Understanding the Link Between Insulin Resistance and Glucose Intolerance
The correlation between insulin resistance and impaired glucose tolerance? Thank you, doctor, for taking the time to answer my questions amidst your busy schedule. Hello, doctor, I would like to ask: 1. Is the relationship between insulin resistance and impaired glucose tolerance...
Dr. Ye Qianyu Reply:
Hello! First, you should know that the insulin resistance index is calculated using fasting blood glucose levels and fasting insulin levels, with the formula being "(fasting blood glucose x fasting insulin) divided by 405." Impaired glucose tolerance is characterized by...[Read More] Understanding the Link Between Insulin Resistance and Glucose Intolerance
Understanding Fluctuations in HbA1c Levels: A Month of Concerns
There is significant fluctuation in glycated hemoglobin levels within a month? Hello Doctor: Thank you for taking the time to answer my questions despite your busy schedule. In my family, aside from my parents, my aunts, uncles, and both sets of grandparents have diabetes, so I a...
Dr. Ye Qianyu Reply:
Hello! First, you should understand that glycated hemoglobin (HbA1c) is an indicator of average blood glucose levels over the past three months, so testing on different dates reflects average blood glucose status during different periods. Any factors that affect calorie intake an...[Read More] Understanding Fluctuations in HbA1c Levels: A Month of Concerns
Understanding Diabetes Diagnosis: Is One Test Enough?
Diabetes Diagnosis Issues Hello, doctor. I would like to ask a question. Recently, I was diagnosed with high blood sugar during a health check-up. On November 9th, I went to the hospital for a blood test and found that my fasting blood glucose level was 142 mg/dL, and my hemoglob...
Dr. Xiao Yongxun Reply:
Dear Mr. Zhang: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. Fasting plasma glucose level ≥ 126 mg/dL after fasting for more than 8 hours, b. Plasma glucose level ≥ 200 mg/dL during a 2-hour oral glucose tolerance test, c. HbA...[Read More] Understanding Diabetes Diagnosis: Is One Test Enough?
Understanding High Platelet Count and Urine Sugar Levels: Key Insights
I would like to inquire about issues related to platelets and urine glucose? Doctor, I would like to ask if my platelet count of 416 and PCT of 40, which are both elevated, could be related to my blood donation on October 20. My health check-up was on November 1. Additionally, I ...
Dr. Cai Dongqi Reply:
Hello, Yu: 1. Elevated platelet count can be monitored again; if it remains high, you may consider seeing a hematologist. 2. Positive urine glucose indicates a potential risk for diabetes; you should consult with an endocrinologist to check for diabetes.[Read More] Understanding High Platelet Count and Urine Sugar Levels: Key Insights
Conflicting Diabetes Advice: Who Should You Trust for Your Health?
I'm not sure whose advice to follow? Previously, I visited a nearby major hospital's endocrinology department due to thyroid issues. The doctor conducted blood tests and a urinalysis, and while my thyroid function was normal, my hemoglobin A1c was 6.5%. However, my fast...
Dr. Liu Hongxiang Reply:
Hello Lisa, Glycated hemoglobin (HbA1c) is formed by the binding of glucose to hemoglobin in the blood. The average lifespan of red blood cells is 120 days, so glycated hemoglobin reflects the average blood glucose levels over the past three months. Daily fluctuations in blood ...[Read More] Conflicting Diabetes Advice: Who Should You Trust for Your Health?
Does Cardiovascular Medication Increase Heat Stroke Risk?
Does taking cardiovascular medications increase the risk of heat stroke? Hello Dr. Lin, in 2015, I was diagnosed with left coronary artery atherosclerosis. In 2020, due to atrial fibrillation, I underwent two catheter ablation procedures. Since then, I have been taking five medic...
Dr. Lin Zhebin Reply:
Hello: 1. The medications you are taking that are more likely to cause discomfort in your body include: - Isosorbide Dinitrate: Its primary function is vasodilation, and it may cause side effects such as dizziness, palpitations, and hypotension, among others. - Propafeno...[Read More] Does Cardiovascular Medication Increase Heat Stroke Risk?
Understanding Frequent Yawning in Seniors: Signs of Stroke or Other Concerns?
Elderly, dizziness, yawning? Hello, Doctor. I live with my grandmother, who is seventy-six years old. Recently, I've noticed that she often feels unwell for no apparent reason, which has made me quite worried. I would like to ask you further about whether this issue requires...
Dr. Chen Bozhang Reply:
Based on the elder's chronic illnesses and family history, please monitor for any additional symptoms. It is recommended to schedule an earlier follow-up appointment for a physician's evaluation. Thank you.[Read More] Understanding Frequent Yawning in Seniors: Signs of Stroke or Other Concerns?
Which Medical Specialty Should My Elderly Grandmother See?
Which department should I see? Hello, doctor. My grandmother is nearly 80 years old and has been suffering from depression since my grandfather passed away. She has been taking medication for depression over the past few years, and her symptoms have included some signs resembling...
Dr. Liu Hongxiang Reply:
Dear Miss Hao, The main issue in your letter is that you have been feeling very hungry throughout the day after meals, to the point where you cannot sleep without eating, which is quite uncomfortable. If there are no issues with diabetes or obesity, feeling hungry after meals is...[Read More] Which Medical Specialty Should My Elderly Grandmother See?
Which Medical Specialty Should My Elderly Grandmother See?
Which department should I visit? Hello, doctor. My grandmother is nearly 80 years old and has been suffering from depression since my grandfather passed away. She has been taking antidepressant medication for the past few years, and her symptoms have progressed to resemble those ...
Dr. Liu Hongxiang Reply:
Dear Miss Hao, The main issue in your letter is that you have been feeling very hungry after meals, to the point where you feel hungry all day long, and it becomes difficult to sleep without eating, which is quite uncomfortable. If there are no issues with diabetes or obesity, f...[Read More] Which Medical Specialty Should My Elderly Grandmother See?
Persistent Bruising: Understanding Causes and Treatment Options
Bruises that do not fade? Hello, Dr. Yeh. I have difficulty with bruises healing. In March 2023, I underwent massage therapy, and a small bruise that had been present for over a year (which was not painful or swollen) became larger and swollen after the treatment. I have been int...
Dr. Ye Qianyu Reply:
Hello! It is recommended that you visit a dermatologist. Additionally, you can discuss the target value for glycated hemoglobin with your primary physician to achieve it together.[Read More] Persistent Bruising: Understanding Causes and Treatment Options
Understanding Loss of Appetite: Causes and Treatment Options
Loss of appetite Hello Doctor, last October I experienced vomiting after staying up all night to catch up on my studies. Since then, I have had a persistent loss of appetite. I consulted a gastroenterologist who diagnosed me with gastroesophageal reflux disease (GERD). After trea...
Dr. Lin Zhebin Reply:
Hello: Based on your description of physical discomfort and the situation regarding medical consultations and prescriptions, it is inferred that you may be experiencing anxiety and depression. Additionally, it is important to consider the possibility of endocrine disorders, such ...[Read More] Understanding Loss of Appetite: Causes and Treatment Options
Understanding Sleep Issues and Physical Symptoms: A Family Medicine Perspective
Sleep and physical issues? Hello doctor, I have been experiencing sleep issues for over a month now. I either have light sleep or wake up in the middle of the night, and sometimes I am even aware while I am sleeping. Additionally, for the past two weeks, I have been having headac...
Dr. Lin Zhebin Reply:
Hello: Your symptoms include headache, insomnia, body heat and sweating, dizziness, and nausea. Given your age, you may be concerned about the following issues: 1. Infectious diseases: viruses (such as COVID-19, influenza), bacteria, etc. 2. Hormonal disorders: hyperthyroidism, d...[Read More] Understanding Sleep Issues and Physical Symptoms: A Family Medicine Perspective
Understanding Chronic Health Issues: A Guide for Patients Seeking Answers
Physical illnesses Hello Doctor, I am 27 years old, and I have always had poor health. My condition varies each year, and despite frequent check-ups, no specific issues have been identified. I have been told I have autonomic nervous system dysfunction, gastroesophageal reflux dis...
Dr. Ye Qianyu Reply:
Hello! Based on your description, you are experiencing weight gain, unexplained rashes, gastrointestinal issues, and menstrual irregularities. The abnormalities found in your blood tests during the health check are non-specific. If you have concerns, it would be advisable to foll...[Read More] Understanding Chronic Health Issues: A Guide for Patients Seeking Answers
Managing Weight and Blood Sugar: A Guide for Diabetic Patients
Inquiry about weight loss in diabetes? Hello, doctor. I have been managing gestational diabetes for 13 years with medication, but my blood sugar levels have not been ideal. My recent blood test showed a fasting glucose level of 172 mg/dL and a hemoglobin A1c of 8.5%. I am 163 cm ...
Dr. Liu Hongxiang Reply:
Dear Ms. Dong, I hope this message finds you well. After reading your letter several times, I can sense your efforts in managing your blood sugar levels; please continue to maintain this. If you want to achieve weight loss effectively, it is essential to focus primarily on dieta...[Read More] Managing Weight and Blood Sugar: A Guide for Diabetic Patients
Understanding Common Health Issues: Dizziness, Cholesterol, and Home Blood Sugar Testing
Dizziness, low high-density lipoprotein (HDL) cholesterol, abnormal white blood cell count, home blood glucose monitoring, painless hematuria? 1. **[Adult Health Check, Results Indicated in Red, What Does It Mean?]** Examination Date: 10/19/2022 Test Code: 09015C Creati...
Dr. Lin Zhebin Reply:
Hello: 1. Creatinine is typically a concern when elevated, as high levels indicate declining kidney function, while low levels are often due to lower body weight or muscle mass. The TC/HDL ratio reflects whether there is sufficient good cholesterol (HDL), which has a protective...[Read More] Understanding Common Health Issues: Dizziness, Cholesterol, and Home Blood Sugar Testing
Understanding Urine Changes After Eating Pineapple: What You Need to Know
About urine? Hello, doctor. After eating pineapple yesterday, I had to use the restroom, and afterward, I noticed a faint, pungent smell of pineapple in the bathroom. Three years ago, I had blood tests for liver, kidney, and blood sugar levels, and my doctor said everything was n...
Dr. Lin Zhebin Reply:
Hello: The pineapple-like odor in your urine may be caused by ammonia present in the urine, which is commonly associated with factors such as holding in urine, dehydration, or urinary tract infections, among others. Additionally, dietary factors could also be a concern, such as g...[Read More] Understanding Urine Changes After Eating Pineapple: What You Need to Know
Post-Dinner Nausea and Vomiting: Understanding Possible Causes
Nausea and vomiting after dinner? Hello Dr. Hou, Here are my mother's symptoms. I'm not sure if they are related, so I have included all the information I have for evaluation. For the past six months, she frequently experiences sudden nausea and vomiting after dinner,...
Dr. Hou Angting Reply:
Hello, Bala: Since your mother has diabetes, if she experiences similar symptoms in the future, it is advisable to check her postprandial blood glucose levels for assessment. Additionally, you may consult with a family medicine specialist to discuss and evaluate whether there are...[Read More] Post-Dinner Nausea and Vomiting: Understanding Possible Causes
Managing High Cholesterol: Diet, Exercise, and Supplements
Cholesterol issues Hello, doctor. I have had high cholesterol for a long time. For the past five years, my cholesterol levels have been elevated. Last year's health check report showed my height/weight as 156 cm/43 kg, total cholesterol at 240 mg/dL, high-density lipoprotein...
Dr. Hou Angting Reply:
Hello Chia: Since you do not have high blood pressure or diabetes, and your lipid report shows some elevated levels, it is recommended that you start with dietary control and appropriate exercise, and follow up in three months. The use of dietary supplements can be based on perso...[Read More] Managing High Cholesterol: Diet, Exercise, and Supplements
Unraveling the Mystery of Chronic Pain: Seeking Answers for Rare Conditions
Rare diseases with unknown origins? Hello Dr. Chen, I have been suffering from pain for over ten years. Thank you for taking the time to read my message. Ten years ago, I experienced lower back pain and was diagnosed with mild bone spurs. However, after starting physical therapy...
Dr. Chen Bozhang Reply:
Hello! If you are unsure about the cause of your discomfort, it is recommended to visit a family medicine clinic at a regional hospital or higher for evaluation. Based on your condition and needs, further medical management can be arranged. Thank you![Read More] Unraveling the Mystery of Chronic Pain: Seeking Answers for Rare Conditions
Understanding GERD Symptoms During Exercise: A Comprehensive Guide
Gastroesophageal reflux, chest tightness, exercise? Hello, Doctor. I would like to seek your advice. I have noticed that during activities such as walking, brisk walking, running, climbing stairs (about three floors), right after taking a shower, or suddenly standing up after squ...
Dr. Liao Yaopan Reply:
Hello, based on the description above, if it is gastroesophageal reflux disease (GERD), it is advisable to seek proper treatment. You may first consult your family physician for evaluation, maintain a regular routine, ensure a balanced diet, and avoid excessive psychological stre...[Read More] Understanding GERD Symptoms During Exercise: A Comprehensive Guide