Pub Date : 2025-09-01DOI: 10.1016/j.mmm.2025.05.002
Michael Joubert
{"title":"Initiation d’une basale : l’assistant vocal permet une titration plus rapide et un meilleur contrôle glycémique","authors":"Michael Joubert","doi":"10.1016/j.mmm.2025.05.002","DOIUrl":"10.1016/j.mmm.2025.05.002","url":null,"abstract":"","PeriodicalId":35047,"journal":{"name":"Medecine des Maladies Metaboliques","volume":"19 5","pages":"Pages 393-394"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01DOI: 10.1016/j.mmm.2025.06.005
Serge Halimi
{"title":"Selon l’IDF, il est temps de reconnaître une nouvelle forme de diabète : le type 5. Une entité encore insuffisamment définie !","authors":"Serge Halimi","doi":"10.1016/j.mmm.2025.06.005","DOIUrl":"10.1016/j.mmm.2025.06.005","url":null,"abstract":"","PeriodicalId":35047,"journal":{"name":"Medecine des Maladies Metaboliques","volume":"19 5","pages":"Pages 357-360"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01DOI: 10.1016/j.mmm.2025.05.001
Laurent Meyer
{"title":"Les phénotypes métaboliques associés au diabète de type 2 peuvent-ils être prédits par la mesure continue du glucose et l’intelligence artificielle de type « apprentissage automatique » ?","authors":"Laurent Meyer","doi":"10.1016/j.mmm.2025.05.001","DOIUrl":"10.1016/j.mmm.2025.05.001","url":null,"abstract":"","PeriodicalId":35047,"journal":{"name":"Medecine des Maladies Metaboliques","volume":"19 5","pages":"Pages 391-392"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01DOI: 10.1016/j.mmm.2025.06.002
Hélène Hanaire , Patrice Darmon , Sylvain Iceta , Cécile Betry , Giacomo Gastaldi , Najate Achamrah , Anne Sophie Brazeau , Houssem Baghous , Karine Courtois , Delphine Bernoux , Monelle Bertrand , Anne Carbonnell , Jean-Christophe Chauvet-Gelinier , Corinne Colmel , Emmanuel Cosson , Pierre Dechelotte , Marc de Kerdanet , Eric Guillaume , Sébastien Guillaume , Virginie Lafaille , Patrick Ritz
Les personnes vivant avec un diabète de type 1 (DT1) présentent un risque accru de maladies mentales, et en particulier de troubles des conduites alimentaires (TCA). Si cette association est connue des diabétologues, et génère une inquiétude pour les soignants face à un risque accru de complications aiguës et chroniques du diabète, ils restent démunis pour en faire le repérage et orienter les patients tant dans la prise en charge psychologique ou psychiatrique que dans la gestion du diabète. Ce guide pratique, réalisé sous l’égide de la SFD grâce à la contribution d’un groupe de travail multi-professionnel interdisciplinaire (médecins nutritionnistes, diabétologues et psychiatres, pédiatres, IPA (infirmiers de pratique avancée), diététiciens) et francophone (France, Belgique, Suisse, Canada, Algérie), a pour objectif de proposer une mise au point sur les formes cliniques et la prévalence des TCA associés au DT1, les moyens de repérage et les aspects de leur prise en charge multi-professionnelle.
People living with type 1 diabetes (T1D) are at increased risk of mental health disorders, particularly eating disorders (EDs). While this association is well known among diabetologists and raises concern among healthcare providers due to the heightened risk of both acute and chronic diabetes-related complications, they often feel ill-equipped to identify these issues and to guide patients toward appropriate psychological or psychiatric care, as well as effective diabetes management. This practical guide, developed under the auspices of the SFD (French speaking Diabetes Society) through the contribution of a multidisciplinary, multi-professional working group (including nutritionists, diabetologists, psychiatrists, pediatricians, advanced practice nurses, and dietitians) from French-speaking countries (France, Belgium, Switzerland, Canada, Algeria), aims to provide an overview of the clinical forms and prevalence of EDs associated with T1D, the methods for identifying them, and the components of their multidisciplinary management.
1型糖尿病（DT1）患者患精神疾病的风险增加，特别是饮食行为障碍（CAD）。diabétologues如果已知这个协会,并产生了担忧,面对一个护理员为糖尿病的急性和慢性并发症的风险增加,他们仍然一无所有来跟踪和指导患者无论是在心理或精神照料管理糖尿病。这份指南,小额信贷机构的主持下进行,通过捐助的跨学科工作组multi-professionnel (diabétologues营养师、医生和精神病医生、儿科医生、api(先进实践护士、营养师)和法语(法国、比利时、瑞士、加拿大、阿尔及利亚)为目标,提出了研制相关临床和流行形式att在DT1,识别方法及其多专业支持的各个方面。1型糖尿病（T1D）患者患精神健康疾病的风险增加，特别是饮食失调（ED）。While this is well known协会间diabetologists and healthcare providers间raises concern》由于to the heightened risk of、急性和慢性并发症diabetes-related they feel的母亲ill-equipped,查明来自and these to guide精神病人走向适当心理黄金去care, as well as糖尿病进行有效管理。This实用指南,developed under the主持召开小额信贷(French的糖尿病学会)through the of a multidisciplinary贡献,multi-professional working group(包括nutritionists diabetologists、精神病学、pediatricians advanced practice护士,和dietitians) from新教国家(法国、比利时、瑞士、加拿大、阿尔及利亚),aims to provide (an overview of the clinical forms and of EDs associated with T1D流行,用于识别的the方法麻烦,以及他们的多学科管理的组成部分。
{"title":"Troubles des conduites alimentaires et diabète de type 1 : prise de position de la SFD et de la SFD Paramédical","authors":"Hélène Hanaire , Patrice Darmon , Sylvain Iceta , Cécile Betry , Giacomo Gastaldi , Najate Achamrah , Anne Sophie Brazeau , Houssem Baghous , Karine Courtois , Delphine Bernoux , Monelle Bertrand , Anne Carbonnell , Jean-Christophe Chauvet-Gelinier , Corinne Colmel , Emmanuel Cosson , Pierre Dechelotte , Marc de Kerdanet , Eric Guillaume , Sébastien Guillaume , Virginie Lafaille , Patrick Ritz","doi":"10.1016/j.mmm.2025.06.002","DOIUrl":"10.1016/j.mmm.2025.06.002","url":null,"abstract":"<div><div>Les personnes vivant avec un diabète de type 1 (DT1) présentent un risque accru de maladies mentales, et en particulier de troubles des conduites alimentaires (TCA). Si cette association est connue des diabétologues, et génère une inquiétude pour les soignants face à un risque accru de complications aiguës et chroniques du diabète, ils restent démunis pour en faire le repérage et orienter les patients tant dans la prise en charge psychologique ou psychiatrique que dans la gestion du diabète. Ce guide pratique, réalisé sous l’égide de la SFD grâce à la contribution d’un groupe de travail multi-professionnel interdisciplinaire (médecins nutritionnistes, diabétologues et psychiatres, pédiatres, IPA (infirmiers de pratique avancée), diététiciens) et francophone (France, Belgique, Suisse, Canada, Algérie), a pour objectif de proposer une mise au point sur les formes cliniques et la prévalence des TCA associés au DT1, les moyens de repérage et les aspects de leur prise en charge multi-professionnelle.</div></div><div><div>People living with type 1 diabetes (T1D) are at increased risk of mental health disorders, particularly eating disorders (EDs). While this association is well known among diabetologists and raises concern among healthcare providers due to the heightened risk of both acute and chronic diabetes-related complications, they often feel ill-equipped to identify these issues and to guide patients toward appropriate psychological or psychiatric care, as well as effective diabetes management. This practical guide, developed under the auspices of the SFD (French speaking Diabetes Society) through the contribution of a multidisciplinary, multi-professional working group (including nutritionists, diabetologists, psychiatrists, pediatricians, advanced practice nurses, and dietitians) from French-speaking countries (France, Belgium, Switzerland, Canada, Algeria), aims to provide an overview of the clinical forms and prevalence of EDs associated with T1D, the methods for identifying them, and the components of their multidisciplinary management.</div></div>","PeriodicalId":35047,"journal":{"name":"Medecine des Maladies Metaboliques","volume":"19 5","pages":"Pages 361-378"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01DOI: 10.1016/j.mmm.2025.01.002
Abdelhay Benyaich , Mustapha Aksissou , Abdelhafid Assou , Abderrazak Hormi , Lamiae Elkhattabi , Sofia Fait
This cross-sectional study evaluated the prevalence of dyslipidemia and the risk factors for non-communicable diseases among 1,249 women aged ≥ 18 years from the rural area of Nador Province, between April 14, 2021, and May 22, 2024. Measurements included blood pressure, body mass index (BMI), blood glucose, and lipid profile. The mean age was 42.28 ± 16.73 years. Among the participants, 54% had a low level of education, and 0.6% were smokers. A strong adherence to the Mediterranean diet was observed in 87%. Regarding weight, 56.47% had a normal BMI, 25.41% were overweight, 12.29% obese, and 5.83% underweight. Blood glucose levels were 122.09 ± 47.13 mg/dL in diabetic women and 97 ± 11.67 mg/dL in nondiabetic women. Blood pressures were measured at 129.11 ± 18.05 mmHg for systolic pressure and 78.46 ± 10.93 mmHg for diastolic pressure. Women engaging in physical activity for more than 30 minutes per day represented 70.67% of the participants. The average total cholesterol level was 2.37 ± 0.546 g/L, and the average LDL-cholesterol level was 1.65 ± 0.44 g/L. Multivariate analysis revealed that dyslipidemia was significantly correlated with age ≥ 50 years (p < 0.001; adjusted OR = 1.782), physical inactivity (p = 0.034; adjusted OR = 1.521), and obesity (p = 0.01; adjusted OR = 1.637).
{"title":"Prévalence de la dyslipidémie chez les femmes adultes en zone rurale de Nador, Maroc","authors":"Abdelhay Benyaich , Mustapha Aksissou , Abdelhafid Assou , Abderrazak Hormi , Lamiae Elkhattabi , Sofia Fait","doi":"10.1016/j.mmm.2025.01.002","DOIUrl":"10.1016/j.mmm.2025.01.002","url":null,"abstract":"<div><div>This cross-sectional study evaluated the prevalence of dyslipidemia and the risk factors for non-communicable diseases among 1,249 women aged ≥<!--> <!-->18 years from the rural area of Nador Province, between April 14, 2021, and May 22, 2024. Measurements included blood pressure, body mass index (BMI), blood glucose, and lipid profile. The mean age was 42.28<!--> <!-->±<!--> <!-->16.73 years. Among the participants, 54% had a low level of education, and 0.6% were smokers. A strong adherence to the Mediterranean diet was observed in 87%. Regarding weight, 56.47% had a normal BMI, 25.41% were overweight, 12.29% obese, and 5.83% underweight. Blood glucose levels were 122.09<!--> <!-->±<!--> <!-->47.13<!--> <!-->mg/dL in diabetic women and 97<!--> <!-->±<!--> <!-->11.67<!--> <!-->mg/dL in nondiabetic women. Blood pressures were measured at 129.11<!--> <!-->±<!--> <!-->18.05<!--> <!-->mmHg for systolic pressure and 78.46<!--> <!-->±<!--> <!-->10.93<!--> <!-->mmHg for diastolic pressure. Women engaging in physical activity for more than 30 minutes per day represented 70.67% of the participants. The average total cholesterol level was 2.37<!--> <!-->±<!--> <!-->0.546<!--> <!-->g/L, and the average LDL-cholesterol level was 1.65<!--> <!-->±<!--> <!-->0.44<!--> <!-->g/L. Multivariate analysis revealed that dyslipidemia was significantly correlated with age ≥<!--> <!-->50 years (<em>p</em> <!--><<!--> <!-->0.001; adjusted OR<!--> <!-->=<!--> <!-->1.782), physical inactivity (<em>p</em> <!-->=<!--> <!-->0.034; adjusted OR<!--> <!-->=<!--> <!-->1.521), and obesity (<em>p</em> <!-->=<!--> <!-->0.01; adjusted OR<!--> <!-->=<!--> <!-->1.637).</div></div>","PeriodicalId":35047,"journal":{"name":"Medecine des Maladies Metaboliques","volume":"19 5","pages":"Pages 401-410"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01DOI: 10.1016/j.mmm.2025.05.007
Jean-Louis Schlienger , Louis Monnier
L’index de masse corporelle (IMC) a été mis au point en 1832 par un mathématicien belge, Adolphe Quetelet, sans aucune arrière-pensée médicale. Plus d’un siècle plus tard, Ancel Keys redécouvre l’IMC qu’il utilise à dans ses études épidémiologiques. Ce n’est qu’en 1985 que le NIH propose de définir l’obésité et le surpoids par l’IMC. En 1998, l’OMS fait de l’IMC le standard permettant d’évaluer les risques liés au poids, fixe de nouveaux seuils de poids : souhaitable, insuffisant ou excessif, et définit plusieurs catégories d’obésité. L’IMC, qui est un outil épidémiologique commode, est un outil diagnostique contestable, puisqu’il est un indicateur médiocre de l’excès de masse grasse. Comme l’a souligné en 2025 un comité d’experts, il gagne à être complété par la mesure du tour de taille.
The body mass index (BMI) was developed in 1832 by a Belgian mathematician, Adolphe Quetelet, without any medical ulterior motive. More than a century later, Ancel Keys rediscovered BMI, which he used in his epidemiological studies. In 1985, the NIH proposed defining obesity and overweight by BMI. In 1998, the WHO made BMI the standard for assessing weight-related risks, set new thresholds for desirable, under- or overweight, and defined several categories of obesity. BMI, which is a convenient epidemiological tool, is a questionable diagnostic tool since it is a poor indicator of excess fat mass. As a committee of experts pointed out in 2025, it benefits from being supplemented by the measurement of waist circumference.
{"title":"Grandeur et petites misères de l’IMC de l’origine à nos jours","authors":"Jean-Louis Schlienger , Louis Monnier","doi":"10.1016/j.mmm.2025.05.007","DOIUrl":"10.1016/j.mmm.2025.05.007","url":null,"abstract":"<div><div>L’index de masse corporelle (IMC) a été mis au point en 1832 par un mathématicien belge, Adolphe Quetelet, sans aucune arrière-pensée médicale. Plus d’un siècle plus tard, Ancel Keys redécouvre l’IMC qu’il utilise à dans ses études épidémiologiques. Ce n’est qu’en 1985 que le NIH propose de définir l’obésité et le surpoids par l’IMC. En 1998, l’OMS fait de l’IMC le standard permettant d’évaluer les risques liés au poids, fixe de nouveaux seuils de poids : souhaitable, insuffisant ou excessif, et définit plusieurs catégories d’obésité. L’IMC, qui est un outil épidémiologique commode, est un outil diagnostique contestable, puisqu’il est un indicateur médiocre de l’excès de masse grasse. Comme l’a souligné en 2025 un comité d’experts, il gagne à être complété par la mesure du tour de taille.</div></div><div><div>The body mass index (BMI) was developed in 1832 by a Belgian mathematician, Adolphe Quetelet, without any medical ulterior motive. More than a century later, Ancel Keys rediscovered BMI, which he used in his epidemiological studies. In 1985, the NIH proposed defining obesity and overweight by BMI. In 1998, the WHO made BMI the standard for assessing weight-related risks, set new thresholds for desirable, under- or overweight, and defined several categories of obesity. BMI, which is a convenient epidemiological tool, is a questionable diagnostic tool since it is a poor indicator of excess fat mass. As a committee of experts pointed out in 2025, it benefits from being supplemented by the measurement of waist circumference.</div></div>","PeriodicalId":35047,"journal":{"name":"Medecine des Maladies Metaboliques","volume":"19 5","pages":"Pages 411-416"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dans le présent article, nous allons nous interroger sur la construction et la diffusion des idées reçues. Où il apparaîtra que leur réception ne résulte pas nécessairement d’un phénomène passif ; que ces idées reçues sont agissantes, dans la mesure où elles déterminent en partie nos comportements ; et que, situées qu’elles sont au bas de l’échelle du croire, il ne faut pas pour autant les combattre systématiquement. Chemin faisant, nous aurons à nous pencher sur les notions de « opinion », « croyance », « savoir », « confiance », comme un prérequis pour pouvoir ériger toute une éthique du croire.
In the present article, we will consider the construction and the spreading of preconceived ideas. Where it is shown that their reception is not necessarily a passive phenomenon; that they are acting – in determining at least partly our behaviors; and that it is not necessary to combat them systematically, even though they are at the bottom of the heap of knowledge. Along the way, we intend to build on some notions, such as “opinion”, “belief”, “knowledge”, “confidence”, for being able to constitute a “knowledge ethic”.
{"title":"À propos des idées reçues","authors":"Jean-Daniel Lalau , Alain Panero , Dominique Meloni","doi":"10.1016/j.mmm.2025.02.002","DOIUrl":"10.1016/j.mmm.2025.02.002","url":null,"abstract":"<div><div>Dans le présent article, nous allons nous interroger sur la construction et la diffusion des idées reçues. Où il apparaîtra que leur réception ne résulte pas nécessairement d’un phénomène passif ; que ces idées reçues sont agissantes, dans la mesure où elles déterminent en partie nos comportements ; et que, situées qu’elles sont au bas de l’échelle du croire, il ne faut pas pour autant les combattre systématiquement. Chemin faisant, nous aurons à nous pencher sur les notions de « opinion », « croyance », « savoir », « confiance », comme un prérequis pour pouvoir ériger toute une éthique du croire.</div></div><div><div>In the present article, we will consider the construction and the spreading of preconceived ideas. Where it is shown that their reception is not necessarily a passive phenomenon; that they are acting – in determining at least partly our behaviors; and that it is not necessary to combat them systematically, even though they are at the bottom of the heap of knowledge. Along the way, we intend to build on some notions, such as “opinion”, “belief”, “knowledge”, “confidence”, for being able to constitute a “knowledge ethic”.</div></div>","PeriodicalId":35047,"journal":{"name":"Medecine des Maladies Metaboliques","volume":"19 5","pages":"Pages 417-420"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-01DOI: 10.1016/j.mmm.2025.03.011
Éric Delassus
La notion d’autonomie a longtemps été retenue comme critère distinctif de la personne humaine. Cependant, avec l’allongement de la vie grâce aux progrès de la médecine et face au fait que de nombreux êtres humains vivent aujourd’hui en voyant leur autonomie diminuer en raison du grand âge et de la maladie, on est en droit de s’interroger sur la pertinence d’un tel critère. A-t-on le droit de considérer qu’un être humain qui a perdu son autonomie n’est plus une personne ? Un changement de paradigme n’est-il pas aujourd’hui nécessaire pour penser la personne ? Ne serait-il pas plus judicieux de choisir la vulnérabilité comme critère distinctif de la notion de personne ? Un tel choix n’impliquerait pas pour autant l’abandon complet de l’idée d’autonomie, mais ferait de celle-ci non plus le fondement de la notion de personne, mais l’horizon vers lequel elle tend. C’est en ce sens que l’on pourrait considérer que la personne se situe entre vulnérabilité et autonomie.
The notion of autonomy has long been considered a distinctive criterion of the human person. However, with the increase in life expectancy due to medical advances and the fact that many human beings today live with their autonomy diminished due to old age and illness, we are entitled to question the relevance of such a criterion. Are we entitled to consider that a human being who has lost their autonomy is no longer a person? Is not a paradigm shift necessary today in thinking about the person? Would not it be more judicious to choose vulnerability as the distinctive criterion of the notion of the person? Such a choice would not imply the complete abandonment of the idea of autonomy, but would make it no longer the foundation of the notion of the person, but the horizon toward which it tends. It is in this sense that we could consider the person to be situated between vulnerability and autonomy.
{"title":"La personne entre vulnérabilité et autonomie","authors":"Éric Delassus","doi":"10.1016/j.mmm.2025.03.011","DOIUrl":"10.1016/j.mmm.2025.03.011","url":null,"abstract":"<div><div>La notion d’autonomie a longtemps été retenue comme critère distinctif de la personne humaine. Cependant, avec l’allongement de la vie grâce aux progrès de la médecine et face au fait que de nombreux êtres humains vivent aujourd’hui en voyant leur autonomie diminuer en raison du grand âge et de la maladie, on est en droit de s’interroger sur la pertinence d’un tel critère. A-t-on le droit de considérer qu’un être humain qui a perdu son autonomie n’est plus une personne ? Un changement de paradigme n’est-il pas aujourd’hui nécessaire pour penser la personne ? Ne serait-il pas plus judicieux de choisir la vulnérabilité comme critère distinctif de la notion de personne ? Un tel choix n’impliquerait pas pour autant l’abandon complet de l’idée d’autonomie, mais ferait de celle-ci non plus le fondement de la notion de personne, mais l’horizon vers lequel elle tend. C’est en ce sens que l’on pourrait considérer que la personne se situe entre vulnérabilité et autonomie.</div></div><div><div>The notion of autonomy has long been considered a distinctive criterion of the human person. However, with the increase in life expectancy due to medical advances and the fact that many human beings today live with their autonomy diminished due to old age and illness, we are entitled to question the relevance of such a criterion. Are we entitled to consider that a human being who has lost their autonomy is no longer a person? Is not a paradigm shift necessary today in thinking about the person? Would not it be more judicious to choose vulnerability as the distinctive criterion of the notion of the person? Such a choice would not imply the complete abandonment of the idea of autonomy, but would make it no longer the foundation of the notion of the person, but the horizon toward which it tends. It is in this sense that we could consider the person to be situated between vulnerability and autonomy.</div></div>","PeriodicalId":35047,"journal":{"name":"Medecine des Maladies Metaboliques","volume":"19 5","pages":"Pages 395-400"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144926698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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