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Diabetic patient and taking insulin and BP tablets. Suggest the diet to increase haemoglobin count?

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Practicing since : 2006
Answered : 1580 Questions
how to increase hemoglobin for a diabetic patient
Posted Mon, 11 Nov 2013 in Diabetes
Answered by Dr. Basheer Ahamed 34 minutes later
Brief Answer:
Anemia with aggravated diabetic complications.

Detailed Answer:

Welcome to XXXXXXX Thanks for your query.

Hemoglobin of 6.5 gms/dl is classified as severe anemia.

It is very important to treat anemia in diabetic because it aggravates diabetic complications like retinopathy. The patient is more prone for heart disease and stroke.

The treatment depends upon the cause of the anemia.

In longstanding diabetic it is due mostly due to kidney disease. Due to this there is a deficiency of erythropoietin which helps in the production of RBC's.

In this case erythropoietin injection is needed.

Secondly blood transfusion is needed. Especially packed cells.
1 unit of packed help to increase the Hemoglobin by 1 g/gl.

Once the hemoglobin reaches 8 gms/dl then the doctors will prescribe iron and vitamin B 12 supplements to improve it further.

A hemoglobin value of above 11 g/dl is desirable in indian meal.

The iron XXXXXXX foods that can be taken by diabetes are green leafy vegetables, beans, lentils, chick peas and soy bean.

Control of blood pressure and potassium levels will prevent the kidney damage.

Hope the answer helps you.
Let me know if you have any clarifications.

Above answer was peer-reviewed by
Follow-up: Diabetic patient and taking insulin and BP tablets. Suggest the diet to increase haemoglobin count? 8 minutes later
thank you dr. my grandpa's left kidney is also a problem recently he was admitted in hospital and 2 packets of blood was given to him , now again hemoglobin level has fall down.
Answered by Dr. Basheer Ahamed 1 hour later
Brief Answer:
Anemia is due to renal disease.

Detailed Answer:

Anemia is due to renal disease. In my opinion erythropoietin may has be needed.

Secondly if the hemoglobin is fall such drastically in an elderly patient XXXXXXX blood loss due cancer has also need to be rule out.

Request your doctor to test for occult blood in the stool.

Best of luck.

Above answer was peer-reviewed by
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