Romanian Journal of Medical Practice,
Journal Year:
2024,
Volume and Issue:
19(2), P. 190 - 195
Published: June 30, 2024
Background
and
objectives.
One
of
the
leading
causes
disability
death
among
population
is
type
2
diabetes
mellitus
(T2DM),
which
characterized
by
persistent
hyperglycemia.
The
disease
associated
with
disorders
including
oxidative
stress
resistance
to
insulin
action,
are
involved
in
progression
other
diabetic
complications.
Such
complications
strongly
rationalize
need
for
advanced
treatment
strategies.
Considering
antioxidant,
anti-inflammatory
addition
cytoprotective
properties
erythropoietin
(EPO),
it
may
offer
a
new
potential
strategy
management
these
patients.
This
review
aims
explore
effects
EPO
on
its
impact
glucose
metabolism
guide
healthcare
professionals
novel
approach
controlling
Materials
methods.
was
conducted
analyzing
studies
stress,
insulin,
T2DM
published
Cochran
Library,
PubMed,
Google
Scholar
until
February
2024.
Results.
shows
promising
beneficial
diabetes-associated
disorders.
Conclusion.
With
this
effect
EPO,
considered
strong
candidate
area
development
creation
choices
diabetes.
Medicine,
Journal Year:
2024,
Volume and Issue:
103(8), P. e37265 - e37265
Published: Feb. 23, 2024
Red
blood
cells
(RBCs),
traditionally
recognized
for
their
oxygen
transport
role,
have
garnered
increasing
attention
significance
as
crucial
contributors
to
the
pathophysiology
of
diabetes
mellitus.
In
this
comprehensive
review,
we
elucidate
multifaceted
roles
RBCs
both
biomarkers
and
mediators
in
Amidst
intricate
interplay
altered
metabolic
pathways
diabetic
milieu,
manifest
distinct
alterations
structure,
function,
lifespan.
The
chronic
exposure
hyperglycemia
induces
oxidative
stress,
leading
modifications
RBC
physiology
membrane
integrity.
These
modifications,
including
glycation
hemoglobin
(HbA1c),
establish
invaluable
assessing
glycemic
control
over
extended
periods.
Moreover,
serve
progression
complications.
Their
involvement
vascular
dysfunction,
hemorheological
changes,
inflammatory
contributes
significantly
microangiopathy
associated
Exploring
therapeutic
implications,
review
addresses
potential
interventions
targeting
abnormalities
ameliorate
conclusion,
comprehending
nuanced
mellitus
offers
promising
avenues
enhanced
diagnostic
precision,
interventions,
improved
patient
outcomes.
This
consolidates
current
understanding
emphasizes
imperative
need
further
research
harness
full
RBC-related
insights
realm
Frontiers in Endocrinology,
Journal Year:
2024,
Volume and Issue:
15
Published: July 24, 2024
Background
Erythrocyte
dysfunction
is
a
characteristic
of
diabetes
mellitus
(DM).
However,
erythrocyte-associated
biomarkers
do
not
adequately
explain
the
high
prevalence
DM.
Here,
we
describe
red
blood
cell
distribution
width
to
albumin
ratio
(RAR)
as
novel
inflammatory
biomarker
for
evaluating
an
association
with
DM
and
prognosis
all-cause
mortality.
Methods
Data
analyzed
in
this
study
were
extracted
from
National
Health
Nutrition
Examination
Survey
(NHANES)
1999−2020.
A
total
40,558
participants
(non-DM
DM)
enrolled
study;
RAR
quartiles
calibrated
at
Q1
[2.02,2.82]
mL/g,
Q2
(2.82,3.05]
Q3
(3.05,3.38]
Q4
(3.38,12.08]
mL/g.
8,482
patients
followed
(for
median
84
months),
whom
2,411
died
6,071
survived.
The
associated
analyzed;
age
sex
stratified
analyze
sensitivity
long-term
prognosis.
Results
Among
non-DM
(
n
=30,404)
=10,154)
volunteers,
was
8.23%,
15.20%,
23.92%,
36.39%.
multivariable
odds
(OR)
significant
regarding
DM,
1.68
(95%
CI
1.42,
1.98).
Considering
foundation,
OR
2.57
2.11,
3.13).
percentages
morbidity
varied
across
dead
=2,411)
surviving
=6,071)
patients.
Specifically,
quartile
mortality
ratios
20.31%,
24.24%,
22.65%,
29.99%
(P<0.0001).
hazard
(HR)
1.80
1.57,
2.05).
HR
2.59
2.18,
3.09)
after
adjusting
confounding
factors.
Sensitivity
analysis
revealed
male
be
2.27
1.95,
2.64),
higher
than
females
1.56
1.31,
1.85).
who
60
years
or
younger
had
2.08
CI1.61,
2.70)
compared
those
older
years,
1.69
1.47,
1.94).
optimized
by
restricted
cubic
spline
(RCS)
model;
3.22
determined
inflection
point
inverse
L-curve.
>3.22
mL/g
suffered
shorter
survival
≤3.22
values
much
regular
width.
Conclusions
predictive
value
more
accurate
that
RDW
projecting
prevalence,
while
RAR,
risk
factor,
has
prognostic
power
condition.
Survival
time
found
reduced
increased
aged
≤60
among
female
Journal of Clinical Medicine,
Journal Year:
2024,
Volume and Issue:
13(7), P. 2049 - 2049
Published: April 2, 2024
Anemia
is
a
common
hematological
disorder
that
affects
12%
of
the
community-dwelling
population,
40%
hospitalized
patients,
and
47%
nursing
home
residents.
Our
understanding
impact
inflammation
on
iron
metabolism
erythropoiesis
still
lacking.
In
older
adults,
anemia
can
be
divided
into
nutritional
deficiency
anemia,
bleeding
unexplained
anemia.
The
last
type
might
caused
by
reduced
erythropoietin
(EPO)
activity,
progressive
EPO
resistance
bone
marrow
erythroid
progenitors,
chronic
subclinical
pro-inflammatory
state.
Overall,
one-third
patients
with
demonstrate
deficiency,
have
state
kidney
disease,
suffer
from
unknown
etiology.
Understanding
anemia’s
pathophysiology
in
people
aged
65
over
crucial
because
it
contributes
to
frailty,
falls,
cognitive
decline,
decreased
functional
ability,
higher
mortality
risk.
Inflammation
produces
adverse
effects
cells
system.
These
include
(hypoferremia),
production,
elevated
phagocytosis
erythrocytes
hepatic
splenic
macrophages.
Additionally,
causes
enhanced
eryptosis
due
oxidative
stress
circulation.
Identifying
mechanisms
behind
age-related
essential
for
better
preventing
adults.
Kidney and Dialysis,
Journal Year:
2025,
Volume and Issue:
5(1), P. 9 - 9
Published: March 3, 2025
Introduction:
Diabetes
mellitus,
a
chronic
disease
characterized
by
hyperglycemia,
is
significant
contributor
to
kidney
disease,
particularly
in
patients
with
diabetic
nephropathy
undergoing
renal
replacement
therapy.
Variations
circadian
rhythms
can
influence
the
progression
of
diseases
and
treatment
outcomes.
Aims:
This
observational
study
evaluated
gender-based
chronobiological
changes
biochemical,
hemorheological
factors,
cytokines
dialysis-dependent
nephropathy.
Materials
Methods:
A
cross-sectional
was
conducted
Barra
do
Garças,
Brazil,
involving
46
type
2
diabetes
mellitus
who
were
on
regular
hemodialysis.
Participants
divided
into
four
groups
for
analysis
according
gender
period
day.
Inclusion
criteria
included
individuals
periodic
hemodialysis,
receiving
hemodialysis
care
at
service,
signing
consent
form.
Patients
an
age
under
18
years,
1,
or
autoimmune
excluded.
Blood
samples
collected
assess
melatonin,
cortisol,
biochemical
parameters,
such
as
IFN-γ,
TNF-α,
IL-2,
IL-4,
IL-6,
IL-10,
IL-17.
Results:
Men
exhibited
higher
urea,
creatinine
levels
morning
afternoon
phases.
At
same
time,
women
showed
lower
increased
viscosity,
decreased
deformation
rate
afternoon.
Additionally,
IL-17
serum
from
women.
Conclusion:
These
findings
suggest
that
both
timing
should
be
taken
account,
when
optimizing
deeper
understanding
these
factors
could
lead
more
personalized
effective
strategies,
ultimately
improving
patient
outcomes
enhancing
their
quality
life.
Experimental and Clinical Gastroenterology,
Journal Year:
2025,
Volume and Issue:
9, P. 44 - 54
Published: March 6, 2025
Endocrine
gland
disorders
increase
the
risk
of
developing
anemia
and
are
an
independent
cause
their
occurrence.
Of
all
endocrine
diseases,
diabetes
mellitus
diabetic
nephropathy,
hypothyroidism,
adrenal
insufficiency,
hypogonadism
contribute
most
to
development
anemia.
The
pathophysiological
basis
for
occurrence
in
these
conditions
is
multifactorial
requires
further
investigation.
diseases
lead
microcytic,
normocytic,
macrocytic
hypochromic,
normochromic,
hyperchromic
anemias.
resulting
leads
aggravation
course
underlying
disease,
thus
closing
vicious
circle.
Simultaneous
complex
treatment
both
pathology
more
successful
correction
Frontiers in Cardiovascular Medicine,
Journal Year:
2025,
Volume and Issue:
12
Published: April 9, 2025
Cardiovascular
disease
(CVD)
is
the
major
cause
of
death
globally,
ranking
first
in
terms
morbidity
and
mortality
among
non-communicable
diseases.
Red
blood
cell
distribution
width
(RDW)
albumin
(ALB)
possess
potential
clinical
application
values.
Moreover,
ratio
two,
namely
RAR,
might
hold
more
advantages
diagnosis.
However,
relationship
between
RAR
CVD
general
population
has
not
been
studied
yet.
This
represents
a
study
encompassing
12,765
subjects.
Logistic
regression,
Cox
restricted
cubic
splines,
mediation
analysis,
receiver
operating
characteristic
curves
were
utilized
to
probe
into
association
CVD,
cardiovascular
rate
all-cause
rate.
A
total
participants
enrolled
this
study,
The
mean
age
was
47.47
±
16.33
years.
regression
revealed
that
positively
correlated
with
CVD.
Furthermore,
COX
also
illustrated
non-linearly
associated
both
(all-cause
mortality:
p-non-linear
=
0.0322;
0.0280).
Additionally,
ROC
results
indicated
at
various
time
points,
exhibited
stronger
discriminatory
capacity
for
compared
HbA1c
partially
mediated
Subgroup
analysis
interaction
findings
demonstrated
hypertension
race
exerted
significant
influence
on
significantly
linked
an
elevated
risk
higher
level,
greater
Thus,
could
potentially
be
independent
factor
underscores
crucial
value
discrimination
management