EVALUATION OF RED BLOOD CELL INDICES IN TYPE 2 DIABETES MELLITUS IN SULAYMANIYAH CITY, KURDISTAN REGION, IRAQ
Volume 12 , Issue 2 , June 2022 , Pages 197-206
Authors
1 College of Medicine, University of Sulaimani, Kurdistan Region, Iraq
10.17656/jsmc.10361
Keywords
Abstract
Background
Type 2 diabetes mellitus (T2DM) accounts for more than 90% of all diagnosed cases of diabetes. Earlier reports
described an independent association of haematological indices, such as red blood cells (RBCs), haemoglobin
(Hb), hematocrit (Hct), mean corpuscular haemoglobin (MCV), platelet count (Plt), and white blood cell count
(WBC) with the risk of occurrence of T2DM.
Objectives
To evaluate the relationship between T2DM and red cell indices.
Patients and Methods
The current cross-sectional study recruited 400 patients with T2DM who were referred to the Diabetic Center
in Sulaimani city, Northern Iraq, from November 2018 to March 2019 and 200 healthy blood donors who
donated from March to April 2019 to the Sulaimani Blood Bank Center. The required data were collected from
both groups, and relevant haematological tests and biochemical analyses were performed.
Results
Anemia was found in 8% of the patients giving higher rates among the females. Normocytic anaemia was
observed in (82.8%) of the patients. Half of the patients had a high level of RBC counts, which correlates
significantly with high HbA1c (p=0.005). The prevalence of pre-diabetic and diabetes was 15.5% among
healthy blood donors. Patients with T2DM and donation experience showed lower HbA1c levels than those
without blood donation (p<0.05).
Conclusion
Normocytic anaemia is the most common type in patients with T2DM. Patients with a high level of RBC count
might be worth screening for T2DM. A high frequency of pre-diabetic and diabetic among asymptomatic
healthy blood donors was observed.
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