Assessment of mean platelet volume in type 2 diabetics receiving insulin or oral antidiabetic agents
Journal Title: Dicle Tıp Dergisi - Year 2015, Vol 42, Issue 4
Abstract
Objective: Increased mean platelet volume (MPV) is a known risk factor for various acute vascular complications, which is commonly associated with patients with diabetes mellitus (DM). This study was aimed to investigate the association of MPV, Type 2 DM and to know the difference of MPV in patients on oral hypoglycemic drugs and insulin therapy. Methods: A total of 300 patients were selected and allocated to three subgroups with 100, as DM Group on insulin therapy, DM Group on oral hypoglycemic therapy and non-DM Group (Negative control Group). Investigations like fasting blood glucose, HbA1c and MPV were performed. The results of patient values were evaluated retrospectively. Results: Results of the study showed that patients with type 2 DM have increased in the MPV. Oral antidiabetic treatment in patients MPV, was found to be higher compared to patients treated with insulin. The mean MPV in Group 1 (on oral hypoglycemic treatment) was 10.07±0.7 fl, in Group 2 (on Insulin therapy) 9.01±0.6 fl and in the controls Group 8.15±0.8 fl. Conclusion: The outcome of study has shown that values of MPV are increased in patients with, Type 2 DM and are significantly higher in those patients on oral hypoglycemic therapy than patients on insulin therapy. MPV is a simple and cost-effective tool which can be explored for predicting the possibility of vascular events in patients suffering from diabetes mellitus. Early initiation of insulin treatment in confirmed cases of Type 2 diabetics not only helps in controlling blood glucose level but also helps in keeping MPV low and thereby preventing possibility of impending vascular events. Key words: Mean platelet volume, type 2 diabetes mellitus, insulin therapy, oral hypoglycemic drugs
Authors and Affiliations
Fatih Şahpaz, Kemal Ulutaş
An unusual pacemaker malposition and delayed diagnosis
Transvenous right ventricular pacing usually shows a left bundle branch block (LBBB) pattern. When right bundle branch block (RBBB) pattern appears after the insertion of an electrode, perforation or malposition of the p...
Nadir bir olgu: Raine Sendromu
Ultrasonografi tekniğindeki gelişmeler fetal anomalilere intrauterin dönemde erken tanı konmasına yardımcı olmuştur. Ancak çok nadir görülen anomaliler intrauterin dönemde atlanabilmekte veya geç tanı konabilmektedir. Bu...
Ciddi karotis bifürkasyon lezyonunda endarterektomi ve safen ven ile ‘Y’ patchplasti tekniği
Arterioskleroz nedeni tam olarak bilinmemekle birlikte en sık koroner ve karotis arterleri etkilemekte, akım özelliklerinden dolayı ise en sık damar ostiumları ve bifurkasyon düzeylerinde görülmektedir. Arteriy...
Endoskopi yapılan hastalarda Helicobacter pylori sıklığı ve yerleşim yerinin yaş ve cinsiyete göre dağılımı
Amaç: Çalışmadaki amacımız endoskopi yapılan gastritli hastalarda Helicobacter pylori sıklığı ve yerleşim yerinin yaş ve cinsiyetlere göre dağılımının belirlenmesidir. Yöntemler:Hastanemizde Ocak 2012-Temmuz 2013 tarihl...
Uzun süre KOAH tedavisi alan skuamoz hücreli endotrakeal karsinom olgusu
Çeşitli benign ve malign patolojilerden oluşan primer trakeal tümörler oldukça nadir görülürler. Malign trakeal tümörlü hastalar bazen astma ve kronik obstrüktif akciğer hastalığı (KOAH) gibi tıkanıklık yapan akciğer...