Diabetes, Family Medicine FAQ

Loss of Sensation in Toes: Possible Causes and Solutions

Loss of sensation in the toes? Hello doctor, my left little toe has had no sensation for the past 10 days. Walking barefoot feels like there is an extremely thick layer of skin. However, there is no pain or numbness. In the past few days, my right little toe has started to show t...

Dr. Chen Bozhang Reply:
Hello Mr. Wang: You mentioned that your left and right little toes have experienced a loss of sensation, but without pain or numbness. This may be related to peripheral small nerve issues or circulatory problems. Generally, if there is diabetes or other peripheral nerve or vascul...

Can a High-Protein Diet Effectively Manage Diabetes?

Can a whole protein diet control diabetes? Hello Dr. Chen, my mother has had diabetes for many years, but her blood sugar is not well controlled. Would it be effective to eliminate starchy foods and switch to a diet consisting solely of complete proteins (meat, seafood, tofu, egg...

Dr. Chen Bozhang Reply:
Hello: An improper high-protein diet can place a burden on the kidneys, and stricter protein dietary restrictions require monitoring of microalbuminuria levels. It is recommended that you consult with a physician in the Metabolism Department, who can provide advice based on your ...

How to Check for Diabetes: Which Specialist to See and Tests to Take

How to check for diabetes? If you want to find out whether you have diabetes, you should see an endocrinologist. To check for diabetes, you may undergo tests such as fasting blood glucose tests, oral glucose tolerance tests, or HbA1c tests. Thank you.

Dr. Chen Bozhang Reply:
Hello: It is recommended that you schedule an appointment with the Metabolism Department for evaluation and to arrange relevant tests. Thank you!

Understanding Insulin: Alcohol's Impact on Diabetes and Injection Side Effects

Insulin Questions Hello Dr. Chen, 1. Why do alcoholic beverages, which contain no sugar, harm diabetic patients? 2. What are the potential side effects of insulin injections? Currently, I am using NovoMix 30.

Dr. Chen Bozhang Reply:
Hello, dear user: Regarding your first question about the relationship between alcohol consumption and diabetes, the interaction between these two is quite complex, which I will simplify into several aspects: 1. **Drinking on an empty stomach**: Rapidly increasing blood alcoh...

Weight Loss and Tumor Concerns: Understanding Your Health Risks

Weight loss and reduction in body weight? Hello, I am currently exercising to lose weight because most health check-ups indicate that I am overweight. I am 161.3 cm tall and weigh 74 kg. However, some information suggests that tumors can also cause weight loss, such as losing mor...

Dr. Chen Bozhang Reply:
Dear user, You mentioned experiencing rapid weight loss. Is it possible that a tumor could be the cause? Rapid weight loss is defined as a decrease of more than 5% of body weight within one month, or more than 10% within six months. There are many potential causes for this, and...

Understanding Blood Sugar Fluctuations and Prediabetes Risks

Diabetes issues Hello, I had a fasting blood glucose level of 93 mg/dL during my health check in mid-2008, and it increased to 104 mg/dL during my health check in mid-2011. Does fasting blood glucose fluctuate or does it consistently rise year after year? There are reports statin...

Dr. Chen Bozhang Reply:
Hello, A San Ge: In your letter, you mentioned your fasting blood glucose levels. According to the standards published by the Department of Health, a normal fasting blood glucose level is below 100 mg/dL. A fasting blood glucose level between 100 and 126 mg/dL indicates abnormal...

Understanding Diabetes: Differentiating Between Type 1 and Type 2 Based on Test Results

Diabetes screening? Hello Dr. Liao, I had blood and urine tests, and the urine test report showed the presence of glucose and ketones. Does this indicate Type 1 or Type 2 diabetes?

Dr. Liao Yaopan Reply:
Hello, a definitive diagnosis of type 1 or type 2 diabetes cannot be made based solely on basic examinations; further evaluation is needed. Thank you for your message, and Changhua Hospital cares about you.

Understanding Urine Sugar and Ketones: Type 1 vs Type 2 Diabetes Insights

Examination Report Hello, Dr. Liao. The blood and urine tests showed the presence of glucose and ketones in the urine. Does this indicate type 1 or type 2 diabetes?

Can HIV Infection Lead to Diabetes? Understanding Weight Loss and Blood Sugar Issues

HIV Questions Hello, Dr. Liao. Does HIV infection lead to the onset of diabetes? Why does high blood sugar cause significant weight loss?

Dr. Liao Yaopan Reply:
Hello, regarding your question: 1. These two diseases are one infectious disease and the other a metabolic disorder. They are not causally related, but severe infections can lead to abnormalities in glucose metabolism. 2. Not all diabetes patients exhibit weight loss symptoms...

Is There a Cure for Didmoad Wolfram Syndrome?

Didmoad Wolfram Is there a medication available to treat Didmoad Wolfram? Thank you!

Dr. Liao Yaopan Reply:
Hello, this is a definition of a rare disease symptom: Juvenile diabetes, optic nerve atrophy, plus one of the following: diabetes insipidus, hearing impairment, neurological symptoms. It may be inherited in an autosomal recessive manner, caused by mutations in the gene located a...

Does Frequent Soda Consumption Increase Diabetes Risk?

Please provide the content you would like me to translate? Hello: 1. Does frequently consuming sugary beverages lead to diabetes? Is there a direct correlation?

Dr. Liao Yaopan Reply:
Frequent consumption of beverages, especially those high in sugar, may lead to excessive sugar intake. If the body's ability to metabolize sugar gradually deteriorates, the risk of developing diabetes increases. While this may not be a direct causal relationship, a correlati...

Morning Exercise Nausea: Understanding Your Symptoms and Solutions

Feeling nauseous after exercising in the morning? Hello, doctor. I've noticed that when I engage in aerobic exercise before noon, I often feel nauseous, although I don't actually vomit. Sometimes, I also feel a bit lightheaded. I've eaten breakfast and waited an ho...

Dr. Chen Bozhang Reply:
If you feel dizzy and even experience trembling hands when you are hungry and do not eat immediately, it may be related to a drop in blood sugar levels. As for whether you have diabetes, it is advisable to follow up with an outpatient examination.

Is It Safe to Get Pregnant with Type 1 Diabetes?

Type 1 Diabetes Hello, doctor. My husband was diagnosed with possible type 1 diabetes, insulin-dependent, about a month ago at the age of 34. However, we do not have children yet and are planning to conceive. My husband's blood sugar levels are not very stable (approximately...

Dr. Chen Zonglin Reply:
The growth process of the fetus is more easily influenced by the health status of the pregnant woman. Therefore, even if your husband has type 1 diabetes, it does not affect the growth of the fetus, and you can still conceive without any restrictions. If you encounter any issues ...

Understanding Unexplained Nausea: A Guide for Diabetic Patients

Unexplained nausea? I am 55 years old and have diabetes, but I have regular check-ups and my medication is well managed. About two months ago, I sought medical attention due to frequent dizziness (at a family medicine clinic). The doctor arranged for blood tests and an upper endo...

Dr. Chen Bozhang Reply:
Hello: Your letter mentions that you have been experiencing frequent dizziness and postprandial vomiting over the past two months, with symptoms fluctuating in severity. The causes of dizziness and vomiting are quite complex. Dizziness itself may involve considerations of the cen...

Understanding Autoimmune Diseases: The Role of Inflammation Explained

Autoimmune diseases Are all diseases classified as autoimmune associated with an inflammatory process? However, inflammation is not necessarily indicative of an autoimmune disease? Thank you!

Dr. Gao Qingyun Reply:
Dear WNAG: 1. The intent of this question is not very clear, and my response may differ from your original intention. If you have further questions, I recommend discussing them directly with your physician. 2. When answering medical-related questions, please provide your gend...

Itchy Belly Button with Discharge: When to Seek Medical Attention?

The belly button is very itchy and has a discharge? A couple of days ago, I cleaned my belly button, and now it feels strange. First, it was very itchy, and today it started to ooze a clear fluid that has a somewhat foul smell. I'm not sure if I need to seek medical attentio...

Dr. Gao Qingyun Reply:
Dear Xiao Lin, 1. When discussing a medical condition, it is best to provide age and gender for reference. 2. Since I have not seen the lesion in person, please prioritize the opinions of any other physicians who have conducted a physical examination. 3. Based on your descriptio...

Understanding Weight Loss in Diabetes: Insights from Dr. Liao

Diabetes mellitus Dr. Liao, what causes significant weight loss in diabetes?

Dr. Liao Yaopan Reply:
Hello, diabetes may lead to weight loss, but it does not occur in every patient. Rapid weight loss may occur due to abnormalities in glucose metabolism in normal cells, which prevents them from obtaining glucose properly, causing the body to break down fats and proteins. Thank yo...

Understanding Body Odor: Causes, Concerns, and Solutions

There is a severe body odor? I have had a severe body odor for a long time, to the point where people from a distance can smell it. When others get close to me, they often cover their noses. I sweat heavily, especially around the back of my ears and the sides of my nose, and when...

Dr. Chen Bozhang Reply:
Hello: In response to your question, there are various causes of body odor, and the source of the odor can differ depending on the area of the body. I recommend paying attention to a low-fat diet, reducing the intake of lean meats, especially red meat, and increasing the consumpt...

Why Eating Sweets Causes Dizziness: When to See a Doctor?

Eating sweets can cause temporary dizziness? In the past two months, I've started experiencing dizziness after consuming sweets. I don't have typical symptoms of diabetes, but I've been using fruits as main meals frequently for weight loss. I'm unsure what cou...

Dr. Cai Dongqi Reply:
It is difficult to diagnose this; it is recommended to first undergo a general health check-up.

Managing Bipolar Disorder: Health Risks and Dietary Advice

Problems caused by bipolar disorder Hello, doctor. I have been diagnosed with bipolar disorder for six or seven years. Due to the bipolar disorder, I experience autonomic nervous system dysregulation, which can eventually lead to chronic conditions such as hypertension, diabetes,...

Dr. Liao Yaopan Reply:
Hello, first of all, do you follow your doctor's instructions regarding medication management for bipolar disorder? Regular management is very important. As for the development of many chronic diseases, it is caused by multiple factors, and thorough investigation and treatme...

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