Evidence map›Paper›PMID 41994811›Full record

ArticleCureus2026

Association of Neutrophil-to-Lymphocyte Ratio With Early Diabetic Nephropathy in Patients With Type 2 Diabetes Mellitus.

Geetika Gupta, Puneeta Gupta, Anil K Gupta, Sunny Babber

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Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Geetika GuptaDepartment of Physiology, Acharya Shri Chander College of Medical Sciences and Hospital, Jammu, IND.
Puneeta GuptaDepartment of Medicine, Acharya Shri Chander College of Medical Sciences and Hospital, Jammu, IND.
Anil K GuptaDepartment of Medicine, Acharya Shri Chander College of Medical Sciences and Hospital, Jammu, IND.
Sunny BabberDepartment of Community Medicine, Acharya Shri Chander College of Medical Sciences and Hospital, Jammu, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundType 2 diabetes mellitus (T2DM) is a chronic condition associated with a range of complications, one of the most significant being diabetic nephropathy (DN). It is a leading cause of kidney failure, and its early detection is crucial for delaying disease progression. While traditional markers are commonly used, they often detect renal impairment only in more advanced stages. Since chronic inflammation is a key contributor to the development of diabetic complications, the neutrophil-to-lymphocyte ratio (NLR) may serve as a useful and cost-effective biomarker of early DN in patients with T2DM.

objectiveTo determine whether elevated NLR levels are associated with early markers of renal dysfunction, and to assess the predictive value of NLR in identifying early-stage DN in type 2 diabetic patients.

methodsA total of 126 T2DM patients satisfying the inclusion criteria were included in the study after taking informed consent. Subjects were divided into two groups based on the presence (66) and absence (60) of albuminuria. Fasting blood sugar, glycated hemoglobin, NLR, blood urea, serum creatinine, urinary albumin excretion, urinary albumin creatinine ratio, and estimated glomerular filtration rate were noted to assess renal function.

resultsA total of 126 patients diagnosed with type 2 diabetes were registered in our study. The mean NLR for patients without albuminuria was 1.96 ± 0.54, and for the DN group, it was 3.06 ± 0.98, which was significant (p < 0.001). Also, a strong positive correlation was seen between NLR and markers of early DN (r = 0.42, p = 0.001).

conclusionA significant correlation was found between NLR and markers of early DN in patients with T2DM. NLR may be considered a cost‑effective surrogate biomarker for the early detection of DN, enabling timely intervention strategies to mitigate progression of nephropathy in T2DM.

Indexed as

albuminuriaend-stage renal diseaseinflammatory markersneutrophil–lymphocyte ratiorenal markerstype 2 diabetes mellitus

Identifiers

PMID41994811
PMCPMC13081025

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