Farzana Rahman
Bangladesh Center for Communication Programs, Bangladesh
Posters-Accepted Abstracts: J Diabetes Metab
Anemia is a common finding in patients with diabetes due to the presence of multiple factors like nutritional deficiencies, inflammation, concomitant autoimmune diseases, drugs and kidney diseases. The aim of the study was to determine the prevalence of anemia among patients with type 2 diabetes and the factors associated with anemia. Under a cross-sectional design a total of 217 type-2 diabetic patients were purposively selected from the outpatient department of a tertiary hospital in Bangladesh. All participants were screened for anemia using an auto-analyzer and hemoglobin was determined by spectrophotometric method. Along with descriptive and inferential statistics, multiple logistic regressions were performed to quantify the individual effect of predictor variables. The mean (SD) age of the participants was 53 years. Anemia was detected in 128 (59%) participants but the proportion varies significantly between males and females (53% vs. 68%; p< 0.05). Serum creatinine level was significantly higher in anemic participants than in those without anemia (1.2±0.4mg/dl vs. 1.0±0.1 mg/dl; p< 0.05). Significant negative correlation of hemoglobin with serum creatinine (p<0.05) and age (p<0.05) was found. The daily dietary intake of protein and iron of anemic group was significantly lower than the non-anemic group (p<0.05). Serum creatinine level (p< 0.02) and dietary intake of iron was positively (p=0.05) associated with anemia after adjusting the effects of other independent variables. The study indicate an alarmingly situation of anemia in type 2 diabetic patients, particularly among women in Bangladesh. Renal involvement seems to be an important determinant for anemia in Type 2 diabetics.
Email: frahman_k@yahoo.com
