Dr. Li Jian reply Internal Medicine Question

Normal blood sugar levels but occasionally experiencing symptoms similar to hypoglycemia? Hello Doctor: In the past two to three years, I have occasionally experienced symptoms similar to hypoglycemia, such as sudden cold sweats, anxiety, and hunger pangs, which are relieved afte...

Diabetes test results inquiry? When I was 23 or 24 years old, during a company health check, I was found to have elevated fasting blood glucose levels. I then went to a large hospital where my postprandial blood glucose reached 395 mg/dL, and my HbA1c was 9.1, which led to a diag...

Is glycated hemoglobin (HbA1c) really that variable? Hello Dr. Lee, I went to National Taiwan University Hospital for a routine blood test on July 18, and my hemoglobin A1c result was 5.7. Due to other issues, I consulted at Chang Gung Memorial Hospital, where they also tested my...

Issues with Blood Pressure Medications Hello Dr. Lee, I have hyperthyroidism and have been taking one dose of anti-thyroid medication and one dose of a heart rhythm medication daily for three months to maintain my condition. Sometimes I feel weak, and when I measure my blood pres...

Cortisol blood draw was not performed at the designated time? The lab report indicated that blood should be drawn at 8 AM, but due to a long queue at the blood draw station, the blood was drawn at 9:23 AM, which is almost an hour and a half later. Will this delay affect the docto...

Blood sugar/lipid issues Hello Doctor: Recently, my fasting blood glucose was 101 mg/dL, glycated hemoglobin was 5.5%, low-density lipoprotein (LDL) was 161 mg/dL, and high-density lipoprotein (HDL) was 37 mg/dL. There is no family history of diabetes. The day before the test, I ...

Feeling hungry shortly after eating? About one to two weeks ago, I started feeling hungry again about 1-2 hours after eating, to the point where my stomach growls. However, sometimes I don't really feel like eating psychologically, even though physiologically I feel hungry. ...

Glomerular filtration rate and urinary protein issues? I am currently 42 years old and would like to inquire about some health concerns. I had a health check-up last October, and during this year's company health screening, I noticed that some values have significantly dropp...

Tonsillitis Doctor, I recently tested positive for COVID-19, and about a week after recovering, I suddenly experienced pain on the left side of my throat. It feels like there is a foreign object when I swallow, and when I eat, it hurts. The doctor prescribed me antibiotics, somet...

For a year, I've been experiencing foamy urine and nausea, and this has been ongoing for three to four years? A year ago, I experienced a panic attack and took a lot of pain relief and psychiatric medications for a month or two. After stopping the medication, I started notic...

Blood tests for fever lasting more than 6 days? Hello Doctor, I have been experiencing a fever for over 6 days (around 38 degrees Celsius). I visited the clinic twice (COVID-19 and influenza tests were negative). The clinic doctor recommended that I go to a large hospital for blo...

Complications of Hypothyroidism Dear Dr. Li, My mother is 73 years old. Six years ago, she was diagnosed with hyperthyroidism, which caused severe allergic rashes and itching due to medication. After a year of changing medications without success, she was evaluated by a metaboli...

Arterial sclerosis in the arm? I experienced hypocalcemia due to thyroid gland removal and was hospitalized for 24 days. My left forearm became hardened from IV insertion, and the nurse said it would improve with ice packs. After four weeks, they couldn't draw blood, and the...

The treatment for hyperthyroidism has been reduced, but the medication is still being taken? Hello Doctor: I have been experiencing a rapid heartbeat, and blood tests revealed hyperthyroidism with TSH < 0.005 and Free T4 > 7.7. The doctor prescribed: for the first and secon...

Hyperthyroidism issues? Hello, Doctor. I have hyperthyroidism and have been undergoing treatment for about 6 years. Currently, my treatment involves taking one Methimazole (5 mg) tablet every night before bed. I would like to ask you about a situation regarding my rental housing....

Weight issues Hello Doctor, my mother is about 60 years old and had knee replacement surgery earlier this year. She is currently recovering well and can climb stairs. The only medication she is taking now is one pill in the morning and one in the evening for blood pressure and he...

Could these symptoms be "fibromyalgia"? I'm sorry, Doctor: I would like to self-assess whether I have "fibromyalgia." Q1: I usually experience persistent pain (around 5 to 7 out of 10), and sometimes it suddenly escalates to 10 out of 10, lasting for seve...

Assessment of Insulin Resistance Issues Hello Doctor, I recently received my health check report, and my blood sugar values are as follows: *Fasting blood sugar: 90 mg/dL* *Fasting insulin: 11.9 μIU/mL* *Insulin resistance assessment: 2.6* The report indicates that the normal val...

Muscle soreness and weakness? Doctor, I often wake up in the morning feeling completely weak in my arms and legs, and even my toes are unable to move. Standing up is difficult, as if I have become a robot. This condition is temporary, but afterward, the areas that were weak becom...

Venous issues It has been over a month since I had an IV drip, which was administered in the vein at my elbow. Now, there are three raised areas on the vein, about the size of red beans. They are not painful, and I am unsure of the cause. Will there be any concerns when I need to...