What is Anemia and Why Am I Tired?, continued
How is Anemia Diagnosed?
A laboratory test called a hematocrit is often used to determine the amount of red blood cells present in your body. The test shows the percentage of volume of the blood that is comprised of red blood cells. For instance, if 50 percent of one ounce of your blood is made up of red blood cells, then you'd be said to have a hematocrit of 50. A normal hematocrit level is in the range of 38 to 47 for women and 42 to 50 for men. Typically, women have lower hematocrit levels because they lose blood regularly due to their menstrual cycles. Also, male hormones stimulate bone marrow to produce red blood cells to a greater degree than female hormones do.
A better indicator of anemia is your hemoglobin level, determined by the number of grams of hemoglobin present in 100 ml of blood. Normal hemoglobin levels for women are in the 12.5 to 15 range. Normal hemoglobin levels for men are in the 14 to 16 range.
If your health care practitioner suspects that your iron levels are low, you may need to be tested. There are two laboratory tests that are used to check your iron level: One is transferrin saturation (TSAT), and the other is ferritin.
Treatment of Anemia
Most cases of anemia in people with kidney disease are the result of lack of EPO. Therefore, the most common treatment for anemia is EPO. This protein hormone cannot be administered by mouth so it is given either intravenously (IV) or through injection.
If TSAT and ferritin test results show that you are low in iron, you may need to take iron supplements, either orally or intravenously. Often ferrous sulfate will be prescribed as an oral supplement to help you with iron deficiency.
Many times a person receiving EPO injections will develop iron deficiency and so must begin taking an oral iron supplement. If you receive EPO injections, you should talk to your health care provider about your iron levels.
Although most CKD patients will develop anemia at some point, it can be diagnosed and treated.
Reprinted with permission by DaVita, Inc. Get more answers at DaVita.com.
One in Ten AMI Patients Have Unrecognized Incident Diabetes
Two New LDL Cholesterol Drugs May Have Big Impact on Heart Disease
COBA Conference Steers Forward in the Fight Against Childhood Obesity
Google Secures Patent for Glucose-Sensing Contact Lens
Medtronic to Use GlucoSitter Artificial Pancreas Software in Future Insulin Pumps - A Big Deal!
Pasta with Pine Nuts Lemon and Pumpkin Moules Mariniere Slow-Cooked Cabbage Glazed Carrots with Apple Cider and Bacon Lamb Chops with Herbed Couscous and Tomatoes Cheeseburger Macaroni Casserole Mexican Style Stew Sweet Cheese Ball Wilted Greens Black Bean Soup-Chili
This past weekend was a whole lot of diabetes weird. I've finally gotten into a good rhythm with my Lantus rate - settling in with a 70-30 nighttime-morning split of the total dose. My bolus dosing seems to be pretty much on the money too. I'm avoiding huge swings... Though lows are creeping up more often, I think because summer traditionally is a lower basal rate time, owing to warmer weather, increased activity and sweat, as we get closer to the warmer days I just need less insulin in the...