Does Hyperthyroidism Affect Fasting Blood Sugar Levels?
Does hyperthyroidism affect fasting blood glucose levels? Hello, doctor! Four years ago, I had my first adult health check-up, and my fasting blood glucose was slightly elevated at 106. Four years later, I had my second check-up, and my fasting blood glucose is still 106. Could t...
Dr. Li Jian reply Internal Medicine
Thyroid antibody tests should ideally be monitored once a year. If fasting blood glucose levels are elevated, it is advisable to check glycated hemoglobin (HbA1c) to assess average blood sugar levels. Thank you for your inquiry.[Read More] Does Hyperthyroidism Affect Fasting Blood Sugar Levels?
Understanding Leg Swelling and Muscle Twitches: When to Seek Medical Help
Twitching and pain in the thigh area? The doctor would like to ask you: Last year, after injuring the bottom of my left foot, I experienced swelling in both legs up to my thighs. A subsequent CT scan revealed that I have narrowing of the lymphatic vessels in my legs, but the doct...
Dr. Li Jian reply Internal Medicine
Please schedule an appointment with the neurology department for an examination. Thank you for your inquiry.[Read More] Understanding Leg Swelling and Muscle Twitches: When to Seek Medical Help
Understanding Autoimmune Thyroiditis: Symptoms, Tests, and Treatment Options
Autoimmune Thyroiditis Hello, Doctor. I have been tracking thyroid issues for many years. In November of last year, my tests showed TSH 4.43, Free T4 0.84, and anti-TPO 9295, along with asymmetrical eyes, with the right eye protruding. I have been experiencing chronic dryness in ...
Dr. Li Jian reply Internal Medicine
It is recommended that you visit a medical center to see an endocrinologist and check for TSH receptor antibodies, as this antibody is related to exophthalmos. Thank you for your inquiry.[Read More] Understanding Autoimmune Thyroiditis: Symptoms, Tests, and Treatment Options
Managing High Creatinine Levels: Hydration and Dietary Choices
Elevated creatinine levels? A month ago, I visited a doctor due to gout, and after blood and urine tests, I was found to have a high uric acid level of 9.9 and a creatinine level of 1.2. The doctor advised me to drink more water. After increasing my water intake, I started drinki...
Dr. Li Jian reply Internal Medicine
In addition to excessive meat intake, consuming beverages high in fructose can also lead to elevated uric acid levels, so it is advisable to limit the intake of sugary drinks.[Read More] Managing High Creatinine Levels: Hydration and Dietary Choices
Should You Seek Medical Help for High Insulin Resistance?
Is it necessary to seek further medical attention for high insulin resistance? Hello Dr. Li, I recently had a health check-up and my results are as follows: Fasting Glucose: 93 mg/dL, HbA1c: 5.4% of Hb, Insulin: 23.4 mU/L, and Insulin Resistance (HOMA): 5.4. Both my blood glucose...
Dr. Li Jian reply Internal Medicine
Currently, blood glucose levels are still normal. It is advisable to focus on lifestyle modifications and weight loss, while regularly monitoring blood glucose levels.[Read More] Should You Seek Medical Help for High Insulin Resistance?
Understanding Thyroid Nodules: Symptoms, Diagnosis, and Treatment Options
Thyroid nodule Three years ago, a company health check revealed slight abnormalities in thyroid indices and a suspected enlargement of the neck. Upon further examination at the hospital, a nodule approximately 1.2-1.4 cm in size (with microcalcifications) was confirmed on the rig...
Dr. Li Jian reply Internal Medicine
Ultrasound localization is more accurate. If you have recently felt tightness or discomfort in your neck, you can return for ultrasound follow-up, but it is usually not caused by nodules.[Read More] Understanding Thyroid Nodules: Symptoms, Diagnosis, and Treatment Options
Chest Pain and Cough After Car Accident: What You Need to Know
Chest pain and cough after a car accident? After the car accident, I experienced chest pain. It has been over a week now, and I have started to cough intermittently. The chest pain has gradually decreased over the past week.
Dr. Li Jian reply Internal Medicine
Hello: This issue is not within the specialty of Metabolism, so I recommend consulting a pulmonologist. Thank you.[Read More] Chest Pain and Cough After Car Accident: What You Need to Know
Can Birds Transmit Infections to Humans? Understanding the Risks
Is there a possibility of infection? Hello doctor, if birds come close to us or land on us, can the bacteria on them cause infections? If so, will touching other objects afterward also transfer the bacteria onto those surfaces? Thank you.
Dr. Li Jian reply Internal Medicine
Hello: This issue is not within the specialty of Metabolism, so I recommend consulting an Infectious Disease specialist. Thank you.[Read More] Can Birds Transmit Infections to Humans? Understanding the Risks
Understanding Pre-Diabetes: Does It Affect Future Pancreatic Function?
Diabetes mellitus Previously, during a check-up for glycated hemoglobin, the doctor mentioned that some indices were slightly elevated, indicating prediabetes. After a period of self-management, my blood sugar levels are now normal. Given this medical history, will the pancreatic...
Dr. Li Jian reply Internal Medicine
Typically, young individuals have a fast recovery of bodily functions. As long as there is no history of heavy drinking, pancreatic function is unlikely to be affected. However, regular monitoring of blood glucose levels is necessary. Thank you for your inquiry.[Read More] Understanding Pre-Diabetes: Does It Affect Future Pancreatic Function?
Understanding Fluctuating Urine Sugar Levels: What Do They Mean?
Inquiry Consultation Dear Dr. Lee, I would like to ask you a question. When I was 18 years old, I underwent a health check-up. The urine test (dipstick test) showed an abnormal glucose (Glu) level of ++. However, being young at the time, I did not pay much attention to the resul...
Dr. Li Jian reply Internal Medicine
If fasting is not observed before the health check, it may lead to the presence of glucose in the urine. Fasting blood tests are more accurate. Thank you for your inquiry.[Read More] Understanding Fluctuating Urine Sugar Levels: What Do They Mean?
Managing Hyperthyroidism in Children: Concerns and Treatment Insights
Hyperthyroidism in children? Hello Doctor: My child, around 8 years old, started showing signs of hyperthyroidism. After treatment (taking antithyroid medication and medication to lower heart rate), the free T4 levels quickly returned to normal, but the TSH has remained consisten...
Dr. Li Jian reply Internal Medicine
Pediatric thyroid issues should be consulted with a pediatric endocrinologist for more specialized care. Thank you for your inquiry.[Read More] Managing Hyperthyroidism in Children: Concerns and Treatment Insights
Exploring Combined T4 and T3 Therapy Post-Thyroidectomy in Taiwan
Total thyroidectomy for papillary thyroid carcinoma, with a new medication option combining LT4 (Levothyroxine) and LT3 (Liothyronine)? Hello Doctor, I underwent a thyroidectomy in July 2022 and have been taking Levothyroxine Sodium at a total dosage of 100 mcg per day. I current...
Dr. Li Jian reply Internal Medicine
Currently, in Taiwan, only thyroxine supplementation is available, and thyroid function is adjusted by modifying the dosage of thyroxine. Thank you for your inquiry.[Read More] Exploring Combined T4 and T3 Therapy Post-Thyroidectomy in Taiwan
Understanding Glucose Tolerance Tests: Can You Safely Eat Carbs?
Glucose tolerance test Hello doctor, a year ago I had a hemoglobin A1c test that showed 5.8, and the doctor said I was in the prediabetes stage. Since then, I have been cautious about eating carbohydrates, and when I retested my hemoglobin A1c, it was 5.4, with normal insulin res...
Dr. Li Jian reply Internal Medicine
Staple foods can include whole grain rice or brown rice, and it is advisable to choose high-fiber or whole foods while minimizing refined carbohydrates. Patients with prediabetes can undergo an oral glucose tolerance test; however, currently, the focus is primarily on hemoglobin ...[Read More] Understanding Glucose Tolerance Tests: Can You Safely Eat Carbs?
Understanding Thyroid Nodules: Concerns and Quick Diagnosis Options
Thyroid nodule Hello Doctor: My daughter has developed a tumor on her neck that is about 2 centimeters in size. After researching online, I understand that it may require surgical removal. I am very worried and feel helpless, and I want my daughter to undergo an examination as so...
Dr. Li Jian reply Internal Medicine
It is unnecessary to perform two thyroid biopsies in a short period of time, and health insurance may not cover the second one if done too soon. It is recommended to have one biopsy done at a medical center or a large teaching hospital. Please consult with a thyroid surgeon or an...[Read More] Understanding Thyroid Nodules: Concerns and Quick Diagnosis Options
Understanding Thyroid Blood Test Results: TSH, T4, and Autoantibodies Explained
Thyroid blood test report Hello Doctor, I would like to ask you about my blood test results: TSH 1.480 (normal range 0.27-4.20), T4 1.120 (normal range 0.89-1.8), ATA 53.9 (normal range <115), TPO Ab 247 (normal range <34). The doctor mentioned that I have chronic inflammat...
Dr. Li Jian reply Internal Medicine
If antibody positive, monitor thyroid function at least once a year. If there are abnormalities in thyroid function, consider treatment. Avoid iodine-rich foods such as kelp, seaweed, and nori as much as possible.[Read More] Understanding Thyroid Blood Test Results: TSH, T4, and Autoantibodies Explained
Can I Use Iodine Sitz Baths with Hashimoto's Thyroiditis?
Can iodine-rich sitz baths be used for Hashimoto's thyroiditis? Hello Doctor: I have been suffering from a genital infection for a long time and have seen two doctors without improvement. The gynecologist prescribed a suppository and also recommended a povidone-iodine sitz b...
Dr. Li Jian reply Internal Medicine
Iodine sitz baths are not expected to affect Hashimoto's thyroiditis. Thank you for your inquiry.[Read More] Can I Use Iodine Sitz Baths with Hashimoto's Thyroiditis?
Understanding Anti-TPO Levels and Thyroid Surgery Decisions
Thyroid anti-TPO related issues? Dr. Li, I have had multiple thyroid nodules for 30 years (in 2016, the left side was over 5 cm, and I underwent an ablation procedure). During these 30 years, I experienced two episodes of hyperthyroidism. As of August 2022, my lab results are a...
Dr. Li Jian reply Internal Medicine
If TPO antibodies are positive, regular monitoring of thyroid function is necessary, as there is a possibility of developing hypothyroidism in the future. Whether thyroidectomy is required should be considered in conjunction with the results of fine needle aspiration cytology, th...[Read More] Understanding Anti-TPO Levels and Thyroid Surgery Decisions
Understanding Thyroid Nodules: What You Need to Know
Thyroid enlargement (goiter) related issues? Hello Doctor, I am #191626: During the last examination, two thyroid nodules were detected, one measuring 0.3 x 0.3 x 0.3 cm and the other 0.2 x 0.2 x 0.1 cm. I would like to ask if there is anything I need to pay attention to? (Becaus...
Dr. Li Jian reply Internal Medicine
If you have a thyroid nodule, it is recommended to undergo ultrasound monitoring once every one to two years.[Read More] Understanding Thyroid Nodules: What You Need to Know
Key Health Concerns and Obesity: Understanding Your Test Results
Issues I should be aware of regarding obesity? Examination Date Examination Item Result 01/13/112 Creatinine (U) 22.70 01/13/112 Urine Protein 4.00 01/13/112 Glucose (B) 98.00 01/13/112 HbA1c 6.20 01/13/112 GPT 64 01/13/112 HDL-C 45 01/13/112 LDL-C 82.00 01/13/112...
Dr. Li Jian reply Internal Medicine
A hemoglobin A1c level of 6.2 indicates prediabetes, and it is important to implement dietary control and exercise to prevent the progression to diabetes in the future.[Read More] Key Health Concerns and Obesity: Understanding Your Test Results
Understanding Thyroid Health: Key Questions and Concerns
Thyroid-related issues Hello Dr. Lee, I would like to ask you some questions. Here are my questions: I recently had a thyroid ultrasound, and the thickness was measured at 1.9 cm on the right and 1.4 cm on the left. I was told that a thickness of 2.0 cm is the limit. (Thyroid fun...
Dr. Li Jian reply Internal Medicine
Thyroid function is normal, and the ultrasound did not reveal any tumors or nodules. The cough is likely unrelated to the thyroid, and there is currently no need for regular monitoring.[Read More] Understanding Thyroid Health: Key Questions and Concerns