Diet, Family Medicine FAQ - Page 10

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Can Family History of Diabetes Be Tested? Understanding Risks and Prevention

Diabetes medical history Hello, Doctor: I would like to ask if a history of diabetes can be identified. Two weeks ago, my aunt told me that there is a family history of diabetes. She mentioned that my father's grandmother or great-grandmother (I can't quite remember who...


Dr. Wu Zongying Reply:
Hello: The diabetes history of your aunt, grandmother, or maternal grandmother is considered part of your family medical history. Having a family history of diabetes does increase the likelihood of developing the condition. However, lifestyle management is actually more important...

[Read More] Can Family History of Diabetes Be Tested? Understanding Risks and Prevention


Understanding Low Lymphocyte Levels: Causes and Health Implications

Low lymphocyte count? Doctor, I have had three blood tests in the past two years, and my lymphocyte counts were 19.9, 19.6, and 19.2 (with a normal range of 20-45). What does a low count indicate? What diseases could potentially cause this? What should I pay attention to regardin...


Dr. Wu Zongying Reply:
Hello: A low lymphocyte count does not necessarily require treatment. However, it is important to pay attention to whether the neutrophil percentage is elevated in the current test report, as this information was not provided. Additionally, the various classifications of white bl...

[Read More] Understanding Low Lymphocyte Levels: Causes and Health Implications


Effective Weight Loss Strategies for Managing Abdominal Obesity

How to lose weight? My waist circumference is 97 cm, my weight is 99.2 kg, and my body mass index (BMI) is 28.98. I currently want to lose weight, and my main methods include walking for 40 minutes, doing push-ups, and cycling. Before the age of 23, my weight was mostly in the 70...


Dr. Wu Zongying Reply:
Hello: Weight loss primarily relies on dietary control; exercise is beneficial for the body but may not lead to significant weight loss unless combined with dietary management. In terms of diet, it is advisable to avoid fried foods (such as fried chicken cutlets, fried chicken le...

[Read More] Effective Weight Loss Strategies for Managing Abdominal Obesity


Understanding Fluctuating Blood Pressure: When to See a Doctor

Occasional hypertension? Hello doctor, I have recently developed a habit of measuring my blood pressure due to feelings of chest tightness. Sometimes my first reading is around 130/82, but if I measure again after three to five minutes, it tends to be within the normal range of 1...


Dr. Wu Zongying Reply:
Hello: Without your height, weight, BMI, and blood test results, it is difficult to make a comprehensive assessment. However, based on the blood pressure values you provided, there is currently no need for medical attention. Nonetheless, a light diet, regular exercise, and weight...

[Read More] Understanding Fluctuating Blood Pressure: When to See a Doctor


How Long Can High Blood Sugar Last Before Affecting Health?

How long can persistent high blood sugar affect the body? Grandpa is a long-term diabetes patient. After being diagnosed with diabetes by a Western doctor, he continued to seek treatment at an unlicensed traditional Chinese medicine clinic for a year, believing that they could cu...


Dr. Wu Zongying Reply:
In patients with type 2 diabetes who have poorly controlled or elevated blood glucose levels, intracellular fluid shifts into the bloodstream, leading to hyperosmolarity, which can cause altered consciousness and dehydration. This condition is referred to as Hyperglycemic Hyperos...

[Read More] How Long Can High Blood Sugar Last Before Affecting Health?


Optimal HbA1c Levels for Managing Prediabetes: What You Need to Know

Glycated hemoglobin control Hello, my older brother, who is currently 32 years old, has prediabetes and regularly follows up on his hemoglobin A1c levels. Initially, in 2017, his A1c level was 9.5%. After our mother purchased health supplements from Grape King, he managed to lowe...


Dr. Wu Zongying Reply:
If the glycated hemoglobin (HbA1c) level is 9.5%, it does not fall into the category of prediabetes. It is recommended to further test fasting blood glucose or postprandial blood glucose to assist in diagnosis. Blood sugar control must be consistent every day, with attention to d...

[Read More] Optimal HbA1c Levels for Managing Prediabetes: What You Need to Know


Understanding Manganese Toxicity: Risks and Daily Intake Concerns

Manganese poisoning (heavy metal poisoning) Hello, doctor. I have been worried about the possibility of manganese poisoning lately because I found online that the daily intake limit for adults is only 9.6 mg of manganese. However, the foods I consume daily often contain 2000 mg o...


Dr. Liao Yaopan Reply:
Manganese is a trace element required by the body, primarily obtained through the consumption of manganese-containing foods or water. Most of the manganese is excreted through feces, with only about 3-5% being absorbed into the body. Under normal physiological conditions, the bod...

[Read More] Understanding Manganese Toxicity: Risks and Daily Intake Concerns


Medication Consultation: Managing Antihistamines and Supplements Safely

Medication consultation Hello Doctor, I am currently taking the following medications: 1. Xyzal (levocetirizine dihydrochloride) 5mg, an antihistamine (*for the treatment of urticaria) → The doctor advised me to take one tablet after breakfast and one after dinner, totaling 2 t...


Dr. Wu Zongying Reply:
Hello: The first medication you are taking is an antihistamine, and it is recommended not to use it long-term once the urticaria subsides. You may also consider testing for allergens to identify what substances you are allergic to. The second medication is a female hormone therap...

[Read More] Medication Consultation: Managing Antihistamines and Supplements Safely


Understanding Low Blood Pressure: Causes and Concerns in Family Medicine

Regarding the issue of low blood pressure? Hello Doctor, I would like to inquire about blood pressure issues. Both my husband and I generally have low blood pressure; when sitting, it usually measures around the 90s/60s, and at its highest, it can reach around 100s/70s, while at ...


Dr. Wu Zongying Reply:
Hello: Actually, lying flat does not lower systolic blood pressure; your dizziness may need to be considered in light of other issues. Generally speaking, if blood pressure is slightly below normal but there are no underlying heart conditions or discomfort, there is no need for c...

[Read More] Understanding Low Blood Pressure: Causes and Concerns in Family Medicine


Which Specialist Should You See for Cholesterol and PCOS Issues?

Which doctor should I see? Hello Doctor, my current blood pressure is 165/50. I have been a vegetarian since childhood and have a relatively thin build. During my last health check-up, I found out that my cholesterol levels are high: high-density lipoprotein (HDL) is 59, and low-...


Dr. Wu Zongying Reply:
Hello: Polycystic Ovary Syndrome (PCOS) is often associated with being overweight. Individuals with higher body weight are more likely to experience increased secretion of insulin and androgens, leading to ovulatory dysfunction. If you are overweight, please manage your diet and ...

[Read More] Which Specialist Should You See for Cholesterol and PCOS Issues?


Understanding Blood Sugar Levels: Should You Be Concerned?

Blood sugar issues? Hello doctor, I had blood and urine tests done earlier this year, and everything was normal, but my blood sugar was 91, which seems to be on the borderline of normal. Recently, I've been sweating easily, and I'm worried that I might have diabetes. Sh...


Dr. Wu Zongying Reply:
Hello: Your previous blood glucose level was 91 mg/dL. Although you have issues with being overweight and a higher BMI, it is unlikely that you will develop diabetes quickly from the beginning of the year until now. I would like to know what your weight was at the beginning of th...

[Read More] Understanding Blood Sugar Levels: Should You Be Concerned?


Chronic Constipation: Seeking Effective Solutions Beyond Laxatives

Bowel issues (constipation) Hello Doctor: I used to have occasional constipation issues, but they were infrequent. However, about a year ago, I started experiencing persistent constipation that has continued intermittently until now. My previous bowel habits were quite normal, wi...


Dr. Ye Qianyu Reply:
Hello! Based on your description, the presence of hard and dry stools indicates that you are still experiencing dehydration issues. It is recommended that you drink warm clear broth or adequately increase your fluid intake. Be mindful of the balance of fluid intake and output; so...

[Read More] Chronic Constipation: Seeking Effective Solutions Beyond Laxatives


Understanding Cholesterol and Liver Enzymes: Risks and Recommendations

Cholesterol issues? Hello Dr. Hsiao, about a year ago, I had blood tests done at the family medicine department of the hospital and found that my ALT liver enzyme levels were around 40-60, and my cholesterol levels were 217, 207, and 224. During my last school health check, my li...


Dr. Xiao Yongxun Reply:
Dear Mr. Cc: 1. If total cholesterol and low-density lipoprotein (LDL) cholesterol levels are elevated over the long term, the risk of cardiovascular diseases, cerebrovascular diseases, and peripheral artery diseases increases. Clinical management primarily involves lifestyle mo...

[Read More] Understanding Cholesterol and Liver Enzymes: Risks and Recommendations


Understanding High Ferritin Levels: What You Need to Know

The ferritin (EIA) index in the health examination report is elevated? Hello Doctor, I had a health check-up at the municipal hospital on September 22 (pre-marital check-up), which included blood, urine, stool tests, ultrasound, and X-rays. Today I received the report, and only t...


Dr. Wu Zongying Reply:
Ferritin is a molecule that combines trivalent iron (Fe3+) with apoferritin, serving as a storage form of iron in the body, which can be utilized by hematopoietic cells for hemoglobin synthesis. An increase in ferritin levels can be attributed to various causes, including inflamm...

[Read More] Understanding High Ferritin Levels: What You Need to Know


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 Symptoms: When to Seek Medical Help for Breathing Issues

Shortness of breath, rapid heartbeat, insomnia, constipation? I am currently a high school student with no obesity issues and no history of congenital heart disease or asthma. A few years ago, a traditional Chinese medicine practitioner suggested that I might have an arrhythmia, ...


Dr. Huang Hongshuo Reply:
Please measure your blood pressure and heart rate once or twice a day, noting the time and any activities prior to measurement, as well as whether you are experiencing any discomfort at that time. Your current diet is significantly unbalanced; please consult a nutritionist about ...

[Read More] Understanding Symptoms: When to Seek Medical Help for Breathing Issues


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


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?


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