What Causes Low WBC Count In A Diabetic?

Posted on Tue, 10 Oct 2017

Question: SIR
I am suffering from high WBC LEVEL AND LOW PLATELETS COUNT SINCE 6 MONTHS. NOT CONSULT TO HEMATOLOGIST YET . NO FEVER ONLY SLIGHT COUGH TENDENCY . DIABETIC PATIENT . I AM VERY MUCH WORRIED . URIN ACR RESULT 48.9
T3 T4 THS NORMAL .WHAT TYPE OF INFECTION ? BEFORE SIX MONTHS EVERYTHING OK . PLEASE SUGGEST IN DETAILS AND ADVICE FOR HOME TREATMENT ALSO

Answered by Dr. Deepak Sundriyal (7 hours later)

Brief Answer:
Hello. You require further evaluation

Detailed Answer:
Hello dear. I have reviewed your reports.

First of all, no need to worry. Your WBC levels are slightly above normal and not very high. We take it as normal.

However, platelet counts are low. Causes can be several like viral infections, immune related causes.

You may require further testing (for HIV and HCV infection). If these tests are normal, then immune mediated causes like ITP has to be looked for. Once diagnosed, all these conditions can be easily treated.

But the first suggestions will be to get yourself tested further for viral infections to find out the cause.

Feel free to ask further.

Thanks and regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Deepak Sundriyal (41 hours later)

sir
thanks for advice. Here my doctors suggested for CBC test again ,P.S. COMMENT,VITAMIN B12 ,VITAMIN-D ,HOMOCYSTEIN(SERUM)
What dr. want to know? Any dangerous indication? any medicine for improving low platelets . you suspected any viral infection ? what infection? will I carried out the above test?

Answered by Dr. Deepak Sundriyal (9 hours later)

Brief Answer:
Hello. No need to worry

Detailed Answer:
Hello dear. Very rarely , low vitamin b12 levels are associated with low platelet counts . But since you have normal hemoglobin, this cant be cause. You should get test for hepatitis c virus, hiv virus, anti nuclear antibody test for sle. You can discuss these with your doctor. Each of the condition is treatable and there is no need to worry. Homocysteine and vitamin d are not required
Thanks and regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Deepak Sundriyal (2 days later)

Today I visit to DR XXXXXXX XXXXXXX hematologist in XXXXXXX and asked about my report .after seeing report he suggested to take prescribed medicine and told wait 15 days. I requested for hiv test and other but he told wait. I could not understand why waiting .please suggest and advice any food supplements for reducing lymphocytes . or I will change DR . some of my friends suggested to visit dr M B AGRAWAL at XXXXXXX but this not possible for me . your advice will morally boosted me

Answered by Dr. Deepak Sundriyal (23 minutes later)

Brief Answer:
Hello. Please donot get worried

Detailed Answer:
Hello dear. I think you are too much worried which is not t all required. Your wbc counts are just mildly elevated and do not require any intervention. There is no food supplement which will elevate platelets counts. Just follow advice of your doctor and repeat blood counts after 2 weeks. You can get viral tests done from any lab outside.
Thanks and regards

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Above answer was peer-reviewed by : Dr. Vaishalee Punj