TO STUDY THE EFFECT OF IRON DEFICIENCY ANAEMIA ON HbA1C IN NON-DIABETIC
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 94
Abstract
BACKGROUND The most common form of anaemia plaguing our country is Iron deficiency anaemia. The extent of diabetic control is measured by HbA1c, which is the average blood glucose level of the patient over the past 3 months. HbA1c levels depend upon a multitude of factors such as the presence of different types of haemoglobins, any haemolytic anaemia, any nutritional deficiency anaemias, uraemia, pregnancy and acute blood loss. Older studies suggest that Iron deficiency anaemia is another one of the factors affecting HbA1C levels. We conducted a prospective observational study to analyse the effect of iron deficiency anaemia on glycated haemoglobin (HbA1c) in non-diabetic Indians. MATERIALS AND METHODS A prospective observational study on 500 iron deficiency patient cases was carried out in SGM Hospital, Rewa from the period July 2016 to June 2017. Exclusion and inclusion criteria were used to recruit cases from the wards and OPDs of the hospital. Appropriate descriptive statistics was used to analyse the data. RESULTS The mean HbA1c level in the patients with iron deficiency anaemia (IDA) is 6.19 ± 0.58. In our study, we found increased severity of iron deficiency anaemia is associated with increased level of HbA1c. In female patients (379 out of 500) mild anaemia (73)- mean HbA1c 5.79 ± 0.35; moderate anaemia (242)- mean HbA1c 6.16 ± 0.39; and severe anaemia (64)- mean HbA1c 7.2 ± 0.46. In our study in male patients (121 out of 500) mild anaemia (34)- mean HbA1c 5.79 ± 0.35; moderate anaemia (73)- mean HbA1c 5.86 ± 0.26; and severe anaemia (14)- mean HbA1c 6.80 ± 0.354. CONCLUSION It was found that IDA was more common among the reproductive age group women. It was associated with shift in the HbA1c levels to higher side with severity of anaemia.
Authors and Affiliations
Shailendra Kumar Manjhvar, Beerbhan Singh, Ajeet Singh Niranjan
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