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:
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)
Renal function tests
Liver function tests
fasting glucose , lipids
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.