Am I at Risk for Diabetes or Prediabetes? Understanding Symptoms and Tests
Is it diabetes or prediabetes? Hello, I would like to ask you about diabetes. Here are my conditions/test results listed below: [Two and a half years ago] Newborn health check showed fasting blood glucose of 75 mg/dL; liver, kidney, and other tests were normal. [One and a hal...
Dr. Ye Qianyu Reply:
Hello! Based on the information you provided, there is currently no risk of diabetes, and it is recommended that you follow up in six months. The symptom of dry mouth is quite nonspecific; staying up late and insufficient hydration can both cause dry mouth. It is advisable to ade...[Read More] Am I at Risk for Diabetes or Prediabetes? Understanding Symptoms and Tests
Essential Tests for Diabetes Diagnosis and Dietary Guidance
Dear Dr. Hsiao: What tests should be done to diagnose diabetes? When visiting a medical laboratory for tests, what should be checked? Should I test for fasting blood glucose levels, hemoglobin, or other items? Additionally, if someone has diabetes, can they consume sugar-free bev...
Dr. Xiao Yongxun Reply:
Dear Mr. Luka: 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. HbA1c ≥6.5...[Read More] Essential Tests for Diabetes Diagnosis and Dietary Guidance
Understanding Blood Sugar Levels: Should You Be Concerned?
About diabetes? A few days ago, I experienced dry mouth and felt hungry while on an empty stomach, so I visited my family doctor. He conducted blood and urine tests and informed me that everything was normal. My fasting blood glucose level was 99 mg/dL (as he told me), and after ...
Dr. Ye Qianyu Reply:
Hello! Based on the information you provided, your blood glucose levels are still within the normal range. If you have concerns about your test results, it is advisable to request a copy of the report and seek a second opinion.[Read More] Understanding Blood Sugar Levels: Should You Be Concerned?
Understanding Type 1 Diabetes in Women: Pregnancy and Genetic Risks
Fertility in Women with Type 1 Diabetes Hello, doctor. Recently, my girlfriend (who has type 1 diabetes, diagnosed at 18 years old and currently 27) and I have started considering marriage and entering the next stage of our lives. I would like to ask the doctor: 1. Is the probabi...
Dr. Hou Angting Reply:
Obstetrics and Gynecology (OB/GYN)[Read More] Understanding Type 1 Diabetes in Women: Pregnancy and Genetic Risks
Understanding Low Body Temperature: Should You See a Doctor?
I would like to inquire about the state of hypothermia? Hello Doctor: I previously had an examination at the metabolic department. Aside from being overweight and having a BMI above the normal range, all other values related to pituitary secretion, adrenaline, thyroid function, a...
Dr. Liao Yaopan Reply:
Hello, regarding the above content, it is not recommended to use hypoglycemic medications if there is no diabetes. When measuring body temperature, it is important to ensure that the method used is correct. Weight control must rely on both diet and proper exercise. It is advised ...[Read More] Understanding Low Body Temperature: Should You See a Doctor?
Understanding Dizziness, Skin Itching, and Unusual Appetite Issues
Dizziness, skin itching, and unusual appetite? Hello, doctor. I have some questions regarding my dizziness issue that has persisted for many years. Since my student days, I have experienced unexplained dizziness, sometimes to the point of pain, and my heart races significantly. O...
Dr. Cai Dongqi Reply:
Hello, regarding your dizziness, I recommend that you consult a neurologist for further examination. Additionally, your appetite changes and itching may be related not only to physiological symptoms but also to psychological states. It is advisable to relax and, if necessary, see...[Read More] Understanding Dizziness, Skin Itching, and Unusual Appetite Issues
Concerns About Wound Infection from Shellfish Exposure
Questions about wound infection? Hello Doctor, not long ago while I was rinsing my mouth with water, the faucet next to me was being used to clean a container that previously held live clams, and I had a sore in my mouth at the same time. I would like to ask the doctor: 1) Is the...
Dr. Xiao Yongxun Reply:
Dear Mr. KEN: 1. Theoretically, any wounds on the skin or mucous membranes can be susceptible to Vibrio vulnificus; however, not everyone will develop an infection. Those at higher risk include patients with liver cirrhosis, hepatitis, diabetes, alcoholism, kidney disease, stero...[Read More] Concerns About Wound Infection from Shellfish Exposure
Understanding Dizziness and Head Pain in Elderly Patients: Causes and Solutions
Elderly individuals experiencing dizziness, headaches, and numbness in the head? Hello Dr. Tsai, My mother is 80 years old. Her medical history includes hypertension for which she takes Lercanidipine 50mg. She does not have diabetes, her liver function tests are normal, and her...
Dr. Cai Dongqi Reply:
Hello, first, check if the blood pressure is stable. A reading of 140-100/90-60 is considered normal. Be aware that blood pressure medications may have side effects such as dizziness (it is advisable to consult the prescribing physician). Secondly, consider the possibility of cer...[Read More] Understanding Dizziness and Head Pain in Elderly Patients: Causes and Solutions
Understanding the Link Between Candida Infections and Diabetes
Candida albicans and Diabetes Mellitus Hello, Doctor: I have been troubled by recurrent white Candida infections in the genital area for the past few years. Although applying medication improves the condition within a few days, I found articles suggesting that recurrent infection...
Dr. Ye Qianyu Reply:
Hello! Based on your description, you have not yet met the diagnostic criteria for diabetes, and your blood sugar levels are relatively normal. Therefore, the infection you are experiencing is likely not related to your blood sugar levels. Given that you have reported recurrent c...[Read More] Understanding the Link Between Candida Infections and Diabetes
Understanding the Impact of Short vs. Long-Term High-Intensity Interval Training
Exercise-related issues? Hello Doctor: I would like to ask a follow-up question regarding TABATA. I understand that short-term high-intensity interval training (less than 12 weeks) can improve maximum oxygen uptake, diastolic blood pressure, and fasting blood glucose levels in ov...
Dr. Xiao Yongxun Reply:
1. The "Evidence-Based Guidelines for the Prevention and Management of Adult Obesity," published by Taiwan's Ministry of Health and Welfare in November 2018, is a consensus reached through discussions among experts and scholars who reviewed global studies and repor...[Read More] Understanding the Impact of Short vs. Long-Term High-Intensity Interval Training
Can Tabata Workouts Effectively Lower Blood Sugar Levels?
Blood sugar issues Hello Doctor: I am in the prediabetic stage, with blood sugar levels around 110, and I have not yet reached diabetes. Therefore, I want to establish a regular exercise routine to prevent the onset of diabetes. I have a question regarding the recent popularity o...
Dr. Liao Yaopan Reply:
Hello, different types of exercise have their own training components and varying intensities, which naturally lead to different fitness outcomes. It is advisable to incorporate various forms of exercise, including aerobic, cardiovascular, and strength training, based on appropri...[Read More] Can Tabata Workouts Effectively Lower Blood Sugar Levels?
Can Tabata Workouts Effectively Lower Blood Sugar Levels?
Blood sugar issues Hello Doctor: I am in the prediabetic stage, with blood glucose levels around 110, and I have not yet developed diabetes. Therefore, I want to establish a regular exercise routine to prevent the onset of diabetes. I have a question regarding the recently popula...
Dr. Xiao Yongxun Reply:
Dear Mr. Lin Sen: 1. TABATA is primarily a form of high-intensity interval training (HIIT); it involves performing maximum intensity exercise for 20 seconds, followed by a 10-second rest, repeated for a total of 8 rounds, resulting in an overall duration of about 4 minutes. It c...[Read More] Can Tabata Workouts Effectively Lower Blood Sugar Levels?
Understanding Your Health Check Report: Key Insights on Kidney Function and Cholesterol
Regarding the health examination report? Hello, doctor. I had an adult health check at the health center in April and have some questions. Currently, the test results show some issues: GOT: 18 (normal range 0-39), GPT: 15 (normal range 0-41), creatinine: 1.0 (<1.3), and glomer...
Dr. Xiao Yongxun Reply:
Dear Mr. Anonymous: 1. Estimated Glomerular Filtration Rate (eGFR): The commonly used formula is MDRD-Simplified GFR (mL/min/1.73 m²) = 186 × Scr⁻¹.154 × Age⁻⁰.²⁰³ × 0.742 (if female). 2. Chronic Kidney Disease (CKD) refers to kidney damage due to long-term inflammation (such a...[Read More] Understanding Your Health Check Report: Key Insights on Kidney Function and Cholesterol
Managing Pre-Diabetes: Can Drinking Water Help Lower Blood Sugar?
Diabetes issues Doctor, my blood sugar level is currently 117 (my father has diabetes). The doctor said that I don't need medication for control yet, but there are many things I shouldn't eat too much of. I would like to ask, if I consume more sugary foods on a given da...
Dr. Hou Angting Reply:
Hello, this user. The level of sugar is related to the total caloric intake and will not decrease blood sugar levels simply by drinking more water. Therefore, managing diet and engaging in moderate exercise are very important during the prediabetic stage. I hope this answers your...[Read More] Managing Pre-Diabetes: Can Drinking Water Help Lower Blood Sugar?
Understanding Niacin's Impact on Blood Sugar Levels in Seniors
Issues related to niacin? Hello Doctor, my mother is 62 years old. A year ago, she was recommended to take niacin supplements. Recently, she underwent a health check-up, and her coronary artery calcium score was 3. Her cholesterol levels are normal, but her fasting blood glucose ...
Dr. Xiao Yongxun Reply:
Dear Ms. Xiao Zhen, 1. Clinically, Niacin can be used as a medication; Niacin is also known as vitamin B3. Its primary function is to reduce VLDL levels, as LDL is synthesized from VLDL. Therefore, Niacin also lowers LDL levels in patients, meaning it can reduce bad cholesterol....[Read More] Understanding Niacin's Impact on Blood Sugar Levels in Seniors
Understanding Fluctuations in Blood Sugar and Cholesterol Levels
High blood sugar and high cholesterol? Hello doctor, in 2017 during my company's health check, my fasting blood glucose was 103 and total cholesterol was 214. Therefore, on January 28 of this year, I went to Taipei Medical University Hospital for a blood test for glucose and...
Dr. Xiao Yongxun Reply:
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. HbA1c ≥6.5% (must not ...[Read More] Understanding Fluctuations in Blood Sugar and Cholesterol Levels
How to Prevent Infections from Minor Skin Injuries on the Nose
Questions about inflammation prevention? Hello doctor, recently my nose has been chafed by my glasses, resulting in a small skin wound with a little bleeding. What can I do to prevent inflammation, such as cellulitis, in this type of wound? Thank you.
Dr. Xiao Yongxun Reply:
Dear Mr. Chen: 1. Unless one has diabetes, immunocompromising conditions, is taking immunosuppressants, or has other specific reasons, it is not easy for cellulitis to occur in the face due to good tissue circulation. 2. That said, occasional cases of facial cellulitis are stil...[Read More] How to Prevent Infections from Minor Skin Injuries on the Nose
Understanding the Connection Between Weight Loss and Blood Pressure
Weight Loss and Blood Pressure Dear Dr. Hsiao, I would like to inquire about the relationship between weight loss and blood pressure. Recently, I measured my blood pressure, which was approximately 115 (systolic)/83-87 (diastolic) after several measurements. My weight is around ...
Dr. Xiao Yongxun Reply:
Dear Mr. Ah-Xiang: 1. Normal blood pressure is defined as systolic pressure < 102 mmHg and diastolic pressure < 80 mmHg. Hypertension is generally defined as systolic pressure ≥ 140 mmHg or diastolic pressure ≥ 90 mmHg. An increase of 20 mmHg in systolic pressure or 10 mmH...[Read More] Understanding the Connection Between Weight Loss and Blood Pressure
Understanding Elevated Fasting Blood Sugar with Normal HbA1c Levels
Fasting blood glucose is elevated, but glycated hemoglobin (HbA1c) levels are normal? I have undergone five health check-ups over the past two years, and each time my fasting blood glucose has been around 110 mg/dL. However, my hemoglobin A1c has consistently been around 5.3%. Du...
Dr. Hou Angting Reply:
Currently, the diagnosis of diabetes is assessed based on both fasting blood glucose and glycated hemoglobin levels. According to your situation, a high fasting blood glucose level with a normal glycated hemoglobin level can rule out diabetes. However, it is important to maintain...[Read More] Understanding Elevated Fasting Blood Sugar with Normal HbA1c Levels
Why Does Lying Flat Cause Head Pressure? Common Causes and Solutions
Headache when lying flat? Hello Doctor: When I lie flat without a pillow, I feel like blood rushes to my head, causing a sensation of fullness and discomfort. After a few minutes, I experience some pain in my head and a bit of nasal discharge, but it eventually subsides. What cou...
Dr. Xiao Yongxun Reply:
Dear Mr. PS: 1. Please first schedule an appointment with a neurologist. 2. Please provide a detailed description of your symptoms: How long have you been feeling unwell? What is the nature and duration of your headaches? Are there any specific neurological abnormalities? Do y...[Read More] Why Does Lying Flat Cause Head Pressure? Common Causes and Solutions