PMID- 38028987 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231201 IS - 1178-7007 (Print) IS - 1178-7007 (Electronic) IS - 1178-7007 (Linking) VI - 16 DP - 2023 TI - The Correlation Between Thyroid Parameters and the Ratios of Neutrophil/Lymphocyte and Platelet/Lymphocyte in Euthyroid Type 2 Diabetic Patients. PG - 3763-3771 LID - 10.2147/DMSO.S431941 [doi] AB - PURPOSE: To investigate the thyroid parameters (thyroid stimulating hormone (TSH), free triiodothyronine (FT3), and free thyroxine (FT4)) and their relationship with inflammatory indicators (neutrophil/lymphocyte ratio (NLR) and platelet/lymphocyte ratio (PLR)) in euthyroid individuals with type 2 diabetes mellitus (T2DM). PATIENTS AND METHODS: Our study included 672 participants diagnosed with T2DM, and 336 healthy individuals matched in terms of age and gender. The laboratory inspection data of both type 2 diabetic patients and healthy individuals as controls were analyzed separately. RESULTS: Compared with a control group, the individuals with T2DM presented elevated levels of inflammatory indicators, including white blood cells (WBC), neutrophils (NEUT), neutrophil/lymphocyte ratio (NLR), and platelet/lymphocyte ratio (PLR). The levels of TSH are elevated in the T2DM group, whereas the levels of FT3 or FT4 are reduced. TSH levels were significantly positively correlated with NLR or PLR, while the levels of FT3 and FT4 were significantly negatively correlated with NLR or PLR. Furthermore, thyroid parameters were correlated with gender, age, and blood lipid metabolism. Multiple stepwise regression analysis identified gender, NLR, PLR, and low-density lipoprotein (LDL) as significant contributing factors for TSH. Additionally, gender, age, NLR, PLR, glycated hemoglobin A1c (HbA1c), and LDL were identified as contributing factors for FT3, while PLR and total cholesterol (TC) were identified as contributing factors for FT4. CONCLUSION: Abnormal metabolism of thyroid parameters is associated with increased inflammatory activity and impaired glycolipid metabolism in euthyroid type 2 diabetic patients. CI - (c) 2023 Chen et al. FAU - Chen, Hui AU - Chen H AUID- ORCID: 0000-0002-5419-7166 AD - Department of Geriatrics, Taizhou People's Hospital Affiliated to Nanjing Medical University, Taizhou, Jiangsu, People's Republic of China. FAU - Ju, Jun-Qiang AU - Ju JQ AD - Department of Geriatrics, Taizhou People's Hospital Affiliated to Nanjing Medical University, Taizhou, Jiangsu, People's Republic of China. FAU - Qian, Xiao-Wu AU - Qian XW AD - Department of Geriatrics, Taizhou People's Hospital Affiliated to Nanjing Medical University, Taizhou, Jiangsu, People's Republic of China. FAU - Zhu, Zheng-Tai AU - Zhu ZT AD - Department of Geriatrics, Taizhou People's Hospital Affiliated to Nanjing Medical University, Taizhou, Jiangsu, People's Republic of China. FAU - Zhao, Chun-Zhi AU - Zhao CZ AD - Department of Geriatrics, Taizhou People's Hospital Affiliated to Nanjing Medical University, Taizhou, Jiangsu, People's Republic of China. FAU - Liu, Zhe AU - Liu Z AD - Department of Geriatrics, Taizhou People's Hospital Affiliated to Nanjing Medical University, Taizhou, Jiangsu, People's Republic of China. LA - eng PT - Journal Article DEP - 20231122 PL - New Zealand TA - Diabetes Metab Syndr Obes JT - Diabetes, metabolic syndrome and obesity : targets and therapy JID - 101515585 PMC - PMC10679513 OTO - NOTNLM OT - neutrophil/lymphocyte ratio OT - platelet/lymphocyte ratio OT - thyroid function OT - thyroid parameters OT - type 2 diabetes mellitus COIS- There are no conflicts of interest or personal relationships between the authors that could have influenced the study. EDAT- 2023/11/29 18:42 MHDA- 2023/11/29 18:43 PMCR- 2023/11/22 CRDT- 2023/11/29 17:20 PHST- 2023/09/02 00:00 [received] PHST- 2023/11/08 00:00 [accepted] PHST- 2023/11/29 18:43 [medline] PHST- 2023/11/29 18:42 [pubmed] PHST- 2023/11/29 17:20 [entrez] PHST- 2023/11/22 00:00 [pmc-release] AID - 431941 [pii] AID - 10.2147/DMSO.S431941 [doi] PST - epublish SO - Diabetes Metab Syndr Obes. 2023 Nov 22;16:3763-3771. doi: 10.2147/DMSO.S431941. eCollection 2023.