Anemia due to iron deficiency and relationship with glycosylated hemoglobin levels in diabetic children
DOI:
https://doi.org/10.61651/rped.2022v74n1p10-15Keywords:
Anemia, Iron-Deficiency, Glycated Hemoglobin, Diabetes MellitusAbstract
Introduction: Glycosylated hemoglobin (HbA1c) is used as a marker of glycemic control for diabetes mellitus (DM). Its alteration in patients with iron deficiency anemia (IDA) is still unclear. Objective: To evaluate the relationship of IDF and levels of HbA1c of patients with DM from the Programa de Atención Integral del Niño Diabético (PAINDI) of the Instituto Nacional de Salud del Niño (INSN), during the period of January 2016 - August 2018.
Methods: This was an observational, descriptive and retrospective study. The medical chart of 112 patients with DM were evaluated. We considered a normal glycemic value a fast glucose 70 to 130 mg / dL.
Results: The majority of the patients were between 11 and 17 years old (60.7%), females (52.7%) and from Lima area (51.8%). The total prevalence of anemia was of 9.8% (11/112); 8.8% (3/34) for the group between 6 to 10 years old and 11.8% (8/68) for the group between 11 to 17 years old. IDA was not found in patients under 5 years old. DM type 1 was found in 100 patients (89.3%) and 38 (33.9%) had normal glycemic control. In this group only 1 patient had IDA with levels of HbA1c of 6.30%. The media of HbA1c was 9.1% for the ones without IDA. For the patients without normal glycemic control the media of HbA1c were 11.3% and 10.2% for the group with and without IDA respectively. No association was found between the levels of HbA1c and IDA (p=0.155). And small positive correlation of hemoglobin with HbA1c and fast glucose with HbA1c was found but both were not significant (r = 0.135, p =0.155, r = 0.091, p =0.339 respectively).
Conclusion: There was no relationship between levels of HbA1c and IDF (p=0.155) in patients with DM, regardless their glycemic control.
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