* patients younger than 18 years, * patients admitted with critical illness requiring immediate admission to icu, * patients deceased before evaluation, * patients who had autoimmune diseases or were maintained on immunosuppressive therapy, * patients with chronic medical diseases other than dm, * patients requiring surgical interference for emergency conditions, and * patients who had cancer or were maintained anticancer therapy were excluded from the study.

* patients younger than 18 years, * patients admitted with critical illness requiring immediate admission to icu, * patients deceased before evaluation, * patients who had autoimmune diseases or were maintained on immunosuppressive therapy, * patients with chronic medical diseases other than dm, * patients requiring surgical interference for emergency conditions, and * patients who had cancer or were maintained anticancer therapy were excluded from the study.

patients younger than 18 years, patients admitted with critical illness requiring immediate admission to icu, patients deceased before evaluation, patients who had autoimmune diseases or were maintained on immunosuppressive therapy, patients with chronic medical diseases other than dm, patients requiring surgical interference for emergency conditions, and patients who had cancer or were maintained anticancer therapy were excluded from the study.

patients younger than 18 years, patients admitted with critical illness requiring immediate admission to icu, patients deceased before evaluation, patients who had autoimmune diseases or were maintained on immunosuppressive therapy, patients with chronic medical diseases other than dm, patients requiring surgical interference for emergency conditions, and patients who had cancer or were maintained anticancer therapy were excluded from the study.