Haemoglobin response to intravenous iron in non-dialysis patients with chronic kidney disease and diabetes

Autor: Andrew C Burden, Liz Cropper, Senyo Tagboto, Samiul A. Mostafa
Rok vydání: 2009
Předmět:
Zdroj: The British Journal of Diabetes & Vascular Disease. 9:126-128
ISSN: 1753-4305
1474-6514
DOI: 10.1177/1474651409105381
Popis: Aims. Our aim is to compare the response of people with or without diabetes to intravenous iron and to evaluate the efficacy of this therapy in improving haemoglobin (Hb) levels in non-dialysis patients according to chronic kidney disease (CKD) stage. Method. This was a prospective study of 100 consecutive adult patients referred to the renal anaemia service for intravenous iron. Patients with other causes of anaemia or receiving erythropoietin therapy were excluded. Patients were given weekly intravenous doses of 200 mg iron sucrose for 4 weeks and monitored at weeks-1 and 5. Data, including diabetic/CKD status, were collated from patient records. Results. Pre-treatment Hb was similar in people with and without diabetes and treatment significantly increased Hb levels (0.5 g/dL, p Conclusion. CKD patients with or without diabetes have similar iron status and Hb response to intravenous iron therapy. Patients with CKD stage 5 respond less well to intravenous iron than patients with CKD stages 3 or 4, despite having similar baseline iron status.
Databáze: OpenAIRE