Transcription of Diet Recommendations for the IRON DEFICIENT
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Diet Recommendations for the IRON DEFICIENT
iron disorders INSTITUTE ~ PREVENTING DISEASE CAUSED BY iron -OUT-OF-BALANCE .AUTUMN 2004 PAGE Serum ironTIBCS erum ferritinTsat%ErythropoietinMCVW hite blood cellRed blood cellSerum transferrin receptorDecreasedDecreasedDecreasedNorma l to slightly DecreasedDecreasedDecreasedDecreasedDecr easedDecreasedIncreasedIncreasedIncrease dInadequateAdequateVariableNormalNormalN ormal to slightly DecreasedComparing blood tests for anemia of chronic disease (ACD) and iron deficiency anemia (IDA)DecreasedDecreased*(transferrin/iro n saturation percentage)* hemoglobin can go as low as in some ACD patientsBefore recommending oral iron supplements to a patient whose hemoglobin is lower than normal, it is important to distinguish between iron deficiency anemia (IDA) and anemia of chronic disease (ACD). In ACD the lower than normal hemoglobin is in response to inflammation and the underlying cause should be identified and treated. If the patient is found to be iron DEFICIENT , often diet can improve hemoglobin values for patients, especially when the cause is due to inadequate dietary iron .
IRON DISORDERS INSTITUTE ~ PREVENTING DISEASE CAUSED BY IRON-OUT-OF-BALANCE . AUTUMN 2004 www.irondisorders.org PAGE 9 ACD IDA Hemoglobin Serum iron
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