Perhaps these patients are at high risk if we delve deep enough into the history?
BBC covering this: http://www.bbc.co.uk/news/health-30192578
Stuart
-----Original Message-----
From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Mohammad Al-Jubouri
Sent: 26 November 2014 12:12
To: [log in to unmask]
Subject: Re: NICE: "Vitamin D: increasing supplement use among at-risk groups"
For the past few years, serum vitamin D has been checked on large number of asymptomatic people who are not at high risk, yet low vitamin D levels consistent with deficiency was found in a high percentage of them. So does the new NICE guidance mean that we should ignore such low vitamin D levels if they are not associated with signs and symptoms of osteomalacia? Do we expect a reduction in vitamin D requests soon?
Regards
Mohammad
Dr. M A Al-Jubouri, MB ChB, MSc, EurClinChem, FRCP Edin, FRCPath Consultant Chemical Pathologist
--------------------------------------------
On Wed, 26/11/14, Jonathan Kay <[log in to unmask]> wrote:
Subject: NICE: "Vitamin D: increasing supplement use among at-risk groups"
To: [log in to unmask]
Date: Wednesday, 26 November, 2014, 11:57
http://www.nice.org.uk/guidance/ph56/resources/guidance-vitamind-increasing-supplement-use-among-atrisk-groups-pdf
includes:
Recommendation 7
Only test vitamin D status if someone has symptoms of deficiency or is at very high risk
Health professionals should not routinely test people's vitamin D status unless:
• they have symptoms of deficiency
• they are considered to be at particularly high risk of deficiency (for example, they have very low exposure to
sunlight)
• there is a clinical reason to do so (for example, they have osteomalacia or have had a fall).
Jonathan
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