+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Unrecognized anemia in patients with diabetes: a cross-sectional survey

Unrecognized anemia in patients with diabetes: a cross-sectional survey

Diabetes Care 26(4): 1164-1169

Anemia is common in diabetes, potentially contributing to the pathogenesis of diabetes complications. This study aims to establish the prevalence and independent predictors of anemia in a cross-sectional survey of 820 patients with diabetes in long-term follow-up in a single clinic. A full blood count was obtained in addition to routine blood and urine test results for all patients over a 2-year period to encompass all patterns of review. Predictors of the most recent Hb concentration and anemia were identified using multiple and logistic regression analysis. A total of 190 patients (23%) had unrecognized anemia (Hb <12 g/dl for women and <13 g/dl for men). This prevalence is two to three times higher than for patients with comparable renal impairment and iron stores in the general population. Independent predictors for Hb were transferrin saturation, glomerular filtration rate (GFR), sex, albumin excretion rate, and HbA(1c) level (all P < 0.0001). Microalbuminuric patients were >2 times (odds ratio [OR] 2.3) and macroalbuminuric patients >10 times (OR 10.1) as likely to have anemia than normoalbuminuric patients with preserved renal function (GFR >80 ml/min). Anemia is a common accompaniment to diabetes, particularly in those with albuminuria or reduced renal function. Additional factors present in diabetes may contribute to the development of increased risk for anemia in patients with diabetes.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 050890184

Download citation: RISBibTeXText

PMID: 12663591

DOI: 10.2337/diacare.26.4.1164

Related references

The status of diabetes control in Asia--a cross-sectional survey of 24 317 patients with diabetes mellitus in 1998. Diabetic Medicine 19(12): 978-985, 2002

Spectrum of Diabetes Research does not Reflect Patients' Scientific Preferences: A Longitudinal Evaluation of Diabetes Research Areas 2010-2013 vs. a Cross-sectional Survey in Patients with Diabetes. Experimental and Clinical Endocrinology and Diabetes 123(5): 299-302, 2016

Alcohol consumption among patients with diabetes: a survey-based cross-sectional study of Danish adults with diabetes. Scandinavian Journal of Public Health 44(5): 517-524, 2016

Prevalence of anemia in hospitalized French cancer patients: results of a one-day cross-sectional survey.. 2007

The status of glycemic control by general practitioners and specialists for diabetes in Japan: a cross-sectional survey of 15,652 patients with diabetes mellitus. Diabetes Research and Clinical Practice 83(3): 397-401, 2009

The status of diabetes control and antidiabetic drug therapy in Japan--a cross-sectional survey of 17,000 patients with diabetes mellitus (JDDM 1). Diabetes Research and Clinical Practice 73(2): 198-204, 2006

Hyperglycemia and duration of diabetes as risk factors for abnormal lipids: a cross sectional survey of 19,757 patients with type 2 diabetes in China. Journal of Endocrinological Investigation 37(9): 843-852, 2014

Measuring psychological morbidity for diabetes commissioning a cross-sectional survey of patients attending a secondary care diabetes clinic. Practical Diabetes International: 1, 22-26, 2010

Relationships among depression, anxiety, self-care behaviour and diabetes education difficulties in patients with type-2 diabetes: a cross-sectional questionnaire survey. International Journal of Nursing Studies 48(11): 1376-1383, 2011

Present status of insulin therapy for type 2 diabetes treated by general practitioners and diabetes specialists in Japan: Third report of a cross-sectional survey of 15,652 patients. Journal of Diabetes Investigation 3(4): 396-401, 2012

Comparative study of the influence of diabetes distress and depression on treatment adherence in Chinese patients with type 2 diabetes: a cross-sectional survey in the People's Republic of China. Neuropsychiatric Disease and Treatment 9: 1289-1294, 2013

Severe hypoglycaemia in unselected patients with type 1 diabetes A cross-sectional multicentre survey. Diabetologia 43(Suppl. 1): A194, 2000

Identifying undiagnosed diabetes: cross-sectional survey of 3.6 million patients' electronic records. British Journal of General Practice 58(548): 192-196, 2008

Self-efficacy and self-care behavior of Malaysian patients with type 2 diabetes: a cross sectional survey. Nursing and Health Sciences 14(1): 38-45, 2012

Preferences and opinions of patients with Type 2 diabetes on education and self-care: a cross-sectional survey. Diabetic Medicine 27(1): 85-91, 2010