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.
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?