Brief Answer:
reports suggest
iron-deficiency anemia + ?diabetes
Detailed Answer:
Hi Mr. XXXXXXX
Thanks for your query.
I have gone through your mother’s investigation reports thoroughly. The reports indicate the following :-
# Your mother has moderately severe degree of anemia, due to
iron deficiency.
# HbA1c report is on the higher side, suggestive of either Latent (undiagnosed) or an early diabetes.
I would therefore recommend the following course of action :-
• If she does not have significant symptoms (such as, easy fatigability; breathlessness, heaviness in chest or left sided
chest pain on exertion; kidney problems, her blood levels will come up to desirable range within 6-8 months with continuous oral supplementation of iron,
Folic acid 5mg and
Vitamin B12 (1500mcg).
• If she has the above-mentioned problems, then the best option would be to give her injectable iron
• Since worms in the intestine are one of the commonest causes of anemia in India, please give her monthly deworming course (
Albendazole 400mg once a day for 3 days every month).
• Please get her blood sugar (Fasting and 2 hours after breakfast) to rule out/confirm early diabetes. If the report is within normal limits; get Oral
Glucose Tolerance Test (OGTT) with 75gm of glucose.
There is nothing to worry. Your mother will show improvement over next 6 months.
Consult your doctor and apprise him of my opinion. I am certain that he agrees with my opinion and clinical acumen; and, prescribe suitable treatment as advised.
Hope I have addressed to your concerns to your complete satisfaction and that you find my response helpful and informative. I will be happy to answer further queries, if any.
Fond regards and have a nice day,
Dr. Rakesh Karanwal