic decision is very delicate because of the psycho-social pathological ground at this age. The emergence of new concepts of ageing and frailty made it possible to re-examine the plasma glucose goals and to build strategies of prevention and treatment adapted to the clinical and biological profiles of elderly subjects