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CTRI Number  CTRI/2025/09/094243 [Registered on: 04/09/2025] Trial Registered Prospectively
Last Modified On: 03/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   To study the relation between simple blood counts and markers for control of sugars in adults with Diabetes 
Scientific Title of Study   The Association between Neutrophil to Lymphocyte Ratio and HbA1C in Glycemic Control in Adult patients with Type 2 Diabetes Mellitus 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Lekshmi P 
Designation  Junior Resident 
Affiliation  KMC, Manipal 
Address  Department of General Medicine, KMC,Manipal

Udupi
KARNATAKA
576104
India 
Phone  9061028409  
Fax    
Email  lekshmip99@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Weena Stanley 
Designation  Associate Professor 
Affiliation  KMC, Manipal 
Address  Department of General Medicine, KMC,Manipal

Udupi
KARNATAKA
576104
India 
Phone  08202922812  
Fax    
Email  weena.stanley@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Lekshmi P 
Designation  Junior Resident 
Affiliation  KMC, Manipal 
Address  Department of General Medicine, KMC,Manipal

Udupi
KARNATAKA
576104
India 
Phone  9061028409  
Fax    
Email  lekshmip99@gmail.com  
 
Source of Monetary or Material Support  
DEPT OF GENERAL MEDICINE, KMC, Manipal, Udupi - 576104 Karnataka, India 
 
Primary Sponsor  
Name  Department of General Medicine 
Address  KMC,Manipal Udupi, 576104 Karnataka 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Lekshmi P  KMC, MANIPAL  OPD block, IP- wards Department of General Medicine
Udupi
KARNATAKA 
08202922812

lekshmip99@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
KASTURBA MEDICAL COLLEGE AND KASTURBA HOSPITAL INSTITUTIONAL RESEARCH COMMITTE- STUDENT RESEARCH  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E11||Type 2 diabetes mellitus,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  HbA1C Neutrophil to Lymphocyte Ratio  HbA1c Absolute neutrophil count and Absolute lymphocyte count will be collected from routine standard of care tests like Complete blood count 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Patients with Type 2 Diabetes Mellitus attending the General Medicine department 
 
ExclusionCriteria 
Details  Any history of or on current treatment for -Malignancy
Patients on steroids
Thyroiditis
Chronic Kidney Disease
Gestational Diabetics
Acute infections in past 2 weeks
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Strength of association between HbA1C and NLR will be estimated by calculating the Pearson correlation coefficient.
 
at baseline
 
 
Secondary Outcome  
Outcome  TimePoints 
Covariates that are significantly associated will be identified & Odds Ratios estimated.   At baseline 
 
Target Sample Size   Total Sample Size="97"
Sample Size from India="97" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/09/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  


AIM: To elucidate the potential relationship between Neutrophil Lymphocyte Ratio (NLR) and HBA1c in adult patients with T2DM and to identify factors that influence the correlation between HbA1c and Neutrophil to Lymphocyte.

Objectives

1.     To determine the relationship between glycemic control as measured by HbA1c and Neutrophil to Lymphocyte ratio in adult patients with type 2 diabetes mellitus (T2DM)

2.     To estimate the strength of association using Pearson correlation coefficient between glycemic control as measured by HbA1c and Neutrophil to Lymphocyte ratio in adult patients with type 2 diabetes mellitus (T2DM)

3.     To identify factors that are significantly associated with HbA1c and Neutrophil to  Lymphocyte ratio in the study patients.


Reports will be obtained from medical records.


Patients are recruited from OPD/IP of those attending the Dept of General Medicine

Proforma will be provided for gathering data.


      Statistical analysis will be done using Pearson’s coefficient of correlation as well as covariate measurements will be done for analysis.

 
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