Title: Is Glucose-6-Phosphate Dehydrogenase Deficiency a Risk Factor for Proliferative Diabetic Retinopathy in Male Patients with Type 1 Diabetes Mellitus in Basrah?

Authors: Hussein Ali Nwayyir- MD, Abbas Ali Mansour - MD,  FRCP, FACE

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i1.07

Abstract

Background: Diabetes Mellitus is a chronic and common disease with diabetic retinopathy a frequent long-term complication.Glucose-6-phosphate dehydrogenase (G6PD) deficiency is the most prevalent human enzyme defect. Both of these conditions are very common in our locality with many burdens on the patients' quality of life and health care services.

Aim: To search for any significant association between G6PD deficiency and the development of proliferative diabetic retinopathy (PDR) among male patient with type 1 diabetes mellitus (T1DM).

Method: A case-control study was conducted onNinety-four adult male patients with T1DM in Al Faiha Diabetes, Endocrine and Metabolism Center over a two-year period from October 2012 to October 2014. All patients are submitted to both funduscopicexaminations of their eyes and G6PD assay.

Results: PDR is found among 7.6% of those who were G6PD sufficient in comparison to 42.9% of G6PD deficient (p-value<0.001).

Conclusion: There is a significant association between G6PD deficiency status and the development of PDR in male patients with T1DM.

Keywords: type 1 diabetes mellitus, Glucose-6-phosphate dehydrogenase (G6PD) deficiency, and proliferative diabetic retinopathy.

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