ANALYSIS OF EFFECT OF IRON DEFICIENCY ANEMIA ON HBA1C IN DIABETIC PATIENTS
Dr. Rohama Sardar*, Dr. Abdul Shakoor Shakir and Dr. Baseerat Adnan
ABSTRACT
Introduction: Iron deficiency is one of the most prevalent forms of malnutrition. Globally, 50% of anemia is attributed to iron deficiency. Aims and objectives: The basic aim of the study is to analyze the effect of iron deficiency anemia on HbA1c in diabetic patients in Pakistan. Material and methods: This cross sectional study was conducted in Sheikh Zayed Hospital, Rahim Yar Khan during January 2019 to October 2019. This study include all diabetic patient who visited the OPD of the hospital. Socio-demographic characteristics were collected using structured questionnaires. An enrollment form containing past medical history pertaining to chronic diseases such as kidney disease, heart related problem, skin diseases, blood coagulation disorders and other medical complaints were completed for every individual. Results: In 120 cases of this study, mean HbA1c value was found to be 6.87 ± 1.4%. The mean ferritin levels in male and female cases were 14.88 ± 8.62 and 8.92 ± 5.72 ng/ml, respectively. Also, mean FPG concentration was 99.66 ± 14.73 mg/dl in total cases. Hemoglobin levels in male and female cases were 9.54 ± 1.4 and 9.37 ± 1.33 g/dl, respectively. The mean MCV was 53.2 ± 8.16 fL and mean MCH was 17 ± 3.7 pg/cell for the all cases (both males and females).Conclusion: It is concluded that Iron deficiency anemia elevates HbA1c levels in diabetic individuals with controlled plasma glucose levels. The elevation is more in patients having plasma glucose levels between 100 to 126 mg/dl. Hence, before altering the treatment regimen for diabetes, iron deficiency anemia should be considered.
Keywords: Iron deficiency, anemia, HbA1c, diabetes.
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