Original Research Article
Year: 2020 | Month: February | Volume: 7 | Issue: 2 | Pages: 8-12
Assessment of Relationship of Neutrophil Lymphocyte Ratio with Diabetic Retinopathy among Patients with Type 2 Diabetes
JL Wadhwani1, Sachin Chittawar2, Upendra Gedam3, Sagar Khandare4
1Associate Professor, MD Medicine, 2DM Endocrinology, 3PG Student, 4MD Medicine, SR,
Department of Medicine, Gandhi Medical College Bhopal, Sultania Rd, near Hamidia Hospital, Royal Market, Bhopal, Madhya Pradesh 462001, India
Corresponding Author: Upendra Gedam
ABSTRACT
Background: Diabetes is metabolic disorder which is responsible for several long-term complications including both microvascular and macrovascular.
Aims and Objectives: The present study was conducted to assess the relationship between Diabetic retinopathy and neutrophil lymphocyte ratio amongst type 2 diabetics.
Methodology: This study was conducted as a cross sectional study in OPD settings at tertiary care Hospital on 150 patients for a period of 1 year. All the cases of type 2 diabetes recently or previously diagnosed, belonging to age group of 18 to 80 years were included. Detailed information regarding sociodemographic variables, diabetes, its duration, and treatment was obtained. Digital fundus photography with the help of ophthalmologist was done to assess diabetic retinopathy.
Results: The present study was conducted on a total of 150 patients of type 2 diabetes with mean age of 50.5±11.5 years. The present study observed statistically significant association and correlation of diabetic retinopathy with NLR ratio (p<0.03).
Conclusion: Our study highlighted the importance of NLR as a cheap, reliable, easily available and affordable predictor of the occurrence of diabetic retinopathy in patients with T2DM. The NLR ratio are significantly increased in the setting of diabetic retinopathy and they also correlate well with the severity of diabetic retinopathy. Thus early detection of these abnormal ratio levels will be helpful to detect diabetic retinopathy and also to assess the progression of the disease in diabetic patients.
Keywords: Diabetic retinopathy, NLR, diabetes, microvascular complications.
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