Diabetes, Family Medicine FAQ

Understanding Weight Loss Drug Side Effects: Low Blood Sugar Concerns

Drug side effects? I'm sorry to bother you, but I would like to ask a question. I have been working hard to lose weight! I have tried various weight loss medications, products, patches, etc. I have lost some weight, but I have a problem. Whenever I don't eat, I experien...

Dr. Cai Jueren Reply:
Hello: Based on your description, it does not seem to be hypoglycemia related to diabetes. Diabetic patients typically experience dizziness, weakness, and even fainting during hypoglycemic episodes, and diabetes often has a genetic component. I recommend that you stop all medicat...

Understanding Edema: When to Seek Medical Help for Diabetes and Hypertension

Generalized edema Hello Doctor: My mother has diabetes and hypertension, and she is currently injecting insulin every morning and evening. Recently, she has experienced edema in her lower extremities, and now facial swelling has also appeared. She mentioned that her urine output ...

Dr. Cai Jueren Reply:
Hello, based on the situation you described regarding your mother, it seems that she is not suitable for home care. Her condition appears to be related to diabetes with nephropathy and edema, which may have been present for some time. I recommend that you take her to a large hosp...

Can Eating Candy Before Bed Cause Diabetes? Understanding Risks and Myths

Diabetes mellitus Hello Doctor: Does eating toffee or other sugary foods before bed increase the risk of diabetes? What about drinking cola before bed? Is there such a condition as "explosive diabetes"? Thank you for your response!

Dr. Cai Jueren Reply:
Hello, diabetes is a chronic disease that develops gradually; it does not appear suddenly nor does it disappear abruptly. Not everyone who consumes a lot of sweets will develop diabetes. It is recommended to exercise regularly, maintain a balanced diet, and keep a healthy weight....

Chronic Headaches: Which Specialist Should You Consult?

Hello, doctor: I often have headaches and I'm not sure which specialty I should see? Hello, doctor. My question is: (1) I had a car accident 20 years ago where I hit my head. At that time, there was no significant injury, but I have a noticeable lump on the upper left side o...

Dr. Cai Jueren Reply:
Hello, the symptoms you described are likely a type of migraine. Migraines often have no identifiable cause and are usually managed with pain relief medications. I recommend that you first visit a major hospital's sleep center to address any sleep issues, as resolving these ...

Understanding Your Symptoms: When to Seek Medical Help in Family Medicine

Is it considered a disease?! It seems that about a year or two ago, I started experiencing sudden chest tightness, making it difficult to breathe and causing rapid breathing. It felt like I was struggling to get air. Later on, it seemed to improve somewhat, but recently, I have s...

Dr. Cai Jueren Reply:
Hello, your concerns can be explained in two aspects. The first issue may be related to arrhythmia or emotional chest tightness. If there is no family history of similar symptoms or heart disease, then based on your age, it is likely to be emotional chest tightness, which typical...

Understanding Renal Lipomas: Do They Cause Proteinuria?

There is a lipoma in the kidney? My mother was previously diagnosed with a renal lipoma, and during a recent hospital visit, she was found to have proteinuria. The doctor advised her to take medication to manage it for a while and switched her from her original antihypertensive m...

Dr. Zhan Deqin Reply:
There are many causes of proteinuria, including diabetes, hypertension, various kidney diseases, or kidney inflammation. Antihypertensive medications do not cause proteinuria; rather, hypertension itself can lead to kidney damage and result in proteinuria. Lipomas typically do no...

Understanding Symptoms: Are Your Health Issues a Sign of Serious Problems?

Is there a problem with health? Hello, I am a 39-year-old male. Recently, I have been feeling very fatigued, and when I squat down and then stand up at the store, I experience severe dizziness and can barely stand. I often feel discomfort in my stomach and left abdomen (my abdome...

Dr. Xu Li'an Reply:
Hello, based on your description, it could be a precursor to cancer, but it might also just be diabetes or a gastric ulcer. Since you are concerned, why not go ahead and get an examination? You can schedule an appointment with either family medicine or gastroenterology. Wishing y...

Is Drinking Sugar-Free Beverages Safe for Diabetes Prevention?

Diabetes mellitus Hello, doctor. I have been wanting to change my habit of drinking sugary beverages because my grandmother has diabetes, but I haven't been able to. Since last year, I have mainly been drinking sugar-free beverages, such as unsweetened green tea. I'm wo...

Dr. Lin Mingxing Reply:
Dear Johnny, Dr. Lin Ming-Hsing, Director of the Family Medicine Department at Tainan Hospital, Department of Health, Executive Yuan, would like to inform you that having a family history of diabetes generally increases the genetic predisposition to the condition. It is importan...

Understanding Unexplained Symptoms: Seeking Answers for My Health Issues

My situation! Has anyone experienced this kind of situation? Recently, I haven't felt much about my body. I know I need to urinate, but I don't have the urge. I don't feel like sleeping at night and find it hard to fall asleep, but in the morning, I struggle to get...

Dr. Xu Li'an Reply:
Crown Prince Bingxin is now aware that you are overweight, which should be classified as obesity. This condition can lead to various health issues throughout the body. However, it is unclear whether you have always been overweight or if you have gained weight recently. I am not s...

Understanding Evening Chill: Symptoms and When to Seek Medical Advice

I start to feel chills every evening? My father has recently been complaining of feeling cold every evening. What could this be a symptom of, and which specialist should he see? Could you please provide some advice? Thank you. *Note: He is 64 years old and has diabetes.

Dr. Huang Jianling Reply:
Chills may be a symptom of low blood sugar. If you experience similar symptoms, you can measure your blood sugar before bedtime and take three pieces of sugar if it's low. If the symptoms improve or if your blood sugar is below 80 mg/dL, it may indicate hypoglycemia. It is a...

Understanding Ear Sensations in Diabetic and Hypertensive Patients

Is it possible for individuals with diabetes and hypertension to experience a sensation of water in their ears when there is actually none present? Hello: My father has a history of diabetes for several years and also has complications from hypertension. Recently, he has been com...

Dr. Huang Jianling Reply:
It is recommended to follow up with an otolaryngologist to rule out otitis media, Meniere's disease (which includes issues such as vertigo, tinnitus, and hearing impairment), as well as lymphadenopathy and neurological problems. Sincerely, Dr. Huang Jian-Ling.

Understanding Low Blood Pressure: Symptoms, Risks, and Care Tips

Hypotension Hello Dr. Huang, I would like to ask you a few questions. Since giving birth (over a year ago), I feel that my body is not as good as it used to be, and my constitution seems to have changed. Previously, my blood pressure readings were always normal, but after givin...

Dr. Huang Jianling Reply:
Hello Amy: Your blood pressure is 92/68, which is slightly low. However, other conditions such as anemia, acute or chronic hepatitis, and diabetes may also cause symptoms like dizziness and fatigue. It is recommended to maintain a balanced diet, engage in moderate exercise, and g...

Understanding Your Health Check Report: Alkaline Phosphatase and Triglycerides Explained

Health Check Report Your health check report shows that your alkaline phosphatase level is 23 and your triglycerides level is 44, which are outside the normal range. What health aspects should I pay more attention to regarding these indices? (Note: I accidentally drank a cup of j...

Dr. Huang Jianling Reply:
Because the internet user did not provide normal values (which vary by laboratory), it is unclear whether the mentioned test values are low. 1. Alkaline Phosphatase: This enzyme is abundantly present in the liver, bones, small intestine, and placenta. Clinically, it is commonly u...

Understanding Your Health Check Results: Key Concerns and Recommendations

Health check results At the beginning of the school year, a health check-up was conducted, and it has been two years since the last examination. This time, some results were abnormal, specifically: Complete Blood Count: Platelet count (PLT) - 403 (normal range 150-400 x 10^3/ml),...

Dr. Huang Jianling Reply:
Hasi: Platelet count and fasting blood glucose are slightly elevated, but this has minimal impact; regular annual monitoring is sufficient. SGPT is elevated, and further testing is recommended, such as for hepatitis B, hepatitis C, and fatty liver disease. Total cholesterol is hi...

Understanding Persistent Health Issues: A Journey Through Medical Consultations

What exactly is the problem? Hello, my mother is 48 years old, overweight, and her health may not be very good. She often feels unwell, especially since mid-last year when her symptoms have worsened. Initially, she experienced discomfort in her throat and visited a clinic nearby....

Dr. Huang Jianling Reply:
For those feeling overwhelmed: It is recommended to regularly visit a medical center for a comprehensive health check-up. This allows for a thorough understanding of potential diseases, rather than just addressing individual issues in various specialties. If you prefer not to pay...

Common Health Issues and Warning Signs for Ages 35-45

Common diseases in individuals aged 35-45 years? Individuals aged 35 to 45 commonly experience various diseases and health issues. Key conditions to be aware of include: 1. **Cardiovascular Diseases**: Hypertension, high cholesterol, and heart disease are prevalent. Regular moni...

Dr. Huang Jianling Reply:
In middle-aged individuals aged 35-45, common diseases include obesity, hypertension, hyperlipidemia, abnormal liver function, and hyperglycemia. Sometimes there may be no noticeable symptoms, so it is advisable to undergo a health check-up every three years to detect any issues ...

Essential Guide to First-Time Health Checkups: What to Expect and Prepare

Health check-up Hello! If you're considering your first health check-up, here are some recommended tests you might want to include: 1. **Complete Blood Count (CBC)** - This test evaluates your overall health and detects a variety of disorders, such as anemia and infection....

Dr. Huang Jianling Reply:
Please call our hospital's health examination center, and the nursing staff will provide detailed answers. Alternatively, you can visit our hospital's family medicine website for more information. The health examination center's phone number is (03) 369-9721, exten...

Where to Find Comprehensive Blood Health Check Clinics in Hsinchu?

Blood Health Checkup Hello Dr. Huang, Could you please let me know where I can find a clinic in Hsinchu that offers comprehensive blood health checks? The tests provided by my company seem quite superficial, and I have a feeling that I might have diabetes. I would like to under...

Dr. Huang Mingde Reply:
It is recommended to visit a general clinic for a one-touch blood glucose test, which typically costs around 50 NTD (this is the quoted fee for a single item under the National Health Insurance).

Understanding Leg Pain: Causes and Care for Aging Parents

Foot pain Hello, I would like to ask about my father: Recently, he has been experiencing significant pain in the thigh and calf muscles above the knee joint, making it very uncomfortable for him to go up and down stairs. After a consultation, the doctor suggested that it might be...

Dr. Hong Shouhong Reply:
Hello, thank you for your letter regarding your father's foot and leg pain. There are several points to consider, such as how long the pain has been occurring, whether it started suddenly or gradually worsened, any history of sports injuries or improper posture, the duration...

Can Cold Weather Cause Foot Pain? Exploring Symptoms and Solutions

Can cold weather cause foot pain? Hello Doctor: I have a friend who is currently studying in the UK (26 years old, male). He traveled to France a couple of days ago, but suddenly today he is experiencing abnormal pain along the edge of his foot (near the heel). With every step he...

Dr. Liu Jinyong Reply:
Pain along the edge of the heel is often caused by plantar fasciitis. This pain is particularly worse in cold weather or in the morning when the foot is at rest or has cooled down. Additionally, it is important to check for any swelling in the ankle, which may indicate inflammati...

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