Prevalence of Anemia in Patients with Type 2 Diabetes Mellitus
Abstract
Background: Anemia is one of the common complications of diabetes mellitus, and their risk in diabetic patients is estimated to be 2 – 3 times higher than that of patients without diabetes. Presence of anemia in diabetes leads to progression the vascular complications.
Objectives: Evaluating the prevalence of anemia in patients with type 2 diabetes mellitus, studying the relationship of anemia with demographic characteristics, lifestyle, and laboratory variables, and evaluating the severity of anemia and determining its type.
Methods and patients: 300 adult patients with type 2 diabetes mellitus (185 females, 115 males) attending the Endocrinology and Metabolic Diseases Clinic and Department at Tishreen University Hospital in Lattakia during the period 2022-2023 participated in the study.
Anemia was defined by hemoglobin values of ˂ 13 g/dl in males and ˂ 12 g/dl in females, based on the criteria of the World Health Organization (WHO).
Results: The prevalence of anemia in our study was 39.7% (119 patients), and inflammatory anemia was the most common at 74% (88 patients) followed by iron deficiency anemia at 26% (31 patients). We found that 27% of males (31 males) and 47.6% of females (88 females) were anemic, and inflammatory anemia was the most common in both sexes. The severity of anemia was divided into mild anemia at a rate of 59.66%, anemia of moderate severity at a rate of 38.66%, and severe anemia at a rate of 1.68%.
There are statistically significant differences with regard to sex, age, physical activity, abdominal obesity, duration of diabetes, treatment of diabetes, hypertension, metabolic syndrome.
There is also a statistically significant difference regarding the distribution of anemia severity according to gender, age groups, and duration of type 2 diabetes mellitus.
Conclusion: There is a high prevalence of anemia of chronic diseases in patients with type 2 diabetes mellitus. This affects the disease progression, enhances the cardiovascular risk, and increases the risk of co morbid conditions.
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