20Dec 2016

THE EFFECT OF IRON AND ERYTHROPOIETIN TREATMENT ON THE HBA1C OF HEMODIALYSIS PATIENTS WITH DIABETES.

  • Internal medicine department,Faculty of medicine, Banha University ,Qalyubia, Egypt.
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Background & Aims:- The aim of this thesis is to validate the effect of iron and erythropoietin treatment on theHbA1c of hemodialysis patients with diabetes. Methods:- This study was conducted on 50 HD patients with type-2 diabetes.All patients were selected from those under going regular HD in nephrology and dialysis unit inBanha University Hospitals. .the diagnosis of diabetes will be based on a history of diabetes or on the ADA criteria. The patients will be classified into two groups (each consists of 25 patients).The first group (group A) are patients selected for iron therapy according to clinical need.The second group (group B) consisted of patients who were those needing ESA treatment.Glycemic control in both patient groups will be assessed using HbA1c in the month leading up to treatment and once again for a 4-week period 4 months after therapy. The main values of the three-monthly measurements of casual. Results:- A1C value falls after four months of therapy in both groups(iron and ESA group) compared to before therapy .this change was independent on glycemic control. Conclusions:- A1c is the most widely accepted and used method of assessing chronic glycemia in patients with diabetes. This is study showed that iron and ESA treatments result in a fall in A1C, which is independent of glycemic changes in patients with diabetes and CKD.


[Ayman M. El-Badawy, Mohamed YehiaSeddek and Mohamed Shawky El-sayed Samira Marawan Hassan. (2016); THE EFFECT OF IRON AND ERYTHROPOIETIN TREATMENT ON THE HBA1C OF HEMODIALYSIS PATIENTS WITH DIABETES. Int. J. of Adv. Res. 4 (Dec). 2548-2562] (ISSN 2320-5407). www.journalijar.com


samira marwan hassan


DOI:


Article DOI: 10.21474/IJAR01/2679      
DOI URL: http://dx.doi.org/10.21474/IJAR01/2679