Abstract:

Objectives: To estimate the prevalence of anemia in persons with type 2 diabetes mellitus and its role as a risk factor for the presence and the severity of diabetic retinopathy, in a population based study. Although chronic kidney disease-induced anemia is more prevalent in patients with diabetes mellitus (DM), anemia is a common finding prior to manifestation of kidney disease. In presence of some risk factors at the time of diagnosing DM, microvascular complications must be considered. The effect of anemia as a risk factor on progression of DM complications is still unclear. The aim of the study was to determine the prevalence of anemia and its association with microvascular complications in patients with type 2 DM. This cross-sectional study was performed in the present study is carrying out from Department of Medicine, Netaji Subhash Chandra Bose Medical College & Hospital, Jabalpur (M.P.) Results: The prevalence of anemia (Hb<12g/dl in women and <13g/dl in men) was 12.3%. Between 41 and 50 years of age, prevalence of anemia was higher in women than in men (78.6 % vs 56.3.3%). Men with anemia, and not women, had 2 times the risk of developing diabetic retinopathy. Multivariate analysis revealed independent predictors for anemia: age group more than 70 years (66.7% vs 100%) duration of diabetes of more than 5 years or 1.56 (1.09-2.69) and the presence of diabetic retinopathy or 1.82 (95% CI 1.22-2.69).

Keywords: