Diabetes, Family Medicine FAQ - Page 10

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Sudden Weight Loss: When to Worry and What Tests to Consider

Sudden significant weight loss? Hello Dr. Wu: My husband is 175 cm tall and originally weighed around 96-97 kg. Since the end of August this year, his weight has started to decrease. After I was diagnosed with gestational diabetes in September, he began to control his diet as wel...


Dr. Wu Fangcan Reply:
According to your description, your husband is 175 cm tall and weighs 96 kg, with an ideal weight of 73.5 kg, which means he is already overweight. Later, with your dietary control, his weight has decreased. If he does not experience any mental fatigue or other discomfort, he sho...

[Read More] Sudden Weight Loss: When to Worry and What Tests to Consider


Which Medical Specialty to Consult for Shoulder and Stomach Pain?

Which department should I consult? Hello, my mother (approximately 63 years old) has recently experienced shoulder pain (mainly in the left shoulder) along with stomach pain. The pain extends to her back and appeared suddenly without any warning. She usually commutes by bicycle, ...


Dr. Wu Fangcan Reply:
Based on the situation you described, it is advisable to consult a trusted family physician or traditional Chinese medicine practitioner for examination and treatment. Thank you.

[Read More] Which Medical Specialty to Consult for Shoulder and Stomach Pain?


Post-Surgery Complications in Diabetic Patients: Slow Healing and Persistent Fever

Poor wound healing after surgery in diabetic patients, persistent fever, and the use of antibiotics? Hello, my mother has diabetes and recently underwent her fourth spinal surgery. The wound is healing very slowly; it has been one and a half months post-surgery and is still not h...


Dr. Liao Yaopan Reply:
Hello, regarding your inquiry, it is recommended to consult an infectious disease specialist to help assess the cause of the fever. Due to the complexity of the condition, it is advisable to seek further medical examination and treatment. Changhua Hospital cares about you.

[Read More] Post-Surgery Complications in Diabetic Patients: Slow Healing and Persistent Fever


Understanding Weight Loss: Stress, Fatigue, and Health Concerns

Weight loss I have been experiencing significant mental stress for over a month, worrying constantly. In the last two weeks, I have started to feel fatigued and have the impression that I am not getting enough sleep. Surprisingly, I have lost 7 kg in this month. What could be the...


Dr. Zhang Hongwei Reply:
Hello, psychological stress is one of the causes of weight loss. However, it is essential to rule out other underlying diseases, such as diabetes, hyperthyroidism, tuberculosis, or HIV. I would like to know if you have experienced changes in appetite, increased thirst and urinati...

[Read More] Understanding Weight Loss: Stress, Fatigue, and Health Concerns


Understanding Unintentional Weight Loss: Causes and Concerns for Students

Continuous weight loss? When I entered my department as a freshman, I weighed about 85 kg and was 176 cm tall, with a relatively robust build. Since I was interested in basketball, I joined the department's basketball team, which involved a significant amount of training—abo...


Dr. Liao Yaopan Reply:
Maintaining a standard body weight is beneficial for health; however, rapid weight loss should be monitored for any underlying physiological abnormalities. It is advisable to consult your family physician for an evaluation. Changhua Hospital is here to support you.

[Read More] Understanding Unintentional Weight Loss: Causes and Concerns for Students


Understanding Nerve Pain in Elderly: A Case of Grandma's Finger Discomfort

【Inquiry】My grandmother is experiencing numbness and pain in the tips of her fingers? My grandmother is 70 years old and has symptoms of diabetes and hypertension. During the Lunar New Year this year, she mentioned that she burned her finger while cooking. Since then, she frequen...


Dr. Gao Qingyun Reply:
Hello: The health conditions of elderly individuals are often complex, and a single symptom may involve interactions between multiple systemic diseases. It is recommended that you take your family member to a family medicine outpatient clinic for a thorough examination and treatm...

[Read More] Understanding Nerve Pain in Elderly: A Case of Grandma's Finger Discomfort


Essential Health Checkup Guide for 26-Year-Olds in Taiwan

26-Year-Old Health Checkup As a 26-year-old looking to undergo a health check-up while working in the decoration industry, and considering your lifestyle factors such as not drinking alcohol, not smoking, and not chewing betel nut, but being frequently exposed to secondhand smoke...


Dr. Hou Angting Reply:
Hello Mr. Lin: Currently, the National Health Administration provides health check-ups for adults aged 40 and above, and those under 40 are not covered by health insurance. For you, it is recommended to undergo tests related to metabolic syndrome. For further information, you may...

[Read More] Essential Health Checkup Guide for 26-Year-Olds in Taiwan


Can Diabetes Cause Neck and Shoulder Pain in Seniors?

I would like to ask questions regarding diabetes? Hello Doctor: I would like to ask if diabetes can cause shoulder and neck pain? My father is in his 80s, and during winter he doesn't feel cold, often wearing shorts and short-sleeved shirts, and sometimes he even feels hot. ...


Dr. Chen Pengsheng Reply:
Hello: This issue should not be related to diabetes. If the father has other physical problems, please consult the physician at the regular diabetes clinic. Thank you.

[Read More] Can Diabetes Cause Neck and Shoulder Pain in Seniors?


Diabetes-Friendly Breakfast Options: Quaker Oats and Greens for Type 2

Diabetic Diet Hello, I would like to ask about a recently diagnosed patient with type 2 diabetes. Is it appropriate for them to have Quaker 10 Grain Cereal with two types of green vegetables for breakfast every day? Or would it be suitable to replace it with Quaker Whole Grain Ce...


Dr. Chen Zonglin Reply:
Evaluating a diabetes diet should not focus solely on a single meal each day. It is recommended that you keep a food diary for several days and then bring this record to your healthcare provider, where you can have a comprehensive assessment with a dietitian regarding your dietar...

[Read More] Diabetes-Friendly Breakfast Options: Quaker Oats and Greens for Type 2


Understanding Unfixed Abdominal Pain: Concerns and Insights

Intermittent pain Hello Doctor, I apologize for the lengthy message and hope you can read it patiently: I am 160 cm tall and weigh 45 kg. There is no family history of cancer, but there is a history of diabetes. My health check in April 2015 showed no abnormalities. However, I ha...


Dr. Chen Bozhang Reply:
Dear Ms. IWH, In your letter, you mentioned experiencing occasional sharp pain in your abdomen, a weight loss of 2 kilograms over the past six months, black stools, and various discomforts in your abdomen and back. You expressed concern about losing weight significantly and susp...

[Read More] Understanding Unfixed Abdominal Pain: Concerns and Insights


Understanding High Cholesterol: Causes, Concerns, and Next Steps

High cholesterol During enrollment, blood tests are conducted for health checks, but I'm not sure if every school and hospital uses similar standards for evaluation. In my first year of high school, my total cholesterol was over 300, but my blood glucose, urine, and other va...


Dr. Chen Bozhang Reply:
Dear Ms. Hblcm, In your letter, you mentioned that during your freshman year of high school, your cholesterol level was above 300 mg/dL, and during your freshman year of college, your total cholesterol rose to above 300 mg/dL again. Both of these values are significantly high, a...

[Read More] Understanding High Cholesterol: Causes, Concerns, and Next Steps


Understanding Health Check Results: Blood Pressure, Cholesterol, and Blood Sugar

Physical examination (blood pressure, cholesterol, blood glucose) Hello Doctor, my father has always been in good health and is 65 years old this year. However, during a recent health check-up: 1. His blood pressure is 175/91 mmHg. Does this indicate hypertension? 2. His choleste...


Dr. Chen Zonglin Reply:
1. The standard for hypertension is defined as greater than 140/90 mmHg. However, it should not be based on a single blood pressure reading. A reading of 175/91 mmHg is indeed elevated. To determine if it is truly hypertension, it is necessary to monitor blood pressure over a per...

[Read More] Understanding Health Check Results: Blood Pressure, Cholesterol, and Blood Sugar


What Specialist to See for High Cholesterol Concerns?

If you have high cholesterol, you should see a cardiologist or a primary care physician? Hello Doctor, I have been vegetarian since childhood and I don't exercise much. My height is 164 cm and my weight is 48 kg. My family has a history of diabetes and heart-related issues. ...


Dr. Wu Fangcan Reply:
Based on the above description: Long-term vegetarian diet, high blood pressure, high cholesterol, and recent episodes of strong heartbeats. It is recommended to see a cardiologist or a family medicine physician for evaluation to rule out anemia, metabolic syndrome, and premature ...

[Read More] What Specialist to See for High Cholesterol Concerns?


Understanding Leg Numbness: Causes and When to Seek Help

Abnormal numbness in the legs? Recently, I've been experiencing frequent leg numbness, but it usually resolves quickly. However, this morning when I got up, my right leg was so numb that I couldn't stand; I couldn't control my leg, and it felt completely weak and n...


Dr. Wu Fangcan Reply:
Due to the lack of information regarding age, gender, smoking history, previous hospitalizations or surgeries, presence of diabetes, history of anemia with black stools, use of pain medications, vegetarian diet, sleeping on a soft bed, prolonged sitting on a sofa, potential overw...

[Read More] Understanding Leg Numbness: Causes and When to Seek Help


Managing High Blood Pressure: Can Medication Improve Vision Issues?

Hypertension, blurred vision, dizziness? Hello Doctor: My father is 62 years old and has hypertension. He has been on medication for a month, but his blood pressure remains around 170, compared to 180-200 last month. He will return to the doctor next week for medication adjustmen...


Dr. Chen Zonglin Reply:
Long-term high blood pressure can potentially lead to eye diseases. It is recommended that you take your father to an ophthalmologist for an evaluation to determine if there are any hypertension-related eye conditions, in order to facilitate early treatment.

[Read More] Managing High Blood Pressure: Can Medication Improve Vision Issues?


Effective Oral Medications for Managing Type 2 Diabetes in Seniors

Diabetes management medications Hello, my father has had type 2 diabetes for about 20 years. Currently, he follows a low-oil diet and does not drink sugary beverages. His meals consist of 1 serving of rice, 1 serving of meat, and 2 servings of vegetables. However, due to work, he...


Dr. Chen Zonglin Reply:
1. Currently, there is no oral insulin available in pill form. 2. There are currently oral hypoglycemic agents that can be taken three times a day. I wonder if your father is taking three different types of blood sugar-lowering medications? If he is on three different medication...

[Read More] Effective Oral Medications for Managing Type 2 Diabetes in Seniors


Which Medical Specialty Should You Consult for Foot Heat Issues?

Which specialty should I consult? Hello Doctor: Regarding the question I raised on May 11 about "heat in the soles of the feet" (original text at the bottom), you suggested that my father consult his original oncologist for a detailed examination. However, we have alrea...


Dr. Gao Qingyun Reply:
Hello: Please visit Dr. Kao Ching-Yun at the Family Medicine Department of our hospital for a consultation. Thank you. Wishing you peace and good health. Sincerely, Dr. Kao Ching-Yun, Director of Family Medicine, Taoyuan Hospital, Ministry of Health and Welfare.

[Read More] Which Medical Specialty Should You Consult for Foot Heat Issues?


Understanding Foot Heat During Sleep: Causes and Solutions

Experiencing a sensation of heat in the soles of the feet while sleeping? Hello Doctor: My father is 69 years old. Recently, he has been experiencing a sensation of heat in the soles of his feet while sleeping (both during naps and at night), which is quite uncomfortable and affe...


Dr. Gao Qingyun Reply:
Hello: Your father is an elderly patient with a history of systemic disease (tumor), and his physical symptoms require a comprehensive assessment. It is recommended to consult the original oncologist for an in-person examination and thorough evaluation. Thank you. Wishing you pea...

[Read More] Understanding Foot Heat During Sleep: Causes and Solutions


Understanding Foot Pain: Causes and When to Seek Medical Help

Painful tingling in the toes? Hello Doctor: Recently, I've been experiencing some issues with my feet. There is a slight tingling sensation in my toes, and my calves feel swollen. Additionally, I occasionally have a feeling of poor blood circulation in my thighs, but these s...


Dr. Hou Angting Reply:
Hello Ms. Chen: Diabetes itself rarely progresses from normal blood sugar levels to the point where medication is needed to control blood sugar within two months, unless there are acute complications. If you have other symptoms of discomfort, you may visit a family medicine clini...

[Read More] Understanding Foot Pain: Causes and When to Seek Medical Help


Understanding Male Menopause: Symptoms, Care, and Treatment Options

Male menopause What are the symptoms of male menopause, how can it be managed or treated, and which medical specialty should be consulted?


Dr. Chen Bozhang Reply:
Hello, netizen: Male menopause is a broad health issue that encompasses physiological, psychological, and social aspects. Common symptoms include several categories: 1) Psychological: mood instability, anxiety, depression, difficulty concentrating, insomnia, etc. 2) Sexual dysfun...

[Read More] Understanding Male Menopause: Symptoms, Care, and Treatment Options


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