STUDIES ON GLYCATED HAEMOGLOBIN, PLATELETS, SODIUM AND POTASSIUM IN TYPE II DIABETES PATIENTS ATTENDING FEDERAL UNIVERSITY TEACHING HOSPITAL, OWERRI, NIGERIA
Volume 6, Issue 4, Pp 10-14, 2024
DOI: https://doi.org/10.61784/jpmr3019
Author(s)
Aloy-Amadi Oluchi C.1*, Luke Chinonso1, Akujobi Augustine U.2, Nwadike Constance N.1, Edward Ukamaka1, and Igwilo Anastecia C.3
Affiliation(s)
1Department of Medical Laboratory Science, Imo State University, Owerri, Nigeria.
2Department of Optometry, Imo State University, Owerri, Nigeria.
3Department of Haematology and Blood Transfusion, University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria.
Corresponding Author
Aloy-Amadi Oluchi C.
ABSTRACT
Diabetes Mellitus is a complex disease characterized by chronic hyperglycemia responsible for complications affecting the kidneys, eyes, peripheral nerves, and micro and macrovascular systems. This study was aimed at evaluating the levels of glycated haemoglobin, platelet count, sodium and potassium in type II diabetes mellitus patients attending federal university teaching hospital, Owerri. All eligible subjects who filled the questionnaire and gave written informed consent for the study period were sampled. The study population consisted of 50 patients diagnosed with diabetes mellitus and an equivalent number of age - matched healthy subjects (50) who served as controls. Seven millilitres of blood samples were collected from the study participants.2 mls was aliquoted into ethylenediaminetetraacetic acid (EDTA) containers and used for platelet counts using nuebauer counting chamber and HBA1c estimation using Fluorescence immunoassay method. 5 mls of blood were dispensed into plain containers and used for sodium and potassium estimations using Flame emission spectrophotometric method. The results of the tests were analyzed using SPSS version 21. The mean values of HBA1c (9.24±2.63)%, potassium (4.49±0.78) mmol/l and platelets (312766.67±90153.01) cells/μl were significantly increased in the diabetics when compared to controls (4.61±1.21)%,(3.91±0.47)mmol/l and (168906.25±55864.67) cells/μl. The mean value of sodium (127.93±10.32)mmol/l was significantly decreased (p=0.002, p=0.000 and p=0.001) in the diabetics when compared to controls (139.28±5.97)mmol/l (p=0.001. There was no significant difference in the mean values of HBA1C, sodium, potassium and platelets in male diabetics(9.11±3.01)%, (131.66±12.06)mmol/l, (4.52±1.17)mmol/l and (382716.97±58153.78)cells/μl when compared to female diabetics (9.02±2.99)%, (132.11±4.88)mmol/l, (4.48±0.92)mmol/l and (368696.25±65864.01)cells/ μl. There was a non - significant positive correlation (r=0.19, p=0.318; r=0.33, p=0.072 and r=0.03, p=0.871) of HBAIc with sodium, potassium and platelets in the diabetics. Glycated haemoglobin, potassium and platelets were significantly increased in the diabetic patients. The study proves that estimation of glycated haemoglobin, sodium ion, potassium ion and platelet will be very useful in diabetes mellitus patients with regard to understanding the pathogenesis and to evaluate diabetic complications.
KEYWORDS
Diabetes; Glycated haemoglobin; Platelets; Sodium; Potassium
CITE THIS PAPER
Aloy-Amadi Oluchi C., Luke Chinonso, Akujobi Augustine U., Nwadike Constance N., Edward Ukamaka, and Igwilo Anastecia C. Studies on glycated haemoglobin, platelets, sodium and potassium in type ii diabetes patients attending federal university teaching hospital, owerri, Nigeria. Journal of Pharmaceutical and Medical Research. 2024, 6(4): 10-14. DOI: https://doi.org/10.61784/jpmr3019.
REFERENCES
[1] Luscher TF, Creager MA, Beckman JA, et al. Diabetes and vascular disease: pathophysiology, clinical consequences and medical therapy. Circulation, 2017, 108(13): 1655–1661.
[2] Saira B, Prashant J, Poonam L. Correlation of Serum Urea and Serum Creatinine in Diabetics patients and normal individuals. International Journal of Clinical Biochemistry and Research, 2020, 7(1): 45–48.
[3] Mahajan RD, Mishra B. Using Glycated Hemoglobin HbA1c for diagnosis of Diabetes mellitus. An Indian perspective. International Journal of Biological Medicinal Research, 2021, 2(2): 508-512.
[4] Van’t R, Alssema M, Rijkelijkhuizen JM. Relationship between A1C and glucose levels in the general Dutch population: the new Hoorn study. Diabetes Care, 2020, 33: 61–66.
[5] Cowie CC, Rust KF, Byrd-Holt DD. Prevalence of diabetes and impaired fasting glucose in adults in the U.S. population: National Health And Nutrition Examination Survey. Diabetes Care, 2016, 29: 1263–1268.
[6] Carr ME. Diabetes mellitus: A hypercoagulable State. Journal of Diabetes complications, 2016, 15(1): 44–54.
[7] Beckman JA, Creager M, Libby P. Diabetes and atherosclerosis: epidermiology, pathophysiology and management. American medical association Journal of the American Medical Association, 2012, 287(19): 2570–2581.
[8] Colwell JA, Nesto RW. The platelets in diabetes: Focus on prevention of ischaemic events. Diabetes Care, 2013, 26 (7): 2181–2188.
[9] Linder G, Funk GC. Hypernatremia in critically ill patients. Journal of Critical Care, 2021, 28: 11-20.
[10] Liamis G, Rodenburg EM, Hofman A, et al. Electrolyte disorders in community subjects: Prevalence and risk factors. American Journal of Medicine, 2013, 126: 256-263.
[11] Sarguru D, Vanaja R, Balaji R. Evaluation of serum electrolytes in type II diabetes mellitus. International Journal of Pharmaceutical Science Review Research, 2016, 40 (1): 251-253.
[12] Ferroni P, Basil S, Falco A, et al. Platelet activation in type 2 diabetes mellitus. Journal of Thrombotic haemostasis, 2014, 2(8): 1282–1291.
[13] Liamis G, Rodenburg EM, Hofman A, et al. Electrolyte disorders in community subjects: prevalence and risk factors. America Journal of Medicine, 2019, 126: 256-263.
[14] Kitabchi AE, Umpierrez GE, Murphy MB, et al. Hyperglycemic crisis in adult patients with diabetes:A consensus statement from the American diabetes association. Diabetes Care, 2016, 29: 2739–2748.
[15] Javaid A, Hasan R, Zaib A, et al. A comparative study of the effects of hypoglycemic agents on serum electrolytes in diabetic patients. Pakistan Journal of Pharmaceutical Science, 2017, 20(1): 67–71.
[16] Yasmin F, Haleem DJ, et al. Intraerythrocyte and serum electrolytes in diabetic patients with hypertension. Journal of College Physicians Surgery Pakistan, 2016, 16 (7): 445–449.
[17] Krentz AJ, Bailey CJ. Oral antidiabetic agents: current role in type 2 diabetes mellitus. Drugs, 2015, 65 (3): 385–411.
[18] Sarwar N, Gao P, Seshasai SR, et al. Diabetes mellitus, fasting blood glucose concentration, and risk of vascular disease:a collaborative meta-analysis of 102 prospective studies. Emerging Risk Factors Collaboration. Lancet, 2016, 375(9733): 2215–2222.
[19] Thomas AK, Udaya KM, Suraksha BR, et al. Mean platelet volume in type 2 diabetes mellitus. Journal of laboratory physicians, 2021, 4(1): 5–9.
[20] Hekimsoy Z, Payzinb B, et al. Mean platelet volume in Type 2 diabetic patients. Journal of Diabetes Complications, 2014, 18(3): 173–176.
[21] Ripsin CM, Kang H, Urban RJ. Management of blood glucose in type 2 diabetes mellitus. American Family Physician, 2017, 79 (1): 29–36.