Serum Iron Studies as a Marker for Anaemia in Patients of Type 2 Diabetes Mellitus without Nephropathy
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 9
Abstract
Aim: To study the presence of anaemia in patients with Type 2 DM without nephropathy and to use serum Iron studies as a marker for anaemia. In addition, the incidence and risk of anaemia were assessed according to age, gender, duration of diabetes and glycemic control status. Methods: The study group consisted of 100 individuals with type 2 diabetes. Patients were divided on the basis of age, gender and duration of diabetes. Fasting and post prandial blood sugars and HbA1C for diabetic profiling, peripheral blood smear and serum Iron studies for anaemic profiling, serum urea and creatinine to rule out nephropathy, were evaluated. Results: The study showed the prevalence of anaemia was present in 33% of study population. Normochromic normocytic (18%) was the most common type of anaemia amongst them with more female predominance(12%).The duration of diabetes was also associated with increase in incidence of anaemia. Blood sugar levels (fasting and post prandial), glycosylated haemoglobin and serum ferritin values were also significantly higher in anaemic group as compared to non-anaemic group whereas TIBC level and serum Iron was significantly lower in anaemic group as compared to non-anaemic group. Conclusion: Our study suggested that poor glycemic control, longer duration of disease and old age are associated with increased incidence of anaemia in diabetic patients with normal renal function with normocytic normochromic anemia being the most common type. Another conclusion was that Serum ferritin can be considered as a sensitive marker of iron status and glycemic control in diabetics. So we would like to recommend that routine hematological tests along with blood glucose level and serum iron studies should be done mandatory in diabetic patients in order to give optimal treatment of anaemia in Type-2 diabetes mellitus which may have a potential to make a great impact in managing the various vascular complications of diabetes and thus improving the quality of life.
Authors and Affiliations
Dr Jayshree Ghanekar
Keywords
Related Articles
- EP ID EP527259
- DOI -
- Views 58
- Downloads 0
Role of Electroconvulsive Therapy in Patients with Severe Depression
Introduction: Depression is the leading global cause of disability and approximately, 350 million people suffer from depression worldwide. Despite the availability of numerous psychopharmacological treatments, evidence i...
Pattern of Antibiotic Sensitivity in Clinically Suspected Cases of Urinary Tract Infections: An Observation from a Tertiary Care Hospital in West Bengal
Background: Urinary Tract infections is a major cause of morbidity in both male and female. Fever and burning micturition are common presenting features. Common mode of treatment of patients presenting with UTI is antibi...
To Study the Efficacy of Homoeopathy in Management of Cases of Benign Paroxysmal Positional Vertigo (BPPV)
Background: Dizziness is a common and often vexing symptom. Dizziness or Vertigo is a hallucination of the sense of equilibrium and movements, where the person feels that either his surroundings are going round him, or h...
Full Time Occlusion: Still a Good Option in Older Age Amblyopia
Materials and Methods: This was a retrospective consecutive case series analysis of children treated for amblyopia at a tertiary care center in squint clinic. All children were advised and received full time occlusion (F...
A Retrospective Study of Incidence of Superficial Venous Thrombophlebitis in Long Saphenous Varicose Vein and its Surgical Significance in Preventing DVT
Aim: To highlight the importance and emphasize the consequence of DVT and pulmonary embolism in superficial thrombophlebitis in long saphenous vein varicosities and the methodology to prevent them. Objectives: To study t...