Understanding Metabolic Syndrome: Causes, Risks, and Weight Loss Benefits
What is metabolic syndrome? What is metabolic syndrome? Is it caused by a disease or is it a result of metabolic abnormalities? Is obesity related to this condition? Can weight loss improve it? Thank you!
Dr. Qiu Zhengbin reply Internal Medicine
Hello: Metabolic syndrome refers to a cluster of metabolic abnormalities that result in elevated blood glucose, blood pressure, triglycerides, and abdominal obesity. It is primarily caused by poor lifestyle habits such as overeating and lack of physical activity, and it is closel...[Read More] Understanding Metabolic Syndrome: Causes, Risks, and Weight Loss Benefits
Persistent Fever for 19 Days: Understanding Symptoms and Next Steps
Fever for 19 days? I have had a fever for 19 days, with intermittent spikes and drops in temperature. Seven days before the fever started, I underwent numerous tests, including WBC, CRP, platelet count, and other related blood tests in the infectious disease department, all of wh...
Dr. Qiu Zhengbin reply Internal Medicine
Hello: Since your symptoms have not yet resolved and there are still reports pending from the rheumatology department, I recommend that you return to the rheumatology clinic to check for any issues. Wishing you a speedy recovery.[Read More] Persistent Fever for 19 Days: Understanding Symptoms and Next Steps
Understanding Diabetes: Symptoms, Causes, and Eye Health Concerns
Symptoms of diabetes? Is high cholesterol and high blood sugar a primary cause of diabetes? If I have blurred vision, could it be related to diabetes? Isn't diabetes associated with weight loss? Can overweight individuals also have diabetes? Should I see an ophthalmologist f...
Dr. Qiu Zhengbin reply Internal Medicine
Hello: The symptoms of diabetes include increased appetite, increased thirst, frequent urination, and weight loss; however, a significant portion of patients may be asymptomatic. Diabetes can lead to retinopathy and increase the incidence of various eye diseases. If you experienc...[Read More] Understanding Diabetes: Symptoms, Causes, and Eye Health Concerns
Understanding Prolonged Fever: When to Seek Medical Attention
Fever for one week? Fever for a week, with daily temperatures exceeding 38 degrees Celsius, except for one day. On the fourth day of the fever, I was examined in the infectious disease department of the hospital, where my WBC was 4400, CRP was 0.4, and platelet count was 298,000....
Dr. Qiu Zhengbin reply Internal Medicine
Hello: Based on your description, there is a significant chance of a viral infection, and other possibilities such as tuberculosis or autoimmune diseases cannot be ruled out. If the fever persists, I recommend that you return to the hospital's infectious disease department f...[Read More] Understanding Prolonged Fever: When to Seek Medical Attention
Managing High Blood Sugar and Cholesterol: What You Need to Know
I'm sorry, but I need more context to provide a translation. Could you please provide additional information or content? I went to the hospital for an examination and found that I have high blood sugar and high total cholesterol levels. The 24-hour urine test results are unk...
Dr. Qiu Zhengbin reply Internal Medicine
Hello; you have undergone examinations at the hospital and found that you have high blood sugar and elevated total cholesterol levels, which may indicate the possibility of diabetes and dyslipidemia. The rapid weight gain may be related to the psychiatric medications you are taki...[Read More] Managing High Blood Sugar and Cholesterol: What You Need to Know
Effective Strategies for Managing Blood Sugar Levels Beyond Medication
How can blood sugar be stabilized and controlled? Dr. Chiu: How should diabetes be managed? Besides medication, what other options are available?
Dr. Qiu Zhengbin reply Internal Medicine
Hello, Xiao Hui: The three key points for blood sugar control are (1) medication adherence, (2) exercise, and (3) dietary management. Please follow these three principles to manage your blood sugar. If you have any questions, please contact the outpatient department of Changhua H...[Read More] Effective Strategies for Managing Blood Sugar Levels Beyond Medication
Understanding HbA1C Levels: What Does a 7 Mean for Average Blood Sugar?
Standards for HbA1c Control Dr. Chiu: May I ask if my HbA1C is controlled at 7, what would be the average daily blood glucose level? What range is considered standard for control?
Dr. Qiu Zhengbin reply Internal Medicine
Hello, Xiao Hui: An HbA1c level of 7% corresponds to an average daily blood glucose of approximately 170 mg/dL. Generally, our treatment goal is to achieve an HbA1c of 6.5%. Maintaining an HbA1c of 7% indicates that there is still room for improvement. Thank you for your consulta...[Read More] Understanding HbA1C Levels: What Does a 7 Mean for Average Blood Sugar?
Should My Mom Switch to DPP-4 Inhibitors for Type 2 Diabetes?
Type 2 Diabetes Mellitus My mother has type 2 diabetes, and I would like to ask the doctor to prescribe the new generation oral hypoglycemic medication, DPP-4 inhibitors, for her. However, the doctor said that the most commonly used diabetes medications are sufficient, and their ...
Dr. Qiu Zhengbin reply Internal Medicine
Hello: The new generation of oral hypoglycemic agents, DPP-4 inhibitors, has many advantages, but they have been on the market for a relatively short time. Many side effects may only become apparent after these drugs have been available for a while, as reported recently in the ne...[Read More] Should My Mom Switch to DPP-4 Inhibitors for Type 2 Diabetes?
Effective Strategies for Managing Diabetes in Older Adults
How to manage diabetes? Dear Dr. Chiu: How should diabetes be managed? My grandfather's blood sugar has been poorly controlled, and our family is unsure how to assist in managing it.
Dr. Qiu Zhengbin reply Internal Medicine
Hello Selina: Essentially, blood sugar control requires three aspects: (1) medication management, (2) dietary control, and (3) exercise. These three areas need to be addressed together in order to effectively manage blood sugar levels. Changhua Hospital cares about you.[Read More] Effective Strategies for Managing Diabetes in Older Adults
Understanding Hair Loss in Young Adults: Causes and Solutions
Hair loss issues Consulting a physician: My daughter is 19 years old and has oily scalp, so she has to wash her hair every day. However, recently I've noticed that her hair on the top of her head seems to be falling out noticeably, and the scalp is visible. What should we do...
Dr. Qiu Zhengbin reply Internal Medicine
Hello, most hair loss is related to stress, lifestyle habits (such as staying up late), and individual constitution, while a minority is caused by diseases. I recommend that you first take your daughter to a dermatologist. If the hair loss is accompanied by issues such as facial ...[Read More] Understanding Hair Loss in Young Adults: Causes and Solutions
Understanding Diabetes: How to Know if You're at Risk
Diabetes mellitus Hello Dr. Chiu: Our family has a history of hereditary diseases. My grandfather has diabetes and has been under your care for management. Other family members are worried about the possibility of having diabetes, but they are unsure how to determine if they have...
Dr. Qiu Zhengbin reply Internal Medicine
Hello, diabetes has a genetic component. Since your grandfather has diabetes, his children are at risk for the condition. Diabetes is characterized by the three P's: polyphagia (increased hunger), polydipsia (increased thirst), and polyuria (increased urination), along with ...[Read More] Understanding Diabetes: How to Know if You're at Risk
Skin Color Changes on Philtrum and Nose: What Should You Do?
Philtrum and nasal bridge? Hello, doctor. I would like to ask about a situation where the skin color on the philtrum and bridge of the nose has changed to a light brown after waking up, resembling a beard from a distance. There has been no change in diet, and I have consulted two...
Dr. Qiu Zhengbin reply Internal Medicine
Hello, I recommend that you visit a hospital to see a dermatologist or a family medicine physician to check for any similar skin changes or other bodily discomforts, in order to determine if there are any internal medical issues. Thank you for your inquiry, and I wish you good he...[Read More] Skin Color Changes on Philtrum and Nose: What Should You Do?
Understanding Vasculitis Treatment: Key Questions and Insights
Treatment of vasculitis My father underwent cataract surgery on his left eye on April 9, and since then, his vision has been blurry. During a follow-up appointment two days ago, the doctor mentioned that he has vascular occlusion and dilation of the optic nerve. Since November of...
Dr. Qiu Zhengbin reply Internal Medicine
Hello, I am a physician in the Department of Metabolism at Changhua Hospital. Regarding your concerns, I would like to address them from two aspects. First, you mentioned that your father has experienced a weight loss of 11 kilograms over the past few months, along with fatigue...[Read More] Understanding Vasculitis Treatment: Key Questions and Insights