I have type 2 diabetes for 10 years. I take metformin, symbastatin, lisynnprol. (Spelling?)In the past 2 years my Hemoglobin has dropped to 11.7 from 13.2. I am not bleeding anywhere. My CA is 6.6 which is a little low. My lytes are somewhat low also. Any suggestions?
Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Complete hologram is necessary to identify the type of anemia. If no bleeding, iron, It B12 or folic acid deficiency is common. Needs correlation with MCV and MCH.2. If low MCV, iron deficiency is common. If high MCV, It B12 and folic acid deficiency. If normal, both needs to be taken.3. Calcium correction needs to be done with calcium supplements.4. Possible malnutrition due to selective diet due to diabetes is common cause of anemia. If not sure, iron studies, and It B12 assay will be helpful. Adequate HY Chat Doctor.  Specific bytes, specially potassium requires correction with oral supplements. Hope it helps. Any further queries, happy to help again.