Importance of OGTT for diagnosis of Diabetes in thalassemia major patients

Background and Objective: Thalassemia major is a genetic disorder. Blood transfusion is critical for survival in these patients. Over the course of the past two and three decade’s hyper transfusion therapy in these patients has increased significant improvement in life expectancy and quality of life...

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Main Authors: Farzad Najafipour (MD), Roohangiz Sari Sorkhabi (MD), Navideh Haji Aghai (GP), Masoomeh Zareizadeh (MD), Amir Bahrami (MD)
Format: Article
Language:fas
Published: Golestan University of Medical Sciences 2008-10-01
Series:مجله دانشگاه علوم پزشکی گرگان
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Online Access:http://goums.ac.ir/journal/browse.php?a_code=A-10-1-320&slc_lang=en&sid=1
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author Farzad Najafipour (MD)
Roohangiz Sari Sorkhabi (MD)
Navideh Haji Aghai (GP)
Masoomeh Zareizadeh (MD)
Amir Bahrami (MD)
author_facet Farzad Najafipour (MD)
Roohangiz Sari Sorkhabi (MD)
Navideh Haji Aghai (GP)
Masoomeh Zareizadeh (MD)
Amir Bahrami (MD)
author_sort Farzad Najafipour (MD)
collection DOAJ
description Background and Objective: Thalassemia major is a genetic disorder. Blood transfusion is critical for survival in these patients. Over the course of the past two and three decade’s hyper transfusion therapy in these patients has increased significant improvement in life expectancy and quality of life. Unfortunately this type of therapy increased the frequency of complication due to iron overloud. The aim of this study was to evaluate the prevalencey of diabetes, impaired fasting glucose and impaired glucose tolerance in patients with thalassemia major, with 10-27 years of age in Tabriz. Materials and Methods: This descriptive study was done on 56 patients between 10-27 years of age with thalassemia major. The demographic informaiton theraputic regiment, the age of first trasfussion. The level of blood transfusion, the history and dosage of familial history of diabetes, Fe, TIBC, ferritin levels were assessed and recorded. For each patient glucose tolerance test, blood glucose level are performed. Results: In this study prevalence of diabetes mellitus, impaired fasting glucose and impaired glucose tolerance test were found in 8.9%, 28.6% and 7.1% of patients respectively. Conclusion: This study showed that despite recent therapy with Desferal in the management of beta-thalassemia major, the risk of secondary endocrine dysfunction remains high. Prevalence of diabetes mellitus, impaired fasting glucose and impaired glucose tolerance test are greater than general population. Endocrine evaluation in patients with thalassemia major must be carried out regularly especially in those patients over the age of 10 years.
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spelling doaj.art-1c6851132bf24a66a9c09ebb4e0745582022-12-22T01:07:56ZfasGolestan University of Medical Sciencesمجله دانشگاه علوم پزشکی گرگان1562-47652008-40802008-10-011037176Importance of OGTT for diagnosis of Diabetes in thalassemia major patientsFarzad Najafipour (MD)0Roohangiz Sari Sorkhabi (MD)1Navideh Haji Aghai (GP)2Masoomeh Zareizadeh (MD)3Amir Bahrami (MD)4 Background and Objective: Thalassemia major is a genetic disorder. Blood transfusion is critical for survival in these patients. Over the course of the past two and three decade’s hyper transfusion therapy in these patients has increased significant improvement in life expectancy and quality of life. Unfortunately this type of therapy increased the frequency of complication due to iron overloud. The aim of this study was to evaluate the prevalencey of diabetes, impaired fasting glucose and impaired glucose tolerance in patients with thalassemia major, with 10-27 years of age in Tabriz. Materials and Methods: This descriptive study was done on 56 patients between 10-27 years of age with thalassemia major. The demographic informaiton theraputic regiment, the age of first trasfussion. The level of blood transfusion, the history and dosage of familial history of diabetes, Fe, TIBC, ferritin levels were assessed and recorded. For each patient glucose tolerance test, blood glucose level are performed. Results: In this study prevalence of diabetes mellitus, impaired fasting glucose and impaired glucose tolerance test were found in 8.9%, 28.6% and 7.1% of patients respectively. Conclusion: This study showed that despite recent therapy with Desferal in the management of beta-thalassemia major, the risk of secondary endocrine dysfunction remains high. Prevalence of diabetes mellitus, impaired fasting glucose and impaired glucose tolerance test are greater than general population. Endocrine evaluation in patients with thalassemia major must be carried out regularly especially in those patients over the age of 10 years.http://goums.ac.ir/journal/browse.php?a_code=A-10-1-320&slc_lang=en&sid=1Thalassemia MajorDiabetes MellitusImpaired Glucose ToleranceImpaired Fasting Glucose
spellingShingle Farzad Najafipour (MD)
Roohangiz Sari Sorkhabi (MD)
Navideh Haji Aghai (GP)
Masoomeh Zareizadeh (MD)
Amir Bahrami (MD)
Importance of OGTT for diagnosis of Diabetes in thalassemia major patients
مجله دانشگاه علوم پزشکی گرگان
Thalassemia Major
Diabetes Mellitus
Impaired Glucose Tolerance
Impaired Fasting Glucose
title Importance of OGTT for diagnosis of Diabetes in thalassemia major patients
title_full Importance of OGTT for diagnosis of Diabetes in thalassemia major patients
title_fullStr Importance of OGTT for diagnosis of Diabetes in thalassemia major patients
title_full_unstemmed Importance of OGTT for diagnosis of Diabetes in thalassemia major patients
title_short Importance of OGTT for diagnosis of Diabetes in thalassemia major patients
title_sort importance of ogtt for diagnosis of diabetes in thalassemia major patients
topic Thalassemia Major
Diabetes Mellitus
Impaired Glucose Tolerance
Impaired Fasting Glucose
url http://goums.ac.ir/journal/browse.php?a_code=A-10-1-320&slc_lang=en&sid=1
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