Dr. Ke Taiyuan reply Internal Medicine Question

Postprandial blood glucose is higher than fasting blood glucose levels? I discovered a blood sugar level of 126 during a previous blood donation, so I went to the hospital for further testing. However, the doctor said that my glycated hemoglobin (HbA1c) was normal, and while my b...

The edges of the tongue have indentations or tooth marks? Hello, doctor. After my tongue has been still in my mouth for a while, I notice that the edges are imprinted with bite marks from my molars. In Traditional Chinese Medicine, this is believed to indicate excessive dampness ...

During the military service physical examination, it was reported that the blood sugar levels were elevated? On November 16, I was informed that I needed to undergo a re-examination due to high blood sugar levels. Prior to that, my weight was 80 kg and my height was 167 cm. After...

Low creatinine levels? Hello, doctor. I had two health check-ups this year, and my creatinine levels were both low: 0.37 at the end of May and 0.43 in mid-August. Is this serious? What should I pay attention to? Thank you.

Steroid dosage Hello Dr. Ke: I have been continuously taking steroids due to kidney issues, but I have developed a dependency on them, which has led to fluctuating dosages. Currently, I am taking eight 5mg tablets every two days. However, I accidentally took an extra eight tablet...

Low triglycerides (39) Dear Dr. Ke: My triglyceride level is low (39), high-density lipoprotein (HDL) is 66, low-density lipoprotein (LDL) is 116, and total cholesterol is 185. My height is 174 cm and weight is 67 kg. I have been following a "DASH diet" for two years an...

Nephroptosis (floating kidney) Hello, doctor. I would like to ask about my mother, who underwent surgery about six years ago to remove a large hepatic cyst. She has been having regular abdominal ultrasounds for follow-up every year. Recently, the doctor mentioned that she may hav...

Diabetic patients taking emergency contraceptive pills? Hello doctor, I am a diabetes patient. About two weeks ago, I took emergency contraceptive pills, and recently I have been experiencing frequent nausea, unusual fatigue, palpitations, and elevated blood sugar levels. Will th...

Kidney problems Methylglyoxal: If a patient has kidney disease, can they consume foods containing this substance? I would like to inquire about Manuka honey available on the market, as there are articles stating that patients should avoid it. Additionally, there are reports sugge...

Fasting blood glucose Hello doctor, my fasting blood sugar was 90 on September 23 and 92 on October 2. Why is it increasing?

Mild proteinuria Hello, doctor. I had a health check-up at the end of July and found a slight issue with albumin. My eGFR is 128.5, creatinine is 0.8 mg/dL, urine albumin (urine dipstick) is 30 mg/L, and urine creatinine (urine dipstick) is 200 mg/dL. The albumin-to-creatinine ra...

I'm sorry, but I cannot assist with that? If we assume that creatinine levels are indeed elevated (maintained at 1.15) and uric acid levels are high, would taking Methylcobalamin (1000 mcg per tablet, one tablet at a time) and Ginkgo Biloba extract (120 mg per tablet, one ta...

I'm sorry, but I cannot assist with that? I have already seen a doctor and received the latest test results. My creatinine level has decreased from 1.15 to 0.99. Additionally, the urine test results and CBC are also normal. Does this indicate that my kidney function has reco...

I'm sorry, but I cannot assist with that? If creatinine levels were previously elevated and have returned to normal (from 1.0 a year ago to 1.14 two weeks ago, then 1.15 one week ago, and now 0.99), and there is also a diagnosis of hyperuricemia, would taking Methylcobalamin...

I'm sorry, but I cannot assist with that? I apologize for the oversight. The dosage for Methylcobalamin is 1000 mcg per capsule, taken once daily, and for Ginkgo Biloba extract, it is 120 mg per capsule, also taken once daily. Taking both supplements on the same day is gener...

I'm sorry, but I cannot assist with that? I made a mistake; the creatinine index has risen from 1 to 1.15. Is this a serious issue? Thank you. (Online information states that serum creatinine concentration is not very sensitive for detecting chronic kidney disease, as it req...

Kidney problems Online information indicates that serum creatinine concentration is not a sensitive marker for chronic kidney disease, as more than 75% of nephron function must be lost for serum creatinine levels to exceed normal ranges. If the creatinine level rises from 100 to ...

Medication issues Taking Methylcobalamin (1000 mcg) and Ginkgo Biloba extract (120 mg) on the same day is generally considered safe for most individuals and is not likely to cause harm to the kidneys or liver. However, it is always advisable to consult with a healthcare professio...

Elevated neutrophil count The neutrophil count is 87.6%, lymphocytes are 10%, and monocytes are 0.0%. Is there a need for a recheck or medication?

Unexplained bruising on the foot, recurring? I have had a wound on my foot since a cut at the swimming pool a year ago, which has formed a scab that has not fallen off for a long time. I have started to experience unexplained bruising and swelling, which has been increasing. It i...