Review Article

The Relationship between Erythrocytes and Diabetes Mellitus

Table 1

Clinical erythrocyte parameters.

ParametersDetection methodReference valuesClinical significance

Erythrocyte countAutomatic blood cell analyzerMale: /L
Female: /L
Newborn: /L
Reflects the number of erythrocytes in the body
Hb concentration (Hb)Automatic blood cell analyzerMale: 120–170 g/L
Female: 110–150 g/L
Newborn: 170–200 g/L
Reflects the Hb concentration of whole blood
Hematocrit (Hct)Automatic blood cell analyzerMale: 0.4–0.5
Female: 0.37–0.48
Refers to the percentage of erythrocytes in the whole blood
Mean corpuscular volume (MCV)Automatic blood cell analyzerAdult: 80–100 fl
Newborn: 86–120 fl
Refers to the average volume of erythrocytes
Mean corpuscular Hb (MCH)Automatic blood cell analyzerAdult: 26–34 pg
Newborn: 27–36 pg
Refers to the average amount of Hb in erythrocytes
Mean corpuscular Hb concentration (MCHC)Automatic blood cell analyzerAdult: 320–360 g/L
Newborn: 250–370 g/L
Refers to the average Hb concentration in erythrocytes
RBC volume distribution width (RDW)Automatic blood cell analyzer<15Refers to the heterogenicity of the size of erythrocytes
Reticulocyte count (Ret)Automatic blood cell analyzerAdult: /L
Newborn: /L
An indicator of the hematopoietic function of the bone marrow
Erythrocyte sedimentation rate (ESR)Westergren method/automatic ESR analyzerAdult: <50 years old: 0–20 mm
>50 years old: 0–30 mm
>85 years old: 0–42 mm
Child: 0–10 mm
(women sink faster than men)
The rate of erythrocyte sedimentation per unit time is associated with a variety of diseases
RBC deformation index (RDI)Blood rheometer0.47–0.55The deformability of erythrocytes
RBC rigidity index (RRI)Blood rheometerMale: 7.16
Female: 7.14
An indicator of erythrocyte membrane flexibility
RBC aggregation index (AI)Erythrocyte electrophoretic time1.44–3.62An indicator of blood viscosity; often used to diagnose thrombosis
Glycosylated Hb (GHb/HbA1c)Affinity chromatography/high performance liquid chromatography (HPLC)4%–6%Reflects the body’s average blood sugar levels over the past 6–8 weeks
Erythrocyte morphologyBlood smearDouble concave disk, the average diameter was 7.2 μm, pale pink, one-third of the center is the physiological light staining area, and there are no abnormal structures in the cytoplasmObserve the size, morphology, and internal structure of erythrocytes
Membrane fluidityFluorescent Laurdan probeGeneralized polarization (GP) within the normal rangeErythrocyte membrane fluidity could provide a complementary index to monitor the development of disease