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The Value of Neutrophil Lymphocyte Ratio in Predicting the Degree of Insulin Resistance and β Cell Dysfunction in Type 2 Diabetic Patients

Received: 24 August 2015    Accepted: 25 August 2015    Published: 25 October 2015
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Abstract

Objective:Insulin resistance and progressive pancreatic β-cell failure are key factors in the development of type 2 diabetes.The aim of the present study was to define the relationship between Neutrophil Lymphocyte Ratio (NLR) and the degree of insulin resistance and β cell dysfunction in Type 2Diabetus Mellitus.Methods: This study was carried out on seventy diabetic patient attended the outpatient clinic of the diabetes and metabolism unit in Alexandria Main University Hospital (AMUH)and thirty t healthy subjects with matched age, sex and socioeconomic status as a control group. Subjects were interviewed in order to collect data using predesigned questionnaire, anthropometric measures were measured, blood samples were collected from each subject for chemical analysis. Results: NLR was higher in diabetic subjects than non-diabetic one. NLR showed significant positive correlation with HOMA-IR and no significant negative correlation with HOMA-β.Conclusion: the relation between inflammation and adipose tissue is extremely complex in diabetic patients. However, simple calculation of NLR and measurement of waist circumference can reveal inflammation in the diabetic population.

Published in American Journal of Internal Medicine (Volume 4, Issue 2-1)

This article belongs to the Special Issue Different Medical Research From Middle East

DOI 10.11648/j.ajim.s.2016040201.11
Page(s) 1-4
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Insulin Resistance Syndrome, Beta Cell Dysfunction, Neutrophil Lymphocyte Ratio (NLR)

References
[1] Fazeli F, Aa M, Vorst M, Knibbe C, De B. Global trends in the incidence and prevalence of type 2 diabetes in children and adolescents: a systematic review and evaluation of methodological approaches. Diabetologia. 2013; 56(7): 1471-88.
[2] WHO. Global status report on non communicable diseases 2010. Geneva: World Health Organization; 2011.
[3] Reinehr T. Type 2 diabetes mellitus in the child and adolescent. World J Diabetes. 2013; 4(6):270-81.
[4] Prentki M, Nolan CJ. Islet β cell failure in type 2 diabetes. The Journal of clinical investigation. 2006; 116: 1802-12.
[5] Shoelson SE, Lee J, Goldfine AB. Inflammation and insulin resistance. J Clin Invest. 2006; 116: 1793–801.
[6] Pickup J. Inflammation and activate innate immunity in the pathogenesis of type 2 diabetes. Diabetes Care. 2004; 27: 813–23.
[7] Pradhan A, Ridker P. Do atherosclerosis and type 2 diabetes share a common inflammatory basis? Eur Heart J. 2002; 23: 831–4.
[8] Bastard J, Maachi M, Lagathu C, Kim M, Caron M, Vidal H, et al. Recent advances in the relationship between obesity, inflammation, and insulin resistance. Eur Cytokine Netw. 2006; 17(1): 4–12.
[9] Verdaet D, Dendae P, De Bacquer D, Delanghe J, Block P, De Backer G. Association between leisure time physical activity and markers of chronic inflammation related to coronary heart disease. Atherosclerosis. 2004; 176(2): 303–10.
[10] Capurso C, Capurso A. From excess adiposity to insulin resistance: the role of free fatty acids. Vascul Pharmacol. 2012; 57(2-4): 91-7.
[11] Song Y, Manson J, Tinker L, Howard B, Kuller L, Nathan L, et al. Insulin sensitivity and insulin secretion determined by homeostasis model assessment and risk of diabetes in a multiethnic cohort: the Health Initiative Observational Study. Diabetes Care. 2007; 30(7): 1747-52.
[12] Tsai J, Sheu S, Chiu H, Chung F, Chang D, Chen M, et al. Association of peripheral total and differential leukocyte counts with metabolic syndrome and risk of ischemic cardiovascular diseases in patients with type 2 diabetes mellitus. Diabetes Metab Res Rev. 2007; 23(2): 111-8.
[13] Goldfine A, Kulkarni R. Modulation of beta-cell function: a translational journey from the bench to the bedside. Diabetes Obes Metab. 2012;14(3): 152-60.
[14] Sahin S, Sarikaya S, Alcelik A,Erdem A,Turker T, Akyol L, et al. Neutrophil to lymphocyte ratio is a useful predictor of atrial fibrillation in patients with diabetes mellitus. Acta Media Mediterranea. 2013; 29: 847-51.
[15] Pitsavos C, Tampourlou M, Panagiotakos D, Skoumas Y, Chrysohoou C, Nomikos T, et al. Association between low-grade systemic inflammation and type 2 diabetes mellitus among men and women from the ATTICA study. Rev Diabet Stud. 2007; 4 (2):98-104.
[16] Shiny A, Bibin Y, Shanthirani C, Regin B, Anjana R, Balasubramanyam M, et al. Association of neutrophil-lymphocyte ratio with glucose intolerance: an indicator of systemic inflammation in patients with type 2 diabetes. Diabetes Technol Ther. 2014; 16(8): 524-30.
[17] Van Greevenbroek M, Schalkwijk C, Stehouwer C. Obe¬sity-associated low-grade inflammation in type 2 diabetes mellitus: causes and consequences. Neth J Med. 2013; 71: 174-87.
[18] Navab M, Anantharamaiah G, Reddy S, Van Lenten B, Ansell B, Hama S, et al. The double jeopardy of HDL. Ann Med. 2005. 37(3):173-8.
[19] Chrysohoou C, Pitsavos C, Skoumas J, Masoura C, Katinioti A, Panagiotakos D, et al. The emerging anti-inflammatory role of HDL-cholesterol, illustrated in cardiovascular disease free population; the ATTICA study. Int J Cardiol. 2007; 122(1): 29-33.
[20] Lee C, Harris S, Retnakaran R, Gerstein H, Perkins B, Zinman B,et al. White blood cell subtypes, insulin resistance and β-cell dysfunction in high-risk individuals--the PROMISE cohort. Clin Endocrinol (Oxf). 2014; 81(4): 536- association with insulin resistance was confounded by obesity.
[21] Turkmen K, Tufan F, Selçuk E, Akpınar T, Oflaz H, Ecder T.Neutrophil-to-lymphocyte ratio, insulin resistance, and endothelial dysfunction in patients with autosomal dominant polycystic kidney disease. Indian J Nephrol. 2013; 23(1): 34-40.
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    Eman Youssef Moursy, Azza Abd El-Kareem Ismael, Reham Fadl Hassan Mouftah, Eglal Saad Ghanem El-Tahan. (2015). The Value of Neutrophil Lymphocyte Ratio in Predicting the Degree of Insulin Resistance and β Cell Dysfunction in Type 2 Diabetic Patients. American Journal of Internal Medicine, 4(2-1), 1-4. https://doi.org/10.11648/j.ajim.s.2016040201.11

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    ACS Style

    Eman Youssef Moursy; Azza Abd El-Kareem Ismael; Reham Fadl Hassan Mouftah; Eglal Saad Ghanem El-Tahan. The Value of Neutrophil Lymphocyte Ratio in Predicting the Degree of Insulin Resistance and β Cell Dysfunction in Type 2 Diabetic Patients. Am. J. Intern. Med. 2015, 4(2-1), 1-4. doi: 10.11648/j.ajim.s.2016040201.11

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    AMA Style

    Eman Youssef Moursy, Azza Abd El-Kareem Ismael, Reham Fadl Hassan Mouftah, Eglal Saad Ghanem El-Tahan. The Value of Neutrophil Lymphocyte Ratio in Predicting the Degree of Insulin Resistance and β Cell Dysfunction in Type 2 Diabetic Patients. Am J Intern Med. 2015;4(2-1):1-4. doi: 10.11648/j.ajim.s.2016040201.11

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  • @article{10.11648/j.ajim.s.2016040201.11,
      author = {Eman Youssef Moursy and Azza Abd El-Kareem Ismael and Reham Fadl Hassan Mouftah and Eglal Saad Ghanem El-Tahan},
      title = {The Value of Neutrophil Lymphocyte Ratio in Predicting the Degree of Insulin Resistance and β Cell Dysfunction in Type 2 Diabetic Patients},
      journal = {American Journal of Internal Medicine},
      volume = {4},
      number = {2-1},
      pages = {1-4},
      doi = {10.11648/j.ajim.s.2016040201.11},
      url = {https://doi.org/10.11648/j.ajim.s.2016040201.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.s.2016040201.11},
      abstract = {Objective:Insulin resistance and progressive pancreatic β-cell failure are key factors in the development of type 2 diabetes.The aim of the present study was to define the relationship between Neutrophil Lymphocyte Ratio (NLR) and the degree of insulin resistance and β cell dysfunction in Type 2Diabetus Mellitus.Methods: This study was carried out on seventy diabetic patient attended the outpatient clinic of the diabetes and metabolism unit in Alexandria Main University Hospital (AMUH)and thirty t healthy subjects with matched age, sex and socioeconomic status as a control group. Subjects were interviewed in order to collect data using predesigned questionnaire, anthropometric measures were measured, blood samples were collected from each subject for chemical analysis. Results: NLR was higher in diabetic subjects than non-diabetic one. NLR showed significant positive correlation with HOMA-IR and no significant negative correlation with HOMA-β.Conclusion: the relation between inflammation and adipose tissue is extremely complex in diabetic patients. However, simple calculation of NLR and measurement of waist circumference can reveal inflammation in the diabetic population.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - The Value of Neutrophil Lymphocyte Ratio in Predicting the Degree of Insulin Resistance and β Cell Dysfunction in Type 2 Diabetic Patients
    AU  - Eman Youssef Moursy
    AU  - Azza Abd El-Kareem Ismael
    AU  - Reham Fadl Hassan Mouftah
    AU  - Eglal Saad Ghanem El-Tahan
    Y1  - 2015/10/25
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ajim.s.2016040201.11
    DO  - 10.11648/j.ajim.s.2016040201.11
    T2  - American Journal of Internal Medicine
    JF  - American Journal of Internal Medicine
    JO  - American Journal of Internal Medicine
    SP  - 1
    EP  - 4
    PB  - Science Publishing Group
    SN  - 2330-4324
    UR  - https://doi.org/10.11648/j.ajim.s.2016040201.11
    AB  - Objective:Insulin resistance and progressive pancreatic β-cell failure are key factors in the development of type 2 diabetes.The aim of the present study was to define the relationship between Neutrophil Lymphocyte Ratio (NLR) and the degree of insulin resistance and β cell dysfunction in Type 2Diabetus Mellitus.Methods: This study was carried out on seventy diabetic patient attended the outpatient clinic of the diabetes and metabolism unit in Alexandria Main University Hospital (AMUH)and thirty t healthy subjects with matched age, sex and socioeconomic status as a control group. Subjects were interviewed in order to collect data using predesigned questionnaire, anthropometric measures were measured, blood samples were collected from each subject for chemical analysis. Results: NLR was higher in diabetic subjects than non-diabetic one. NLR showed significant positive correlation with HOMA-IR and no significant negative correlation with HOMA-β.Conclusion: the relation between inflammation and adipose tissue is extremely complex in diabetic patients. However, simple calculation of NLR and measurement of waist circumference can reveal inflammation in the diabetic population.
    VL  - 4
    IS  - 2-1
    ER  - 

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Author Information
  • Department of Internal Medicine, Faculty of Medicine, Alexandria University, Alexandria, Egypt

  • Department of Internal Medicine, Faculty of Medicine, Alexandria University, Alexandria, Egypt

  • Department of Clinical Pathology, Faculty of Medicine, Alexandria University,Alexandria, Egypt

  • Alexandria Fever Hospital, Ministry of Health, Alexandria, Egypt

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