Anemia is a very common problem seen worldwide and is seen in 25% of people actually diagnosed with diabetes. The World Health Organization (WHO) defines anemia as a decrease in hemoglobin concentration. Men are less than 13 g / dl (deciliter / gram), women are less than 12 g / dl.
The global cause of anemia is iron deficiency anemia, but the most common cause of anemia in diabetic patients is chronic kidney disease, the problem of the end stage kidney.
What are the general symptoms of anemia?
According to John Hopkins Point of Care Information Technology Center (John Hokins POC - IT Center), the most common causes of anemia are as follows.
- dizzy,
- Weakness and fatigue,
- Shortness of activity,
- dizzy,
- Occasional chest pain, and
- Cold and sticky skin.
I may point out the existence of this problem by feeling nerve pain.
The value of hemoglobin A1C (HbA1c) can give some clues to the type of anemia?
As shown in John Hopkins POC-IT Center, the hemoglobin A1c value can give some clues to the type of anemia. Low levels of HbA1c may be indicative of hemolytic anemia, which is a type of anemia leading to erythrocyte rupture. On the other hand, the increased HbA1c value may indicate iron deficiency anemia.
Which condition can increase the level of diabetes anemia?
Bleeding due to gastrointestinal problems or bleeding during the menstrual cycle may also exacerbate anemia. Restricted diets such as employing a pure vegan diet may also lead to anemia.
Which condition masks diabetic anemia What?
Increased blood glucose levels cause dehydration of cells. Dehydration brings about masking of anemia. Another maskable cause of anemia in diabetes is the recent blood transfusion. Transfusion often leads to misinterpretation of the results of diabetic erythrocyte examination, which can lead to confusion.
What is recommended for diabetic patients suspected of anemia?
- Diabetic patients with extremely low hemoglobin A1C levels should undergo blood tests to rule out the presence of hemolytic anemia.
- Regular complete blood counts are essential for people with type 1 or type 2 diabetes. Reduced blood cell count values indicate a decline in renal function and in the worst case may indicate renal failure.
- Severe symptomatic anemia is a serious problem. To solve this problem, only blood transfusion is necessary, but it is essential treatment.
- If chronic renal failure occurs due to diabetes, the initiation of erythropoietin treatment, the hormone secreted from normal kidney should stimulate bone blood production.
According to research, diabetic patients who control both blood glucose and blood pressure have far fewer opportunities to develop renal impairment. By eliminating the risk of kidney disease, the risk of developing anemia is eliminated.
