Introduction: Anemia is more commonly seen in persons with diabetes than in persons without diabetes. There is high risk of microvascular and macrovascular complications in diabetes. Anemia is strongly associated with an increased risk of diabetic complications including nephropathy, retinopathy, neuropathy and heart failure. Aim of the study: To assess the correlation between anemia and the microvascular complications of diabetes mellitus. Materials and Methods: This was a prospective, cross sectional, hospital based study conducted in department of General Medicine at Government Medical College, Kottayam, over a period of one year. Two hundred consecutive cases of diabetes mellitus with anemia were studied for microvascular complications like diabetic neuropathy, nephropathy, retinopathy. Results: Total 200 patients were enrolled with 116 (58%) male and 84 (42%) female patients and male to female ratio was 1.3:1. The patient age ranged from 41 to 86 years and mean age was 60.78±9.38 years. Diabetic neuropathy was absent in 38% and present in 62%. Proliferative and nonproliferative diabetic retinopathy was seen in 18% and 53% cases respectively. Conclusion: Anemia has correlation with the microvascular complications of diabetes. With increasing duration of diabetes mellitus the hemoglobin levels fall progressively.

Background: Neutrophil Lymphocyte Ratio (NLR) is a readily available marker that conveys important information about the complex inflammatory activity in the vascular bed during the active phase of the syndrome. Hence it provides relevant information regarding the risk of mortality in patients who are admitted with acute myocardial infarction. Objectives: To estimate the neutrophil lymphocyte ratio in STEMI and NSTEMI of acute myocardial infarction. Materials and Methods: A total of 190 patients with acute myocardial infarction who fulfilled the inclusion criteria were selected. The neutrophil lymphocyte ratio was calculated in STEMI as well as NSTEMI and the value was compared. Patients were then categorized into three groups based on NLR . The relation of neutrophil lymphocyte ratio with the morbidity and mortality of acute myocardial infarction was then studied. Results : The mean age of patients in this study was 59.46± 15.29 years. In this study ,63.1 % were males and 37.9 % were females. The mean NLR value in acute myocardial infarction in this study was 6.175 ± 2.26.The mean NLR value among patients with STEMI is 6.49±2.30 while among patients with NSTEMI is 5.86± 2.17.