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Managing Diabetes in HIV Patients: Expert Advice and Insights

Simultaneous diagnosis of HIV and diabetes? Hello Dr. Chen, due to my infection condition, I have hesitated to seek treatment from specialties outside of infectious diseases. However, my hemoglobin A1c has consistently been above 8.5. I am currently taking three different antidia...


Dr. Chen Jianyu reply Internal Medicine
Hello: The infectious disease department of the hospital also has internal medicine specialty qualifications. Please inform the infectious disease physician to handle it accordingly.

[Read More] Managing Diabetes in HIV Patients: Expert Advice and Insights


Understanding Blood Sugar and Kidney Health: Key Insights for Patients

Regarding blood sugar and the kidneys? Hello, doctor. At the end of last month, I visited a nearby clinic due to a urinary tract infection. My postprandial blood glucose was measured at 217 (more than one hour after eating). After a blood test, my hemoglobin A1c was found to be 5...


Dr. Chen Jianyu reply Internal Medicine
Your situation is complex, and it is difficult to convey through text, which may lead to misunderstandings. It is recommended to seek assistance from a specialist in endocrinology, nephrology, or urology. Thank you. 109.12.24

[Read More] Understanding Blood Sugar and Kidney Health: Key Insights for Patients


How to Determine if Scabies is Healing: A Doctor's Guide

How can I tell if scabies is improving? Hello doctor, I would like to ask how to determine if scabies has improved.


Dr. Chen Jianyu reply Internal Medicine
It is recommended to follow up with a diagnosis from the outpatient physician.

[Read More] How to Determine if Scabies is Healing: A Doctor's Guide


Medications to Avoid and Take Before Dialysis: A Guide for Patients

Medications to Avoid and Medications That Can Be Taken Before Dialysis I would like to ask, as a dialysis patient, I have many medications that I bring myself. I want to know which medications are safe to take before dialysis and which ones should be avoided. Why is that?


Dr. Chen Jianyu reply Internal Medicine
There are many types of medications; could you tell me which ones you are taking?

[Read More] Medications to Avoid and Take Before Dialysis: A Guide for Patients


Managing Type 2 Diabetes: Key Insights from 8 Years of Diagnosis

Type 2 diabetes diagnosed for 8 years? Type 2 diabetes diagnosed for 8 years. Recent blood test results are as follows: - AC: 115 (Normal range: 70-100) - HbA1C: 6.3% (Normal range: 4-6%) - Triglycerides: 59 mg/dL (Normal range: <150 mg/dL) - Cholesterol: 170 mg/dL (Normal ra...


Dr. Chen Jianyu reply Internal Medicine
Aside from elevated blood glucose levels and glycated hemoglobin, all other values are within normal range. Please continue to take your medication regularly, maintain dietary control, and engage in exercise. Regular follow-ups are recommended.

[Read More] Managing Type 2 Diabetes: Key Insights from 8 Years of Diagnosis


Understanding Proteinuria and Hematuria in Kidney Health: Key Insights

Proteinuria Hematuria Question 1: I do not have diabetes, and my UACR results were normal according to my doctor, and my blood tests were also normal. However, shouldn't I undergo a UPCR test to definitively determine if there is proteinuria? Question 2: I do not have chron...


Dr. Chen Jianyu reply Internal Medicine
Symptoms may vary for each individual during each episode. If there are any abnormal values, please consult a hospital for a follow-up examination.

[Read More] Understanding Proteinuria and Hematuria in Kidney Health: Key Insights


Understanding Unexplained Foot Size Differences in Women

Women have larger feet than men? Typically, women wear shoe sizes ranging from 24 to 39. My foot size is 27.5, and particularly, my right foot is significantly more swollen than my left, making it impossible to fit into such small shoes. Additionally, my feet are larger than thos...


Dr. Chen Jianyu reply Internal Medicine
The issue is complex; it is recommended to visit a hospital for a more detailed consultation and examination.

[Read More] Understanding Unexplained Foot Size Differences in Women


Understanding Persistent Calf Edema: Causes, Symptoms, and Solutions

Lower leg edema I'm not sure if it's a problem with my body constitution or if I have some illness, but my calves are prone to swelling. They are slim in the morning when I wake up, but they start to swell more as I walk. This symptom has been ongoing for quite a while....


Dr. Chen Jianyu reply Internal Medicine
Your issue requires a detailed medical history, and it is recommended to visit a hospital for consultation.

[Read More] Understanding Persistent Calf Edema: Causes, Symptoms, and Solutions


Understanding Persistent Foot Swelling: Causes and Solutions

Dorsal foot edema issue? Hello, doctor. I have been experiencing swelling on the dorsum of my left foot for the past five to six weeks. Occasionally, the swelling decreases a bit, but then it suddenly becomes swollen again. When the swelling is more pronounced, it is accompanied ...


Dr. Chen Jianyu reply Internal Medicine
Your issue is quite complex and requires a detailed consultation. It is recommended that you visit a hospital for further evaluation.

[Read More] Understanding Persistent Foot Swelling: Causes and Solutions


Understanding HbA1c Levels: Can Lifestyle Changes Reverse Prediabetes?

Glycated hemoglobin (HbA1c) 5.8? Hello doctor, I am 29 years old this year, have no diseases myself, and there are no hereditary diseases in my family. I love drinking sugary beverages and coffee. A few days ago, I decided to go to the hospital to check my hemoglobin A1c, and the...


Dr. Chen Jianyu reply Internal Medicine
High

[Read More] Understanding HbA1c Levels: Can Lifestyle Changes Reverse Prediabetes?


Post-Meal Symptoms: Heat, Itching, Blurry Vision, and Heart Palpitations

Recently, about 1 to 2 hours after eating, I have experienced skin warmth and itching, as well as blurred vision? In the past few weeks, I have noticed that about 1 to 2 hours after I eat lunch or dinner, my skin starts to feel warm and slightly itchy. My eyes also begin to feel ...


Dr. Chen Jianyu reply Internal Medicine
It is possible.

[Read More] Post-Meal Symptoms: Heat, Itching, Blurry Vision, and Heart Palpitations


Understanding Pre-Diabetes: Is a Fasting Blood Sugar of 106 Concerning?

Blood sugar issues? Hello Doctor, I would like to ask about my situation. Last year, I had several blood tests for other issues, and my blood sugar levels were normal. However, during my physical examination last month, my fasting blood sugar was measured at 106. Does this indica...


Dr. Chen Jianyu reply Internal Medicine
1. Not counted. 2. Exercise control. 3. Yes.

[Read More] Understanding Pre-Diabetes: Is a Fasting Blood Sugar of 106 Concerning?


How to Accurately Monitor Blood Sugar After Diabetes Remission

Diabetes issues Hello Dr. Chen: I have been suffering from diabetes for about 5 to 6 years. My highest recorded HbA1c was 11.2, and my highest fasting blood glucose was around 250. Recently, I have been actively losing weight, and my latest test results show an HbA1c of 5.8 and a...


Dr. Chen Jianyu reply Internal Medicine
Diabetes is currently manageable but not curable. Management methods include diet, exercise, and medication. A hemoglobin A1c of 11.2 indicates poor blood sugar control, while a current blood sugar level of 90 and an A1c of 5.8 indicate good blood sugar control. Therefore, there ...

[Read More] How to Accurately Monitor Blood Sugar After Diabetes Remission


Does Long-Term Use of Finasteride Affect HbA1c Levels?

Will long-term use of Posca affect glycosylated hemoglobin levels? Hello Dr. Chen, I would like to ask a question. Due to a family history of diabetes, I recently went to the hospital for a blood test. However, I have male pattern baldness and have been taking finasteride. I am...


Dr. Chen Jianyu reply Internal Medicine
No, there is no such information mentioned in the package insert.

[Read More] Does Long-Term Use of Finasteride Affect HbA1c Levels?


Can Prediabetes Be Reversed with High Blood Pressure? Expert Insights

Prediabetes and Hypertension Hello, doctor. I have high blood pressure and have recently been diagnosed with elevated blood sugar levels. Is there a chance for prediabetes to be reversed? Additionally, due to my high blood pressure, am I able to engage in weight training?


Dr. Chen Jianyu reply Internal Medicine
1. If blood sugar levels are elevated, it is important to determine how high they are. Diabetes is a chronic condition that, once diagnosed, can only be managed but not cured. 2. It is unclear how well your blood pressure is being controlled, and I do not know your blood pressu...

[Read More] Can Prediabetes Be Reversed with High Blood Pressure? Expert Insights


Understanding Lumps: Should You Worry About a Non-Painful Mass?

Lump issue Hello: About three years ago, I felt a movable, painless hard lump about 1.5 centimeters in size on the left side of my jaw. At that time, I went to the hospital, and the doctor said it was likely a lymph node left over from an illness in childhood. I would like to kno...


Dr. Chen Jianyu reply Internal Medicine
There are many possible causes for a lump, so it is advisable to consult a physician for an in-person examination. Please seek medical attention at the nearest healthcare facility as soon as possible.

[Read More] Understanding Lumps: Should You Worry About a Non-Painful Mass?


Understanding Blood Sugar Levels: Impact of Sleep and Lifestyle Changes

Blood sugar issues? Hello Doctor: I will be regularly having blood tests to check my blood sugar every one to three months, self-paying at the clinic for both fasting and postprandial tests. My blood sugar was 87 during the health check when I just entered my freshman year of col...


Dr. Chen Jianyu reply Internal Medicine
Blood sugar levels are influenced by many factors; it is advisable to engage in regular exercise. If you have any questions, please visit a nearby medical facility's metabolic department for consultation.

[Read More] Understanding Blood Sugar Levels: Impact of Sleep and Lifestyle Changes


Understanding Glycated Hemoglobin: Insulin Sensitivity and Reversal Potential

Glycated hemoglobin My previous hemoglobin A1c level was 6.4, so I started exercising regularly and eating a lighter diet. After two months, my hemoglobin A1c level dropped to 5.9. There is no history of diabetes in my family. I believe that the 6.4 level was likely due to my lar...


Dr. Chen Jianyu reply Internal Medicine
The function of insulin is primarily assessed through glycosylated hemoglobin (HbA1c) levels. Please consult the Metabolism Department for further evaluation. Thank you.

[Read More] Understanding Glycated Hemoglobin: Insulin Sensitivity and Reversal Potential


Post-Surgery Complications: Understanding Abdominal Pain and Recovery

Postoperative issues? On June 20, I underwent surgery for a ruptured appendix that led to peritonitis (laparoscopic surgery). Since I have been feeling unwell, I had an upper gastrointestinal endoscopy on July 18, which revealed gastritis/esophagitis. I returned to work in August...


Dr. Chen Jianyu reply Internal Medicine
1.2. It cannot be ruled out that the symptoms are complications from surgery or other internal medical issues; a follow-up visit to a gastroenterologist is necessary to address this dilemma. 3.4. Since no scars are visible, it is suspected that there may be a keloid formation fro...

[Read More] Post-Surgery Complications: Understanding Abdominal Pain and Recovery


Understanding Diabetes: Is a HbA1c of 7.6 Dangerous and What to Do Next?

Medical Inquiry Hello Dr. Chen, I am 23 years old and overweight. Recently, I had surgery for folliculitis near my groin, and I noticed that my wound healed slowly. The doctor suspected that I might have diabetes, so I had my hemoglobin A1c tested, which came back at 7.6, confi...


Dr. Chen Jianyu reply Internal Medicine
1. Illness is dangerous; safety is paramount. Do not be afraid of taking medication; the real concern should be poor management of the condition. 2. If diet and exercise cannot adequately control blood sugar levels, medication must be used for management.

[Read More] Understanding Diabetes: Is a HbA1c of 7.6 Dangerous and What to Do Next?


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