About this trial
This prospective cohort study aims to evaluate the relationship between admission Leukocyte Glucose Index (LGI) and the severity of diabetic ketoacidosis, as well as the presence of diabetic microvascular complications, among adult patients at Assiut University Hospitals.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
- Age 18 years or older
Known diabetes mellitus or newly diagnosed diabetes presenting with DKA
Fulfilling accepted clinical and biochemical diagnostic criteria for diabetic ketoacidosis
Written informed consent
Disqualifiers
- Active infection or sepsis judged likely to substantially influence leukocyte count independently of DKA
Hematological malignancy or disorder affecting leukocyte count
Recent chemotherapy, G-CSF, or other treatment markedly altering leukocyte count
Pregnancy
Trial population
Adult patients presenting with diabetic ketoacidosis to the Internal Medicine Department and Emergency Department of Assiut University Hospitals.
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
DKA severity according to admission LGI
Proportion of patients with mild, moderate, and severe diabetic ketoacidosis according to admission Leukocyte Glucose Index (LGI) categories. LGI is calculated as leukocyte count (10³/µL) × blood glucose (mg/dL) / 1000.
Secondary outcomes
Mean LGI according to DKA severity
Mean admission Leukocyte Glucose Index value in patients with mild, moderate, and severe diabetic ketoacidosis.
Prevalence of microvascular complications according to LGI
Proportion of patients with diabetic nephropathy, retinopathy, or peripheral neuropathy according to admission LGI categories.
Correlation of LGI with biochemical severity markers
Correlation coefficient between admission LGI and venous pH, serum bicarbonate, and anion gap, using Spearman or Pearson correlation as appropriate.
Discriminatory performance of LGI for severe DKA
Area under the ROC curve, sensitivity, and specificity of admission LGI for identifying severe diabetic ketoacidosis.
Locations
Sponsors and contacts
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