5 :: KDA, Korean Diabetes Association ::
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Subject    :    [2019 Aug;43(4)] Glycosylated Hemoglobin in Subjects Affected by Iron-Deficiency Anemia
Writer KDA
Date 2019-10-10 17:00:45 Hit 845
LINK URL https://e-dmj.org/search.php?where=aview&id=10.4093/dmj.2018.0072&code=2004DMJ&vmode=FULL (Click 16)
Diabetes Metab J. 2019 Aug;43(4):539-544. English.
Published online Nov 28, 2018.  https://doi.org/10.4093/dmj.2018.0072
Copyright © 2019 Korean Diabetes Association
   
Glycosylated Hemoglobin in Subjects Affected by Iron-Deficiency Anemia
Jari Intra, Giuseppe Limonta, Fabrizio Cappellini, Maria Bertona and Paolo Brambilla
Department of Laboratory Medicine, Desio Hospital, University of Milano-Bicocca, Desio, Italy.

Corresponding author: Jari Intra. Department of Laboratory Medicine, Desio Hospital, University of Milano-Bicocca, via Mazzini 1, 20833, Desio (MB), Italy. Email: jari.intra@unimi.it
 
Received April 30, 2018; Accepted August 08, 2018.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

 
Abstract

Previous studies have suggested that iron-deficiency anemia affects glycosylated hemoglobin (HbA1c) measurements, but the results were contradictory. We conducted a retrospective case-control study to determine the effects of iron deficiency on HbA1c levels. Starting with the large computerized database of the Italian Hospital of Desio, including data from 2000 to 2016, all non-pregnant individuals older than 12 years of age with at least one measurement of HbA1c, cell blood count, ferritin, and fasting blood glucose on the same date of blood collection were enrolled. A total of 2,831 patients met the study criteria. Eighty-six individuals were diagnosed with iron-deficiency anemia, while 2,745 had a normal iron state. The adjusted means of HbA1c were significantly higher in anemic subjects (5.59% [37.37 mmol/mol]), than those measured in individuals without anemia (5.34% [34.81 mmol/mol]) (P<0.0001). These results suggest that clinicians should be cautious about diagnosing prediabetes and diabetes in individuals with anemia.

   
Keywords:
Anemia; Anemia, iron-deficiency; Diabetes complications; Glycated hemoglobin A
 

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