Prevalence of Anaemia in Patients with Type-2 Diabetes Mellitus in the Absence of Renal Impairment: A Cross-sectional Study
Introduction: Despite an increasing incidence of diabetic nephropathy, undermining the renal production of Erythropoietin (EPO), there are significant number of studies being reported with anaemia among diabetic patients with renal insufficiency, implicating numerous theoretical pathogenesis. It...
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
JCDR Research and Publications Private Limited
2021
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| Acceso en línea: | https://doaj.org/article/f2d7fe16ffa24c6d874f15f4a10a7534 |
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| Sumario: | Introduction: Despite an increasing incidence of diabetic
nephropathy, undermining the renal production of Erythropoietin
(EPO), there are significant number of studies being reported
with anaemia among diabetic patients with renal insufficiency,
implicating numerous theoretical pathogenesis. Its impact being
ignored over the years among Indian contexts, women and men
in rural Southern India are particularly vulnerable to anaemia.
The associated risk factors and occurrence of anaemia in Type-2
Diabetes Mellitus (T2DM) can be seen even in the absence of
renal insufficiency.
Aim: To determine the prevalence of anaemia in T2DM patients
with normal renal function and assessment of its association with
sociodemographic characteristics, biochemical and haematological
variables.
Materials and Methods: A descriptive cross-sectional study was
conducted for a period of six months from December 2018 to May
2019 on total of 150 patients with T2DM, attending the Outpatient
Department, Rajarajeswari Medical College and Hospital, Bangalore,
India. All the patients of either sex, aged between 18-60 years, with a
duration of Diabetes Mellitus (DM) more than five years, with no renal
involvement, were included in the study. All statistical analysis was
done using Statistical Package for Social Sciences (SPSS) version
20.0. The Chi-square test, Z-test was used for data analysis.
Results: Among the 150 subjects, 86 (57.3%) were classified to be
anaemic, with a mean age of 53 years whereas, 64 (42.6%) were
classified as non anaemics with a mean age of 50 years. The mean
duration of diabetes was found to be 10.5 years among anaemics
and 9.7 years among non anaemics. Compared to non anaemics
subjects, drug therapy with both Oral Hypoglycaemic Agents
(OHA) and insulin showed a statistically significant difference
among diabetic subjects with anaemia. The high prevalence of
normocytic anaemia (52.3%) suggests the importance of non
renal causes of anaemia in diabetic patients.
Conclusion: Patients with T2DM have an independent risk for
anaemia irrespective of renal insufficiency, posing a significant
adverse effect on the quality of life and the progression of the
underlying disease with high cardiovascular morbidity and mortality.
Hence, management of diabetic patients should include mandatory
routine haematological tests, with consideration of advancing age
and poor glycaemic control. |
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