Study of Correlation of Hba1c And Blood Pressure In Sight Threatening Diabetic Retinopathy
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
Diabetic retinopathy is the most common cause of vision loss among people with diabetes and the leading cause of vision impairment and blindness among working age adults.Maintenance of HbA1c levels as close as possible to the near normal range results in considerable reduction in long-term complications of diabetes. Elevated Blood pressure was also found to be a risk factor for worsening diabetic retinopathy. So this study is conducted to correlate Hba1c levels and blood pressure with sight threatening diabetic retinopathy. Materials And Methods: A total of 300 type 2 diabetes mellitus patients aged more than 40 years with evidence of diabetic retinopathy were selected for the study. The diabetic changes observed through fundus examination were classified based on ETDRS classification and later categorized into Sight threatening diabetic retinopathy (STDR) and Non -STDR.It was then correlated with their Hba1c levels and blood pressure. Statistical analysis was done using Chisquare test, Karl Pearsons correlation and Logistic regression analysis. Results: On statistical analysis ,there was significant difference in the values of HbA1c and other risk factors like RBS and duration of diabetes among STDR and non-STDR group with a p value<0.05.And out of these three,Hba1c was found to be most significant variable. Other variables studied like age, blood pressure were found to be less significant in this study. Conclusion: Hba1c along with other risk factors like duration and RBS levels were showing statistically significant difference among STDR and NON-STDR group of patients out of which Hba1c was most significant.
Authors and Affiliations
Dr. Sudhakar N. A, Dr. Jeethu V. Nair, Dr. Shivashankariah S. M, Dr. Akshata Chandaki, Dr. Manisha Chacko, Dr. Shivaraja Shankar Y. M
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