Conversation: The conversation between human and AI assistant.
[|Human|] My HB is 9.5. I am Type 2 Niddm with fasting levels around 150. My ferritin is low at 4.5 and so are haematocrits at 34.4. The serum iron is 14.3 and MCV at 71.6. The MCH is at 19.8 and MCHC at 27.6. The RBC show moderate anisopoikilcytosis. I have been diagnosed with Microcytic Hypochromic Anaemia. All other tests i,e, creatinine, OTPT, TLC etc are within normal limits. Please guide me the best supplement for increase the iron deficiency.
[|AI|]  Hello!  Thanks for being with Chat Doctor. Microcytic hypodermic red blood cells means red blood cells are small and amount of hemoglobin inside the cells is less.  Variation in size and shape that is called endocytosis and poikilocytosis.  You have Hemoglobin of 9.5 GMT, hematocrit 34.4,MTV 71.6,mch19.8,MHC 2876,serum iron is 14.3 and normal leukocytes and platelets. These changes can be seen in: 1.iron deficiency anemia 2.chronic blood loss due to peptic ulcer, hemorrhoids,heavy menstruation, etc 3. Anaemia of chronic disease such as chronic kidney disease, tuberculosis,malabsorption.  Serum iron of 14.3 is very low. It indicates iron deficiency. Hence, iron supplement should be started. Oral iron supplement foe 3 months will be sufficient as HE is 9.5 i.e. mild anemia. Tab. Orofer-XT, Tab. Levogen Or spy.RB tone or derange are good iron supplements. Consult with your treating physician for treatment of diabetes as your FBS is also high. Hope this could help you. Wish you good health.