Monocyte-HDL Ratio: Can It Be Included in the Follow-Up of Diabetes Mellitus and Diagnosis of Diabetic Nephropathy?

Authors : Hakan OZER, Kader ZEYBEK AYDOĞAN, Yasin ÖZTÜRK, Fethi YÖNET, İsmail BALOĞLU

Pages : 384-389

Doi:10.54005/geneltip.1206894

View : 53 | Download : 46

Publication Date : 2023-08-31

Article Type : Research Paper

Abstract :Background and Aim: Diabetic nephropathy is the most common cause of end-stage renal disease and albuminuria is the earliest manifestation of diabetic nephropathy.Oxidative stress and inflammation caused by advanced glyco-oxidation end products contribute to micro and macrovascular complications of diabetes. Monocyte to high-density lipoprotein insert ignore into journalissuearticles values(HDL); cholesterol ratio insert ignore into journalissuearticles values(MHR); is an essential indicator of inflammation and oxidative stress. In this study, we aimed to reveal the relationship between diabetes regulation and complications and MHR. Material and Method: A total of 182 subjects, including 152 patients with diabetes mellitus insert ignore into journalissuearticles values(DM); and 30 healthy controls, were included in this study. All data of the subjects were scanned retrospectively. The DM group was divided into two groups nephropathy insert ignore into journalissuearticles values(n=68); and non-nephropathy insert ignore into journalissuearticles values(n=84);, with a limit of 30 mg/day for albuminuria. MHR was calculated by dividing the monocyte count by the HDL cholesterol count. Results: When patients with DM were divided into nephropathy and non-nephropathy, patients with nephropathy had higher MHR levels than the other group. We showed that MHR correlated with albuminuria, creatinine, and HbA1c in patients with diabetic nephropathy. In addition, in the regression analysis, albuminuria and MHR were predictors of DN, while MHR, age, and creatinine were found to be independent predictors of albuminuria. Conclusion: MHR, which is an easily calculated marker with simple laboratory tests, which is frequently requested in routine practice in the follow-up of diabetes patients, can help predict the regulation of diabetes and its kidney complications.
Keywords : Albüminüri, diyabetik nefropati, inflamasyon, monosit HDL kolesterol oranı