Study of Anaemia in Type II Diabetes Mellitus in Relation to Glycemic Control

ABSTRACT

Background: Anaemia is not very uncommon in diabetics. Chronic hyperglycemia in uncontrolled diabetes is related to higher incidence of anaemia which goes unrecognized prior to the development of chronic renal failure. This study was conducted to know the prevalence of Anaemia in persons with Type II Diabetes Mellitus, in relation to glycemic control using HbA1c as a tool to it. Methods: 60 Diabetic subjects were divided into two groups of 30 each based on their glycemic control(group A, with poor glycemic control and group B with good glycemic control taking 7% Hba1c as cut off value),incidence of anaemia was measured and compared among them and also with 30 age and sex matched healthy non Diabetic controls. Results: Incidence of anaemia was found to be significantly higher in diabetics group as compared to non-diabetics and among diabetics it was significantly higher in uncontrolled group as compared to group with controlled diabetes. Conclusions: Anaemia is not an uncommon finding among Type II diabetics and further good glycemic control in diabetes is associated with a better haemoglobin levels, hence it is desirable to evaluate the haemoglobin level often to monitor for micro and macrovascular complications of diabetes even when the renal parameters are normal.