ALTERATIONS OF SOME HAEMATOLOGICAL AND BIOCHEMICAL PARAMETERS IN TYPE II DIABETIC PATIENTS ATTENDING IMO SPECIALIST HOSPITAL, UMUGUMA, OWERRI, NIGERIA
Volume 2, Issue 2, Pp 57-61, 2024
DOI: https://doi.org/10.61784/wjbs3007
Author(s)
Aloy-Amadi Oluchi C.1*, Osineke Favour C.1, Akogu Okechukwu2, Akujobi Augustine U.2, Emeka-Obi Obioma R.3, Chinekezi Nnamdi E.1
Affiliation(s)
1Department of Medical Laboratory Science, Imo State University, Owerri, Nigeria.
2Department of Optometry, Imo State University, Owerri, Nigeria.
3Department of Haematology, College of Medicine, Federal University of Technology, Owerri, Imo State, Nigeria.
Corresponding Author
Aloy-Amadi Oluchi C.
ABSTRACT
Diabetes mellitus is a heterogeneous group of metabolic disorder characterized by high blood glucose level (hyperglycemia) with alterations in carbohydrate, lipid, and protein metabolism resulting from defects in insulin secretion and/or action. This study was aimed at determining the levels of white blood cell, fibrinogen, urea and creatinine in type II diabetes mellitus patients attending Imo Specialist Hospital Umuguma, Owerri. A cross-sectional study was carried out from the month of July to September, 2023 and all eligible subjects who gave a written informed consent for the study were enrolled in the study. The study population consisted of 50 diabetes mellitus patients and an equivalentno of age - matched apparently healthy, non-diabetes mellitus subjects served as the controls. The procedure was carried out at the Imo Specialist Hospital Umuguma, Owerri. The results of the tests were analyzed using SPSS version 21. The mean values of WBC (10372.00±3026.48)cells/μl and fibrinogen (351.67±98.20) mg/dl were significantly increased in diabetics when compared to controls (6659.20±1968.37)cells/μl and (220.99±73.91)mg/dl (p=0.000 and p=0.001). The mean values of urea (55.28±33.24)mg/dl and creatinine (1.92±1.63) mg/dl were significantly increased in diabetics when compared to controls (23.30±9.38)cells/μl and (0.75±0.37)mg/dl (p=0.001 and p=0.000). There was no significant difference in the mean values of WBC (10068.97±2817.05) cells/μl, Fibrinogen (346.36±96.08) mg/dl, urea (61.31±39.22) mg/dl and creatinine (2.28±1.95) mg/dl in male diabetics when compared to female diabetics (10790.47±3318.72) cells/μl, (359.01±102.99) mg/dl. (46.95±20.69) mg/dl and (1.43±0.88) mg/dl (p=0.411, p=0.657, p=0.133 and p=0.070). There was a significant non - positive correlation of WBC with urea and creatinine in diabetics (r=0.02, p=0.885; r=0.09, p=0.163 and r=0.16, p=0.259). Type II Diabetes mellitus is associated with a significant increase in white blood cell, fibrinogen, urea and creatinine. Therefore, routine screening of these indices is recommended to minimize diabetes mellitus‐related complication.
KEYWORDS
Diabetes mellitus; White blood cell; Fibrinogen; Urea; Creatinine
CITE THIS PAPER
Aloy-Amadi Oluchi C., Osineke Favour C., Akogu Okechukwu, Akujobi Augustine U., Emeka-Obi Obioma R., Chinekezi Nnamdi E. Alterations of some haematological and biochemical parameters in type ii diabetic patients attending Imo specialist hospital, umuguma, Owerri, Nigeria. World Journal of Biomedical Sciences. 2024, 2(2): 57-61. DOI: https://doi.org/10.61784/wjbs3007.
REFERENCES
[1] Adeghate E, Schattner P, Dunn E. An Update on the Etiology and Epidemiology of Diabetes Mellitus. Annual Academic Science, 2016, 5(1084): 1-29.
[2] International Diabetes Federation. IDF, Diabetes Atlas, 4th edition. 2019.
[3] Samatha P, Venkateswarlu M, Siva V. Lipid Profile Levels In Type 2 Diabetes Mellitus From Tribal Population Of Adilabad In Andhra Pradesh. JCDR, 2016, 6(4): 590-592.
[4] Lane JT. Microalbuminuria as a marker of cardiovascular and renal risk in type 2 diabetes mellitus: a temporal perspective. American Journal of Physiology and Renal Physiology, 2014, 286(3): 442-445.
[5] Caramori LM, Fioretto P, Mauer M. Enhancing the Predictive Value of Urinary Albumin for Diabetic Nephropathy. JASN, 2019, 17: 339-352.
[6] Elfaki ME, Raheem AM, Ahmed ES. Evaluation of Lipid Metabolism among Sudanese Patients with Type 2 Diabetes Mellitus. International Journal of Pure Applied Science and Technology, 2014, 23(1): 28-33.
[7] Twig G, Afek A, Shamiss A, et al. White blood cells count and incidence of type 2 diabetes in young men. Diabetes Care, 2013, 36: 276-282.
[8] Abali G, Akpinar O, Soylemez N. Correlation of the coronary severity scores and mean platelet volume in diabetes mellitus. Advanced Medicine, 2014, 31: 140-148.
[9] Mbata A, Adegoke A, Nwagu C, et al. Some Haematological Parameters in Diabetic Patients in Port Harcourt Nigeria. AJMS Journal, 2015, 3(2): 2348-7186.
[10] Nigeria population commission (NPC). Census. Retrieved from the vanguard newpaper. 2006.
[11] Kitabchi AE, Umpierre GE, Murphy MB, et al. Hyperglycemic crisis in adult patients with diabetes: A consensus statement from the American diabetes association. Diabetes Care, 2018, 29: 2739–2748.
[12] Adetunji OR, Adeleye JO, Agada NO, et al. Microalbuminuria and clinical correlates in black African patients with type 2 diabetes. West African Journal of Medicine, 2016, 25(4): 279–283.
[13] Pan L, Ye Y, Wo M. Clinical significance of hemostatic parameters in the prediction for type 2 diabetes mellitus and diabetic nephropathy. Disorders Markers, 2018, 28: 1‐7.
[14] Al-Khoury S, Afzali B, Shah N, et al. Anaemia in diabetic patients with chronic kidney disease--prevalence and predictors. Diabetologia, 2016, 49: 1183-1189.
[15] Anjula J, Gupta HL, Narayan S. Hyperfibrinogenemia in patients of diabetes mellitus in relation to glycemic control and urinary albumin excretion rate. JAPI, 2121, 49: 227–230.
[16] Mittal A, Sathian B, Kumar A, et al. Diabetes mellitus as a potential risk factor for renal disease among Nepalese: A hospital based case control study. Nepal Journal of Epidemiology, 2020, 1(1): 22-25
[17] Archana Sachin Bembde. A study of plasma fibrinogen level in type-2 diabetes mellitus and its relation to glycemic control. Indian Journal of Hematology and Blood Transfusion, 2011, 28(2): 105-108.
[18] Venugopal S, Iyer MU. Risk Factor Analysis and Prevalence of Microalbuminuria among Type 2 Diabetes Mellitus Subjects, The Need for Screening and Monitoring Microal. Asian Journal of Experimental Biological Science, 2020, 1: 652-659.
[19] Kamal A. Estimation of blood urea (BUN) and serum creatinine level in patients of renal disorder. Journal of Metabolic Medicine, 2018, 4(4): 199- 202.
[20] Harita N, Hayashi T, Sato KK, et al. Lower Serum Creatinine is a new risk factor of type 2 diabetes:The Kansai healthcare study. Diabetes Care, 2009, 32: 424-426.
[21] Mishra KP, Mawar A, Kare P, et al. Relationship between fasting blood glucose, serum urea, serum creatinine and duration of diabetes in type-2 diabetic. Flora Fauna, 2015, 21: 127-132.
[22] Bembde AS. A study of plasma fibrinogen level in type -2 diabetes mellitus and its relation to glycemic control. Indian Journal of Haematology and Blood Transfusion, 2012, 28 (2): 105-106.
[23] Kachekouche Y, Dali-Sahi M, Benmansour D, et al. Haematological profile associated with diabetes mellitus. Diabetic Metabolic Syndrome, 2018, 12: 309-312.
[24] Aktas G, Alcelik A, Tekce BK. Cell distribution width and mean platelet volume in patients with irritable bowel syndrome. Prz Gastroenterology, 2014, 9: 160-163.