Índice neutrófilo-linfocito y retinopatía en pacientes con diabetes mellitus tipo 2.

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Title: Índice neutrófilo-linfocito y retinopatía en pacientes con diabetes mellitus tipo 2.
Alternate Title: Neutrophil-lymphocyte ratio and retinopathy in patients with type 2 diabetes mellitus.
Authors: Cuevas-Acuña, María Tula1 maritca71@hotmail.com, Jiménez-Sánchez, José Alfredo2, Rosano-Carrasco, Ismael3
Source: Revista Medica del IMSS. may/jun2026, Vol. 64 Issue 3, p1-6. 6p.
Subjects: NEUTROPHIL lymphocyte ratio, DIABETIC retinopathy, INFLAMMATION, TYPE 2 diabetes, BLOOD sugar, BIOMARKERS, GLYCEMIC control
Abstract (English): Background: Diabetic retinopathy is a complication of type 2 diabetes mellitus. Inadequate glycemic control can promote a chronic inflammatory state. The Neutrophil-lymphocyte ratio has been used as a marker of systemic inflammation. Objective: To correlate the Neutrophil-lymphocyte ratio with the degree of retinopathy in patients with type 2 diabetes mellitus. Material and methods: Cross-sectional and analytical study. Patients with type 2 diabetes mellitus were included. The degree of retinopathy, glucose level, HbA1C, and neutrophil and lymphocyte counts were investigated to calculate the Neutrophil-lymphocyte ratio. To test the hypothesis, Fisher’s exact test, Mann Whitney U, Kruskal-Wallis, and Spearman’s Rho were used in the statistical analysis. A p < 0.05 was considered statistically significant. Results: 50 patients were included; their age was 65 ± 10 years. The mean Neutrophil-lymphocyte ratio was 2.5 ± 1.1. Mild nonproliferative retinopathy was present in 56% of the patients, moderate nonproliferative retinopathy in 14%, and high-risk proliferative retinopathy in 30%. A positive correlation was found between the Neutrophil-lymphocyte ratio and the degree of retinopathy (r = 0.532) (p = 0.000). Conclusions: Type 2 diabetes mellitus patients with a higher degree of diabetic retinopathy had a higher Neutrophillymphocyte ratio. A positive correlation was found between the Neutrophil-lymphocyte ratio and the degree of diabetic retinopathy. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: la retinopatía diabética es una complicación de la diabetes mellitus tipo 2. Un inadecuado control glucémico puede favorecer un estado inflamatorio crónico. El Índice neutrófilo-linfocito se ha utilizado como marcador de inflamación sistémica. Objetivo: correlacionar el Índice neutrófilo-linfocito con el grado de retinopatía en pacientes con diabetes mellitus tipo 2. Material y métodos: estudio transversal y analítico. Se incluyeron pacientes con diabetes mellitus tipo 2. Se investigó el grado de retinopatía, la cifra de glucosa, la HbA1C y el recuento de neutrófilos y linfocitos para calcular el Índice neutrófilo-linfocito. Para comprobar la hipótesis, en el análisis estadístico se utilizó prueba exacta de Fisher, U de Mann-Whitney, Kruskal-Wallis y Rho de Spearman. Se consideró significación estadística con una p < 0.05. Resultados: Se incluyeron 50 pacientes; edad 65 ± 10 años. La media del Índice neutrófilo-linfocito fue de 2.5 ± 1.1. El 56% de los pacientes presentó retinopatía no proliferativa leve, 14% no proliferativa moderada y 30% proliferativa de alto riesgo; se encontró correlación positiva entre el Índice neutrófilo-linfocito y el grado de retinopatía, r = 0.532 (p = 0.000). Conclusiones: los pacientes con diabetes mellitus tipo 2 con un mayor grado de retinopatía diabética presentaron un Índice neutrófilo-linfocito más elevado. Se encontró correlación positiva entre el Índice neutrófilo-linfocito y el grado de retinopatía diabética. [ABSTRACT FROM AUTHOR]
Copyright of Revista Medica del IMSS is the property of Direccion de Prestaciones Medicas - IMSS and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: &#205;ndice neutr&#243;filo-linfocito y retinopat&#237;a en pacientes con diabetes mellitus tipo 2.
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  Data: Neutrophil-lymphocyte ratio and retinopathy in patients with type 2 diabetes mellitus.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Cuevas-Acu&#241;a%2C+Mar&#237;a+Tula%22&quot;&gt;Cuevas-Acu&#241;a, Mar&#237;a Tula&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;i&gt; maritca71@hotmail.com&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Jim&#233;nez-S&#225;nchez%2C+Jos&#233;+Alfredo%22&quot;&gt;Jim&#233;nez-S&#225;nchez, Jos&#233; Alfredo&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Rosano-Carrasco%2C+Ismael%22&quot;&gt;Rosano-Carrasco, Ismael&lt;/searchLink&gt;&lt;relatesTo&gt;3&lt;/relatesTo&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Revista+Medica+del+IMSS%22&quot;&gt;Revista Medica del IMSS&lt;/searchLink&gt;. may/jun2026, Vol. 64 Issue 3, p1-6. 6p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22NEUTROPHIL+lymphocyte+ratio%22&quot;&gt;NEUTROPHIL lymphocyte ratio&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22DIABETIC+retinopathy%22&quot;&gt;DIABETIC retinopathy&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22INFLAMMATION%22&quot;&gt;INFLAMMATION&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22TYPE+2+diabetes%22&quot;&gt;TYPE 2 diabetes&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22BLOOD+sugar%22&quot;&gt;BLOOD sugar&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22BIOMARKERS%22&quot;&gt;BIOMARKERS&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22GLYCEMIC+control%22&quot;&gt;GLYCEMIC control&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Background: Diabetic retinopathy is a complication of type 2 diabetes mellitus. Inadequate glycemic control can promote a chronic inflammatory state. The Neutrophil-lymphocyte ratio has been used as a marker of systemic inflammation. Objective: To correlate the Neutrophil-lymphocyte ratio with the degree of retinopathy in patients with type 2 diabetes mellitus. Material and methods: Cross-sectional and analytical study. Patients with type 2 diabetes mellitus were included. The degree of retinopathy, glucose level, HbA1C, and neutrophil and lymphocyte counts were investigated to calculate the Neutrophil-lymphocyte ratio. To test the hypothesis, Fisher’s exact test, Mann Whitney U, Kruskal-Wallis, and Spearman’s Rho were used in the statistical analysis. A p &lt; 0.05 was considered statistically significant. Results: 50 patients were included; their age was 65 &#177; 10 years. The mean Neutrophil-lymphocyte ratio was 2.5 &#177; 1.1. Mild nonproliferative retinopathy was present in 56% of the patients, moderate nonproliferative retinopathy in 14%, and high-risk proliferative retinopathy in 30%. A positive correlation was found between the Neutrophil-lymphocyte ratio and the degree of retinopathy (r = 0.532) (p = 0.000). Conclusions: Type 2 diabetes mellitus patients with a higher degree of diabetic retinopathy had a higher Neutrophillymphocyte ratio. A positive correlation was found between the Neutrophil-lymphocyte ratio and the degree of diabetic retinopathy. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducci&#243;n: la retinopat&#237;a diab&#233;tica es una complicaci&#243;n de la diabetes mellitus tipo 2. Un inadecuado control gluc&#233;mico puede favorecer un estado inflamatorio cr&#243;nico. El &#205;ndice neutr&#243;filo-linfocito se ha utilizado como marcador de inflamaci&#243;n sist&#233;mica. Objetivo: correlacionar el &#205;ndice neutr&#243;filo-linfocito con el grado de retinopat&#237;a en pacientes con diabetes mellitus tipo 2. Material y m&#233;todos: estudio transversal y anal&#237;tico. Se incluyeron pacientes con diabetes mellitus tipo 2. Se investig&#243; el grado de retinopat&#237;a, la cifra de glucosa, la HbA1C y el recuento de neutr&#243;filos y linfocitos para calcular el &#205;ndice neutr&#243;filo-linfocito. Para comprobar la hip&#243;tesis, en el an&#225;lisis estad&#237;stico se utiliz&#243; prueba exacta de Fisher, U de Mann-Whitney, Kruskal-Wallis y Rho de Spearman. Se consider&#243; significaci&#243;n estad&#237;stica con una p &lt; 0.05. Resultados: Se incluyeron 50 pacientes; edad 65 &#177; 10 a&#241;os. La media del &#205;ndice neutr&#243;filo-linfocito fue de 2.5 &#177; 1.1. El 56% de los pacientes present&#243; retinopat&#237;a no proliferativa leve, 14% no proliferativa moderada y 30% proliferativa de alto riesgo; se encontr&#243; correlaci&#243;n positiva entre el &#205;ndice neutr&#243;filo-linfocito y el grado de retinopat&#237;a, r = 0.532 (p = 0.000). Conclusiones: los pacientes con diabetes mellitus tipo 2 con un mayor grado de retinopat&#237;a diab&#233;tica presentaron un &#205;ndice neutr&#243;filo-linfocito m&#225;s elevado. Se encontr&#243; correlaci&#243;n positiva entre el &#205;ndice neutr&#243;filo-linfocito y el grado de retinopat&#237;a diab&#233;tica. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Revista Medica del IMSS is the property of Direccion de Prestaciones Medicas - IMSS and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.5281/zenodo.18715301
    Languages:
      – Code: spa
        Text: Spanish
    PhysicalDescription:
      Pagination:
        PageCount: 6
        StartPage: 1
    Subjects:
      – SubjectFull: NEUTROPHIL lymphocyte ratio
        Type: general
      – SubjectFull: DIABETIC retinopathy
        Type: general
      – SubjectFull: INFLAMMATION
        Type: general
      – SubjectFull: TYPE 2 diabetes
        Type: general
      – SubjectFull: BLOOD sugar
        Type: general
      – SubjectFull: BIOMARKERS
        Type: general
      – SubjectFull: GLYCEMIC control
        Type: general
    Titles:
      – TitleFull: Índice neutrófilo-linfocito y retinopatía en pacientes con diabetes mellitus tipo 2.
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            NameFull: Cuevas-Acuña, María Tula
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            NameFull: Jiménez-Sánchez, José Alfredo
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            NameFull: Rosano-Carrasco, Ismael
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            – D: 01
              M: 05
              Text: may/jun2026
              Type: published
              Y: 2026
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