Platelet Indices: Indicators of Diabetes
Keywords:
WHO- World Health Organization, DM- Diabetes Mellitus, RBC- Red Blood Cells, MPV- Mean Platelet Volume, PDW- Platelet Distribution Width, ADP- Adinosine diphosphate, FPG- Fasting Plasma Glucose, T2DM- Type 2 Diabetes Mellitus, IGT- Impaired Glucose Tolerance, PLT- Platelet, PLCR- Platelet-Large Cell Ratio, CBC- Complete Blood Count, MPI- Mean Platelet Indices, PCT- Plateletcrit, PVI- Platelet Volume Indices, PGE- Prostaglandin E, PGI- Prostaglandin I, NO- Nitric Oxide, GP- GlycoproteinAbstract
- Aim and Objectives: The aim of this study is to study role of platelet
indices in with and without diabetes. The objectives included assessing
platelet count, mean platelet volume (MPV), platelet distribution
width (PDW), and platelet large cell ratio (P-LCR) within these patient
categories and to comparing platelet indices among healthy controls
and diabetic patients.
Materals and Methods: This prospective case-control study was
conducted at Departments of Pathology and Ophthalmology, School
of Medical Sciences & Research, Sharda Hospital, Greater Noida. Over
one and a half years, 100cases were enrolled, divided into 2 groups:
controls and Diabetics .The patients coming to ophthalmology opd for
retina checkup, their blood sample was taken. As same vial is used for
both estimation of platelet indices and HBA1C, both blood investigations
were noted. Inclusion criteria were adult patients with type 2 diabetes.
Exclusion criterion was anemia, certain eye conditions, uncontrolled
hypertension, cardiovascular issues, renal failure, anti-platelet drug
usage, malignancy, and type 1 diabetes were made.
Results: The results revealed significant variations among the groups.
In controls, the majority (90%) had MPV below 12, whereas in diabetic
patients most (58%) had MPV ranging from 12 to 15. PDW showed
similar trends, with 96% of controls having PDW below 17, while 96%
of diabetic patients was having as >20 . PLCR percentages ranged
within normal limits for controls but shifted towards higher values in
diabetic group. Platelet counts were consistent between control and
diabetic without Diabetes groups, averaging around 252,000 x10^3/
cumm, while diabetic patients had a slightly lower average count of
approximately 242,000 x10^3/cumm .
Conclusion: Thus we conclude that platelet indices are cost effective, easily
available, more reliant and more compliant tools which can indicate the
progression diabetes. MPV, PDW,PLCR and PLATELET COUNT, can play an
important role in Early detection , better diagnosis and prognosis of Diabetes.
Keywords: Mean Platelet Count, Platelet Distribution Width , Platelet
Large Cell Ratio, Diabete. - How to cite this article:
Mittal S, Dubey S, Goyal J L, Mishra J, Charu.
Platelet Indices: Indicators of Diabetes. Rec Adv
Path Lab Med. 2025;11(1&2):7-10. - DOI: https://doi.org/10.24321/2454.8642.202501
References
Saluja M, Swami YK, Meena SR. Study of Impact of
Glycemic Status (HbA1c) on Platelet Activity measured
by Mean Platelet Volume & Vascular Complications in
Diabetics. The Journal of the Association of Physicians
of India. 2019 Apr 1;67(4):26-9.
Pujari MP, Desai PR. Correlation of Glycosylated He-
moglobin (HbA1c) and Mean Platelet Volume (MPV)
in Type II Diabetes Mellitus patients and Non Diabetic
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