Heamatological Parameters in Type 2 Diabetic Patients Attending Igbinedion University Teaching Hospital Okada, Edo State, Nigeria

O. Mitsan, Zekeri Sule, Aghatise Kevin Erhamwonyi, Osaiyuwu Osarenren Clement, M. Okwu, Aiyanyor David Osayomwanbo, Igiebor Clive Uyi
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Abstract

Diabetes is a group of metabolic diseases in which there are high blood sugar levels over a prolonged period, and if untreated could lead to complications. This study, carried out at the Igbinedion university teaching hospital Okada to ascertain some hematological parameters, using 69 known diabetes patients who enrolled as an Out-patient in the General Out- Patient Department and 69 non- diabetes apparently healthy individuals as control. Thirty- nine of these diabetic individuals were female, while thirty were male individuals. For the non- diabetic individuals, thirty- seven were female, and thirty-two were male representing 53.6% and 46.4% respectively. Ethical approval from the institution was sought prior to commencement of study and quality control of reagents was strictly maintained. Five millilitres of whole blood was collected into an Ethylene Diamine Tetra-Acetic acid (EDTA) anticoagulated bottle, and haematological parameters including PCV, HB, WBC, RBC,MCV, MCH, MCHC and platelet count were conducted for all individuals. Result obtained for Diabetic individuals   showed a mean value of 34.63, 11.24, 4.41, 7.20 and 204.27 for PCV, Hb, RBC, WBC and platelets counts respectively, while for non-diabetic individuals, a mean value of 35.04, 10.09, 3.99, 7.07 and 262.56 respectively.Hb concentration and RBC count were statistically significant (p < 0.05). The Red cell indices, MCV and MCHC, were statistically significant. This study showed a statistically significant variation in some hematological parameters of diabetic patients compared to control group .Low platelet count and alteration to red cell morphology as indicated in values of MCV and MCHC among diabetic patients are indicators of thrombotic potential. Hence, routine screening of hematological parameters should be considered for proper management of diabetic patients.
尼日利亚江户州冈田Igbinedion大学教学医院2型糖尿病患者的血液学参数
糖尿病是一组代谢性疾病,患者长期处于高血糖水平,如果不及时治疗,可能会导致并发症。本研究在Igbinedion大学冈田教学医院进行,以确定一些血液参数,使用69名已知的糖尿病患者作为普通门诊部的门诊患者和69名非糖尿病明显健康的个体作为对照。其中女性39例,男性30例。非糖尿病人群中,女性37例,男性32例,分别占53.6%和46.4%。在研究开始之前,已获得该机构的伦理批准,并严格保持试剂的质量控制。采集全血5毫升,放入乙二胺四乙酸(EDTA)抗凝瓶中,检测所有个体的PCV、HB、WBC、RBC、MCV、MCH、MCHC和血小板计数等血液学参数。糖尿病患者PCV、Hb、RBC、WBC和血小板的平均值分别为34.63、11.24、4.41、7.20和204.27,非糖尿病患者PCV、Hb、RBC、WBC和血小板的平均值分别为35.04、10.09、3.99、7.07和262.56。Hb浓度、RBC计数均有统计学意义(p < 0.05)。红细胞指标MCV、MCHC差异均有统计学意义。本研究显示,与对照组相比,糖尿病患者的一些血液学参数有统计学意义上的差异。糖尿病患者血小板计数低和红细胞形态学改变(MCV和MCHC值)是血栓形成潜力的指标。因此,应考虑常规血液学参数筛查,以正确管理糖尿病患者。
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