Essential Dietary Tips for Diabetic Hypertension Patients on Dialysis
Dietary Considerations for Diabetes, Hypertension, and Dialysis Management Dear Doctor, my mother is 63 years old and has hypertension and diabetes. She is scheduled for dialysis in two days. Could you please advise on dietary considerations and any specific precautions we should...
Dr. Guo Qinghui reply Internal Medicine
Diabetes and hypertension are both causes of kidney disease that can lead to dialysis. There are many considerations for individuals undergoing dialysis. In principle, it is essential to control blood sugar levels and manage hypertension. Dietary considerations are related to the...[Read More] Essential Dietary Tips for Diabetic Hypertension Patients on Dialysis
Can Diabetes Be Cured? Understanding Chronic Disease Management
Can it be cured? Diabetes is a chronic disease; however, can the prognosis of diabetes be cured?
Dr. Guo Qinghui reply Internal Medicine
Diabetes is a chronic metabolic disorder that can lead to various complications: acute complications include diabetic ketoacidosis and hyperosmolar coma; in children or adolescents during puberty, it may result in stunted growth, developmental delays, or delayed puberty; in pregn...[Read More] Can Diabetes Be Cured? Understanding Chronic Disease Management
Managing Excessive Thirst in Diabetes: Tips and Alternatives
How to quench thirst? Hello Dr. Kuo, I have had diabetes for 4 years and regularly see my doctor and take medication. My blood sugar levels are 150 before meals and 200 two hours after meals, with a hemoglobin A1c of 7.5. However, I experience constant thirst every day and canno...
Dr. Guo Qinghui reply Internal Medicine
There are many reasons for thirst, such as diabetes, neuropathy, diabetes insipidus, and the side effects of medications, among others. You should discuss your concerns with your physician and undergo further examination.[Read More] Managing Excessive Thirst in Diabetes: Tips and Alternatives
How Often Should Diabetics Check Blood Sugar Levels?
Blood glucose testing How often should a person with diabetes measure their blood glucose levels? Does the frequency of testing vary based on the severity of the condition? Under what circumstances should a person with diabetes use insulin for management? Thank you!
Dr. Guo Qinghui reply Internal Medicine
1) Blood glucose concentration, commonly referred to as blood sugar, fluctuates throughout the day. In healthy individuals, blood sugar levels remain within a normal range, while in people with diabetes, these levels exceed the normal range, necessitating frequent monitoring—idea...[Read More] How Often Should Diabetics Check Blood Sugar Levels?
Understanding Diabetes: Insulin Use, Nail Care, and Blood Sugar Control
Confused Diabetes 1. The insulin syringe is traditional; should it be discarded after one use or can it be used for a day with multiple doses? 2. Is it better to trim toenails in a rounded or straight shape, and what are the differences? 3. How much can one unit of insulin lo...
Dr. Guo Qinghui reply Internal Medicine
1) Insulin syringes should ideally be disposed of after a single use, but this poses significant waste management issues. Therefore, as long as they are kept clean, they can be reused to benefit the environment. 2) Diabetic patients should avoid trimming their toenails themselves...[Read More] Understanding Diabetes: Insulin Use, Nail Care, and Blood Sugar Control
Should You Take Blood Sugar Medications Before Fasting Blood Tests?
Questions about fasting blood tests? Hello, doctor: If I need to fast for blood tests (blood glucose) on that day, which requires fasting for more than eight hours, should I take the "pre-meal" blood sugar medication?
Dr. Guo Qinghui reply Internal Medicine
Fasting blood tests require a fasting period of at least eight hours. Blood should be drawn first, followed by taking blood sugar-lowering medication, and then eating. Guo Qinghui[Read More] Should You Take Blood Sugar Medications Before Fasting Blood Tests?
Diabetic Foot Wounds: When Is Amputation Necessary?
If a diabetic patient's foot wound is not healing, is amputation necessary? My mother is 75 years old and has been suffering from diabetes for 10 years. Her blood sugar, blood pressure, and kidney function are all under control. A year ago, she fell and has a wound that is n...
Dr. Guo Qinghui reply Internal Medicine
Foot problems are one of the common chronic complications in patients with diabetes and are often a factor that necessitates hospitalization. Due to neuropathy, vascular occlusion, and a higher susceptibility to infections, the feet are more prone to ulcers, gangrene, and even th...[Read More] Diabetic Foot Wounds: When Is Amputation Necessary?
Diabetic Foot Care: Are Sandals Safe and Beneficial?
Diabetic foot problems Foot Issues: Are diabetic patients suitable for wearing sandals? Is it better to have cushioning? There are diabetic-specific shoes available on the market (with more options in sandals), are they beneficial for patients? Is it often recommended to massage ...
Dr. Guo Qinghui reply Internal Medicine
Diabetic foot is a common complication among individuals with diabetes, and in severe cases, amputation may be necessary. Choosing the right footwear is a crucial step in preventing diabetic foot complications and amputations, as diabetes can lead to peripheral neuropathy, result...[Read More] Diabetic Foot Care: Are Sandals Safe and Beneficial?
Should Diabetic Patients Rely on Insulin or Oral Medications?
For diabetic patients, is it better to take medication or to use insulin? My mother has had diabetes for over ten years. In December of last year, her doctor recommended insulin injections to control her blood sugar. After the New Year, she did not take insulin for about two week...
Dr. Guo Qinghui reply Internal Medicine
Diabetic patients need to maintain their blood glucose levels within a certain range to delay the onset of complications. The use of insulin or oral antidiabetic medications to control blood sugar each has its advantages, disadvantages, and limitations, and is also related to the...[Read More] Should Diabetic Patients Rely on Insulin or Oral Medications?
Essential Tips for Diabetes Patients on Insulin Injections
What should diabetic patients pay attention to when injecting insulin? Hello Dr. Kuo, I would like to ask about the precautions that diabetic patients should take when injecting insulin. Is it necessary to measure blood glucose levels daily? If a patient does not measure their ...
Dr. Guo Qinghui reply Internal Medicine
For diabetic patients receiving insulin therapy, insulin injection serves as a hormone replacement therapy to compensate for insufficient insulin production. The principle of insulin injection is to closely mimic the normal secretion of insulin by the pancreas, and insulin dosage...[Read More] Essential Tips for Diabetes Patients on Insulin Injections
Best Home Blood Glucose Meters for Seniors with Diabetes
I want to buy a home blood glucose monitor? Hello Doctor, My mother is 67 years old and has hypertension and diabetes. We would like to buy a blood glucose meter for home use, but we are unsure which brand offers better quality and is suitable for home use. Could you please pro...
Dr. Guo Qinghui reply Internal Medicine
Currently, the accuracy of blood glucose meters available on the market is sufficient to provide reliable reference values. However, users must operate the meters according to the instructions and guidelines provided. Each brand of blood glucose meter has different characteristic...[Read More] Best Home Blood Glucose Meters for Seniors with Diabetes
How to Find Diabetes Courses on Our Digital Health Platform
How to find diabetes courses in this digital health network? There are quite a few medications available for the treatment of diabetes. Please refer to Chapter 8, Sections 5, 6, and 7 of the diabetes course on this digital healthcare platform. (Could you please advise how to find...
Dr. Guo Qinghui reply Internal Medicine
You can access the diabetes website from the following URL, which should be near the webpage you are currently viewing: http://fms.cto.doh.gov.tw/DOH/Common/Doc.jsp[Read More] How to Find Diabetes Courses on Our Digital Health Platform
Managing Retrograde Ejaculation in Diabetes Patients: Effective Treatments
How to treat retrograde ejaculation issues in diabetic patients? DM
Dr. Guo Qinghui reply Internal Medicine
Diabetic patients with retrograde ejaculation may experience infertility. Medications such as imipramine and methoxamine can be used for treatment, although some patients may improve without medication. It is important to discuss treatment options with a physician first.[Read More] Managing Retrograde Ejaculation in Diabetes Patients: Effective Treatments
Should I Take Diabetes Medication? Navigating Treatment Options
Do I need to take medication? In the morning, my fasting blood sugar is around 140, and my HbA1c is 7%. Therefore, my doctor said I could manage without medication, just by controlling my diet and exercising, and I should return for regular check-ups every three months. Later, I ...
Dr. Guo Qinghui reply Internal Medicine
Currently, the fasting blood glucose level is around 170 mg/dL, which requires treatment. The methods include dietary control, exercise, and medication. For dietary management, it is essential to consult a nutritionist to deepen the understanding of dietary control. Engaging in p...[Read More] Should I Take Diabetes Medication? Navigating Treatment Options
Should My 64-Year-Old Mother Start Medication for High Blood Sugar and Cholesterol?
Do you recommend whether medication is necessary? Dr. Kuo, my mother is 64 years old, obese, and has a postprandial blood sugar level of 142. Recently, her cholesterol was checked at 266 and triglycerides at 198. Do you recommend that she needs medication? Thank you! Sincerely, Y...
Dr. Guo Qinghui reply Internal Medicine
Is medication necessary? To answer this question, it is important to understand your mother's health status, such as whether she has heart disease or high blood pressure. Therefore, please have your mother visit a nearby healthcare facility for a comprehensive assessment of ...[Read More] Should My 64-Year-Old Mother Start Medication for High Blood Sugar and Cholesterol?
Exploring Traditional Chinese Medicine for Diabetes Management
Traditional Chinese Medicine (TCM) Treatment for Diabetes 1. Can traditional Chinese medicine for diabetes replace oral medications for blood sugar control? 2. Is the "Yangshan Yongquan San" (modified Yuquan Wan) available on the market effective for treatment? 3. H...
Dr. Guo Qinghui reply Internal Medicine
1) Currently, traditional Chinese medicine for diabetes cannot replace oral hypoglycemic medications. 2) I do not understand what "Yongquan San (modified Yuquan Wan)" consists of and what its effects are. 3) Please consult a dermatologist for treatment. The treatment me...[Read More] Exploring Traditional Chinese Medicine for Diabetes Management
Can Diabetic Patients Safely Dye Their Hair?
Can diabetic patients dye their hair? Can diabetic patients dye their hair? If they do dye their hair, will it have any effects on them?
Dr. Guo Qinghui reply Internal Medicine
The likelihood of adverse reactions such as contact dermatitis and systemic allergies in diabetic patients who dye their hair is similar to that of non-diabetic patients.[Read More] Can Diabetic Patients Safely Dye Their Hair?
Effective Medications for Managing and Treating Diabetes
What medications are available to control or treat diabetes? I would like to confirm which medications can control or treat diabetes. Thank you.
Dr. Guo Qinghui reply Internal Medicine
There are quite a few medications available for the treatment of diabetes. Please refer to Chapter 8, Sections 5, 6, and 7 of the diabetes course on this digital health platform, or visit a healthcare facility for more information.[Read More] Effective Medications for Managing and Treating Diabetes