Diabetic Have More Muscle Pains

Diabetics are 1.6 times more likely to have chronic musculoskeletal complaints yet in non-diabetics, a high random glucose is associated with less complaints.

BMC Musculoskelet Disord. 2008 Dec 2;9(1):160.
The association between diabetes mellitus, glucose, and chronic musculoskeletal complaints. Results from the Nord-Trondelag Health Study. Hoff OM, Midthjell K, Zwart JA, Hagen K.

abstract

The association with pain is more for age under 60 with either type II or undefined Diabetes.

Comment – on initial visit, chronic pain patients have certain tests ordered:

CBC

ESR, CRP

Serum protein electrophoresis/immunophoresis (in elderly)

Uric acid, RA factor, ANA, ASO titer if arthritis suspected.

B12, 25 – hydroxy – Vitamin D (25-OH-Vitamin D)

CK

Renal function tests

Liver function tests

fasting glucose , lipids

urinalysis/ C&S

free androgen index

Amylase if abdominal pains predominate.

celiac screens if GI symptoms

Stools OB X3 if GI symptoms; would be nice to do stool for leukocytes (50% of microscopic colitis positive) but lab no longer does. Check for giardia if diarrhea
additional Magnesium, Serum Calcium, albumin, phosphate if spasms

PSA in older men.

Are there any other blood tests routinely of value? canada goose outlet canada goose outlet

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