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Fatigue, artery and echo tests show no change, weak in legs, blood sugar high. Anemia ?

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Practicing since : 2005
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elderly man age 85, 5'6" 143 lbs
extremely fatigued
recent artery and echo tests show no change
blood work tends to anemia
tonight...became extremely weak in the legs to to point of nearly inability to walk
blood sugar was elevated prior to insulin
Posted Sat, 21 Apr 2012 in Blood Disorders
Answered by Dr. Mitaly 25 minutes later

Thanks for posting your query

Anemia can contribute a lot in causing weakness,lethargy,dizziness and along with that your blood sugar was also elevated which again would lead to these symptoms.

The first step should be to rule out the cause of anemia as it can be due to various medical conditions as GI ulcers,good that echo test has been normal.

Regarding the Blood sugar that has also to be under control as raised blood sugar itself can lead to various other issues as eye disorders,foot problems,neuropathy etc.

I would advise you to get the cause of anemia evaluated so that appropriate treatment can be given accordingly.You might require investigations as Stool test,LFT,KFT,folic acid and transferrin levels.

Meanwhile some suggestions for you:
1)Take high fibre and low carbohydrate,low fat diet.
2)Increase intake of spinach,red meat,tofu,prune juice,beans,cereals etc.
3)Drink fresh fruits.
4)Drink lots of water.
5)Restrict smoking and alcohol.
6)Practice relaxation techniques as Yoga,meditation

Hope this answers your query.I will be available for follow up query if any.
Above answer was peer-reviewed by
Follow-up: Fatigue, artery and echo tests show no change, weak in legs, blood sugar high. Anemia ? 44 minutes later
Blood Sugar is normally under control by the insulin.
HCT,MCH,MCHC are low
as well as Iron, serum, TIBC,Iron Saturation
Answered by Dr. Mitaly 22 minutes later

Thanks for the follow up

Since all the values are low it can be due to any chronic inflammatory disorder or just iron deficieny.

You might require Oral medications for increasing iron and along with iron XXXXXXX diet.

Iron XXXXXXX foods include liver,lean red meats, including beef, pork, lamb,seafood such as oysters,clams, tuna, salmon, shrimp, etc.
Vegetables like beans, kidney, lima, navy, black, pinto, soy beans, lentils,iron fortified whole grains, cereals, breads, rice, and pasta.
Greens, including collard greens, XXXXXXX mustard greens, spinach, and turnip greens,tofu, broccoli, swiss chard, asparagus, parsley, watercress, brussel sprouts.
chicken , XXXXXXX blackstrap molasses,nuts,egg yolks,dried fruits, such as raisins, prunes, dates and apricots.

Consider visiting a Physician for evaluation of any underlying disorder.

Wishing you good health!
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