I Hate Dialysis Message Board

Dialysis Discussion => Dialysis: General Discussion => Topic started by: ShirleyP on March 20, 2014, 08:41:35 AM

Title: Any medical reason to keep me Vit-D25 deficient for almost 3 years?
Post by: ShirleyP on March 20, 2014, 08:41:35 AM
Also, is it possible to drop 5 points in one day (07/13/2012)? There was a Manual Differential Lab done that day.

VITAMIN D, 25-HYDROXY
Standard range   25-79 ng/mL
01/07/2009   9
04/27/2009   11
05/16/2009   17
07/03/2009   14
07/20/2009   13
11/30/2009   12
05/15/2010   14
06/03/2010   11
07/13/2010   21
07/13/2010   16
10/09/2010   18
12/30/2010   21
04/11/2011   21
09/16/2011   23
10/17/2011   35
01/24/2012   47
04/16/2012   50

I had a bone densitometry done recently that appears really bad. I'm not sure if this was helping.

ShirleyP
Title: Re: Any medical reason to keep me Vit-D25 deficient for almost 3 years?
Post by: obsidianom on March 20, 2014, 08:50:28 AM
What are your calcium, phosphorus, and parathyroid levels?  Any medications that effect that system?  Are you on dialysis and what type are you on? Are you pre menopuasal or post, and if post are you on hormone replacement? What are your bun , creatinine and heme and alkaline phosphatase numbers?  That would all help to know more.

Tha active form is actually  1,25, dihydroxy vit. D .  This only occurs in the kidneys. So kidney disease itself can create this deficiency.   however we generally measure 25 vit D blood levels first.  Your numbers improved dramatically over time. . How did that occur? Did you take supplements or meds?
Title: Re: Any medical reason to keep me Vit-D25 deficient for almost 3 years?
Post by: jeannea on March 20, 2014, 11:38:38 AM
I thought everyone on dialysis was deficient in Vit D. I don't believe they want to keep you there. It just is one of those things, along with a million others, that go wrong for us on dialysis. The treatment varies depending on your calcium and phosphorus levels and how much freedom you have with your diet. What have they told you?
Title: Re: Any medical reason to keep me Vit-D25 deficient for almost 3 years?
Post by: Joe on March 20, 2014, 12:51:51 PM
 They our me on 4k units of Vit D suppliment, still taking it post transplant.