Research Article
Volume 4 Issue 3 - 2020
Measurement of Platelet Parameters and D-Dimer Level in Sudanese Patients with Long Standing Diabetes Mellitus Type 2
Amna Elbadri Yassin Elbadri1, Islam Hussain Mohammed Abdulhafeez1, Namarig Alawad Omer Ali1, Shiraz Osman Abdallah Osman1, Tamador Yassen Hamed Mohammed1, Mosab Nouraldein Mohammed Hamad2,3, Enaam Hussein Mohammed Ahmed Ali1, Alaa Ibrahim1,3 and Ahmed Abdulhafeez Nimir1*
1Hematology and Immunohaematology Department, Faculty of Medical Laboratory Sciences, University of Khartoum, Sudan
2Medical Laboratory Department, Faculty of Health Sciences, Elsheikh Abdallah Elbadri University, Sudan
3Medical Laboratory Department, Alfajr College for Sciences and Technology, Sudan
*Corresponding Author: Ahmed Abdulhafeez Nimir, Hematology and Immunohaematology Department, Faculty of Medical Laboratory Sciences, University of Khartoum, Sudan.
Received: January 20, 2020; Published: February 06, 2020




Abstract

Background: This is an observational analytical case control study that had been conducted among diabetic patients in Khartoum State, during the period from December to February 2016 - 2017, to compare platelets parameters and D-dimer level between diabetic patients attending Diabetic and Endocrine Hospital, Soba University Hospital and non-diabetic controls. 80 blood samples were collected 40 samples from diabetic patients and 40 samples from non-diabetic controls.

Objectives: To evaluate platelet parameters and D-Dimer level in long standing Diabetes mellitus type 2 in Sudanese patients.

Method: After obtaining informed consent from each patient and non-diabetic control, 4 ml of venous blood were collected and divided into two parts: 2.5 ml transferred into K2EDTA container for complete blood count, and 2.5 ml transferred into Tri Sodium Citrate container (9 volumes of blood is added to 1 volume of a 32 g/1 solution of TSC anticoagulant) and separated by centrifugation at 3000 rpm for 15 minutes, to obtain platelet poor plasma for measurement of D-Dimer level. The following tests were performed (platelets count, MPV, PDW, P-LCR and D-Dimer level) in both groups (case and control).

Result: Platelets count in both case and control was statistically insignificant (p = 0.392), while MPV (P = 0.034), PDW (p = 0.020), P-CLR (p = 0.012), and D-Dimer. Level (p = 0.015) were statistically significantly increased in patients compared to controls. There were no statistically significant differences in all measured parameters between gender, age and duration groups except platelets count which was significantly increased in patients under 50 years old. P-value < 0.05 was considered significant throughout the study.

Conclusion: Our study identified the altered platelets morphology and increased D-Dimer level among the long standing DM type 2 which are indicators of thrombotic state in diabetes mellitus. Based on these results we recommend the platelets indices and D-dimer level to the spectrum of thrombophilia which will be carried on long standing diabetes mellitus type 2 patients.

Keywords: Platelets; D-Dimer; Diabetes Mellitus

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Citation: Ahmed Abdulhafeez Nimir., et al. “Measurement of Platelet Parameters and D-Dimer Level in Sudanese Patients with Long Standing Diabetes Mellitus Type 2”. EC Nutrition 4.3 (2020): 01-13.

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