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 65
- Downloads 0
Histopathological Diagnosis of Ovarian Fibroma: A Rare Case Report
In the WHO histopathological classification of tumors of the ovary, fibroma is classified under the sex cord - stromal tumors. Ovarian fibroma is almost always benign in. They are rare in women under 20 years of age, occ...
Diagnostic Performance of Hepcidin in Evaluation of Iron Status among Pregnant Women in Rivers State, Nigeria
“Iron indices are useful in assessing the state of haemoglobin function and determination of state and degree of anaemia”. “In humans, aside iron indices are the role of hepcidin in up and down regulation of iron metabol...
Management of Lymphocele Formation Following Kidney Transplantation: A Single Centre Experience
Background: A lymphocele is defined as a collection of lymph that accumulates in the postoperative field in a nonepithelialized cavity. Incidence ranges from 0.6% to 18% depending on various studies.1 Management of lymph...
Evaluation of Urinary Albumin Level in Newly Diagnosed Hypertensive Patients for Early Digonosis of Renal Diseases in Rural Area of Rajasthan
Now-a-days, Hypertension is worldwide threat. For the detection of early renal disease, proteinuria play the important role. Specially, urine albumin is important to find out early renal diseases. For the present study,...
Histopathological Analysis of Ovarian Tumours –Analysis of 2 Years
Background: Ovarian tumours are one of the most prevalent gynaecological tumours in females . They often present in mid-decade of life insidiously. Ovarian cancer is the most frequent cause of death from gynaecological c...