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Understanding Blood Sugar Levels: Managing Pre-Diabetes and Dietary Choices

Blood sugar issues Hello, doctor. I often drink bubble tea, sometimes up to two cups of lightly sweetened beverages in a day. A urine test showed some sugar in my urine, so my nephrologist ordered a blood test. My fasting blood glucose was 102, and my hemoglobin A1c was around 5....

Dr. Chen Shunfu reply Internal Medicine
Thank you for your question! Long-term consumption of sugary beverages can increase the risk of diabetes, so it is advisable to reduce intake. The sugar content in each serving of sugary drinks is not fixed, which is why the current international standard for assessment is the or...

Understanding Gastrointestinal Issues and Blood Sugar Levels

Blood sugar issues and gastrointestinal problems? Hello, last week I went to the emergency room because I vomited 5 to 6 times in the middle of the night. The doctor performed several tests and diagnosed me with gastroenteritis. I have two questions: 1. I only vomited and did not...

Dr. Chen Shunfu reply Internal Medicine
Thank you for your inquiry. 1. Hello, if you are still experiencing gastrointestinal symptoms, in addition to adjusting to a light diet, it is recommended to visit a gastroenterology clinic for evaluation and possible medication/testing to improve your symptoms as soon as possibl...

Understanding TSH Levels: Medication Dilemmas in Hyperthyroidism Treatment

Issues related to undetectable TSH levels due to medication? Hello, doctor. I have a question I would like your assistance with. 1. I have been diagnosed with hyperthyroidism and have been on medication for 23 days: methimazole 10mg three times a day and propranolol 10mg once a d...

Dr. Chen Shunfu reply Internal Medicine
This question requires a complete blood test report and a physical assessment to answer. If you would like to consult further, please make an appointment with Dr. Li Jian. If no additional medications or tests are prescribed on that day and only a simple consultation is conducted...

Does Drinking Sugary Beverages Quickly Increase Diabetes Risk?

Drinking sugary beverages too quickly is more likely to increase the risk of developing diabetes compared to drinking them slowly? Recently, a classmate of mine suggested that drinking sugary beverages too quickly may increase the risk of developing diabetes. I also have a habit ...

Dr. Chen Shunfu reply Internal Medicine
Currently, there is no international research on the correlation between the speed of drinking beverages and the risk of developing diabetes, so it is not possible to provide a definitive answer to this question. However, it is true that excessive consumption of sugary drinks ove...

Managing My Father's Health Crisis: Seeking Medical Advice for Hypertension

Dad is experiencing health issues? About five years ago, my father fainted while playing mahjong after having a little bit of alcohol. We immediately called an ambulance, and when he was given an oxygen mask, his consciousness stabilized. The small hospital we went to later told ...

Dr. Chen Shunfu reply Internal Medicine
Individuals with hypertension and obesity are at high risk for cardiovascular diseases. It is recommended that you bring your father to the hospital's cardiology department for a thorough examination.

Do I Have Colon Cancer? Understanding Symptoms and Concerns at 16

Do I have colon cancer? This August, I discovered I have internal hemorrhoids, so I started paying special attention to my diet. Now that school has started, I drink a lot of water and eat an apple, banana, or guava every day. I also began exercising, but by November, my bowel ha...

Dr. Chen Shunfu reply Internal Medicine
Colorectal cancer can occur in individuals of all age groups, with the incidence gradually increasing with age, particularly among those aged 50 to 60 years. However, there has been a trend of younger individuals being diagnosed with cancer in recent years; colorectal cancer has ...

Managing High Prolactin Levels: When to Seek a Second Opinion

Prolactin Hello, doctor. I have an issue with elevated prolactin levels. An MRI scan revealed a nearly invisible pituitary tumor. When I lived in the south, my doctor would regularly draw blood and prescribe medication for me. After moving to the north and wanting to conceive a s...

Dr. Chen Shunfu reply Internal Medicine
Hello, the normal range for prolactin levels in our hospital is 2.8-29.2 ng/mL, so a level of 47 is still slightly elevated. It is advisable to follow up with the endocrinology department at a medical center or a large teaching hospital.

Understanding HbA1c Levels: Can You Reverse Prediabetes?

The glycated hemoglobin (HbA1c) level is 6.2? The hospital measured my hemoglobin A1c at 6.2. After three months of dietary control, my hemoglobin A1c was measured at 5.9. No one in my family has diabetes, but I have gained a lot of weight due to taking medication for bipolar dis...

Dr. Chen Shunfu reply Internal Medicine
Congratulations! Your hemoglobin A1c has decreased from 6.2% to 5.9% after three months of dietary control. Based on your height of 179 cm and weight of 95 kg, your BMI is calculated to be 29.6, which indicates obesity. The medication Depakine (valproate) that you are taking can ...

Understanding Intermittent Numbness and Weakness in Feet: Causes and Solutions

Intermittent numbness in both feet? Hello Doctor: I am 24 years old and have been working for some time. I have hyperthyroidism, which I have been treating for six months. I have been going to the hospital for follow-ups, and my condition is currently stable and normal. However, ...

Dr. Chen Shunfu reply Internal Medicine
Based on the brief medical history you provided, it is recommended that hyperthyroidism be managed according to medical advice and that regular follow-ups are conducted. You should first rule out the possibility of having Thyrotoxic Periodic Paralysis (TPP). Statistics indicate t...