Influence of iron deficiency anemia on glycated hemoglobin levels in non-diabetic Saudi women.

J Int Med Res

Department of Community Health Sciences, College of Applied Medical Sciences, 37850King Saud University, Riyadh, Saudi Arabia.

Published: February 2021

Objective: Studies of patients with iron deficiency anemia (IDA) have shown a relationship between high glycated hemoglobin (HbA1c) and low hemoglobin (Hb) concentration. The present study was conducted to determine the influence of IDA on HbA1c in non-diabetic women.

Methods: Fifty-nine Saudi women (20 to 50 years old) were enrolled and categorized into groups according to their circulating hemoglobin concentration: Non-IDA (Hb ≥7.45 mmol/L;  = 38) and IDA (Hb ≤7.44 mmol/L;  = 21). The IDA group was further subdivided according to the severity of the IDA, as follows: mild (Hb 6.83 to 7.44 mmol/L;  = 9) and moderate-severe (Hb <6.83 mol/L;  = 12). HbA1c, Hb, ferritin, fasting blood glucose, and red blood cell (RBC) count were measured in each participant.

Results: HbA1c did not significantly differ between the groups, but the absolute HbA1c level was significantly lower in the mild and moderate-severe anemia groups than the non-anemic group, and was positively associated with Hb, ferritin, and RBC count. In addition, the HbA1c level was inversely associated with the Hb concentration.

Conclusions: HbA1c is significantly associated with parameters related to IDA in non-diabetic Saudi women. Therefore, assessment of IDA-related parameters is recommended prior to making a diagnosis of diabetes.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7923997PMC
http://dx.doi.org/10.1177/0300060521990157DOI Listing

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