Managing Diabetes and Severe Depression: Long-Term Medication Concerns
I have diabetes and severe depression? I have diabetes and severe major depressive disorder. Cardiology: Somil S.C. Tab - 40mg or Diltiazem (Cartil) 60mg, take one at bedtime. Psychiatry: At bedtime: Zoloft (Sertraline) 50mg * 2 tablets, Mirtazapine 50mg * 2 tablets, Clonazep...
Dr. Ye Qianyu Reply:
Hello! For questions related to medication, it is advisable to discuss them directly with your prescribing physician. The medication you inquired about is generally considered relatively safe; however, please avoid consuming grapefruit or grapefruit juice, and be cautious with th...[Read More] Managing Diabetes and Severe Depression: Long-Term Medication Concerns
CT Scan with Non-Ionic Contrast: Diabetes and Medication Considerations
Non-ionic contrast agent for brain CT (computed tomography)? CT scan of the brain: I have had diabetes for 8 years, and my recent blood tests show normal kidney function. Below are the medications I am taking: Metabolism specialist: Metformin HCl 850 mg, Lyrica (pregabalin) 75 ...
Dr. Ye Qianyu Reply:
Hello! Here are the answers to your questions: Question 1: The medication that needs to be discontinued is "Metformin HCl 850mg." The discontinuation period is the day of the CT scan and the two days before and after, totaling five days. For example, if the CT scan is...[Read More] CT Scan with Non-Ionic Contrast: Diabetes and Medication Considerations
Understanding Pre-Diabetes: Blood Sugar Levels and What They Mean
Test values The patient discovered elevated fasting blood glucose levels ranging from 106 to 112 mg/dL through a family member's blood glucose meter. A subsequent hospital check showed a fasting blood glucose level of 107.1 mg/dL and a hemoglobin A1c level of 5.3%. Is this c...
Dr. Liu Hongxiang Reply:
Hello, online user: Fasting blood glucose testing requires an 8-hour fast, with normal values ranging from 70 to 99 mg/dL. The normal value for hemoglobin A1c is below 6. For prediabetes, blood glucose levels are less than 126 mg/dL but greater than 100 mg/dL. In the case mention...[Read More] Understanding Pre-Diabetes: Blood Sugar Levels and What They Mean
Understanding Fluctuations in Creatinine Levels: A Guide for Athletes
Creatinine issues Hello, doctor. During my freshman year (now preparing to enter my senior year), I had an entrance health examination, and my test results showed CR: 1 and BUN: 16, indicating normal kidney function. I have not had any chronic illnesses since childhood. I have be...
Dr. Wu Zongying Reply:
Hello: A long-term high-protein diet may increase the burden on the kidneys, so it is advisable to pay attention to your diet. Your last creatinine level from the nephrology department at the major hospital was still normal; however, your previous creatinine test at the clinic wa...[Read More] Understanding Fluctuations in Creatinine Levels: A Guide for Athletes
Understanding Prediabetes: A Doctor's Insight on Your Health Concerns
Doctor, I apologize for bothering you again? Hello, I always want to confirm whether I am currently in a prediabetic state. I have a chronic illness, and I am committed to taking good care of my body. I also appreciate the doctor's advice. I interpreted the doctor's rec...
Dr. Wu Zongying Reply:
Hello: First, don't worry. You are currently not in the prediabetic range (fasting blood glucose levels should be between 100-126 mg/dL). It is recommended that you exercise more and engage in outdoor activities, as this is beneficial for both your physical and mental well-b...[Read More] Understanding Prediabetes: A Doctor's Insight on Your Health Concerns
Am I at Risk for Prediabetes? Understanding Blood Sugar Levels
I am unsure if my blood sugar issues indicate prediabetes? Hello Doctor, let me describe my situation: Two and a half years ago, during a physical examination, my fasting blood glucose was 85 mg/dL, with no signs of diabetes, and the rest of the military examination results were ...
Dr. Wu Zongying Reply:
Hello: According to your current blood glucose test report, you have not yet reached the criteria for diabetes. The diagnostic criteria for diabetes (which must be confirmed on different days) are: fasting blood glucose levels of 126 mg/dL or higher, postprandial or random blood ...[Read More] Am I at Risk for Prediabetes? Understanding Blood Sugar Levels
Managing Health: Is Regular Exercise and Diet Enough for Wellness?
Regarding the previous question? Hello, I am the same person who asked the question last time. So, it's not prediabetes. I maintain a regular exercise routine (I usually walk for 40 minutes) and eat well. Can I feel reassured that this is a proper approach?
Dr. Wu Zongying Reply:
Hello: Regarding exercise: Since you are still young, unless there are abnormalities in physical movement, I recommend that you do not limit yourself to just walking or strolling. Instead, focus on aerobic exercises such as running and playing sports, which can increase metabolis...[Read More] Managing Health: Is Regular Exercise and Diet Enough for Wellness?
Experiencing Foot Numbness After Taking Japanese B-Complex Supplements?
After taking the Japanese B-complex supplement, I experienced numbness in the soles of my feet? Hello Doctor: I am a 54-year-old woman with two children, currently taking medications for heart disease, pseudodiabetes, and sleeping pills (taken before bed). I have been experiencin...
Dr. Wu Zongying Reply:
Hello: If you confirm that the numbness in your feet is caused by taking the medication, you may consider discontinuing it. Aside from the elderly, those with poor dietary habits, or individuals with gastrointestinal absorption issues, vitamins can typically be obtained from natu...[Read More] Experiencing Foot Numbness After Taking Japanese B-Complex Supplements?
Understanding Blood Sugar Levels and Skin Issues: A Comprehensive Guide
Blood glucose test Hello, Doctor! I have some questions regarding my blood sugar issues. Last year, my hemoglobin A1c was 5.5, and my fasting blood glucose was 85. Since last year, I have noticed some skin changes that resemble hyperpigmentation. I had a biopsy done on my arm, an...
Dr. Wu Zongying Reply:
Hello: Based on the blood test data you provided, your current HbA1c (glycated hemoglobin) and fasting blood glucose levels do not meet the criteria for a diabetes diagnosis. Acanthosis nigricans is typically caused by insulin resistance and can be reduced by controlling weight, ...[Read More] Understanding Blood Sugar Levels and Skin Issues: A Comprehensive Guide
Am I at Risk for Diabetes? Understanding Family History and Lifestyle Factors
Will I develop diabetes? Hello doctor, I have recently seen many reports indicating that individuals with a family history of diabetes are at a higher risk of developing the condition themselves. During my time in school before graduation, I rarely drank water, often consuming on...
Dr. Wu Zongying Reply:
Hello: Diabetes is related to genetics as well as lifestyle factors. Being overweight, lack of exercise, having a large waist circumference, and a high-calorie diet are all high-risk factors for diabetes. To prevent diabetes, one should focus on weight management, diet, and exerc...[Read More] Am I at Risk for Diabetes? Understanding Family History and Lifestyle Factors
Missed Fasting Before Health Check: What It Means for Your Health
Forgot to fast before the health check-up? Hello Doctor, during my last health check-up, I forgot to fast and had breakfast before going to the hospital for the tests. The results showed that my fasting blood glucose was "below" the standard range and my total cholester...
Dr. Wu Zongying Reply:
Hello: Here are answers to your questions: 1. If you undergo a health check after breakfast, your cholesterol levels may be elevated. 2. Individuals with anemia may experience dizziness, and their blood pressure may be low, with a slightly elevated heart rate. 3. Your hemoglobin ...[Read More] Missed Fasting Before Health Check: What It Means for Your Health
Understanding Blood Sugar Control: Are Your Symptoms a Sign of Diabetes?
Blood sugar control Hello, Doctor: After taking two tablets of medication (Shu Wei Yin and Fu Shi Ning), I started experiencing dry mouth and increased hunger. Since my mother has diabetes, I'm unsure if this is a side effect of the medication or a precursor to diabetes. I h...
Dr. Wu Zongying Reply:
Hello: Based on the description and information you provided in your letter, it appears that you have not yet reached the level of diabetes. The diagnostic criteria for diabetes include a fasting blood glucose level of 126 mg/dL or higher, a random or postprandial blood glucose l...[Read More] Understanding Blood Sugar Control: Are Your Symptoms a Sign of Diabetes?
Constant Hunger: Understanding Causes and Solutions for Unexplained Weight Loss
Always feeling hungry? Recently, I have been feeling hungry all the time. Not long after eating, I start to feel hungry again, and I don't feel full after meals. It's also difficult for me to fall asleep at night. My weight has dropped from 60 kg to 45 kg (I don't ...
Dr. Ye Qianyu Reply:
Hello! Based on your description, since your weight has decreased by more than 10% in a short period of time, it could be related to metabolic issues or an infection. It is recommended that you seek medical attention as soon as possible.[Read More] Constant Hunger: Understanding Causes and Solutions for Unexplained Weight Loss
Understanding Eosinophil Levels in Type 2 Diabetes: What You Need to Know
Eosinophils Type 2 diabetes diagnosed for 8 years. Blood test report shows Eosinophil count at 9.5% (normal range: 1-6%). Previous results include: 8.0% on May 28, 2020; 7.2% on December 26, 2019; 9.2% on May 25, 2019; and 7.6% on October 24, 2017. Other lab results: - AC: 115...
Dr. Xiao Yongxun Reply:
Dear Mr. AC: 1. The main causes of eosinophilia (eosinophilic leukocytosis) include allergic diseases, parasitic infections, and certain cancers (such as Hodgkin's lymphoma). Your eosinophil count is indeed slightly elevated, but not significantly so; it may be a normal var...[Read More] Understanding Eosinophil Levels in Type 2 Diabetes: What You Need to Know
Understanding Sleep-Related Numbness and Dizziness: Causes and Concerns
Numbness in the hands, feet, and head, as well as dizziness during sleep? Hello Dr. Hsiao, Over the past year, I have experienced intermittent numbness in my hands, feet, and head while sleeping. This does not occur continuously but happens during the sleep process. It seems to ...
Dr. Xiao Yongxun Reply:
Dear Miss, 1. There are many causes for numbness in the hands, feet, and head; more common and serious issues include atherosclerosis, atrial fibrillation, gout, hypertension, diabetes, cervical and lumbar spine diseases, vitamin deficiencies, and autonomic nervous system disord...[Read More] Understanding Sleep-Related Numbness and Dizziness: Causes and Concerns
Understanding Blood Sugar Levels in Children with Influenza Fever
Blood sugar levels in children with influenza and fever? Dear Doctor, Last October, my son (6 years and 3 months old) had a fever due to influenza for five days and had some small red spots on his hands. We went to the clinic for a follow-up, and the doctor referred us to a maj...
Dr. Xiao Yongxun Reply:
Dear Mr. Kelvin: 1. There are many diseases associated with fever and rash in children. In our country, it is particularly important to consider varicella (chickenpox), measles, rubella, roseola, enterovirus infections, scarlet fever, infectious erythema, Kawasaki disease, dengu...[Read More] Understanding Blood Sugar Levels in Children with Influenza Fever
Unexplained Skin Itching: Causes and When to Seek Medical Advice
Unexplained skin itching? Hello doctor, at the beginning of May, one morning I woke up and suddenly my knees were itchy, but it stopped after about an hour. About a week ago, the back of my right hand suddenly became itchy for no apparent reason, which lasted intermittently for a...
Dr. Xiao Yongxun Reply:
Dear Mr. Guang: Itching due to skin disorders is commonly associated with the following conditions: 1. Infections: fungal infections, bacterial infections, scabies, and lice infestations. 2. Inflammatory responses: psoriasis, seborrheic dermatitis, pityriasis rosea, xerotic de...[Read More] Unexplained Skin Itching: Causes and When to Seek Medical Advice
Understanding Fasting Blood Sugar Levels in Prediabetes: Key Insights
Prediabetes Blood Sugar Issues Hello Dr. Huang: I am 42 years old, with a standard build (166 cm/55 kg). At the beginning of January, my blood donation report indicated a hemoglobin A1c of 6.5, and I was advised to seek medical attention. Two weeks later, I visited the doctor, an...
Dr. Huang Xunying Reply:
Generally, postprandial blood glucose levels are higher than preprandial levels; however, this may vary depending on dietary content and individual factors such as insulin sensitivity and the secretion levels of insulin and glucagon. It is recommended to follow up with your physi...[Read More] Understanding Fasting Blood Sugar Levels in Prediabetes: Key Insights
Understanding Pre-Diabetes: Your Concerns Addressed
Yesterday's issue? Hello, I have some questions regarding your response from yesterday: (1) When you said "currently there is no diabetes," does that mean I might be in the prediabetic stage and could develop diabetes later? Is that why you advised me to get tested...
Dr. Ye Qianyu Reply:
Hello! Based on the data you provided, you currently do not have diabetes. Since you do not have a family history, your chances of developing diabetes are low, provided you maintain good dietary and exercise habits. If you are really concerned, in the current healthcare environme...[Read More] Understanding Pre-Diabetes: Your Concerns Addressed
Exploring Causes of Hand and Foot Numbness Beyond Diabetes
Dear Dr. Hsiao, aside from diabetes, what are the other possible causes of numbness in the hands and feet? Today's lab report is out: fasting blood glucose is 80 mg/dL, and hemoglobin A1c is 5.7, so I should not have diabetes, right? Ever since I started experiencing numbnes...
Dr. Xiao Yongxun Reply:
Dear Mr. Luka: 1. There are many diseases that can lead to numbness or abnormal sensations in the hands and feet, including common conditions such as vascular compression, diabetes, peripheral neuropathy, peripheral vascular disease, degenerative spinal disorders, herniated dis...[Read More] Exploring Causes of Hand and Foot Numbness Beyond Diabetes