Understanding Fasting Blood Sugar and Diabetes Diagnosis Standards
Questions regarding fasting duration and the diagnostic criteria for diabetes? Hello, doctor! I would like to ask a few questions. 1. My blood test requisition states that I need to fast for 12 hours before having my fasting blood glucose drawn (along with a lipid panel). I wou...
Dr. Chen Qingbin reply Internal Medicine
Hello, blood tests require fasting for more than 8 hours (either 8 or 12 hours is acceptable). For two blood tests, they should be spaced at least one week apart.[Read More] Understanding Fasting Blood Sugar and Diabetes Diagnosis Standards
Which Medical Specialist Should You See for Severe Abdominal Pain?
Which department should I go to for medical treatment? If you experience severe lower abdominal pain during your menstrual period, and have already consulted a gynecologist for examination and treatment, but have recently started experiencing lower abdominal pain even outside of ...
Dr. Chen Qingbin reply Internal Medicine
Hello: If you are experiencing discomfort while urinating, it is recommended that you consult a urologist.[Read More] Which Medical Specialist Should You See for Severe Abdominal Pain?
Understanding Symptoms: Breathing Issues, Weight Loss, and Diabetes Concerns
Could you please provide more details about the symptoms? I would like to ask the doctor a few questions. 1. I have experienced occasional shortness of breath and difficulty breathing since middle school. Sometimes these symptoms disappear for a while, but recently they have be...
Dr. Chen Qingbin reply Internal Medicine
Hello: It is recommended that you visit a hospital for further examination of hyperthyroidism and other related conditions, which require blood tests. Additionally, issues related to sexual dysfunction should be evaluated by a urologist for proper diagnosis. Thank you.[Read More] Understanding Symptoms: Breathing Issues, Weight Loss, and Diabetes Concerns
Which Medical Specialist Should You See for Your Father's Symptoms?
Not sure which specialty to consult? I would like to ask, my father's complexion has not been good lately, and his speech sounds a bit weak. He has also lost some weight recently. He mentioned that he has been feeling dizzy and has a dry mouth, craving water. My father has a...
Dr. Chen Qingbin reply Internal Medicine
Hello, regarding your father's issue, if he is regularly taking antihypertensive medication, it is recommended that he consult the prescribing physician for a detailed examination. Thank you.[Read More] Which Medical Specialist Should You See for Your Father's Symptoms?
Understanding the 2-Hour Oral Glucose Tolerance Test and Diabetes Screening
Oral glucose tolerance test at the 2-hour mark and others? Hello, doctor. I would like to ask a few questions: 1. To check for diabetes, should I perform the 2-hour blood glucose test after a 75g oral glucose tolerance test, or should I do a 2-hour postprandial blood glucose te...
Dr. Chen Qingbin reply Internal Medicine
The diagnostic criteria for diabetes mellitus are as follows: 1. Fasting blood glucose (after fasting for more than 8 hours) > 126 mg/dL 2. Postprandial blood glucose (2 hours after a meal) > 200 mg/dL 3. Hemoglobin A1c > 6.5% 4. Glucose tolerance test: blood glucose >...[Read More] Understanding the 2-Hour Oral Glucose Tolerance Test and Diabetes Screening
Cost of Gastric Bypass Surgery After Insurance Coverage in Taiwan
2015 gastric bypass surgery cost health insurance Hello, I am 152 cm tall and weigh 78 kg. After evaluation by a doctor, I am eligible for gastric bypass surgery covered by health insurance. However, I cannot find the latest information on the out-of-pocket expenses after deducti...
Dr. Chen Qingbin reply Internal Medicine
Currently, our hospital does not perform gastric bypass surgery, and the fee schedules set by different hospitals may vary, so it may be necessary to inquire directly.[Read More] Cost of Gastric Bypass Surgery After Insurance Coverage in Taiwan
Understanding Low Eosinophil Levels: Causes and Implications
Eosinophil count is low? A low eosinophil count (measured at 0.7) may indicate several conditions or situations in the body. It could be associated with factors such as acute infections, stress responses, or the use of corticosteroids. Additionally, it may suggest certain medical...
Dr. Chen Qingbin reply Internal Medicine
Hello: The elevation of eosinophils during allergic reactions or parasitic infections is not a significant concern.[Read More] Understanding Low Eosinophil Levels: Causes and Implications
Feeling Weighed Down: Managing Fatigue and Weight Concerns
Feeling very heavy? I weigh 103 kilograms and have recently been feeling fatigued or a bit tired when brushing my teeth or taking a shower. Currently, I walk for 30 minutes every day. I would like to hear a doctor's advice.
Dr. Chen Qingbin reply Internal Medicine
If you haven't already, I recommend visiting a hospital for a physical examination or related tests. The physician should provide you with advice on aspects such as exercise and diet. Thank you.[Read More] Feeling Weighed Down: Managing Fatigue and Weight Concerns
Understanding Lymph Nodes: What to Do About a Swollen Jaw Lymph Node
Submandibular lymph nodes There is a lymph node located under the left jaw (submandibular area) that feels like a small round ball when I lower my head. It has been movable and has been present for several years. Recently, it has occasionally been swollen and painful. Should I be...
Dr. Chen Qingbin reply Internal Medicine
Hello: Regarding your question, it is difficult to make a determination due to the wide range of lymph node locations. It is recommended that you visit a hospital for an in-person consultation with a physician for proper assessment. Thank you.[Read More] Understanding Lymph Nodes: What to Do About a Swollen Jaw Lymph Node
Understanding Hormone Testing and Health Insurance Coverage in Taiwan
Issues with Health Insurance Coverage for Testing This year, I will turn 20 years old, and my voice has not changed. I am unsure if this is due to a hormone deficiency, and I feel that I am not manly enough. Can I get a hormone test? Is it done through a blood draw? Will the cost...
Dr. Chen Qingbin reply Internal Medicine
Hello, regarding your issue, I suggest you visit a major hospital for an examination, which can generally be covered by health insurance. Thank you.[Read More] Understanding Hormone Testing and Health Insurance Coverage in Taiwan
Understanding Dizziness and Blurred Vision: Anemia Symptoms Explained
Sudden dizziness, blurred vision, and anemia? This condition has been present for about three to four months. Sometimes I experience sudden dizziness, and occasionally I feel nauseous. The dizziness feels similar to that of anemia, and at times, when I feel dizzy and uncomfortabl...
Dr. Chen Qingbin reply Internal Medicine
Hello Jun, if you are experiencing symptoms such as dizziness and nausea, I recommend that you go to the hospital for a blood test to further assess your health condition for an accurate evaluation. Thank you for your message.[Read More] Understanding Dizziness and Blurred Vision: Anemia Symptoms Explained
Understanding Chest Tightness and Throat Irritation: When to Seek Help
Chest tightness and a sensation of itchiness in the throat with a feeling of slight swelling? Hello Doctor: I started experiencing chest tightness since the afternoon of the day before yesterday, along with a scratchy throat and various sensations. The color of my phlegm is sligh...
Dr. Chen Qingbin reply Internal Medicine
Hello, Xiao Ming. Regarding the chest pain, I recommend that you first consult a pulmonologist for further diagnosis and evaluation, so that appropriate treatment can be provided. Thank you for your message.[Read More] Understanding Chest Tightness and Throat Irritation: When to Seek Help
Improving Cardiopulmonary Fitness: Tips for a Healthier Lifestyle
How is the cardiopulmonary function? Height: 172 cm, Weight: 62 kg, BMI: 20.96 (underweight) Flexibility: 5 (poor) Muscle Strength: 21 (good) Cardiovascular Endurance: 32.03 (poor) ------(the above is the online assessment result)------ High blood pressure, gout, uric acid, gastr...
Dr. Chen Qingbin reply Physical Fitness
Hello, Mr. Zhong: Based solely on the evaluation results you provided, it is not possible to assess your physical condition. I recommend that you visit the hospital for a re-evaluation, where a physician can explain the findings to you in person.[Read More] Improving Cardiopulmonary Fitness: Tips for a Healthier Lifestyle
Effective Strategies to Lower Your BMI and Improve Fitness
How to lower BMI? Non-smoker; irregular exercise habits with hypertension, regular medical check-ups; taking antihypertensive medication. Height: 156 cm, Weight: 70 kg, BMI: 28.76 (obesity is very dangerous). Flexibility: 18 (poor), Muscle strength: 24 (good), Cardiovascular endu...
Dr. Chen Qingbin reply Physical Fitness
Hello, Xiao Pang: Based on your weight and height, it is recommended that you engage in regular exercise, maintain a diet low in oil and sugar, and pay attention to your lifestyle habits. Thank you for your message.[Read More] Effective Strategies to Lower Your BMI and Improve Fitness
Understanding Bruising on Limbs: Causes and When to Seek Help
Bruising on the limbs? Dear Dr. Chen, I have been taking medication for hypertension for a long time, but about two months ago, I started noticing bruises the size of a ten-dollar coin appearing on my limbs. They are not painful and disappear in about one to two weeks. However, ...
Dr. Chen Qingbin reply Internal Medicine
Hello, Gui Xiang. Your bruising could have various causes, so it's best to consult a family physician for long-term follow-up and examination. Thank you for your message.[Read More] Understanding Bruising on Limbs: Causes and When to Seek Help
Can Type 1 Diabetics Safely Use Oral Contraceptives?
Can individuals with type 1 diabetes take oral contraceptives? I am a type 1 diabetes patient, and since I am going on a trip soon and am concerned about my menstrual period, I visited a gynecologist to obtain medication to delay my period. The doctor prescribed me Priliane, whic...
Dr. Chen Qingbin reply Internal Medicine
Hello, regarding medications for menstrual regulation that may contain hormones, they can affect blood sugar levels and are generally not recommended. However, it is still advised that you consult with a physician for a personal evaluation and judgment. Thank you for your inquiry...[Read More] Can Type 1 Diabetics Safely Use Oral Contraceptives?
Understanding Black Blisters on Heels: Diabetes and Vascular Issues
There is a black lump in the blister on the heel? My father has undergone coronary angioplasty and has poorly controlled diabetes, with pre-meal blood sugar levels ranging from 250 to 350. Currently, he is taking insulin injections in the morning and evening. Two days ago, he dev...
Dr. Chen Qingbin reply Internal Medicine
Hello, diabetes patients are prone to vascular sclerosis and obstruction, and taking anticoagulants can easily lead to subcutaneous bruising. It is best to return to the original hospital for a consultation, where a physician can conduct a detailed examination to determine if a r...[Read More] Understanding Black Blisters on Heels: Diabetes and Vascular Issues
Understanding Edema and Weight Gain: Seeking Solutions for Persistent Issues
Edema & Obesity Hello, doctor. I would like to ask about my long-term edema (most noticeable in my ankles). I have visited both a nephrologist and an endocrinologist, and they both said my test results are normal. I am unsure where the problem lies and what I should do. My we...
Dr. Chen Qingbin reply Internal Medicine
Hello Kanlin, I recommend that you exercise more, reduce salt, oil, and sugar intake, and eat more fruits and vegetables to maintain a regular lifestyle and promote both physical and mental health.[Read More] Understanding Edema and Weight Gain: Seeking Solutions for Persistent Issues
Post-Stair Fall: Understanding Pain and Swelling in the Lower Leg
Foot sprain after falling down the stairs? Hello Doctor, I would like to inquire about an incident that occurred on Saturday. I accidentally fell down a wet staircase from the first floor and rolled down, impacting my hands, feet, and head. At the time, I experienced severe pain ...
Dr. Chen Qingbin reply Internal Medicine
Hello, fractures can usually be detected through X-rays. If the X-ray is normal, it is likely that the pain and swelling are due to a contusion from impact. It is best to consult a surgeon or an orthopedic specialist for further evaluation.[Read More] Post-Stair Fall: Understanding Pain and Swelling in the Lower Leg
Causes of Bad Breath in Children: When to See a Specialist
Halitosis in children? My nine-year-old daughter has a problem with bad breath. We consulted a dentist, and the doctor said it is not a dental issue. What could be the cause, and which specialist should we see?
Dr. Chen Qingbin reply Internal Medicine
Hello, Ting. Bad breath is generally related to oral and gastrointestinal issues. If there are no problems in the oral cavity, you may want to consult a gastroenterologist.[Read More] Causes of Bad Breath in Children: When to See a Specialist