Clinical Study

Presence and Characterisation of Anaemia in Diabetic Foot Ulceration

Table 1

Initial DFU patients indices and iron studies: functional and absolute iron deficiency.

Indices and  iron studies Nonanaemic patients with functional iron deficiency Anaemic patients with absolute iron deficiency* Anaemic patients with abnormal indices and iron studies**
Median valuesRangeValueRangeMedian valuesRange

Haemoglobin g/dL12.212.0–16.511.211.17. 0–11.5
MCV fL91.687.1–95.272.493.061.6–122.5
MCH pg29.327.0–32.921.129.618.6–37.8
RDW %13.712.3–14.515.914.613.6–18.7
Ferritin ug/L131.070.0–983.013.0125.024.0–744.0
Transferrin saturation %24.022.0–49.015.119.013.0–45.0
Iron umol/L12.59.0–24.08.012.05.0–45.0
Reticulocytes %1.60.5–1.50.61.200.6–10.0

Anaemia defined as Hb < 12.0 g/dL. Initial visit patient values presented only. *Only one anaemic patient initially had a text book absolute iron deficiency; hence these data are presented without range. **The remaining thirteen anaemic patients had abnormal iron indices and studies (iron < 30 umol/L, MCH < 24 pg, MCV < 78 fL, RDW < 12%, TSATS < 20%, ferritin < 30 ug/L or >300 ug/L). Normal hospital laboratory reference ranges: MCV fL 80–99; MCH 27.0–33.5; RDW 11.5–15.0; ferritin 300–400 ug/L; transferrin saturation 20–50%; iron 10.6–28.3 umol/L; reticulocytes 0.38–2.64%.