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 indices
such as platelet count, mean platelet volume, platelet distribution width and plateleticrit are
indicators 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 Ketema
Woreda 3 health center, Addis Ababa, Ethiopia, from June to December 2021.
Method: A comparative cross-sectional study was used and involving 255 participants consisting
of 85 diabetic and 170 non-diabetic controls was conducted from June to December/2021 G.C and
convenient sampling technique used. About 3-4ml blood sample from each participant was
collected into a test tube (purple cap) containing EDTA for complete blood count measurement on
Mindray BC3000 hematology analyzer. Data was collected, entered, & analyzed using SPSS
version 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 difference
across 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 were
included in the study among them 47/85 (55.3%) were female and the mean age of participant was
47.4±13 years. Based on HbA1c values the pattern of glycemic control among diabetic patients
was determined, majority of participant 75.3% had poor glycemic control. The platelet count, mean
platelet volume, and plateletcrits decreased between patients with diabetic mellitus than control
group (P=0.001). Platelet count, mean platelet volume, and plateletcrits parameters significantly
different 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 than
6.5% were 75.3%. In this study platelet count, mean platelet volume, and plateletcrits significantly
differences 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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Keywords
Type 2, Diabetes Mellitus, platelet count, Mean Platelet Volume, Platelet Distribution Width, Plateleticrit, Platelet parameters, Ethiopia.