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All Journal Althea Medical Journal The Indonesian Biomedical Journal Sari Pediatri Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal) AgriHealth: Journal of Agri-food, Nutrition and Public Health JOURNAL LA MEDIHEALTICO AKSONA Asian Journal of Health Research Prominentia Medical Journal Jurnal Widya Medika
Pramita Anindya Nugraheni
Department Of Pediatrics, Faculty Of Medicine, Hang Tuah University; Dr. Ramelan Naval Hospital, Surabaya
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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COMPLETE BLOOD COUNT PARAMETERS AND PERIPHERAL BLOOD MORPHOLOGY IN ADULTS WITH TYPE 2 DIABETES MELLITUS: A SYSTEMATIC REVIEW Michael Alexander; Aditya Mahardika Wahono; Nadya Shita Herwindha; Herdy Primanda Ikhwani Alamsyah; Salsabila Auliahadi; Moh Fathi Ilmawan; Pramita Anindya Nugraheni
JURNAL WIDYA MEDIKA Vol. 13 No. 1 (2027): MARCH
Publisher : FAKULTAS KEDOKTERAN UNIVERSITAS KATOLIK WIDYA MANDALA SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33508/jwm.v13i1.8956

Abstract

Type 2 diabetes mellitus can alter complete blood count parameters and peripheral blood morphology through chronic hyperglycemia, inflammation, oxidative stress, and endothelial dysfunction, changes that may support clinical monitoring and risk stratification. This systematic review synthesized current evidence on these hematological alterations in adults with type 2 diabetes mellitus. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement, four databases were searched for studies published between January 2020 and December 2025, and findings from twenty eligible studies were narratively synthesized due to substantial heterogeneity. Most studies reported reduced hemoglobin, hematocrit, red blood cell count, and red blood cell indices, alongside consistently elevated red cell distribution width, particularly in patients with poor glycemic control or complications. Increased white blood cell count, neutrophil-to-lymphocyte ratio, mean platelet volume, and platelet distribution width reflected inflammation and platelet activation, while peripheral smears frequently showed anisocytosis, poikilocytosis, echinocytes, and spherocytes. These parameters are consistently associated with type 2 diabetes mellitus, but the predominance of observational studies limits causal and prognostic interpretation, highlighting the need for prospective studies to establish their clinical utility.
Co-Authors A. S. Ramadhina, Nurul Saqinah Aditya Mahardika Wahono Adnyana , I Made Dwi Mertha Agustin, Renny Alief Qobidh Al Bashor Arifin ANNISA ULLYA RASYIDA Aulia Cempakasari Avelline, Kendraadine Dheayu Betty Agustina Tambunan Devanda, Kasilda Pasha Dewi Syahputri Djatiwidodo Edi Pratiknya Febrianto Adi Husodo Firdha Yekti Hutami Hadi, Rifqi Athaya Vinanta Hartono Kahar, Hartono Hayati, Khofifah Bela Rachmanu Hendrawan, Michelle Herdy Primanda Ikhwani Alamsyah Irawati, Ade Kharizmatika Lauwis, Keziah Queency Michael Alexander Miranda, Stefani Mita Herdiyantini Moh Fathi Ilmawan Nadya Aisyah Sasqia Putri Nadya Shita Herwindha Ni Komang Sri Dewi Untari Ni Komang Sri Dewi Untari Novitania, Milleniawati Putri Oktavia, Reza Mardiana Ayu Pratama A., Ronald Prima Arundani Putri, Fransisca Dian Nathania Rantika, Rheina Hasna Renagupita, Melani Sinastri Renata Prameswari Renny Agustin Reza Mardiana Ayu Oktavia Rheina Hasna Rantika Rifqi Athaya Vinanta Hadi Rina Mega Utami Risma Risma, Risma Ronald Pratama Adiwinoto Salsabila Auliahadi Setiabudi, Martin Panglipuringtyas Sitti Radhiah Tiara Rahmawati UNTARI, NI KOMANG SRI DEWI Utami, Rina Mega Vendra Setiawan Verna Biutifasari Widisaputro, Michael Deni