EFFECT OF IRON DEFICIENCY ANEMIA ON HbA1c IN DIABETES PATIENTS – A PROSPECTIVE STUDY

Abstract

Introduction- The diabetic burden has increased by more fast speed in low- and middle-income countries compared to high-income countries. HbA1c is affected by multiple factors like genetic factors, haematological factors and illness related factors. Initial studies suggested a relationship between HbA1c levels and iron deciency anemia.. Our aim is to study the levels of HbA1c in iron deciency anemia patients and the changes in HbA1c level after the correction of iron. -2 ml sample of blood is collected from the consenting patient in an ED Material and methods TA vial and plain vial each. The some fraction of the blood from EDTA vial is used for analysing complete blood count and hemoglobin the remaining sample from the EDTA vial is used for calculating the HBA1c value. The sample collected in the plain vial is used for testing the ferritin. Results- Signicant negative low correlation was found between HbA1c and Ferritin; this means with increase in the values of HbA1c slight decrease in the value of Ferritin was observed and vice versa in this study. Similarly signicant negative low correlation was found between Ferritin and Mean glucose, this means with increase in the values of Ferritin slight decrease in the value of Mean glucose was observed and vice versa in the study. Whereas, signicant, strong positive correlation was found between HbA1c and Mean glucose, suggesting that with increase in the value of Mean glucose the values of HbA1c also increases and vice versa. Conclusion- While treating Diabetes Mellitus we have to kept in mind the haemoglobin status of patient. Correction of Iron Deciency Anemia is important before treating Diabetes Mellitus to prevent misdiagnosis.