The Relation between Anemia and Microvascular Complications in Patients with Type 2 Diabetes Mellitus

Youssef, Samar M.; Ayad, Nasrat M.; Elbradey, Mohammed H.; Esheba, Noha E.

doi:10.21608/mjcu.2018.55761

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…The finding of this study showed that T2DM patients with anemia have an increased risk of developing diabetic microvascular complications, which might be due to tissue hypoxia and hemodynamic effects in diabetic tissues ( 36 ). Previous studies showed an association between anemia and microvascular complications in patients with T2DM ( 37 , 38 ).…”

Section: Discussionmentioning

confidence: 87%

Diabetic microvascular complications and associated factors in patients with type 2 diabetes in Southern Ethiopia

Merid,

Getahun,

Esubalew

et al. 2024

Front. Endocrinol.

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BackgroundMicrovascular complications are long-term complications that affect small blood vessels, usually developed in diabetes, and are primary causes of end-stage renal disease, several painful neuropathies, and blindness. Thus, this study aimed to determine diabetic microvascular complications and factors associated with them among patients with type 2 diabetes.MethodsAn institution-based cross-sectional study was conducted among 378 type 2 diabetes patients. The presence of at least one diabetic microvascular complications diagnosed by physicians and found on the record was considered to have microvascular complications. The data was collected by reviewing the medical records of T2DM patients who were on follow-up from January 1, 2012, to December 31, 2021. The collected data was entered into EpiData version 3.1 and analyzed by Stata version 14. Bivariate and multivariable logistic regression were used to identify statistically significant risk factors for diabetic microvascular complications at p-value < 0.05.ResultsPatients with type 2 diabetes mellitus had a prevalence of diabetic microvascular complications of 26.5% (95% CI: 22.0%, 30.9%). Diabetic neuropathy was the highest (13.2%), followed by diabetic nephropathy (12.4%), and diabetic retinopathy (6.4%). Increasing age, poor glycemic control, hypertension comorbidity, anemia, positive proteinuria, a longer duration of type 2 diabetes mellitus, and hypercholesterolemia were significantly associated factors with diabetic microvascular complications.ConclusionDiabetic microvascular complications were highly prevalent. Therefore, the study suggests that interventional strategies should be taken for poor glycemic control, hypertension comorbidity, anemia, positive proteinuria, and hypercholesterolemia to control the development of diabetic microvascular complications in patients with type 2 diabetes.

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Section: Discussionmentioning

confidence: 87%

Diabetic microvascular complications and associated factors in patients with type 2 diabetes in Southern Ethiopia

Merid,

Getahun,

Esubalew

et al. 2024

Front. Endocrinol.

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Prevalence of Anaemia and Its Associated Factors among Type 2 Diabetes Mellitus Patients in University of Gondar Comprehensive Specialized Hospital

Kebede

Tusa

Weldesenbet

2021

Anemia

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Background. Anaemia is one of the commonest blood disorders seen in patients with diabetes. In Ethiopia, chronic illnesses are tremendously raising with their complications. But very little research has been conducted, particularly on anaemia among diabetes mellitus (DM) patients. Therefore, this study aimed at assessing the prevalence of anaemia and associated factors among type 2 diabetes mellitus patients in Northwest Ethiopia. Methods. A cross-sectional study design was employed at University of Gondar Comprehensive Specialized Hospital from March 1 to April 15, 2019, among 372 type 2 diabetes mellitus patients (T2DM). Multivariable logistic regression analysis was fitted, and the corresponding adjusted odds ratio (AOR) and 95% CI were used to identify factors associated with anaemia. Level of significance was declared at the p value less than 0.05. Results. The study revealed 8.06% (95% CI: 5.68–11.31%) of the participants were anaemic. Being male (AOR = 2.74, CI: 1.02, 7.38), combined type of treatment (AOR = 8.38, CI: 1.66, 42.25), having diabetes-related microvascular complications (AOR = 3.24, CI: 1.14, 9.26), and hypertension (AOR = 0.01, CI: 0.002, 0.06) were the significant factors associated with anaemia. Conclusions. The finding of the current study revealed low prevalence of anaemia among T2DM patients. Sex, type of treatment, diabetes-related microvascular complications, and hypertension were factors associated with anaemia. Assessment of haemoglobin levels among T2DM patients may help to prevent ensuing microvascular complications. Incorporate anaemia screening into the routine assessment of diabetic complication particularly for those who are hypertensive and took combined treatment to allow early appreciation and treatment of anaemia and later improve the overall care of patients with diabetes.

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The Relation between Anemia and Microvascular Complications in Patients with Type 2 Diabetes Mellitus

Abstract: Background:Recently, it has been demonstrated that anemia may be an etiological factor in development of microvascular complication in type 2 D.M. patients.Objective: Evaluation of the relation between anemia and microvascular complications in patients with type 2 diabetes mellitus.

Cited by 2 publications

References 6 publications

Diabetic microvascular complications and associated factors in patients with type 2 diabetes in Southern Ethiopia

Diabetic microvascular complications and associated factors in patients with type 2 diabetes in Southern Ethiopia

Prevalence of Anaemia and Its Associated Factors among Type 2 Diabetes Mellitus Patients in University of Gondar Comprehensive Specialized Hospital

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