Journals / Kafkas Journal of Medical Sciences / 2026 / Cilt: 16 Sayı: 1

The Relationship Between Monocyte/High-Density Lipoprotein Cholesterol Ratio and Microvascular Complications in Patients with Type 2 Diabetes Mellitus

Ahmet Düzgün(Diyarbakır Gazi Yaşargil Research And Training Hospital)
Eyyüp Çavdar(Tekirdağ Dr. İsmail Fehmi Cumalıoğlu City Hospital)
Nida Öztop(İstanbul Çam Sakura City Hospital)
Egemen Cebeci(İstanbul Haseki Training And Research Hospital)
Namık Yiğit(İstanbul Haseki Training And Research Hospital)
Pages
23–28
Publication Date
2026-03-19
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Key words: monocyte-to-HDL cholesterol ratio; type 2 diabetes mellitus; microvascular complications; diabetic nephropathy; diabetic retinopathy; diabetic neuropathy

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: This study investigates the relationship between the monocyte- to-high-density lipoprotein cholesterol ratio (MHR) and microvascular complications (nephropathy, retinopathy, and neuropathy) in patients with type 2 diabetes mellitus (T2DM).
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Key Findings & Data:Materials and Methods: The data of 229 T2DM patients who applied to the internal medicine and diabetes outpatient clinics of Haseki Training and Research Hospital between June 1, 2012, and June 1, 2017, were retrospectively analyzed.
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Conclusion & Impact:Key words: monocyte-to-HDL cholesterol ratio; type 2 diabetes mellitus; microvascular complications; diabetic nephropathy; diabetic retinopathy; diabetic neuropathy
🔬Design:Araştırma Makalesi
📍Scope:2012 Verileri
⚙️Variables:Monocyte-to-HDL cholesterol ratio · type 2 diabetes mellitus · microvascular complications

Abstract

Aim: This study investigates the relationship between the monocyte- to-high-density lipoprotein cholesterol ratio (MHR) and microvascular complications (nephropathy, retinopathy, and neuropathy) in patients with type 2 diabetes mellitus (T2DM). With the increasing global burden of diabetes and its associated complications, identifying simple and accessible biomarkers for early prediction and management is of great importance. Materials and Methods: The data of 229 T2DM patients who applied to the internal medicine and diabetes outpatient clinics of Haseki Training and Research Hospital between June 1, 2012, and June 1, 2017, were retrospectively analyzed. Demographic, clinical, and laboratory data, including MHR values, were collected. Statistical analyses were performed using IBM Statistical Package for Social Sciences (SPSS) program version 23.0, and a significance level of p<0.05 was considered. The Mann-Whitney U test was used for data that did not show a normal distribution. Results: Of the 229 patients included in the study, 52.8% were female, and the mean age was 56.7 years. Diabetic retinopathy (DRP) was detected in 28.8% of the patients, diabetic nephropathy (DN) in 34.5%, and diabetic neuropathy in 42.8%. A statistically significant relationship was found between MHR and DRP (p=0.015) and between MHR and DN (p<0.001); however, no significant association was found between MHR and neuropathy (p=0.124). Conclusion: Monocyte-to-high-density lipoprotein cholesterol ratio may be a useful and easily calculable marker for predicting diabetic retinopathy and nephropathy in patients with type 2 diabetes. However, no significant relationship was found between MHR and diabetic neuropathy. Further prospective studies are needed to confirm the prognostic value of MHR in clinical practice. Key words: monocyte-to-HDL cholesterol ratio; type 2 diabetes mellitus; microvascular complications; diabetic nephropathy; diabetic retinopathy; diabetic neuropathy

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Cite This Article

Düzgün, A., Çavdar, E., Öztop, N., Cebeci, E., Yiğit, N. (2026). The Relationship Between Monocyte/High-Density Lipoprotein Cholesterol Ratio and Microvascular Complications in Patients with Type 2 Diabetes Mellitus. Kafkas Journal of Medical Sciences, Cilt: 16 Sayı: 1, 23–28. https://ajindex.com/articles/1631482

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References (27)

  1. Du QH, Zhang ZC, Yang Y, Luo XX, Liu L, Jia HH. How health seeking behavior develops in patients with type 2 diabetes: a qualitative study based on health belief model in China. Front Public Health. 2024;12:1414903. https://doi.org/10.3389/fpubh.2024.1414903
  2. Cole JB, Florez JC. Genetics of diabetes mellitus and diabetes complications. Nat Rev Nephrol. 2020;16(7):377–390. https://doi.org/10.1038/s41581-020-0278-5
  3. He Z, King GL. Microvascular complications of diabetes. Endocrinol Metab Clin North Am. 2004;33(1):215–238. https://doi.org/10.1016/j.ecl.2003.12.003
  4. Crasto W, Patel V, Davies MJ, Khunti K. Prevention of microvascular complications of diabetes. Endocrinol Metab Clin North Am. 2021;50(3):431–455. https://doi.org/10.1016/j.ecl.2021.05.005
  5. Calles-Escandon J, Cipolla M. Diabetes and endothelial dysfunction: a clinical perspective. Endocr Rev. 2001;22(1):36–52. https://doi.org/10.1210/edrv.22.1.0417
  6. Bayraktutan U. Free radicals, diabetes and endothelial dysfunction. Diabetes Obes Metab. 2002;4(4):224–238. https://doi.org/10.1046/j.1463-1326.2002.00184.x
  7. Auffray C, Sieweke MH, Geissmann F. Blood monocytes: development, heterogeneity, and relationship with dendritic cells. Annu Rev Immunol. 2009;27:669–692. https://doi.org/10.1146/annurev.immunol.021908.132557
  8. Lowenstein CJ, Cameron SJ. High-density lipoprotein metabolism and endothelial function. Curr Opin Endocrinol Diabetes Obes. 2010;17(2):166–170. https://doi.org/10.1097/MED.0b013e32833727ee
  9. Çetiner Ö, Rakıcıoğlu N. Hiperglisemi, oksidatif stres ve tip 2 diyabette oksidatif stres belirteçlerinin tanımlanması. Turk J Diab Obes. 2020;4(1):60–68. https://doi.org/10.25048/tudod.638744
  10. Arslan S, Erdoğdu Hİ, Atalay E. Tip 2 diyabetes mellitus hastalarında HbA1c ile serum magnezyum düzeylerinin karşılaştırılması: relationship between HbA1c and serum magnesium levels in patients with type 2 diabetes mellitus. Kafkas J Med Sci. 2021;11(1):125–130. https://doi.org/10.5505/kjms.2021.68878
  11. Liu X, Zhang Y, Jin F, Liu H, Li Q, Gao Y, et al. Correlation between GPR, MHR and elderly essential hypertension with unstable angina pectoris. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2021;46(4):373–378.
  12. Du GL, Liu F, Liu H, Meng Q, Tang R, Li XM, et al. Monocyte-to-high density lipoprotein cholesterol ratio positively predicts coronary artery disease and multi-vessel lesions in acute coronary syndrome. Int J Gen Med. 2023;16:3857–3868. https://doi.org/10.2147/IJGM.S419579
  13. Balta S, Celik T, Ozturk C, Kaya MG, Aparci M, Yildirim AO, et al. The relation between monocyte to HDL ratio and no-reflow phenomenon in the patients with acute ST-segment elevation myocardial infarction. Am J Emerg Med. 2016;34(8):1542–1547. https://doi.org/10.1016/j.ajem.2016.05.031
  14. Yıldırım ÖT, Akşit E, Aydın F, Hüseyinoğlu Aydın A. Üçüncü basamak bir merkezde diabetes mellitus hastalarının önerilen LDL-K hedefine ulaşma düzeyleri. Kafkas J Med Sci. 2019;9(1):29–33. https://doi.org/10.5505/kjms.2019.45556
  15. Aiello LM. Perspectives on diabetic retinopathy. Am J Ophthalmol. 2003;136(1):122–135. https://doi.org/10.1016/S0002-9394(03)00219-8
  16. Erdem B, Kaya Y. Prediction of diabetic retinopathy in patients with type 2 diabetes mellitus by using monocyte to high-density lipoprotein-cholesterol ratio. Int J Diabetes Dev Ctries. 2022;42:741–746. https://doi.org/10.1007/s13410-021-01024-5
  17. Tang X, Tan Y, Yang Y, Li M, He X, Lu Y, et al. Association of the monocyte-to-high-density lipoprotein cholesterol ratio with diabetic retinopathy. Front Cardiovasc Med. 2021;8:707008. https://doi.org/10.3389/fcvm.2021.707008
  18. Batioğlu F, Yanık Ö, Abdullayev A. Diyabetik retinopati epidemiyolojisi. Turkiye Klinikleri J Ophthalmol Spec Top. 2014;7(2):12–20.
  19. Fang YQ, Wang WW, Liu HH, Tang FL, Yau-Jiunn TJ, Lou QQ. [Correlation between weight variability and the risk of diabetic nephropathy in patients with type 2 diabetes mellitus]. Zhonghua Yi Xue Za Zhi. 2024;104(10):742–750. https://doi.org/10.3760/cma.j.cn112137-20230724-00081
  20. Bonakdaran S, Hami M, Hatefi A. The effects of calcitriol on albuminuria in patients with type 2 diabetes mellitus. Saudi J Kidney Dis Transpl. 2012;23(6):1215–1220. https://doi.org/10.4103/1319-2442.103562
  21. Xu L, Li D, Song Z, Liu J, Zhou Y, Yang J, et al. The association between monocyte to high-density lipoprotein cholesterol ratio and chronic kidney disease in a Chinese adult population: a cross-sectional study. Ren Fail. 2024;46(1):2331614. https://doi.org/10.1080/0886022X.2024.2331614
  22. Karatas A, Turkmen E, Erdem E, Dugeroglu H, Kaya Y. Monocyte to high-density lipoprotein cholesterol ratio in patients with diabetes mellitus and diabetic nephropathy. Biomark Med. 2018;12(9):953–959. https://doi.org/10.2217/bmm-2018-0048
  23. Saini DC, Kochar A, Poonia R. Clinical correlation of diabetic retinopathy with nephropathy and neuropathy. Indian J Ophthalmol. 2021;69(11):3364–3368. https://doi.org/10.4103/ijo.IJO_1237_21
  24. Jia S, Yang H, Huang F, Fan W. Systemic inflammation, neuroinflammation and perioperative neurocognitive disorders. Inflamm Res. 2023;72(9):1895–1907. https://doi.org/10.1007/s00011-023-01792-2
  25. Said G. Focal and multifocal diabetic neuropathies. Arq Neuropsiquiatr. 2007;65(4B):1272–1278. https://doi.org/10.1590/S0004-282X2007000700037
  26. Gökçay Canpolat A, Emral R, Keskin Ç, Canlar Ş, Şahin M, Çorapçioğlu D. Association of monocyte-to-high density lipoprotein-cholesterol ratio with peripheral neuropathy in patients with type II diabetes mellitus. Biomark Med. 2019;13(11):907–915. https://doi.org/10.2217/bmm-2018-0451
  27. Terzi DM, Cengiz DN, Onar DMK. Diyabetik nöropati. J Exp Clin Med. 2009;21(1):39–49.