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What Causes Low Hemoglobin Levels When Diagnosed With Adenomyosis?
Question: Due to severe blood loss from andenomyosis, my blood count went down to 7 when it shouldve been closer to 15. I was losing a unit of blood a day. When theh drew blood my glucose was 200 after a meal. But they said this was due to the anemia and was a false high bc my blood count was so low. I have never had a high blood sugar infact my hba1c 1.5 yrs ago was 4.2. Is this correct? They retested after 3 blood transfusions and it was 118. They said its all bc of the anemia. Is this true?
Brief Answer:
Possibly
Detailed Answer:
Sorry to learn about your anemia.
Indeed the HbA1c can be misleading and inaccurate in the setting of anemia and blood transfusions.
An alternative test in this situation is Glycated Albumin, also known as Fructosamine. However this test also has limitations. For example, if your blood albumin levels are low then this result will also appear falsely low.
So the best approach here would be to check your blood glucoses levels in the fasting state and 2 hours after a 75 gram glucose challenge, but after your anemia is reasonably corrected.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
None of these tests require any fasting and can be done at any time of the day
Possibly
Detailed Answer:
Sorry to learn about your anemia.
Indeed the HbA1c can be misleading and inaccurate in the setting of anemia and blood transfusions.
An alternative test in this situation is Glycated Albumin, also known as Fructosamine. However this test also has limitations. For example, if your blood albumin levels are low then this result will also appear falsely low.
So the best approach here would be to check your blood glucoses levels in the fasting state and 2 hours after a 75 gram glucose challenge, but after your anemia is reasonably corrected.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
None of these tests require any fasting and can be done at any time of the day
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Can a false high on a random glucose test during anemia occur?
Brief Answer:
No
Detailed Answer:
The reading obtained in a laboratory sample where blood is taken form the veins is unlikely to be affected by anemia
No
Detailed Answer:
The reading obtained in a laboratory sample where blood is taken form the veins is unlikely to be affected by anemia
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Before I was anemic, 1.5 years ago, my hba1c was 4.2. During that year i began suffering from insomnia and was given off lable 100 mg of seroquel/night for sleep. When I suddenly developed anemia due to excessive bleeding and went to hospital, two blood draws right after meals showed high blood sugar. Does the illness/anemia cause this or the seroquel? I have stopped the seroquel as the insomnia has resolved
Brief Answer:
Second follow up
Detailed Answer:
Seroquel has been reported to raise blood glucoses. Stress of hospitalization itself can elevate blood glucoses too.
Second follow up
Detailed Answer:
Seroquel has been reported to raise blood glucoses. Stress of hospitalization itself can elevate blood glucoses too.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Does it cause diabetes
Brief Answer:
Third follow up
Detailed Answer:
There have been some reports of glucoses rising high enough in the diabetic range with this medicine
Third follow up
Detailed Answer:
There have been some reports of glucoses rising high enough in the diabetic range with this medicine
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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