Assessment of Platelet Parameters among Type 2 Diabetes Mellitus Patient at Addis Ketema Woreda 3 Health Center, Addis Ababa, Ethiopia.

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Date

2023-02

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Addis Ababa University

Abstract

Background: Diabetes Mellitus has been growing as a worldwide health problem. Platelet indicessuch as platelet count, mean platelet volume, platelet distribution width and plateleticrit areindicators of platelet hyperactivity and can be used as early markers for diabetic complications. Objective: To assess platelet parameters among Type II Diabetic Mellitus patient at Addis KetemaWoreda 3 health center, Addis Ababa, Ethiopia, from June to December 2021. Method: A comparative cross-sectional study was used and involving 255 participants consistingof 85 diabetic and 170 non-diabetic controls was conducted from June to December/2021 G.C andconvenient sampling technique used. About 3-4ml blood sample from each participant wascollected into a test tube (purple cap) containing EDTA for complete blood count measurement onMindray BC3000 hematology analyzer. Data was collected, entered, & analyzed using SPSSversion 25 software. The mean and standard deviation was used to summarize platelet parameters.One-way ANOVA (analysis of variance) were done to compare the platelet parameters differenceacross the two groups (DM Type II & Control), and A P-value of <0.05 is considered as statistically significant. Result: A total of 255 study participants was involved on the study. Out of the total 85 case wereincluded in the study among them 47/85 (55.3%) were female and the mean age of participant was47.4±13 years. Based on HbA1c values the pattern of glycemic control among diabetic patientswas determined, majority of participant 75.3% had poor glycemic control. The platelet count, meanplatelet volume, and plateletcrits decreased between patients with diabetic mellitus than controlgroup (P=0.001). Platelet count, mean platelet volume, and plateletcrits parameters significantlydifferent and correlated were case group of participant with HbA1c >6.5% (P<0.05). Conclusion: Majority of diabetic subjects are poor glycemic control or HbA1c level greater than6.5% were 75.3%. In this study platelet count, mean platelet volume, and plateletcrits significantlydifferences between diabetic’s subject compared to non-diabetics subjects but a platelet parameter value there is no difference between Diabetic with complications and without complication participant.

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Type 2 Diabetes Mellitus platelet count Mean Platelet Volume Platelet Distribution WidthPlateleticritPlatelet parametersEthiopia.

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