Correlation of serum ferritin and hemoglobin levels between normal and type 2 diabetic mellitus (DM) individuals
DOI:
https://doi.org/10.55629/pakjpathol.v37i2.967Abstract
Objective: To investigate the correlation between serum ferritin and hemoglobin levels in Pakistani subjects with type 2 diabetic mellitus (DM) individuals.
Material and Methods: This comparative prospective cross-sectional study was done in the Department of Hematology, Islamabad Medical Complex (IMC), Pakistan, between July 2024 and December 2024. A total of 108 participants were included. Participants were stratified into diabetic (HbA1c > 6.5%) and control (HbA1c ≤ 6.5%) groups.
Results: Diabetic patients exhibited significantly higher serum ferritin (SF) (172.8 ± 54.6 ng/mL vs. 98.5 ± 35.2 ng/mL in controls and HbA1c levels (8.2 ± 1.1 vs. 5.8 ± 0.4; p < 0.001). Hemoglobin levels were lower in diabetics (13.0 ± 1.3 g/dl for males, 11.2 ± 1.1 g/dl for females) compared to controls (14.2 ± 1.1 ng/mL for males, 12.5 ± 1.0 ng/mL for females. Neither group had a significant correlation between serum ferritin and hemoglobin. The Chi-square test did not demonstrate a statistically significant association between serum ferritin levels and diabetes status (chi-square = 5.83, p = 0.054). However, a descriptive trend was noted: patients with high SF levels had an Odds Ratio of 6.875 compared to those with low ferritin levels.
Conclusion: Elevated SF levels in diabetic patients may reflect systemic inflammation or metabolic dysregulation, while reduced hemoglobin levels may indicate anemia-related abnormalities or comorbid condition; however, anemia of chronic disease was not specifically investigated in the present study. Serum ferritin and hemoglobin levels are independently altered in diabetes and do not correlate statistically.
Keywords: Diabetes, Ferritin, Hemoglobin
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