Anemia in Diabetes – An Added Dilemma


  •   Syed Ahmed Arshad

  •   Jamal Ara


Aim: To study the frequency of anemia in diabetes of an adult population.

Methodology: This cross-sectional observational study included 277 adult patients, above the age of 18 years, who were diagnosed as having diabetes by clinical and laboratory basis and were considerably controlled on their prescribed management. The study was conducted in Creek General Hospital Karachi from October to December 2020 by random based sampling technique. After a written consent answers were noted according to the questionnaire and the relevant data was tabulated and analyzed. Patients with complications or with other chronic illness, except hypertension, were excluded. The data was evaluated for the frequency of anemia in diabetics, categorizing the severity of anemia into mild, moderate, and severe. Universal variables like gender and age were assessed.

Results: Among the 277 patients in the study, there were 121(43.7%) males and 156 (56.3%) females. There were 17 (6%) in the young age group, 162 (58.5%) in the middle age group and 98 (35.4%) elders. The mean hemoglobin was 11.1 gm/dl. Out of 277 there were 222 (80%) who fell in the category of anemia. There were 90 out of 121 (74%) males who were anemic and 132 out of 156 (84%) females who were anemic. The most frequent category of anemia was moderate anemia (48%) followed by mild category (46%). Mild anemia was more frequent in males while moderate anemia was more prevalent in females. Anemia was higher in percentage in the younger group (88%). Mild to moderate anemia was more prevalent than severe in all age groups. 81% of hypertensive, diabetic patients was anemic. 78% smokers had anemia. There was visible increase in frequency of anemia as the duration of diabetes increased. Conclusion: Anemia is highly prevalent in diabetics.

Keywords: diabetes, anemia, hemoglobin, hypertension


J. E. Shaw, R. A. Sicree, and P. Z. Zimmet. “Global estimates of the prevalence of diabetes for 2010 and 2030,” Diabetes Research and Clinical Practice. 2010: 87(1): 4–14.

Anderson AK. Prevalence of Anemia, Overweight/Obesity, and Undiagnosed Hypertension and Diabetes among Residents of Selected Communities in Ghana. Int J Chronic Dis. 2017; 2017:7836019. doi:10.1155/2017/7836019.

P. M. S. B. Francisco, A. P. Belon, M. B. A. Barros, L. Carandina, M. C. G. P. Alves, and C. L. G. Cesar. “Self-reported diabetes in the elderly: prevalence, associated factors, and control practices,” Cadernos de Saúde Pública. 2010: 26(1):175–184.

A. Angelousi and E. Larger, “Anaemia, a common but often unrecognized risk in diabetic patients: a review,” Diabetes & Metabolism, vol. 41, no. 1, pp. 18–27, 2015.

Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity.

Merlin C.T., Richard J. M., Con T., David P., George J. Unrecognized Anemia in Patients with Diabetes. A cross-sectional survey. Anemia in diabetes; in age group and gender. Diabetes Care. 2003 Apr; 26(4): 1164-1169.

Nadia S., Osman M.H. Newly Diagnosed Anemia in Admitted Diabetics, Frequency, Etiology and Associated Factors. JCPSP. 2015: 25 (4): 242-246.

Barbieri J, Fontela PC, Winkelmann ER, Zimmermann CE, Sandri YP, Mallet EK, Frizzo MN. Anemia in Patients with Type 2 Diabetes Mellitus. Anemia. 2015; 2015: 354737. doi: 10.1155/2015/354737. Epub 2015 Nov 11. PMID: 26640706; PMCID: PMC4658398.

Salma M. AlDallala, c, Nirupama Jenab. Prevalence of Anemia in Type 2 Diabetic Patients. Journal of Hematology. 2018. (7) 2; 57-61.

Fiseha T, Adamu A, Tesfaye M, Gebreweld A (2019) Prevalence of anemia in diabetic adult outpatients in Northeast Ethiopia. PLoS ONE 14(9): e0222111.

Paul B, Wilfred NC, Woodman R, Depasquale C. Prevalence and correlates of anaemia in essential hypertension. Clin Exp Pharmacol Physiol. 2008 Dec; 35(12): 1461-4. doi: 10.1111/j.1440-1681.2008.05031.x. Epub 2008 Aug 26. PMID: 18759858.

Kim-Mitsuyama, S., Soejima, H., Yasuda, O. et al. Anemia is an independent risk factor for cardiovascular and renal events in hypertensive outpatients with well-controlled blood pressure: a subgroup analysis of the ATTEMPT-CVD randomized trial. Hypertens Res 42, 883–891, (2019).

Taderegew MM, Gebremariam T, Tareke AA, Woldeamanuel GG. Anemia and Its Associated Factors Among Type 2 Diabetes Mellitus Patients Attending Debre Berhan Referral Hospital, North-East Ethiopia: A Cross-Sectional Study. J Blood Med. 2020; 11: 47-58.


How to Cite
Arshad, S. A., & Ara, J. (2021). Anemia in Diabetes – An Added Dilemma. European Journal of Clinical Medicine, 2(3), 139–141.