Managing Diabetes and Appetite Loss: A Guide for Caregivers
Diabetes and fasting? Hello Doctor, my grandmother is 74 years old and has diabetes and hypertension. She has had kidney issues over the past few years, so she injects about 16 cc of insulin before meals and takes medication after eating. However, for the past few days, she has n...
Dr. Lin Jianliang Reply:
The concept of preventing hypoglycemia is important. Based on your grandmother's condition, I recommend that she first consult her original physician.[Read More] Managing Diabetes and Appetite Loss: A Guide for Caregivers
Understanding Discrepancies Between Blood Sugar Tests and Home Monitoring
The blood glucose test results from the lab are normal, but self-monitoring shows elevated levels? Hello, Doctor. Thank you for taking the time to read my lengthy description. About four weeks ago, I visited the hospital's endocrinology department due to concerns about my bl...
Dr. Lin Jianliang Reply:
Your condition may indicate impaired glucose tolerance, which may not yet meet the criteria for a diabetes diagnosis. It is recommended to manage your diet and exercise for a period of time, and then follow up at the hospital. If you experience any symptoms, seek immediate follow...[Read More] Understanding Discrepancies Between Blood Sugar Tests and Home Monitoring
Understanding Fasting Blood Sugar Levels: Should You Worry at 99?
Fasting blood glucose 99? Hello doctor, I recently had a health check-up, and my fasting blood glucose level was 99, which is just shy of the normal range, so I feel quite anxious. 😓 Is it necessary to strictly control my diet with this blood sugar level? Should I also go to the ...
Dr. Lin Jianliang Reply:
1. It is recommended to maintain a controlled diet and exercise to prevent levels from rising further, especially if there are other risk factors such as being overweight, elevated postprandial blood glucose, or a family history of diabetes. These factors require more stringent m...[Read More] Understanding Fasting Blood Sugar Levels: Should You Worry at 99?
Understanding HPV Warts: Transmission Risks and Precautions
Anxiety inquiry Hello Doctor, I am the one who previously asked about viral warts and have a few more questions after consulting several doctors. 1. I was in contact with a colleague who had viral warts on his hand, which had been treated, but there was a spot that looked like ...
Dr. Hong Yuanbin Reply:
1. There is generally no risk of infection in basic daily activities, so there is no need to worry. 2. The likelihood of infection is higher when coming into contact with areas affected by the patient's viral warts. 3. The changes on your hands need to be directly examin...[Read More] Understanding HPV Warts: Transmission Risks and Precautions
Understanding Post-Meal Blood Sugar of 201: Risks and Management Strategies
A postprandial blood glucose level of 201 mg/dL is considered elevated. It is important to evaluate this result in the context of the individual's overall health, medical history, and potential symptoms. Here are some considerations and actions to take: 1? Hello, doctor. Th...
Dr. Lin Jianliang Reply:
1. Generally speaking, a random blood glucose level of 201 mg/dL increases the likelihood of diabetes compared to normal individuals. However, at that time, you also had a cold, which could affect blood glucose levels. It is recommended to visit the endocrinology clinic after rec...[Read More] Understanding Post-Meal Blood Sugar of 201: Risks and Management Strategies
Managing SLE: Understanding Pain and Treatment Options for Patients
Regarding SLE (Systemic Lupus Erythematosus) Hello, doctor. I am a patient with systemic lupus erythematosus (SLE). I was diagnosed at the age of 22, and it has been 18 years since then. Over the years, I have been taking steroids and quinine, without adding any other medications...
Dr. Gao Jiankai Reply:
Hello Julia, in assessing the disease activity of Systemic Lupus Erythematosus (SLE), in addition to evaluating blood test results, it is also important to consider the patient's symptoms. Joint pain and swelling are common in SLE but are generally considered mild manifestat...[Read More] Managing SLE: Understanding Pain and Treatment Options for Patients
Do Pregnant Women Need Thyroid Medication in Early Pregnancy?
Is medication necessary for thyroid conditions during early pregnancy? Hello Doctor, I am currently 7 weeks and 6 days pregnant. On July 27 (5 weeks and 3 days), I visited a clinic for a check-up on my thyroid status, and the results were as follows: T3 1.02 (0.87-1.78), Free T4...
Dr. Hong Yuanbin Reply:
In clinical practice, the three thyroid indicators we test include TSH, T3, and free T4. Among these, free T4 has the most direct correlation with thyroid function, as it represents the concentration of biologically active thyroid hormone in your body. TSH and T3 are used as refe...[Read More] Do Pregnant Women Need Thyroid Medication in Early Pregnancy?
Understanding Urethral Mucosa: Risks, Anatomy, and Infection Concerns
Urethral mucosa 1. The doctor is correct in saying that the urethral opening, when opened, reveals a moist surface that is the urethral mucosa. 2. Yes, when you open the urethral opening and touch the interior, you are likely touching the urethral mucosa. 3. It is possible to tou...
Dr. Hong Yuanbin Reply:
The location of the mucosa is an anatomical issue that cannot be simply defined in relation to other hypothetical questions. Evidence-based medicine cannot address these hypothetical questions.[Read More] Understanding Urethral Mucosa: Risks, Anatomy, and Infection Concerns
Understanding Mucosal Contact and HIV Infection Risks: Key Insights
Mucosal contact 1. Is the surface of the male urethral opening considered mucosa, or does it only become mucosa further inside? Where exactly is the mucosa of the urethral opening located? 2. Is the surface of the glans penis considered glans mucosa, or is the mucosa only found f...
Dr. Hong Yuanbin Reply:
The term "mucosa" or "genital mucosa" refers to the inner lining structure of the reproductive organs. For detailed anatomical locations, it is recommended to consult physiology-related textbooks for research, as much of the information available online can be...[Read More] Understanding Mucosal Contact and HIV Infection Risks: Key Insights
Understanding Your Body's Signals: Managing Sweating and Discomfort
Suspecting that there is something wrong with your body? Hello Doctor: I ate around 11:20 AM and rested until 12:30 PM. By 2:45 PM, I started feeling hungry. If I don't consume food immediately (such as a meat bun or candy), I begin to sweat profusely. After excessive sweati...
Dr. Lin Jianliang Reply:
It is recommended to visit a hospital to consult a doctor for an examination to check for any blood sugar issues or other diseases. Please remember to carry food with you, and if you experience any symptoms, make sure to eat something to avoid any complications.[Read More] Understanding Your Body's Signals: Managing Sweating and Discomfort
Understanding Autoimmune Conditions: Dry Eye Syndrome and Vascular Concerns
Autoimmune disease Sjögren's syndrome Hello Doctor: My mother is 72 years old and has hepatitis C, Sjögren's syndrome, and severe dry eye syndrome, all of which are being treated. As she has aged, her blood pressure has been elevated, and she is currently taking antihyp...
Dr. Gao Jiankai Reply:
Hello Ms. Lee, thank you for your inquiry. Here are the answers to your questions: 1. Both Sjögren's syndrome and hepatitis C can potentially cause microvascular bleeding as a side effect if not continuously treated, which may appear as small petechiae. To determine if thi...[Read More] Understanding Autoimmune Conditions: Dry Eye Syndrome and Vascular Concerns
Can Prediabetes Be Reversed with High Blood Pressure? Expert Insights
Prediabetes and Hypertension Hello, doctor. I have high blood pressure and have recently been diagnosed with elevated blood sugar levels. Is there a chance for prediabetes to be reversed? Additionally, due to my high blood pressure, am I able to engage in weight training?
Dr. Chen Jianyu Reply:
1. If blood sugar levels are elevated, it is important to determine how high they are. Diabetes is a chronic condition that, once diagnosed, can only be managed but not cured. 2. It is unclear how well your blood pressure is being controlled, and I do not know your blood pressu...[Read More] Can Prediabetes Be Reversed with High Blood Pressure? Expert Insights
Managing Thyroid Issues During IVF: A Guide for Expecting Mothers
In vitro fertilization (IVF) and thyroid issues? Hello Doctor, prior to my IVF treatment, I had a blood test that showed my TSH (Thyroid Stimulating Hormone) level was 3.64, while the doctor hoped for a value below 2.5. Additionally, my thyroid peroxidase antibody level was 119, ...
Dr. Lin Jianliang Reply:
Thyroid diseases can affect both the mother and the fetus during pregnancy. Conversely, pregnancy itself may also impact thyroid function. Based on your description, it may be necessary to consider other factors, such as additional test results, the presence of symptoms, and medi...[Read More] Managing Thyroid Issues During IVF: A Guide for Expecting Mothers
Managing Steroid Dosage: Coping with Persistent Symptoms and Allergic Reactions
The steroid dosage has been reduced to 7.5 mg, and the symptoms are becoming more pronounced? Last year, I developed a skin wound from scratching due to flea bites, which became infected with bacteria. The wound started to hurt, but after taking antibiotics, the pain subsided. Ho...
Dr. Zeng Guosen Reply:
Hello, skin disorders can indeed be very bothersome. If reducing the steroid dosage to 10 mg causes instability in your symptoms, there’s no need to panic. This indicates that your skin condition is still unstable. It may be advisable to adjust the methotrexate (MTX) dosage and w...[Read More] Managing Steroid Dosage: Coping with Persistent Symptoms and Allergic Reactions
Understanding Drug Allergies: Symptoms, Testing, and Management
Suspected drug allergy Hello Doctor: Since around the third grade of elementary school, I have experienced prolonged itching on my skin after taking medication for colds from an ear, nose, and throat specialist, although there are no visible symptoms (such as rashes or redness). ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here is a brief summary of your questions: 1. Chronic itching: It is advisable to consult your dermatologist first. If a clear answer is still not obtained, you may consider visiting an allergy, immunology, and rheumatology clinic. The physicia...[Read More] Understanding Drug Allergies: Symptoms, Testing, and Management
Understanding STD Risks with Monogamous Partners: What You Need to Know
Concern about sexually transmitted infections (STIs) transmission? Are there typically infectious bacteria or viruses present in the human body (such as papillomavirus)? If both partners have a fixed relationship and their sexual activities are very straightforward, without the u...
Dr. Lin Wufu Reply:
Hello! This question is difficult to answer simply. The human body hosts a vast number of bacteria and viruses (such as herpes simplex virus, human papillomavirus, etc.), so unprotected sexual intercourse can indeed lead to the transmission of bacteria and viruses between partner...[Read More] Understanding STD Risks with Monogamous Partners: What You Need to Know
Unexplained Warm Sensation in Urethra and Anus: Possible Causes and Concerns
Unexplained mild warmth at the urethral and anal openings? Hello Dr. Lin, in the past few months, I have been experiencing unusual sensations in the palms of my hands, feeling swollen and warm. When I use the restroom, I also feel a slight warmth around the urethral and anal area...
Dr. Lin Wufu Reply:
Hello Mr. Zhu: It is difficult to determine whether this is related to medication or due to other reasons based solely on this description. However, if the palms of your hands are simply feeling warm without any rash or pain, it is generally advisable to observe the situation fir...[Read More] Unexplained Warm Sensation in Urethra and Anus: Possible Causes and Concerns
Managing Temperature Fluctuations and Emotional Instability in Seniors
Experiencing fluctuations in temperature, sweating, and emotional instability? Hello Doctor: My mother-in-law is 70 years old. Ever since she caught a cold five months ago, her entire body system has been out of balance. Initially, she experienced constant chills and wore many la...
Dr. Lin Jianliang Reply:
You can consult a pulmonologist, an immunologist, or a family medicine physician.[Read More] Managing Temperature Fluctuations and Emotional Instability in Seniors
Sudden Weight Gain: Should You Be Concerned About Your Health?
Obesity issues Hello doctor, I have suddenly gained about seven kilograms in the last four months. Am I sick? My diet has been pretty much the same as before, and I occasionally exercise, but I keep gaining weight. What should I do?
Dr. Xie Rongyuan Reply:
Hello: Regarding your question, here is the response: Obesity is a disease caused by the interaction of genetic and environmental factors. It is recommended to seek medical attention at a weight management clinic. Thank you for your message![Read More] Sudden Weight Gain: Should You Be Concerned About Your Health?
Managing Autoimmune Disease: Do I Need to Continue Medication?
Autoimmune diseases Hello, Director Gao. About a year ago, I visited the immunology department due to dry mouth and tongue ulcers. My ANA titer was 80+, and I started taking quinine (2 tablets a day). After three months, the titer decreased to 40+. Due to severe dizziness, I swit...
Dr. Gao Jiankai Reply:
Hello Ms. Chen, thank you for your inquiry. Currently, the use of medications for Sjögren's syndrome is less common with the use of salivary stimulants, and monitoring disease activity is less frequently done with ANA titers. It is recommended that you consult a rheumatologi...[Read More] Managing Autoimmune Disease: Do I Need to Continue Medication?