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Haematological Features and Urologic Pathologies of Diabetic Subjects at Bafoussam Regional Hospital: A
Arsene T Signing1, Wiliane J T Marbou1, Veronique P Beng2
1Department of Biochemistry, University of Dschang, P.O. Box 67, Dschang, Cameroon.
Insights
Diabetes mellitus is linked to significant differences in blood counts and urinary issues. Early detection and intervention for diabetic patients can help manage long-term complications.
Area of Science:
- Hematology
- Urology
- Endocrinology
Background:
- Diabetes mellitus is a chronic condition leading to severe long-term complications.
- Understanding the hematological and urological aspects of diabetes is crucial for patient management.
Purpose of the Study:
- To assess the hematological features and urologic pathologies in diabetic individuals.
- To identify potential correlations between diabetes status and specific health indicators.
Main Methods:
- A cross-sectional study was conducted in Bafoussam Regional Hospital, Cameroon.
- Data collected included sociodemographic information, clinical features, fasting plasma glucose, full blood count (FBC), and T-cell counts (CD4, CD3, CD8).
Main Results:
- Diabetic patients were older and showed a higher incidence of urinary urgency compared to non-diabetic individuals.
- While most hematological parameters were negatively correlated with diabetes, Mean Corpuscular Volume (MCV) and Red Cell Distribution Width-Coefficient of Variation (RDW-CV) negatively influenced diabetes probability.
- Red Cell Distribution Width-Standard Deviation (RDW-SD) positively influenced diabetes probability.
Conclusions:
- Significant differences in hematological and urological profiles exist between diabetic and non-diabetic individuals.
- Targeted research and interventions for the diabetic population are essential to mitigate diabetes-related complications.
Background:
Diabetes mellitus is at the origin of long-term complications.
Objective:
This study is aimed at assessing the haematological features and urologic pathologies of diabetic individuals at Bafoussam Regional Hospital.
Methods:
This was a cross-sectional study conducted from August 2018 to May 2019 in Bafoussam Regional Hospital, West Cameroon. A structured questionnaire was used to gather sociodemographic data. A trained nurse measured the physical and clinical features. Fasting plasma glucose was determined using the glucose meter Accu-Chek Active system. The full blood count (FBC) was carried out using Automatic full Blood Counter, and the CD4, CD3, and CD8 T-cell counts were determined using the flow cytometry method.
Results:
There were 455 diabetic patients, and 50 nondiabetic patients were included. The mean age of diabetic patients (56.94 ± 14.33 years) was higher compared to that of nondiabetic individuals (34.76 ± 14.35 years) (p < 0.001). There was a significant relationship between married individuals (χ 2 = 79.19, p < 0.001, and df = 4), housewife and retired (χ 2 = 1117.38, p < 0.001, and df = 37), old age (40 years and above) (χ 2 = 79.11, p < 0.001, and df = 3), and diabetes status. Diabetic patients had an odds of 5.52 to experience a urinary urge as compared to the controls (p < 0.001, 95% CI = 2.15-14.22). The majority of haematological parameters were negatively but not significantly correlated with diabetes. Binary logistic regression shows that MCV (r = -0.251, OR = 0.778, and 95% CI = 0.617-0.983; p = 0.035) and RDW-CV (r = -0.477, OR = 0.620, and 95% CI = 0.454-0.848; p = 0.003) negatively influence the probability of having diabetes. RDW-SD (r = 0.135, OR = 1.144, and 95% CI = 1.014-1.291; p = 0.029) positively influences the probability of having diabetes.
Conclusion:
This study revealed a significant haematological and urological profile difference according to diabetes status. Research and interventions targeted at diabetic population could help close gaps in diabetes complications.
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