Understanding Fasting Insulin Levels: What Do They Mean for Your Health?
Fasting insulin Hello Doctor, thank you for taking the time to respond to my questions! I previously went to the hospital (Metabolism Department) to check for any diabetes-related issues. At that time, my diet remained unchanged, my exercise was moderate, and my stress levels wer...
Dr. Liao Yaopan Reply:
Hello, regarding the aforementioned report, the opinion of the endocrinologist is similar, and there is no diabetes. Type 1 diabetes is characterized by a lifelong deficiency in insulin production from the pancreas, which is different from insulin resistance, which is more common...[Read More] Understanding Fasting Insulin Levels: What Do They Mean for Your Health?
Understanding OGTT Results: High Fasting Blood Sugar and Discrepancies Explained
OGTT blood test report Hello, Doctor. I have been experiencing elevated fasting blood glucose levels for some time, with readings ranging from 95 to 126, mostly between 95 and 105. Therefore, I visited the Metabolism Department for fasting and OGTT (Oral Glucose Tolerance Test) w...
Dr. Xiao Yongxun Reply:
Dear Ms. Cherry: 1. Clinically, to diagnose diabetes mellitus, physicians often have fasting patients consume a glucose solution containing 75 grams of glucose. If two tests show postprandial plasma glucose levels ≥200 mg/dL, a diagnosis of diabetes can be made. 2. According to...[Read More] Understanding OGTT Results: High Fasting Blood Sugar and Discrepancies Explained
Managing Prediabetes: Balancing Carbs, Weight Loss, and Blood Sugar Levels
Prediabetes Hello Doctor, I apologize for the interruption, but I would like to ask a question. I was diagnosed last August with a fasting blood sugar of 115 mg/dL, HbA1c of 5.8%, and a weight of 79 kg. By April of this year, my fasting blood sugar was 108 mg/dL, HbA1c was 5.7%...
Dr. Ye Qianyu Reply:
Hello! Based on the information you provided, you are currently not in the prediabetic stage. Through dietary and exercise control, both your blood glucose and glycated hemoglobin levels have improved, leading to weight loss, and it is not due to hyperglycemia causing cachexia. I...[Read More] Managing Prediabetes: Balancing Carbs, Weight Loss, and Blood Sugar Levels
Understanding Diabetes: Key Questions on Symptoms and Treatment
Some questions regarding diabetes? Hello, doctor. I am a university student majoring in biomedical sciences, and I am currently working on a paper discussion topic. My report is about the use of Ephedra to treat hyperglycemia and oxidative stress caused by diabetes. Initially, I ...
Dr. Liu Hongxiang Reply:
Hello, university student: If you are currently experiencing any symptoms of diabetes, the best solution is to visit a hospital for testing, as you may receive results on the same day. Streptozotocin is used in medical research to establish animal models for Type 1 diabetes, whil...[Read More] Understanding Diabetes: Key Questions on Symptoms and Treatment
Understanding Unintentional Weight Loss: When to Seek Medical Advice
Weight loss within six months? Hello, doctor. This inquiry is on behalf of my mother. She is currently 56 years old and has experienced a weight loss from 61 kg to around 56 kg over the past 5 to 6 months, without any dieting or exercise. My mother is a teacher and often skips lu...
Dr. Ye Qianyu Reply:
Hello! It is recommended to visit the Metabolism Clinic for consultation.[Read More] Understanding Unintentional Weight Loss: When to Seek Medical Advice
Understanding Prolonged Diarrhea and Weight Loss: Key Questions for Family Medicine
More detailed questions? Hello Doctor, I am the person who asked question #206159. I have more related questions today as mentioned in the previous article. My mother has been experiencing diarrhea for two months, accompanied by weight loss, dropping from around 55 kg to 48 kg. H...
Dr. Ye Qianyu Reply:
Hello! If probiotics are helpful, you can continue taking them and gradually reduce the dosage. It's important to maintain a balanced diet that includes all six essential nutrients. Additionally, inquire about the source of the eggs and whether they are cooked, considering t...[Read More] Understanding Prolonged Diarrhea and Weight Loss: Key Questions for Family Medicine
Understanding Chronic Diarrhea and Weight Loss: A Guide for Families
Diarrhea and weight loss? Hello doctor, I hope you can help me with my concerns. This is regarding my mother. Recently, she has been experiencing diarrhea for two months, and she has lost weight. Every weekday at noon, whenever she eats, she starts to have abdominal pain and rush...
Dr. Ye Qianyu Reply:
Hello! Since diarrhea can lead to weight loss, please continue your treatment in the hepatobiliary and gastroenterology department. If your weight continues to decrease by more than 5-10% and the cause remains undetermined, please consult the endocrinology department.[Read More] Understanding Chronic Diarrhea and Weight Loss: A Guide for Families
Effective Strategies to Reduce Belly Fat: A Guide for Young Adults
Abdominal obesity issue I have a belly bulge that I've had since I was 23 years old. How can I lose belly fat? Is my metabolism slow?
Dr. Lin Zhebin Reply:
Hello: The general methods for weight loss primarily involve dietary control combined with exercise. Additionally, it is important to consider whether there are any underlying medical conditions contributing to obesity, or if pharmacological assistance for weight loss may be appr...[Read More] Effective Strategies to Reduce Belly Fat: A Guide for Young Adults
Understanding Weight Loss After COVID-19: When to Seek Help
Weight loss Hello doctor, I had COVID-19 and developed sequelae in early February, including shortness of breath and coughing. I have seen a doctor about this. After that, I started staying up late during the winter break, and my weight went from 49 kg to now. I have begun eating...
Dr. Lin Zhebin Reply:
Hello: The general definition of significant weight loss is a decrease of 5 kilograms or 5% of body weight within six months to a year. Given your current weight and the fact that you have lost 1.2 kilograms in half a month, it is indeed necessary to consider the possibility of a...[Read More] Understanding Weight Loss After COVID-19: When to Seek Help
Understanding Blood Test Results: Impact of Fasting on Diabetes Diagnosis
Please ask your questions regarding blood tests? Hello, doctor. Last November (2023), I experienced some health issues. Starting around June 2023, I noticed increased appetite, thirst, and urination, but my weight did not decrease. I went to the hospital for a consultation and ha...
Dr. Xiao Yongxun Reply:
Dear Mr. Zhang: 1. Your questions should be discussed with your primary care physician, as there are many factors that need to be considered. 2. According to the American Diabetes Association's diagnostic criteria for diabetes: a. Fasting plasma glucose level ≥ 126 mg/dL af...[Read More] Understanding Blood Test Results: Impact of Fasting on Diabetes Diagnosis
Unexplained Symptoms: Navigating Complex Health Issues in Family Medicine
Unknown etiology? My normal body temperature ranges from 36.4 to 37.3 degrees Celsius. I have a history of fatty liver disease, and my mother and her relatives have issues related to hypertension, hyperlipidemia, and gastrointestinal problems. My father's side has a history ...
Dr. Xiao Yongxun Reply:
Dear Mr. Lseedead: 1. Since you have been hospitalized and undergone many tests that all returned normal results, I believe that given your age, there shouldn't be any significant issues. 2. The pulmonologist and infectious disease specialist have reviewed your imaging and ...[Read More] Unexplained Symptoms: Navigating Complex Health Issues in Family Medicine
Is Rapid Weight Loss Normal? Insights from Family Medicine
Weight loss I would like to ask about my height of 178 cm. My weight has always fluctuated around 60 to 61 kg, and I have a body type that doesn't gain weight easily. I actually have a large appetite, but sometimes I only eat two meals a day without feeling unwell. Yesterday...
Dr. Xiao Yongxun Reply:
Dear Mr. Alex: 1. Your body mass index (BMI) is approximately between 18 and 19, which is considered to be in the range between a healthy weight and underweight. 2. [Yesterday your weight was 60.3 kg, and today it has decreased to 59.5 kg]: Since it is currently winter, wearing ...[Read More] Is Rapid Weight Loss Normal? Insights from Family Medicine
Understanding Blood Pressure: Is My Reading Considered Hypertension?
Blood pressure issues? Hello Doctor, I recently started monitoring my blood pressure. Previously, when I measured it at the hospital, I was unsure if it was due to anxiety, as it would often reach 140/79 or even above 150. After a few days of regular exercise, I measured it at ho...
Dr. Lin Zhebin Reply:
Hello: The definition of normal blood pressure is a systolic pressure of less than or equal to 120 and a diastolic pressure of less than or equal to 80. The definition of hypertension is a systolic pressure of greater than or equal to 140 or a diastolic pressure of greater than o...[Read More] Understanding Blood Pressure: Is My Reading Considered Hypertension?
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?
Rapid Fat Loss: When to Seek Medical Advice and Possible Causes
Rapid decrease in body fat? Doctor, I started working out a month ago and my body fat percentage decreased by 1% over that month. However, in the past week, it has dropped by nearly 3%. I've also noticed a significant weight loss recently. Which specialty should I consult, a...
Dr. Ye Qianyu Reply:
Hello! Please review and record the changes in your dietary intake structure and the calories burned through exercise. It is recommended that you consult with a metabolic specialist.[Read More] Rapid Fat Loss: When to Seek Medical Advice and Possible Causes
Is Your Weight Loss Normal? Understanding Healthy Weight Changes
Weight loss Hello Doctor, on August 25th, I weighed 92.8 kg (on the fourth day of my menstrual period). On August 28th, my weight was 91.5 kg (on the seventh day of my menstrual period), and today, August 29th, my weight is 90.9 kg. I have recently been controlling my diet (eatin...
Dr. Lin Zhebin Reply:
Hello: The typical rate of weight loss for individuals with a normal weight is about 0.5 to 1 kilogram per week. Based on your description, a loss of 1.9 kilograms in just four days is somewhat excessive. However, it is more common to see such fluctuations due to exercise and deh...[Read More] Is Your Weight Loss Normal? Understanding Healthy Weight Changes
Understanding Weight Loss After Military Service: Is It Normal?
Weight loss Hello, doctor. I am a conscript who was discharged in August this year. Just two or three days after my discharge, I noticed that my weight had dropped from 82 kg to 74 kg (with a height of about 175 cm). Is this a normal phenomenon due to controlling my food intake, ...
Dr. Chen Bozhang Reply:
Based on your description, I am unable to provide a judgment. If you have weight management needs, it is advisable to visit a relevant clinic or consult a nutritionist. Thank you.[Read More] Understanding Weight Loss After Military Service: Is It Normal?
Does Weight Loss Affect Platelet Count and Hemoglobin Levels?
Does weight loss lead to a decrease in platelet count (PLT) and hemoglobin (Hb) levels? Hello Dr. Chen, I am 20 years old and 172 cm tall. Six months ago, I weighed about 79 kg. Over the past six months, I have been working hard to lose weight (mainly through exercise and diet, w...
Dr. Chen Bozhang Reply:
Online consultations cannot provide a diagnosis. Please bring your reports for a follow-up appointment to discuss with your attending physician, or you may consult at health management or weight loss clinics. Thank you.[Read More] Does Weight Loss Affect Platelet Count and Hemoglobin Levels?
Does Weight Loss Affect Platelet Count and Hemoglobin Levels?
Does weight loss cause a decrease in PLT (platelet count) and Hb (hemoglobin) levels? Hello, Dr. Liao. I am 20 years old and 172 cm tall. Six months ago, I weighed approximately 79 kg. Over the past six months, I have been working hard to lose weight (mainly through exercise and ...
Dr. Liao Yaopan Reply:
Hello, regarding your concerns, it is advisable to return for a follow-up appointment for an in-person evaluation by a physician. Online consultations are not equivalent to an in-person visit and cannot provide a diagnosis or treatment recommendations. Changhua Hospital cares abo...[Read More] Does Weight Loss Affect Platelet Count and Hemoglobin Levels?