Re: Iron defficiency anemia - how to dtermine ?

"Robert" <[email hidden]> wrote in message
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Quoted message said:

The RBC count is usually low as is the hemoglobin, MCV, MCHC, and the
platelets may be high as well as the RDW.
This is classic IDA.

Quoted message said:

Apart from that then iron supplementation with something that is well
tolerated and you can keep down.

Thanks a lot Robert ,
My report is abbreviated , can you help with full details ?
HGB , HCT , MCV , MCH , MCHC , RDW , MPV .

I think HGB is for homoglobin , can't make out others .

Regards ,
Kam

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"outsor" <[email hidden]> wrote in message
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Quoted message said:

Here is a good place to understand what tests do and how to understand
results:

http://labtestsonline.org/index.html

You asked about a1c, anemia would not usually be related to it. When the
test is done all but the blood cells are removed and the percent of a
certain kind of chemical reaction that happens when glucose is too high is
measured from them.

Many thanks for the excellent link .

Kam

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<[email hidden]> wrote in message
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Quoted message said:

" My report is abbreviated , can you help with full details ? HGB , HCT ,
MCV , MCH , MCHC , RDW , MPV .

I think HGB is for homoglobin , can't make out others ."

MCV mean cell volumn, Mean cell hemoglobin, mean cell hemoglobin
concentration, Red cell distribution width, mean platelet volumn. I replaced
corpuscular with cell for abbrev.

Quoted message said:

Here is a good place to understand what tests do and how to understand
results:

http://labtestsonline.org/index.html

Pretty basic but good although it really doesn't get into details about red
cell indices such as above. Don't really think that is important, only for
professional evaluation.

Quoted message said:

You asked about a1c, anemia would not usually be related to it.

Yes and no to that. Anemia effects hemoglobin A1C for obvious reasons that
it is glycosylated hemoglobin that is being measured.
Anemia is associated with a decrease in Hgb and it can therefore decrease
the HgbA1C. That must be taken into account when interpreting HgbA1C.

These are two different test which are unrelated clinically. Hemoglobin is
for anemia and A1C also known as glycohemoglobin is for diabetic sugar
monitoring.

When the

Quoted message said:

test is done all but the blood cells are removed and the percent of a
certain kind of chemical reaction that happens when glucose is too high is
measured from them.

"Robert" <[email hidden]> wrote in message
news:[email hidden]

Quoted message said:

<[email hidden]> wrote in message
news:[email hidden]...

Quoted message said:

Yes and no to that. Anemia effects hemoglobin A1C for obvious reasons that
it is glycosylated hemoglobin that is being measured.
Anemia is associated with a decrease in Hgb and it can therefore decrease
the HgbA1C. That must be taken into account when interpreting HgbA1C.

These are two different test which are unrelated clinically. Hemoglobin is
for anemia and A1C also known as glycohemoglobin is for diabetic sugar
monitoring.

When the

Quoted message said:

test is done all but the blood cells are removed and the percent of a
certain kind of chemical reaction that happens when glucose is too high is
measured from them.

My homoglobin is bare minimum of the scale . How do I improve ?
Any good suppliments , my doctor just advised 250 mcg of vit B 12
for tingling of soles .

Regards ,
Kam

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"Kamalakar Pasupuleti" <[email hidden]> wrote in message
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Quoted message said:

"Robert" <[email hidden]> wrote in message
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Quoted message said:

<[email hidden]> wrote in message
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Quoted message said:

Yes and no to that. Anemia effects hemoglobin A1C for obvious reasons

that

Quoted message said:

Quoted message said:

it is glycosylated hemoglobin that is being measured.
Anemia is associated with a decrease in Hgb and it can therefore

decrease

Quoted message said:

Quoted message said:

the HgbA1C. That must be taken into account when interpreting HgbA1C.

These are two different test which are unrelated clinically. Hemoglobin

is

Quoted message said:

Quoted message said:

for anemia and A1C also known as glycohemoglobin is for diabetic sugar
monitoring.

When the

Quoted message said:

test is done all but the blood cells are removed and the percent of a
certain kind of chemical reaction that happens when glucose is too

high is

Quoted message said:

Quoted message said:

Quoted message said:

measured from them.

My homoglobin is bare minimum of the scale . How do I improve ?
Any good suppliments , my doctor just advised 250 mcg of vit B 12
for tingling of soles .

Regards ,
Kam

I am unsure of your labs as they are not posted or origin of the reduced
hemoglobin if any. Vit B12 deficiency and iron deficiency are opposite in
some laboratory findings. Vit B12 has an elevated MCH and a normal MCHC. The
MCV is elevated.
It is possible to have both at the same time and the one that predominates
is the one most severe. This is common involving stomach surgery.
I would defer to your treating doctor and follow his advice.

"Robert" <[email hidden]> wrote in message
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Quoted message said:

"Kamalakar Pasupuleti" <[email hidden]> wrote in message
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Quoted message said:

I am unsure of your labs as they are not posted or origin of the reduced
hemoglobin if any. Vit B12 deficiency and iron deficiency are opposite in
some laboratory findings. Vit B12 has an elevated MCH and a normal MCHC. The
MCV is elevated.
It is possible to have both at the same time and the one that predominates
is the one most severe. This is common involving stomach surgery.
I would defer to your treating doctor and follow his advice.

Dear Robert , here are my findings -
WBC - 5.5 K/uL , RBC 4.62 M/uL , HGB 13.1 G/dl ,HCT 39.9 % , MCV 86 fl,
MCH - 29 pg , MCHC -33 G/dl , RDW -14.3 % , Platelet - 192 K/ul
MPV - 9.3 fl , SEGS - 58 % , LYMPHS - 33 % , MONO - 6 % , EOS - 2 %
BASO - 1 % .

Vitamin B 12 was prescribed for diabetic neuropathy .
I shall be grateful if you go thru carefully and advise if I need
to worry of my falling HGB each year .

Warm regards ,
Kam

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"Robert" <[email hidden]> wrote in message
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Quoted message said:

Everything looks pretty much normal. I can't really comment on any sudden
drops of hemoglobin or chronic drop in hemoglobin but if you are right that
it is dropping then you might want to look at medications you are taking in
causing the drop. There are chronic inflammatory conditions that can also
drop your hgb.
You can also have age related nutritional drops with time and monthly blood
loss etc. One obviously worries about sudden drop of Hgb associated with
blood loss and dark black stools espicially if you are taking NSAIDs.
Neuropathy can cause pain.
They can ckeck your stools for blood if there is a possiblity of GI bleed.
Your blood work is normal and non anemic.
Good luck.

Many thanks Robert , that is opined by many medical students too .
I am happy .

Regards ,
Kam

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