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What Does My Full Blood Count Report Indicate?
Question: I have suffered from pancreatitis last year Nov 2013 . My gall bladder was removed on XXXXXXX 2014.I am pure vegetarian, non alcoholic, non smoker.
earlier i didn't have any diabetes. during the pancreatitis attack my blood glucose level varied.after that it was fine. i was not having proper digestion since the pancreatitis attack.for the last 10 days i was having little pain ion my back, i suffer from little high Blood pressure 125/90. medicines presently using: Cardace 2.5 mg, Rabeprozole dsr 20mg. daily morning.
Stopped continuing Creon 1000 units from Feb 2014.recently i had my blood test done.
The reports shows somewhat high values of Blood glucose, The complete haemogram shows Anisocytosis,Predominantly macrocytic normochromic with macroovalocytes, low vitamin D and Vitamin B12.
I have improper digestion, Gas formation,back pain near kidney area. please examine the reports
plz explain and suggest any medication.
earlier i didn't have any diabetes. during the pancreatitis attack my blood glucose level varied.after that it was fine. i was not having proper digestion since the pancreatitis attack.for the last 10 days i was having little pain ion my back, i suffer from little high Blood pressure 125/90. medicines presently using: Cardace 2.5 mg, Rabeprozole dsr 20mg. daily morning.
Stopped continuing Creon 1000 units from Feb 2014.recently i had my blood test done.
The reports shows somewhat high values of Blood glucose, The complete haemogram shows Anisocytosis,Predominantly macrocytic normochromic with macroovalocytes, low vitamin D and Vitamin B12.
I have improper digestion, Gas formation,back pain near kidney area. please examine the reports
plz explain and suggest any medication.
Brief Answer:
suggestions as per reports
Detailed Answer:
Hi
I am Dr Mittal.
I have read your query.
I think I would be able to help you.
I have understood your past medical history.
I have read your reports as well.
I have the following suggestions.
1. Your home cysteine levels are low. And apolipoprotein are abnormal. That puts you on a variable cardiac risk. The option is to start folate tablets.
2. Your vitamin d levels are low. We should start replacement, and I suggest a vitamin d supplement of 60000 units weekly with calcium and low dose vitamin d 1000 units per day for 6 weeks followed by a repeat test.
3. Your HBA1C levels are raised. The means your sugar must be getting raised. It's better to keep a watch on your sugars regularly now. Initially I think it would be good to control sugars with diet and exercise.
This could be secondary to the history of pancreatitis.
I have tried to make it as simple as possible. I hope that the information helps you. Please feel free to contact us for more information.
Best of luck. Dr Mittal.
suggestions as per reports
Detailed Answer:
Hi
I am Dr Mittal.
I have read your query.
I think I would be able to help you.
I have understood your past medical history.
I have read your reports as well.
I have the following suggestions.
1. Your home cysteine levels are low. And apolipoprotein are abnormal. That puts you on a variable cardiac risk. The option is to start folate tablets.
2. Your vitamin d levels are low. We should start replacement, and I suggest a vitamin d supplement of 60000 units weekly with calcium and low dose vitamin d 1000 units per day for 6 weeks followed by a repeat test.
3. Your HBA1C levels are raised. The means your sugar must be getting raised. It's better to keep a watch on your sugars regularly now. Initially I think it would be good to control sugars with diet and exercise.
This could be secondary to the history of pancreatitis.
I have tried to make it as simple as possible. I hope that the information helps you. Please feel free to contact us for more information.
Best of luck. Dr Mittal.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Dear sir,
Thank you for your reply .
How much folic acid to take everyday?please give good brand of folic acids. does eating spinach increase my folic acid levels?
I regularly check my sugar levels (once in a month ) . only once in last three months the Sugar level was more I.e FBs 138,PLBS 157.all other times it was normal. i do exercise(walking, skipping) half an Hour to 45 min daily. But for the last 10 days i am unable to go fo walking due to unavoidable circumstances.
Any thing to do with low Vitamin B12 , because i am regularly getting neck pain, muscle spasm,backpain ?
Thank you for your reply .
How much folic acid to take everyday?please give good brand of folic acids. does eating spinach increase my folic acid levels?
I regularly check my sugar levels (once in a month ) . only once in last three months the Sugar level was more I.e FBs 138,PLBS 157.all other times it was normal. i do exercise(walking, skipping) half an Hour to 45 min daily. But for the last 10 days i am unable to go fo walking due to unavoidable circumstances.
Any thing to do with low Vitamin B12 , because i am regularly getting neck pain, muscle spasm,backpain ?
Brief Answer:
Folate and sugar levels, here are some specifics
Detailed Answer:
Hi,
I am glad to hear from you again.
Folivite can be taken as Tab Folate 5 mg once daily. Green leafy veg are not really rich in it but can be used anyways.
As for sugar levels, the PPBS sugars you have mentioned are suggesting that the sugars are going high. I think it is best that you buy a glucometer and test the sugars regularly. Some tablet may be necessary.
As for the backache, and other symptoms, I think it is a manifestation of low vitamin D. Replacement as I suggested should help you.
I have tried to make it as simple as possible. I hope that the information helps you. Please feel free to contact me for further information. Best of luck.
Dr Mittal.
Folate and sugar levels, here are some specifics
Detailed Answer:
Hi,
I am glad to hear from you again.
Folivite can be taken as Tab Folate 5 mg once daily. Green leafy veg are not really rich in it but can be used anyways.
As for sugar levels, the PPBS sugars you have mentioned are suggesting that the sugars are going high. I think it is best that you buy a glucometer and test the sugars regularly. Some tablet may be necessary.
As for the backache, and other symptoms, I think it is a manifestation of low vitamin D. Replacement as I suggested should help you.
I have tried to make it as simple as possible. I hope that the information helps you. Please feel free to contact me for further information. Best of luck.
Dr Mittal.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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