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Assessment of the differences of hematological variables and their correlation with glycemic control among type 2 diabetes mellitus patients in Iraq: Comparative cross-sectional study Skip to content Yıl 2024, Cilt: 11 Sayı: 3, 435 – 444, 29.08.2024
Osamah Ahmed
https://doi.org/10.21448/ijsm.1332875
Öz This research aimed to assess the hematological traits of male adults diagnosed with diabetes and investigate the relationship between blood sugar levels with hematological factors among patients. A cross-sectional comparison study was conducted at Fallujah Teaching Hospital from April 1 to July 30, 2023. The research comprised 185 volunteers, including 125 individuals with type 2 diabetes mellitus (65 with well blood sugar levels and 60 with poorly-regulated blood sugar levels) and 60 healthy individuals serving as controls. The evaluation of hematological parameters was conducted using Swelab-Alfa. An independent T-test was used for assessment. The patients exhibited substantially decreased mean absolute lymphocyte count, Hct, MCHC, and PLT values compared to the control group. The diabetic group had significantly higher mean values for total neutrophil count, absolute basophil counts, RDWSD, RDWCV, PDW, PLCR, and MPV than the control group. Patients with poor glycemic control had substantially elevated levels of Mon, Eos, Bas, MCHC, PLT, MPV, PLCR, and PCT. In contrast, individuals with poor glycemic control had substantially lower levels of Neu, RBC count, and PDW. The findings demonstrated a statistically significant positive connection between neutrophil count, MCV, MCH, MCHC, PDW, MPV, PLCR, and PCT with FBG. Lym, RBC count, and Hct exhibited a statistically significant inverse connection with FBG in individuals with type 2 diabetes mellitus (T2DM). This research demonstrated a notable impact of diabetes mellitus, poor glycemic control, and fasting blood glucose levels on some hematological markers.
Anahtar Kelimeler Hematological parameters, Type 2 diabetes mellitus, Glycemic control, Fasting glucose level, Iraq
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Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 14, 4993–5000. https://doi:10.2147/DMSO.S348907 Awofisoye, O.I., Adeleye, J.O., Olaniyi, J.A., & Esan, A. (2019). Prevalence and correlates of anemia in type 2 diabetes mellitus: a study of a Nigerian outpatient diabetic population. Sahel Medical Journal, 22(2), 55–63. https://doi.10.4103/smj.smj_65_18 Barbieri, J., Fontela, P.C., Winkelmann, E.R., Zimmermann, C.E.P., Sandri, Y.P., Mallet, E.K. V., & Frizzo, M.N. (2015). Anemia in patients with type 2 diabetes mellitus. Anemia, 1–7. https://doi.org/10.1155/2015/354737 Bekele, A., Teji Roba, K., Egata, G., & Gebremichael, B. (2019). Anemia and associated factors among type-2 diabetes mellitus patients attending public hospitals in Harari Region, Eastern Ethiopia. PloS one, 14(12), 1-17.https://doi.org/10.1371/journal.pone.0225725 Bhatt, N., Dawande, P., Noman, O., Bahadure, S., & Bhake, A. (2020). Significance of hematological parameters in uncomplicated diabetes mellitus. Indian Journal of Forensic Medicine & Toxicology, 14(4), 6279-6285. https://doi.org/10.37506/ijfmt.v14i4.12583 Biadgo, B., Melku, M., Abebe, S.M., & Abebe, M. (2016). Hematological indices and their correlation with fasting blood glucose level and anthropometric measurements in type 2 diabetes mellitus patients in Gondar, Northwest Ethiopia. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 9, 91–99. https://doi.org/10.2147/DMSO.S97563 Çakırca, G., & Çelik, M.M. (2019). Relationships between glycemic control and platelet Indices, atherogenic index of plasma and vitamin D in patients with type 2 diabetes. E Journal of Cardiovascular Medicine, 7(3), 147 52. https://doi.org/10.32596/ejcm.galenos.2019.08.047 Cappellini, M.D., & Motta, I. (2015). Anemia in Clinical Practice-Definition and Classification: Does Hemoglobin Change With Aging?. Seminars in hematology, 52(4), 261–269. https://doi.org/10.1053/j.seminhematol.2015.07.006 Ebrahim, H., Fiseha, T., Ebrahim, Y., & Bisetegn, H. (2022). Comparison of hematological parameters between type 2 diabetes mellitus patients and healthy controls at Dessie comprehensive specialized hospital, Northeast Ethiopia: Comparative cross-sectional study. Plos one, 17(7), 0272145. https://doi.org/10.1371/journal.pone.0272145 Farooqui, R., Afsar, N., & Afroze, I.A. (2019). Role and Significance of Hematological parameters in Diabetes Mellitus. Annals of Pathology and Laboratory Medicine, 6(3), 158–162. https://doi.org/10.21276/apalm.2355 Harish Kumar, S., Srinivasa, S.V., & Prabhakar, K. (2017). Haematological profile of diabetes and non-diabetes patients in rural tertiary center. International Journal of Advances in Medicine, 4(5), 1271–5. https://doi.org/10.18203/2349-3933.ijam20174111 International Diabetes Federation (IDF). (2021). IDF Diabetes Atlas. 10th Ed, 32-114. Jabeen, F., Rizvi, H.A., Aziz, F., & Wasti, A.Z. (2013). Hyperglycemic induced variations in hematological indices in type 2 diabetics. International Journal of Advanced Research, 1(8), 322–34. Jaman, M.S., Rahman, M.S., Swarna, R.R., Mahato, J., Miah, M.M., & Ayshasiddeka, M. (2018). Diabetes and red blood cell parameters. Annals of Clinical Endocrinology and Metabolism, 2, 1-009. https://doi.org/10.29328/journal.acem.1001004 Joshi, A.A., & Jaison, J. (2019). The Study of Platelet Parameters- Mean Platelet Volume (MPV) and Platelet Distribution Width (PDW) in Type 2 Diabetes Mellitus. Annals of Pathology and Laboratory Medicine, 6(8), 407–413. https://doi.org/10.21276/APALM Kaur, R., Kaur, M., & Singh, J. (2018). Endothelial dysfunction and platelet hyperactivity in type 2 diabetes mellitus: molecular insights and therapeutic strategies. Cardiovascular Dialectology, 17(121), 1–17. https://doi.org/10.1186/s12933-018-0763-3 Kizilgul, M., Sencar, E., Bekir, U.C.A.N., Beysel, S., Ozcelik, O., Ozbek, M., & Cakal, E. (2018). Components of the complete blood count in type 2 diabetes mellitus with inadequate glycemic control. Dicle Medical Journal, 45(2), 113 20. https://doi.org/10.5798/dicletip.410811 Knychala, M.A., Garrote‐Filho, M.D.S., Batista da Silva, B., Neves de Oliveira, S., Yasminy Luz, S., Marques Rodrigues, M.O., & Penha‐Silva, N. (2021). Red cell distribution width and erythrocyte osmotic stability in type 2 diabetes mellitus. Journal of Cellular and Molecular Medicine, 25(5), 2505–16. https://doi.org/10.1111/jcmm.16184 Osman N.A., & Mansour M.M. (2013). Measurement of some haematological parameters in diabetic patient attending military hospsital in Omdurman. Sudan University of science and technology Institutional Digit Repos., 0–1. Shehri, Z.S. (2017). The relationship between some biochemical and hematological changes in type 2 diabetes mellitus. Biomedical Research and Therapy, 4(11), 1760 74. https://doi.org/10.15419/bmrat.v4i11.382 Al Salhen, K., & Mahmoud, A. (2017). Hematological profile of patients with type 2 diabetic mellitus in El-Beida, Libya. Ibnosina Journal of Medicine and Biomedical Sciences, 9(03), 76-80. https://doi.org/10.4103/1947-489X.210115 Salvagno, G.L., Sanchis-Gomar, F., Picanza, A., & Lippi, G. (2014). Red blood cell distribution width: A simple parameter with multiple clinical applications. Critical Reviews in Clinical Laboratory Sciences, 52(2), 86-105. https://doi.org/10.3109/10408363.2014.992064 Sherif, H., Ramadan, N., Radwan, M., Hamdy, E., & Reda, R. (2013). Red cell distribution width as a marker of inflammation in Type 2 diabetes mellitus. Life Science Journal, 10(3), 1501-1507. Shin, G., Jang, K., Kim, M., Lee, J.H., & Yoo, H.J. (2020). Inflammatory Markers and Plasma Fatty Acids in Predicting WBC Level Alterations in Association with Glucose Related Markers: A Cross sectional study. Frontiers in Immunology, 11, 629. https://doi.org/10.3389/fimmu.2020.00629 World Health Organization (2016). Global Report on Diabetes. Geneva: World Health Organization; 6.
Assessment of the differences of hematological variables and their correlation with glycemic control among type 2 diabetes mellitus patients in Iraq: Comparative cross-sectional study Yıl 2024, Cilt: 11 Sayı: 3, 435 – 444, 29.08.2024
Osamah Ahmed
https://doi.org/10.21448/ijsm.1332875
Öz This research aimed to assess the hematological traits of male adults diagnosed with diabetes and investigate the relationship between blood sugar levels with hematological factors among patients. A cross-sectional comparison study was conducted at Fallujah Teaching Hospital from April 1 to July 30, 2023. The research comprised 185 volunteers, including 125 individuals with type 2 diabetes mellitus (65 with well blood sugar levels and 60 with poorly-regulated blood sugar levels) and 60 healthy individuals serving as controls. The evaluation of hematological parameters was conducted using Swelab-Alfa. An independent T-test was used for assessment. The patients exhibited substantially decreased mean absolute lymphocyte count, Hct, MCHC, and PLT values compared to the control group. The diabetic group had significantly higher mean values for total neutrophil count, absolute basophil counts, RDWSD, RDWCV, PDW, PLCR, and MPV than the control group. Patients with poor glycemic control had substantially elevated levels of Mon, Eos, Bas, MCHC, PLT, MPV, PLCR, and PCT. In contrast, individuals with poor glycemic control had substantially lower levels of Neu, RBC count, and PDW. The findings demonstrated a statistically significant positive connection between neutrophil count, MCV, MCH, MCHC, PDW, MPV, PLCR, and PCT with FBG. Lym, RBC count, and Hct exhibited a statistically significant inverse connection with FBG in individuals with type 2 diabetes mellitus (T2DM). This research demonstrated a notable impact of diabetes mellitus, poor glycemic control, and fasting blood glucose levels on some hematological markers.
Anahtar Kelimeler Hematological parameters, Type 2 diabetes mellitus, Glycemic control, Fasting glucose level, Iraq
Teşekkür Thanks
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Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 14, 4993–5000. https://doi:10.2147/DMSO.S348907 Awofisoye, O.I., Adeleye, J.O., Olaniyi, J.A., & Esan, A. (2019). Prevalence and correlates of anemia in type 2 diabetes mellitus: a study of a Nigerian outpatient diabetic population. Sahel Medical Journal, 22(2), 55–63. https://doi.10.4103/smj.smj_65_18 Barbieri, J., Fontela, P.C., Winkelmann, E.R., Zimmermann, C.E.P., Sandri, Y.P., Mallet, E.K. V., & Frizzo, M.N. (2015). Anemia in patients with type 2 diabetes mellitus. Anemia, 1–7. https://doi.org/10.1155/2015/354737 Bekele, A., Teji Roba, K., Egata, G., & Gebremichael, B. (2019). Anemia and associated factors among type-2 diabetes mellitus patients attending public hospitals in Harari Region, Eastern Ethiopia. PloS one, 14(12), 1-17.https://doi.org/10.1371/journal.pone.0225725 Bhatt, N., Dawande, P., Noman, O., Bahadure, S., & Bhake, A. (2020). Significance of hematological parameters in uncomplicated diabetes mellitus. Indian Journal of Forensic Medicine & Toxicology, 14(4), 6279-6285. https://doi.org/10.37506/ijfmt.v14i4.12583 Biadgo, B., Melku, M., Abebe, S.M., & Abebe, M. (2016). Hematological indices and their correlation with fasting blood glucose level and anthropometric measurements in type 2 diabetes mellitus patients in Gondar, Northwest Ethiopia. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 9, 91–99. https://doi.org/10.2147/DMSO.S97563 Çakırca, G., & Çelik, M.M. (2019). Relationships between glycemic control and platelet Indices, atherogenic index of plasma and vitamin D in patients with type 2 diabetes. E Journal of Cardiovascular Medicine, 7(3), 147 52. https://doi.org/10.32596/ejcm.galenos.2019.08.047 Cappellini, M.D., & Motta, I. (2015). Anemia in Clinical Practice-Definition and Classification: Does Hemoglobin Change With Aging?. Seminars in hematology, 52(4), 261–269. https://doi.org/10.1053/j.seminhematol.2015.07.006 Ebrahim, H., Fiseha, T., Ebrahim, Y., & Bisetegn, H. (2022). Comparison of hematological parameters between type 2 diabetes mellitus patients and healthy controls at Dessie comprehensive specialized hospital, Northeast Ethiopia: Comparative cross-sectional study. Plos one, 17(7), 0272145. https://doi.org/10.1371/journal.pone.0272145 Farooqui, R., Afsar, N., & Afroze, I.A. (2019). Role and Significance of Hematological parameters in Diabetes Mellitus. Annals of Pathology and Laboratory Medicine, 6(3), 158–162. https://doi.org/10.21276/apalm.2355 Harish Kumar, S., Srinivasa, S.V., & Prabhakar, K. (2017). Haematological profile of diabetes and non-diabetes patients in rural tertiary center. International Journal of Advances in Medicine, 4(5), 1271–5. https://doi.org/10.18203/2349-3933.ijam20174111 International Diabetes Federation (IDF). (2021). IDF Diabetes Atlas. 10th Ed, 32-114. Jabeen, F., Rizvi, H.A., Aziz, F., & Wasti, A.Z. (2013). Hyperglycemic induced variations in hematological indices in type 2 diabetics. International Journal of Advanced Research, 1(8), 322–34. Jaman, M.S., Rahman, M.S., Swarna, R.R., Mahato, J., Miah, M.M., & Ayshasiddeka, M. (2018). Diabetes and red blood cell parameters. Annals of Clinical Endocrinology and Metabolism, 2, 1-009. https://doi.org/10.29328/journal.acem.1001004 Joshi, A.A., & Jaison, J. (2019). The Study of Platelet Parameters- Mean Platelet Volume (MPV) and Platelet Distribution Width (PDW) in Type 2 Diabetes Mellitus. Annals of Pathology and Laboratory Medicine, 6(8), 407–413. https://doi.org/10.21276/APALM Kaur, R., Kaur, M., & Singh, J. (2018). Endothelial dysfunction and platelet hyperactivity in type 2 diabetes mellitus: molecular insights and therapeutic strategies. Cardiovascular Dialectology, 17(121), 1–17. https://doi.org/10.1186/s12933-018-0763-3 Kizilgul, M., Sencar, E., Bekir, U.C.A.N., Beysel, S., Ozcelik, O., Ozbek, M., & Cakal, E. (2018). Components of the complete blood count in type 2 diabetes mellitus with inadequate glycemic control. Dicle Medical Journal, 45(2), 113 20. https://doi.org/10.5798/dicletip.410811 Knychala, M.A., Garrote‐Filho, M.D.S., Batista da Silva, B., Neves de Oliveira, S., Yasminy Luz, S., Marques Rodrigues, M.O., & Penha‐Silva, N. (2021). Red cell distribution width and erythrocyte osmotic stability in type 2 diabetes mellitus. Journal of Cellular and Molecular Medicine, 25(5), 2505–16. https://doi.org/10.1111/jcmm.16184 Osman N.A., & Mansour M.M. (2013). Measurement of some haematological parameters in diabetic patient attending military hospsital in Omdurman. Sudan University of science and technology Institutional Digit Repos., 0–1. Shehri, Z.S. (2017). The relationship between some biochemical and hematological changes in type 2 diabetes mellitus. Biomedical Research and Therapy, 4(11), 1760 74. https://doi.org/10.15419/bmrat.v4i11.382 Al Salhen, K., & Mahmoud, A. (2017). Hematological profile of patients with type 2 diabetic mellitus in El-Beida, Libya. Ibnosina Journal of Medicine and Biomedical Sciences, 9(03), 76-80. https://doi.org/10.4103/1947-489X.210115 Salvagno, G.L., Sanchis-Gomar, F., Picanza, A., & Lippi, G. (2014). Red blood cell distribution width: A simple parameter with multiple clinical applications. Critical Reviews in Clinical Laboratory Sciences, 52(2), 86-105. https://doi.org/10.3109/10408363.2014.992064 Sherif, H., Ramadan, N., Radwan, M., Hamdy, E., & Reda, R. (2013). Red cell distribution width as a marker of inflammation in Type 2 diabetes mellitus. Life Science Journal, 10(3), 1501-1507. Shin, G., Jang, K., Kim, M., Lee, J.H., & Yoo, H.J. (2020). Inflammatory Markers and Plasma Fatty Acids in Predicting WBC Level Alterations in Association with Glucose Related Markers: A Cross sectional study. Frontiers in Immunology, 11, 629. https://doi.org/10.3389/fimmu.2020.00629 World Health Organization (2016). Global Report on Diabetes. Geneva: World Health Organization; 6. Toplam 35 adet kaynakça vardır.
Ayrıntılar Birincil Dil İngilizce Konular Biyokimya ve Hücre Biyolojisi (Diğer) Bölüm Makaleler Yazarlar Osamah Ahmed Middle Technical University 0000-0003-3546-2136 Iraq
Erken Görünüm Tarihi 6 Ağustos 2024 Yayımlanma Tarihi 29 Ağustos 2024 Gönderilme Tarihi 26 Temmuz 2023 Yayımlandığı Sayı Yıl 2024 Cilt: 11 Sayı: 3
Kaynak Göster APA Ahmed, O. (2024). Assessment of the differences of hematological variables and their correlation with glycemic control among type 2 diabetes mellitus patients in Iraq: Comparative cross-sectional study. International Journal of Secondary Metabolite, 11(3), 435-444. https://doi.org/10.21448/ijsm.1332875
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