Should the doctor prescribe any treatment for osteopenia?

Question

Hello doctor,

I am concerned about my moderately-high calcium levels. I am in my late thirties, in excellent shape and play competitive sports. I am very careful about maintaining a clean diet. Over the past four years, I have had elevated glucose (a1c 6.3) and elevated serum calcium (fluctuating between 9.6 and 10.3). My latest serum calcium was 9.6, but I had a 294 mg 24-hour urine calcium level. My parathyroid and thyroid levels have always been in the normal range. Last year, I had a DEXA scan that showed clear signs of osteopenia. My doctor has not prescribed any treatment beyond Metformin. Is this sound advice? I am concerned that I am at risk for osteoporosis and kidney stones.

Answer 1

Hello,

Welcome to icliniq.com.

I just read your query and from what you have mentioned, it appears that you do have diabetes for which Metformin is an appropriate treatment.
As for your calcium levels, you have absolutely normal serum as well as urinary calcium levels.
You do have osteopenia, for which the treatment is 500 mg calcium supplements daily and regular sun exposure.
You do not need to worry about anything else.

Hope you find my suggestions beneficial. Good luck.