Understanding High Fasting Blood Sugar: Is It Prediabetes?
High fasting blood sugar? Hello Dr. Lee, I am currently 25 years old, weighing 50 kg and measuring 167 cm. In mid-September, I underwent a company-arranged health check at a clinic in Japan. The test results showed a fasting blood glucose level of 111 mg/dL (after fasting for six...
Dr. Li Jian reply Internal Medicine
The standard fasting test requires an 8-hour fasting period. It is recommended to repeat the test, and if the result is still above 100, then a hemoglobin A1C test should be performed to assist in the diagnosis.[Read More] Understanding High Fasting Blood Sugar: Is It Prediabetes?
Understanding High Fasting Blood Sugar: Is It Prediabetes?
High fasting blood sugar? Hello Dr. Lee, I am currently 25 years old, weighing 50 kg with a height of 167 cm. In mid-September, I underwent a company-arranged health check at a clinic in Japan. The test results showed a fasting blood glucose level of 111 mg/dL (after fasting for ...
Dr. Li Jian reply Internal Medicine
The standard fasting test requires an 8-hour fasting period. It is recommended to repeat the test; if the result is still above 100 mg/dL, then a hemoglobin A1C test should be conducted for further diagnosis.[Read More] Understanding High Fasting Blood Sugar: Is It Prediabetes?
Understanding Diabetes Treatment Options: Medication vs. Lifestyle Changes
Diabetes Treatment Guidelines Hello Dr. Lee, My basic information is as follows: I have a family history of diabetes and was diagnosed with diabetes two years ago, with a fasting blood sugar of 113 and an HbA1c of 7.1 at that time. My weight was in the 80s (kg). Since then, I ha...
Dr. Li Jian reply Internal Medicine
1. Lifestyle modifications combined with medication management yield better results; relying solely on diet and exercise to control blood sugar is more likely to fail. Having medication assistance makes it easier to achieve targets. 2. If significant weight loss can be achieved...[Read More] Understanding Diabetes Treatment Options: Medication vs. Lifestyle Changes
Understanding Diabetes Symptoms: When to Seek Medical Advice
Diabetes Consultation Hello Doctor: On April 30th, my fasting blood glucose was 98, and my hemoglobin A1c was 4.8. On May 15th, my fasting blood glucose was 91, and my hemoglobin A1c was 4.7. However, on August 14th, my fasting blood glucose was 102, and on August 27th, it was 10...
Dr. Li Jian reply Internal Medicine
The diagnostic criteria for diabetes are a fasting blood glucose level of 126 mg/dL or higher, or a hemoglobin A1c level of 6.5% or higher. Symptoms such as tingling, fatigue, blurred vision, and frequent urination cannot currently be interpreted as indicative of diabetes.[Read More] Understanding Diabetes Symptoms: When to Seek Medical Advice
Understanding Diabetes Symptoms: When to Seek Medical Advice
Diabetes Consultation Hello Doctor: On April 30th, my fasting blood sugar was 98, and my hemoglobin A1c was 4.8. On May 15th, my fasting blood sugar was 91, and my hemoglobin A1c was 4.7. However, on August 14th, my fasting blood sugar was 102, and on August 27th, it was 104, but...
Dr. Li Jian reply Internal Medicine
The diagnostic criteria for diabetes mellitus include a fasting blood glucose level of 126 mg/dL or higher, or a hemoglobin A1c level of 6.5% or higher. Symptoms such as tingling, fatigue, blurred vision, and frequent urination cannot currently be interpreted as indicative of dia...[Read More] Understanding Diabetes Symptoms: When to Seek Medical Advice
Understanding Diabetes Risk: Managing Family History and Lifestyle Choices
Diabetes issues Both parents have diabetes, and both sisters have also been diagnosed with diabetes. Therefore, there is a regular habit of exercising and maintaining a light diet. Recently, due to frequent feelings of hunger, a visit was made to the hospital's metabolic dep...
Dr. Li Jian reply Internal Medicine
1. A hemoglobin A1c level of 5.8% can be diagnosed as prediabetes. 2. Taiwanese people often consume too much fruit, leading to elevated blood sugar levels; it is important to be cautious about excessive fruit intake. 3. Blood tests should be done after an absolute fasting pe...[Read More] Understanding Diabetes Risk: Managing Family History and Lifestyle Choices
Managing Cholesterol Levels in Hypothyroidism Patients: A Guide
Hypothyroidism and Cholesterol Hello Dr. Li, I am a patient with Hashimoto's thyroiditis and have been on medication—Entresto—for the past two years. My total cholesterol is between 220 and 250 mg/dL, low-density lipoprotein (LDL) cholesterol is between 160 and 190 mg/dL, an...
Dr. Li Jian reply Internal Medicine
The enteric-coated tablets primarily lower cholesterol and have a slight effect on reducing triglycerides, but the impact is not significant.[Read More] Managing Cholesterol Levels in Hypothyroidism Patients: A Guide
Understanding Variations in Thyroid Peroxidase Antibody Test Results
Could you please clarify your question regarding thyroid indices? Dear Doctor, I had a thyroid function test at the first medical center, and one of the tests was for Anti-Thyroid Peroxidase Antibodies (Anti-TPO). My result was <1.0, with a reference value of <5.6 IU/mL, ...
Dr. Li Jian reply Internal Medicine
Hello, since this is a question regarding laboratory indices and not within Dr. Lee's area of expertise, your inquiry will be addressed by Dr. Lin Wei-Tang from the Department of Laboratory Medicine. If you have related questions in the future, it is recommended that you con...[Read More] Understanding Variations in Thyroid Peroxidase Antibody Test Results
Understanding High Thyroid Antibodies: Risks and Implications for Treatment
Thyroid antibody issues? Hello Doctor: I have some questions regarding thyroid antibodies. (1) If all three thyroid antibodies (Anti-THYG, Anti-TSHR, Anti-TPO) are elevated, is it possible for hyperthyroidism to improve and then lead to hypothyroidism? (2) If I undergo radioactiv...
Dr. Li Jian reply Internal Medicine
1. Some individuals may experience hyperthyroidism in their youth, which can later transition to hypothyroidism in old age. 2. Radioactive iodine treatment and TPO antibodies can both lead to hypothyroidism; therefore, it is essential to regularly monitor thyroid function after...[Read More] Understanding High Thyroid Antibodies: Risks and Implications for Treatment
Is It Safe to Take Low-Dose Isotretinoin for Acne Management?
Is it safe to take a low dose? The dermatologist prescribed oral low-dose Isotretinoin (A acid) at 10 mg once a week. I can control my acne with just one capsule, and I can tolerate the side effects. I am currently continuing this regimen. However, I have type 2 diabetes, and my ...
Dr. Li Jian reply Internal Medicine
Hello, dermatology is not my specialty. I recommend consulting your primary physician or a dermatologist.[Read More] Is It Safe to Take Low-Dose Isotretinoin for Acne Management?
Can HbA1c Testing Detect Pregnancy in Early Stages?
Glycated hemoglobin (HbA1c) If glycated hemoglobin (HbA1c) is tested during early pregnancy, will it be detected?
Dr. Li Jian reply Internal Medicine
The hemoglobin levels in pregnant women differ from those in non-pregnant individuals, so the glycated hemoglobin (HbA1c) levels in pregnant women may not be accurate. Instead, the blood glucose levels in pregnant women should be assessed based on fasting blood glucose and postpr...[Read More] Can HbA1c Testing Detect Pregnancy in Early Stages?
Understanding Post-Thyroidectomy Neck Symptoms and Lymphedema Management
Post-thyroid lobectomy neck? I would like to ask the doctor, I underwent a total right thyroid lobectomy with unilateral neck lymphadenectomy in March of this year. Upon discharge, I experienced numbness in the right side of my neck, but it has gradually improved. The swelling ab...
Dr. Li Jian reply Internal Medicine
It is recommended to discuss postoperative recovery matters with the original surgeon to address how to alleviate and improve the situation.[Read More] Understanding Post-Thyroidectomy Neck Symptoms and Lymphedema Management
Understanding Weight Loss Challenges: Insights on Mild Obesity and Health Metrics
Obesity issues Hello doctor, I am 160 cm tall and weigh 73-74 kg, which indicates mild obesity according to my BMI. I have been controlling my diet, but my weight hasn't changed much. I drink more than 2000 cc of water daily and have bowel movements 1-2 times a day. I had bl...
Dr. Li Jian reply Internal Medicine
Obesity is related to both genetic factors and environmental influences. In addition to thyroid hormones, other hormonal abnormalities may also contribute to obesity. Currently, one of the weight loss methods highly endorsed by mainstream medicine is intermittent fasting. For mor...[Read More] Understanding Weight Loss Challenges: Insights on Mild Obesity and Health Metrics
Childhood Obesity and Its Impact on Sexual Development in Adolescents
Regarding overweight and obesity in children and adolescents and their impact on genital development? Hello, doctor. I have had issues with being overweight and obese since childhood. I later learned that fat can convert to estrogen, which affects development. Is there really a c...
Dr. Li Jian reply Internal Medicine
Excess estrogen in adolescent males may lead to poor penile development, resulting in issues with penile size. It is advisable to discuss this with a urologist.[Read More] Childhood Obesity and Its Impact on Sexual Development in Adolescents
Why Does My Heart Feel Uncomfortable After Quitting Smoking?
Why does the heart feel very uncomfortable after quitting smoking? Dear Dr. Lee, I quit smoking over two months ago, but starting just before the Lunar New Year, I have been experiencing discomfort in my heart that has lasted for over 20 days. My symptoms are as follows: 1. My...
Dr. Li Jianxing reply Smoking Cessation
Dear Mr. Cheng, Generally, after quitting smoking, lung and heart function will improve to varying degrees. In short, quitting smoking is not harmful to the heart and lungs. The symptoms of nicotine withdrawal syndrome can persist for more than two weeks, primarily including inc...[Read More] Why Does My Heart Feel Uncomfortable After Quitting Smoking?
Managing Withdrawal Symptoms After Quitting Smoking: A Guide
Withdrawal symptoms after quitting smoking? Having smoked for 30 years, you are determined to quit smoking. You've heard that quitting abruptly can cause significant harm to your body. What should you do?
Dr. Li Jianxing reply Smoking Cessation
Hello! The benefits of quitting smoking are significant. Research from abroad shows that: - 20 minutes after quitting: Blood pressure and pulse return to normal; oxygen levels in the blood normalize. - One day after quitting: The risk of heart disease decreases. - Two days after...[Read More] Managing Withdrawal Symptoms After Quitting Smoking: A Guide
Does Quitting Smoking Lead to Weight Gain? Understanding the Connection
Will quitting smoking lead to weight gain? Dear Dr. Lee, I am currently working on my smoking cessation plan. Perhaps because my nicotine addiction is not very strong and I have not been smoking for long, I have managed to endure it for a week. However, I have heard many people ...
Dr. Li Jianxing reply Smoking Cessation
Dear Xiao Jing, not everyone gains weight after quitting smoking; if weight gain does occur, it is usually not severe, typically ranging from 2 to 5 kilograms. Exercise and dieting are the best methods for weight loss. If you find it difficult to lose weight initially, a slight i...[Read More] Does Quitting Smoking Lead to Weight Gain? Understanding the Connection
Overcoming Coughing While Quitting Smoking: My Journey
I am currently quitting smoking..? Hello Dr. Lee: I have been smoking for 4 years, and I recently started to quit smoking... it's been almost 2 months now... I am very determined to quit, but during this process, I have been coughing a lot at night... I cough whenever my thr...
Dr. Li Jianxing reply Smoking Cessation
Hello! First of all, congratulations on quitting smoking. The decision to quit smoking is the right one. Coughing, especially when lying down, can often be caused by postnasal drip irritating the throat. It's also important to be cautious about the possibility of asthma. Reg...[Read More] Overcoming Coughing While Quitting Smoking: My Journey