Survey of Air Pollution Effect on Variation of Glycosylated Hemoglobin A1C (HbA1C) level in Diabetic Patients in Tehran

Background and Objectives: Air pollution and its effects on human health had become a major concern of many healthcare centers decision makers. In this study, air pollution effect on variation of Glycosylated Hemoglobin A1C (HbA1C) level in diabetic patients was evaluated, which is a unique study in Iran and Middle East region. Materials and Methods: During November-January 2010-11, Tehran, capital of Iran, was exposed with high levels of air pollution. A retrospective cohort study was carried out on 330 patients diagnosed with diabetes mellitus for at least 12 months referring to 3 endocrinal care clinics. A questionnaire in two demographic and diabetic related sections was prepared. The patients' HbA1C level recorded on November-January 2009-10 was compared with November-January 2010-11. Descriptive analysis and paired t-test were carried out using SPSS 18 software. Results: The patients investigated were divided into two groups. The first group was composed of 108 patients (53.7% female and 46.3% male) with diabetes mellitus type I (Insulin Dependent), age mean of 17.22, and SD of 11.57. The second group was composed of 222 patients (58.6% female and 41.4% male) with diabetes mellitus type II (Noninsulin Dependent), age mean of 53.91, and SD of 12.12. The change of HbAIC level in both groups wa not statistically significant; in first group, HbA1C level increased from 7.71 to 7.75 mg / 100 ml (P =0.828) and in second group, it increased from 7.06 to 7.08 mg / 100 ml (P = 0.798). Conclusion: According to the results obtained, it can be concluded that relation of air pollution and HbA1C mean variation in diabetic patients was insignificant