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Altered platelets' morphological parameters in children with type 1 diabetes – a case-control study.

Beata Malachowska1, Bartlomiej Tomasik2, Agnieszka Szadkowska3

  • 1Department of Paediatrics, Oncology, Haematology and Diabetology, Medical University of Lodz, 36/50 Sporna St., 91-738, Lodz, Poland. beata.malachowska@stud.umed.lodz.pl.

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Summary

Children with type 1 diabetes (T1DM) exhibit platelet morphological changes indicating hyperreactivity. Poorer metabolic control in these young patients is linked to increased platelet counts, potentially raising future cardiovascular event risk.

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Area of Science:

  • Pediatric Endocrinology
  • Hematology
  • Cardiovascular Research

Background:

  • Platelet hyperreactivity is a known risk factor for cardiovascular events in adults with type 2 diabetes.
  • Limited data exists on platelet alterations in children with type 1 diabetes.
  • This study investigates platelet morphology and function in pediatric type 1 diabetes.

Purpose of the Study:

  • To determine if platelet morphology or function is altered in children with type 1 diabetes.
  • To assess potential predisposition to future cardiovascular events.
  • To explore the relationship between metabolic control and platelet parameters.

Main Methods:

  • A cohort of 389 children with type 1 diabetes (T1DM) was studied.
  • An age- and sex-matched control group of 389 children was established.
  • Platelet count (PLT), mean platelet volume (MPV), platelet distribution width (PDW), platelet large cell ratio (P-LCR), and HbA1c levels were measured.

Main Results:

  • Children with T1DM showed significantly higher MPV, PDW, and P-LCR compared to controls.
  • Platelet counts (PLT) were similar between the groups.
  • Higher platelet counts were associated with poorer metabolic control (HbA1c) after adjusting for confounding factors.

Conclusions:

  • Pediatric patients with T1DM demonstrate morphological evidence of platelet hyperreactivity.
  • Increased platelet counts in T1DM are linked to poorer metabolic control.
  • These platelet alterations may predispose children with T1DM to future cardiovascular events.