Inclusion Criteria:  Adults (18 years-old or more) At high metabolic risk: diabetes of any type and/or obesity (body mass index ≥ 30 kg/m²) Admission in the departement of Diabetology-Obesity-Nutrition, Avicenne Hospital, Bobigny, France Patient informed and having signed consent Patient affiliated to a social security scheme or entitled  Exclusion Criteria:  Any know cardiac disease: coronary artery disease, heart failure, cardiomyopathy, pulmonary embolism < 6 months, pulmonary hypertension, rhythm disorders < 6 months Blood pressure > 180/110 mmHg Severe renal failure as defined by estimated glomerular filtration rate < 30 ml/min Age ≥ 80 years Previous inclusion in the study Patient under guardianship curatorship Patient on AME (aide médicale d'état)