I have had type 1 since 1957 and have recently been told I have anemia of chronic disease when I asked about being tired all the time. My endocrinologist knows of no treatment. My last A1c was 6.4, thyroid level is good and all other test show normal. Is there a treatment for this condition?

Dr. David Erani


It is important to rule out other causes of anemia before making the diagnosis of anemia of chronic disease. You said that all of the tests were normal, but it is important that the right tests were done. The best treatment for anemia of chronic disease is treatment of the chronic disease. Since your A1C is 6.4%, your diabetes is under great control as long as you are not having frequent or severe hypoglycemia. I don’t know if you have any other chronic diseases. If you do, it would be important to make sure they are treated as well. On a different note, since you have had diabetes for over 50 years, you are qualified to receive the Joslin 50-year medal. You can learn more about the medalist program by clicking on this link:

April 28, 2013 at 11:43 am

1 reply

marc55 2013-06-06 21:25:06 -0500 Report

Received the joslin medal at 51 years type 1 have heart disease, first heart attack 10_12 years ago 5 more since two strokes so yea I have other health issues, all the smallest veins at the backside of heart are plugged so am allways short of breath, have 38" of stents in my legs and I don't know how much in my heart they have been in there so many times. i have some large blood glucose swings but still get good a1c's, swings seem tied to activity and stress. it's not easy but i still wake up in my bed and go out and do the best i can with what ive got and thank the universe for everything good or bad, its all a gift. take care and thank you for your reply †