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Some Haemostatic Parameters of Patients With Type-II Diabetes Mellitus Attending Metabolic Clinics in Kano Metropolis

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Abstract

Diabetes mellitus (DM) is defined as a metabolic disorder characterized by elevated blood glucose level, resulting from a defect in insulin secretion, insulin action or both. It is accompanied by biochemical alterations in carbohydrate, protein and lipid metabolism. Haemostasis is the body’s normal physiological response to thwart haemorrhagic tendencies and consequently, maintain blood fluidity and blood vessel integrity. Abnormalities in haemostasis can result in bleeding (haemorrhage) or blood clots (thrombosis). The study aimed to determine some haemostatic parameters in type II diabetes patients in Kano Metropolis. One hundred (100) participants enrolled between August through November 2019; fifty (50) participants each from diabetic and healthy control subjects were recruited for the study. Routine coagulation studies were carried out using conventional methods. The prothrombin and activated partial thromboplastin times (PT and APTT) were statistically significant (p<0.05) compared to controls. Astatistically significant positive correlation (p<0.05) between PT and APTT in type II diabetic subjects was observed. Decreased PT and APTT values are consistent with abnormal coagulation mechanisms, and this may have clinical implications leading to hypercoagulable state and thrombosis which results in cardiovascular disorders.


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