Understanding Blood Sugar Levels: Key Questions and Insights
Check blood glucose levels? Hello Doctor: I usually have a light diet, but last night I had a gathering with friends and ate significantly more than usual, about 2-3 hours later than normal. This morning, my first blood sugar test showed a level of 125, and I’ve heard that 126 in...
Dr. Yang Hongzhi Reply:
Normal fasting blood glucose levels are below 100 mg/dL. Your current condition indicates poor fasting blood glucose control, which does not yet qualify as a diagnosis of diabetes; however, it significantly increases the risk of developing diabetes in the future. Any weight loss ...[Read More] Understanding Blood Sugar Levels: Key Questions and Insights
Understanding Sudden Blood Sugar Spikes: Possible Causes Beyond Glycosuria
Please provide the content you would like Hello, I would like to ask you: Besides glycosuria, what other diseases could cause a sudden increase in blood glucose levels? A month ago, my fasting blood glucose levels after 8 hours were between 90 and 106, but in the past week, they ...
Dr. Xiao Yongxun Reply:
Hello: The causes of elevated blood sugar include Type 1 diabetes, Type 2 diabetes, congenital disorders, chronic pancreatitis, hemochromatosis, acromegaly, Cushing's syndrome, metabolic tumors, hypothyroidism, pregnancy, and drug-induced factors, among others. Your fasting ...[Read More] Understanding Sudden Blood Sugar Spikes: Possible Causes Beyond Glycosuria
Understanding Weakness After Meals: Is It Low Blood Sugar or Something Else?
Weakness in the limbs? Hello Doctor: I experience a feeling of overall weakness a few hours after eating. It happens occasionally, but I don't feel hungry in my stomach. Currently, my solution is to eat something to create a slight feeling of fullness, and about half an hour...
Dr. Yang Hongzhi Reply:
If there is discomfort in the body that improves after eating, it cannot be ruled out that it is caused by hypoglycemia; however, true hypoglycemic episodes are not very common. If symptoms are pronounced, blood tests to check blood glucose levels should be conducted during sympt...[Read More] Understanding Weakness After Meals: Is It Low Blood Sugar or Something Else?
Long-Term Medication Use: Risks and Kidney Health Protection Tips
The effects of long-term medication use on the body? Hello: I have heard that long-term medication use may lead to dialysis. May I ask: 1. Is it true that long-term medication use can potentially lead to dialysis? 2. Besides dialysis, what other issues can long-term medication us...
Dr. Wang Weijie Reply:
Hello: Drug metabolism occurs through the liver and kidneys, which eliminate waste from the body. Why is long-term medication necessary? What types of medications are involved? The degree of impact varies. The misuse of antibiotics, pain relievers, and unverified traditional Chin...[Read More] Long-Term Medication Use: Risks and Kidney Health Protection Tips
Unexplained Weakness and Dizziness: Seeking Answers for Mysterious Symptoms
Strange symptoms I experience sudden onset of generalized weakness, hunger, dizziness, and increased heart rate (sometimes accompanied by sweating). I visited Hsu Chuan Hospital, but they couldn't determine the cause. It's not hypoglycemia (my fasting blood sugar is sti...
Dr. Yang Hongzhi Reply:
Fasting blood glucose levels that are not low do not necessarily indicate that blood glucose levels are not low when symptoms are present. Blood glucose should be tested when there are clear symptoms for diagnosis. The paroxysmal hypokalemic paralysis you mentioned does not compl...[Read More] Unexplained Weakness and Dizziness: Seeking Answers for Mysterious Symptoms
Understanding Sleep Disorders in Type 1 Diabetes: Causes and Diagnosis
Are these symptoms caused by diabetes? Hello, I would like to ask about a 25-year-old female with insulin-dependent diabetes who frequently experiences recurring sleep disturbances, night sweats, and often has unpleasant dreams that feel very vivid. I would like to understand the...
Dr. Shi Guangzhong Reply:
Recurrent sleep disturbances, night sweats, and unpleasant dreams may indicate that the woman is experiencing nocturnal hypoglycemia. It is recommended to measure blood glucose levels between 2-3 AM to determine if hypoglycemia is occurring. If hypoglycemia is confirmed, a reduct...[Read More] Understanding Sleep Disorders in Type 1 Diabetes: Causes and Diagnosis
Understanding Diabetes: Symptoms, Diagnosis, and When to Medicate
Diabetes mellitus Hello, three years ago during a health check, I was informed that my blood glucose was on the borderline of diabetes, with a fasting blood glucose level of 108 mg/dL after fasting for 8 hours. Now, my self-monitored fasting blood glucose levels range between 103...
Dr. Chen Qingbin Reply:
Hello Ms. Huang: You likely have early-stage diabetes, and you need to manage your diet, engage in regular exercise, and attend follow-up appointments for monitoring.[Read More] Understanding Diabetes: Symptoms, Diagnosis, and When to Medicate
Understanding Diabetes: Navigating Family History and Health Concerns
Diabetes mellitus? Hello doctor, my family has a history of hereditary diabetes, and I had protein in my urine when I was younger. I visited various doctors until one time when I tested negative for protein in my urine and thought I was cured, so I stopped paying attention. Durin...
Dr. Xiao Yongxun Reply:
Hello: I would like to respond as follows: 1. According to the "Physical Classification Standards" published by the Ministry of National Defense on December 31, 2007, individuals diagnosed with diabetes are classified as unfit for military service. However, this diagno...[Read More] Understanding Diabetes: Navigating Family History and Health Concerns
Diabetes and Erectile Dysfunction: Impact on Fertility and Treatment Options
Diabetes can lead to erectile dysfunction, which may affect fertility? A few years ago, my husband was diagnosed with high blood sugar, with fasting levels reaching around 200. He initially managed it with traditional Chinese medicine but eventually stopped and has been relying o...
Dr. Shi Guangzhong Reply:
According to the American Diabetes Association's recommendations, diabetes patients should aim for a fasting blood glucose level below 120 mg/dL and a postprandial blood glucose level below 140 mg/dL two hours after eating. From your letter, it is evident that your husband&#...[Read More] Diabetes and Erectile Dysfunction: Impact on Fertility and Treatment Options
Understanding Blood Sugar Levels: Impact of Illness and Sleep on Results
Elevated blood sugar levels? I previously had a health check-up where my fasting blood sugar was 100, and I was advised to undergo a glucose tolerance test. The results showed a fasting blood sugar of 105 (which the doctor said is normal) and a postprandial blood sugar of 136 (wi...
Dr. Xiao Yongxun Reply:
Hello, I would like to respond as follows: 1. A fasting plasma glucose level between 100-125 mg/dL is referred to as impaired fasting glucose; a two-hour plasma glucose level between 140-199 mg/dL during an oral glucose tolerance test is referred to as impaired glucose toleranc...[Read More] Understanding Blood Sugar Levels: Impact of Illness and Sleep on Results
Effective Weight Loss Strategies for Obese Diabetic Patients
How can obese patients with diabetes lose weight? I am very concerned about the complications of diabetes, particularly the risk of diabetic retinopathy leading to blindness, which often causes significant psychological stress. Here are my personal details: Age: 23, Height: 175 c...
Dr. Yang Hongzhi Reply:
It is generally recommended to aim for a weight loss of 0.5 to 1 kilogram per week. Trying to burn 1500 calories through 2 hours of exercise may be quite challenging. There are some issues regarding your metabolic energy calculations; consuming 2300 calories per day is slightly h...[Read More] Effective Weight Loss Strategies for Obese Diabetic Patients
Essential Dietary Tips for Diabetic Hypertension Patients on Dialysis
Dietary Considerations for Diabetes, Hypertension, and Dialysis Management Dear Doctor, my mother is 63 years old and has hypertension and diabetes. She is scheduled for dialysis in two days. Could you please advise on dietary considerations and any specific precautions we should...
Dr. Guo Qinghui Reply:
Diabetes and hypertension are both causes of kidney disease that can lead to dialysis. There are many considerations for individuals undergoing dialysis. In principle, it is essential to control blood sugar levels and manage hypertension. Dietary considerations are related to the...[Read More] Essential Dietary Tips for Diabetic Hypertension Patients on Dialysis
How Often Should Diabetics Check Blood Sugar Levels?
Blood glucose testing How often should a person with diabetes measure their blood glucose levels? Does the frequency of testing vary based on the severity of the condition? Under what circumstances should a person with diabetes use insulin for management? Thank you!
Dr. Guo Qinghui Reply:
1) Blood glucose concentration, commonly referred to as blood sugar, fluctuates throughout the day. In healthy individuals, blood sugar levels remain within a normal range, while in people with diabetes, these levels exceed the normal range, necessitating frequent monitoring—idea...[Read More] How Often Should Diabetics Check Blood Sugar Levels?
Natural Sugars for Diabetics: Safe Options and Health Considerations
What types of carbohydrates can diabetes patients consume? Hello, Dr. Hsiao. I would like to ask what types of naturally derived sugars diabetic patients can consume. There are many chemically synthesized sugars available on the market, and consuming too much of them may burden t...
Dr. Xiao Yongxun Reply:
Hello, in response to your questions: 1. The development of sugar substitutes is primarily aimed at satisfying the human craving for sweetness. Common examples include saccharin, fructose, aspartame, sorbitol, and acesulfame K. If the sweetness of sucrose is rated as 1, then sor...[Read More] Natural Sugars for Diabetics: Safe Options and Health Considerations
Does Eating Sweet Potatoes Raise Blood Sugar Levels and Risk Diabetes?
Does eating sweet potatoes frequently cause an increase in blood sugar levels? Currently, if your fasting blood sugar is 119, regularly consuming sweet potatoes may lead to increased blood sugar levels, potentially contributing to the development of diabetes.
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. There are many causes of diabetes, generally classified into Type 1 and Type 2. The former accounts for 5-10% and is primarily due to the destruction of pancreatic β-cells by autoimmune antibodies or other factors; the latter accounts for ...[Read More] Does Eating Sweet Potatoes Raise Blood Sugar Levels and Risk Diabetes?
Do I Need a Glucose Tolerance Test with Stable Blood Sugar Levels?
Blood sugar level issues? Hello, Director Hsiao. I have been taking the antihypertensive medication Teromin, and my fasting blood glucose levels have consistently ranged between 90 and 110 (not including 110) during health check-ups over the years. Given this, do I need to underg...
Dr. Xiao Yongxun Reply:
Hello: In response to your question, according to the current concept of "early diagnosis and early prevention" of diabetes, if fasting blood glucose is above 100 mg/dL, it is recommended to perform an oral glucose tolerance test (OGTT). If the blood glucose level excee...[Read More] Do I Need a Glucose Tolerance Test with Stable Blood Sugar Levels?
Understanding Diabetes: Insulin Use, Nail Care, and Blood Sugar Control
Confused Diabetes 1. The insulin syringe is traditional; should it be discarded after one use or can it be used for a day with multiple doses? 2. Is it better to trim toenails in a rounded or straight shape, and what are the differences? 3. How much can one unit of insulin lo...
Dr. Guo Qinghui Reply:
1) Insulin syringes should ideally be disposed of after a single use, but this poses significant waste management issues. Therefore, as long as they are kept clean, they can be reused to benefit the environment. 2) Diabetic patients should avoid trimming their toenails themselves...[Read More] Understanding Diabetes: Insulin Use, Nail Care, and Blood Sugar Control
Could It Be Diabetes? Understanding Symptoms and Seeking Help
Could it be diabetes? I have seen many doctors due to my bad breath, but the problem has not been resolved, which is very distressing for me. My symptoms include severe halitosis, frequent foamy urine, occasional chest tightness, and fatigue. Additionally, I have a history of gou...
Dr. Xiao Yongxun Reply:
Hello: In response to your question, there are many causes of halitosis, including issues related to the oral cavity, otolaryngology, lungs, trachea, esophagus, stomach, and even metabolic problems. As for "bubbly urine," it generally warrants consideration of proteinur...[Read More] Could It Be Diabetes? Understanding Symptoms and Seeking Help
Am I Diabetic? Understanding Your Blood Sugar Test Results
Could you please let me know if my condition is diabetes? Hello Doctor: I just had a blood test, and the results show that my blood sugar level two hours after eating is 129 mg/dL, which exceeds 120. Should I be concerned about having diabetes? Thank you.
Dr. Shi Guangzhong Reply:
Dear A-Zhi: The diagnostic criteria for diabetes are as follows: fasting blood glucose ≥ 126 mg/dL, 2 hours postprandial blood glucose ≥ 200 mg/dL, and random blood glucose ≥ 200 mg/dL. Therefore, based on your test result of 129 mg/dL, it does not indicate diabetes. However, a s...[Read More] Am I Diabetic? Understanding Your Blood Sugar Test Results
Understanding Blood Sugar Levels: Why Fasting Can Be Higher Than Post-Meal
Pre-meal and post-meal blood glucose issues? Dr. Chen, I have a question. My mother has a history of diabetes, but it has been well controlled. However, during her recent blood sugar test, we found an issue: her fasting blood sugar was higher than her blood sugar two hours after ...
Dr. Chen Qingbin Reply:
Blood glucose levels fluctuate significantly due to diet, medication, and various hormones in the body. The control of blood glucose is more accurately assessed by measuring glycated hemoglobin (HbA1c).[Read More] Understanding Blood Sugar Levels: Why Fasting Can Be Higher Than Post-Meal