Farzana Rahman
Bangladesh Center for Communication Programs
Bangladesh
Title: Determinants of anemia among Bangladeshi type 2 diabetic patients
Biography
Biography: Farzana Rahman
Abstract
Delayed diagnosis and treatment of anemia may increase the risk of developing diabetic complications. Anemia is defined by WHO as <13 g/dl hemoglobin for men, and < 12g/dl for women. The study objective was to investigate the prevalence, types and determinants of anemia in a group of Bangladeshi type 2 diabetic patients. Under a cross-sectional study design a total of 217 type-2 diabetic patients were purposively selected from a tertiary hospital in Bangladesh. Data were obtained by interview and reviewing the guidebooks. Anemia was screened by an auto-analyzer; hemoglobin determined by spectrophotometric method, creatinine by alkaline picrate method and serum ferritin by ELISA method. The mean (SD) age of the participants was 53.04 (8.3) years. Anemia was detected in 128 (59.0%) participants, which varies significantly (p<0.05) between males (53.1%) and females (67.8%). Among the anemic diabetics 24.2% had microcytic hypochromic, 72.7% normocytic normochromic and 3.1% macrocytic anemia. Serum creatinine, on average was significantly (p<0.01) higher in anemic participants (1.2±0.4mg/dl) than in those without anemia (1.0±0.1 mg/dl). Significant negative correlation of hemoglobin with serum creatinine (p<0.05) was found. Serum creatinine (p<05) and dietary intake of iron was positively (p<0.10) associated with anemia after adjusting the effects of other independent variables. In conclusion, lower intake of hematopoietic nutrient like iron and protein could be one of the causative factors for developing anemia in type 2 diabetics. Renal involvement also seems to be an important determinant for anemia in this group, which can be prevented through corrective measure of anemia.