Abstract
Introduction: Diabetes mellitus in the elderly is a complex chronic disease and represents a real public health problem. The diabetic elderly person is particularly fragile since they combine the effects of aging and disease. Methodology: This was a descriptive, cross-sectional and analytical study with retrospective data collection extending from January 2007 to December 2021 carried out in the Internal Medicine department of CHU Point G in Bamako (Mali). Data were collected from medical records and entered and analyzed with SPSS 16.0 version 22 software. Results: We report a hospital frequency of 8.94% with an average age of 72.75 ± 7.16 years. A female predominance was observed. The foot wound was the main reason for hospitalization. The most frequent nosological type of diabetes was type 2. The mode of discovery of diabetes mellitus was mainly fortuitous. The mean HbA1c was 10.44±2.79%. Hyperosmolar hyperglycemia syndrome was the most found acute complication while PAD and diabetic neuropathy were the predominant chronic complications. High blood pressure has been frequently associated with diabetes. The treatment of diabetes was mainly based on insulin antidiabetics. Conclusion: The elderly diabetic must be studied as a whole in order to prescribe an appropriate treatment taking into account comorbidities, prevent certain complications and avoid polymedication as much as possible.
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