Blood pressure, Internal Medicine FAQ - Page 10

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Does Cold Weather Affect Fasting and Postprandial Blood Sugar Levels?

Blood Sugar and Temperature Hello, doctor. Does the fasting blood sugar and postprandial blood sugar of a normal person increase slightly due to colder weather? (Assuming all other factors remain unchanged, purely due to temperature changes.) Thank you, doctor.


Dr. Li Zhiyao Reply:
Hello: Yes, it is commonly observed in clinical practice that patients have higher blood glucose levels in winter compared to summer, and the fluctuations in blood pressure are even more pronounced.

[Read More] Does Cold Weather Affect Fasting and Postprandial Blood Sugar Levels?


Understanding Falls, Blood Sugar, and Blood Pressure in Seniors

Falls, blood sugar, blood pressure? Hello! The elderly person fell on November 27, 2015, and was taken to the hospital for examination. The doctor said, "There is an injury to the thoracic spine with a compression fracture; a brace is needed! The lumbar spine was also injure...


Dr. Zeng Guosen Reply:
Hello, the user: After the fall, you mentioned having a poor appetite, difficulty eating, and feeling dizzy. There could be many reasons for this. I recommend seeking medical attention for an evaluation, as it's not possible to provide a simple answer. Thank you for your que...

[Read More] Understanding Falls, Blood Sugar, and Blood Pressure in Seniors


Understanding Low Glomerular Filtration Rate: What You Need to Know

Low glomerular filtration rate (GFR) Hello doctor, I am currently 26 years old and below are my data (the abnormal ones related to kidney function tests). Last year, my blood pressure was 137/80, cholesterol was 208 (standard upper limit is 200), white blood cells were 4.7 (norma...


Dr. Wu Jiyu Reply:
Based on the data you provided, the glomerular filtration rate (GFR) has decreased from 94.58 to 80.89, which raises concerns about changes in kidney function. Currently, the GFR we use is derived from studies conducted by international scholars, and there are also researchers in...

[Read More] Understanding Low Glomerular Filtration Rate: What You Need to Know


Understanding Abnormal Systolic Blood Pressure in High School Students

Abnormal systolic blood pressure in high school students? I would like to ask about my recent health check at school. Most of my results were normal, but my systolic blood pressure was abnormal at 153, which is significantly higher than average. Additionally, my heart rate seems ...


Dr. Li Zhiyao Reply:
Hello: It is recommended that you consult a cardiologist, as they can address both blood pressure and heart rate issues.

[Read More] Understanding Abnormal Systolic Blood Pressure in High School Students


Understanding Hypothyroidism: Symptoms, Risks, and When to Seek Help

Hypothyroidism I am a patient with hypothyroidism and have not taken thyroid hormone for a year. I have not had regular follow-ups for a year, and recently I have experienced symptoms of chest pain and shortness of breath, along with slightly elevated blood pressure and a slightl...


Dr. Li Zhiyao Reply:
Hello: It is recommended to return for a follow-up appointment and inform the physician about your recent medical situation, including information about medications and tests.

[Read More] Understanding Hypothyroidism: Symptoms, Risks, and When to Seek Help


Understanding Kidney Health: Common Concerns and Diagnostic Tests Explained

How are kidney blood and urine tests conducted, and are there any issues to be aware of? In mid-October, I had blood tests, urine tests, and X-rays done at the nephrology department. The reports came back normal. 1. However, I notice that my urine has bubbles that disappear in ...


Dr. Wu Jiyu Reply:
1. Based on the report you provided, it can only be roughly determined that there is no proteinuria, and it is not possible to fully confirm whether kidney function is normal (as there are no blood test results for creatinine and glomerular filtration rate provided). 2. Most cas...

[Read More] Understanding Kidney Health: Common Concerns and Diagnostic Tests Explained


Understanding Post-Blood Donation Symptoms: Dizziness and Nausea Explained

Blood donation issues Hello Doctor: A few days ago, I went to donate blood with a friend. My friend donated 500cc of blood, and after resting for a while without any major issues, we went out for dinner. After dinner, my friend suddenly felt dizzy, weak, and lethargic, and then h...


Dr. Li Zhiyao Reply:
Hello: Your friend's condition may be due to a decrease in blood volume within the blood vessels after donating blood, leading to low blood pressure and insufficient cerebral blood flow, or it could coincidentally occur alongside an inner ear imbalance. It is recommended tha...

[Read More] Understanding Post-Blood Donation Symptoms: Dizziness and Nausea Explained


Exploring Endocrine Issues Behind Chronic Fatigue and Sleepiness

Is it related to endocrinology? Hello, Doctor. The patient has been experiencing long-term fatigue, excessive daytime sleepiness, and difficulty concentrating. After being diagnosed with sleep apnea and undergoing surgery, the sleep oxygen levels have improved significantly. Fati...


Dr. Zeng Guosen Reply:
Hello, online user: The endocrine system has many functions, and its glands are located from the pituitary gland to various parts of the body. If you need further examination, it is recommended to visit an endocrinology specialty clinic for a resolution. Thank you for your questi...

[Read More] Exploring Endocrine Issues Behind Chronic Fatigue and Sleepiness


Understanding Yellowing of Hands and Fingers: When to See a Doctor

Regarding yellowing of the palms, with a single finger turning particularly yellow and experiencing numbness when exposed to cold? Hello Doctor, I am concerned about my mother's health condition, but I am unsure which medical specialty is appropriate for her symptoms. I apol...


Dr. Li Zhiyao Reply:
Hello: 1. If there are no liver or gallbladder issues and you frequently consume foods rich in carotenoids, such as papaya and carrots, then carotenoids may be the reason for the yellowing of your hands. 2. Cold weather can cause finger numbness, which may be related to blood cir...

[Read More] Understanding Yellowing of Hands and Fingers: When to See a Doctor


Understanding Post-Spin Bike Discomfort: Causes and Concerns

Discomfort after cycling on a stationary bike during fitness training? Hello Dr. Hsiao, on October 23rd (Friday), after finishing my meal, I did a sprint cycling workout for about 3-5 minutes at the fitness center in the basement of my school. After that, I felt unwell, my face t...


Dr. Xiao Yongxun Reply:
1. Engaging in any form of exercise must be gradual to allow the body's various systems to make appropriate adjustments and adaptations. Implementing high-intensity physical training abruptly can be quite dangerous from a medical standpoint. On the other hand, aspects such a...

[Read More] Understanding Post-Spin Bike Discomfort: Causes and Concerns


Understanding Low Blood Pressure: Symptoms, Causes, and Solutions

Blood pressure issues? I consulted with my family doctor previously, and during a blood pressure check, I was told that I have low blood pressure. Recently, due to academic stress, I have been experiencing dizziness, chest tightness, and difficulty breathing. I also have severe h...


Dr. Li Zhiyao Reply:
Hello: 1. It is recommended that you see a cardiologist for a personal evaluation to determine if there are any cardiovascular issues. If no cardiovascular problems are found, regular exercise can improve cardiopulmonary function, which may help with your concerns. 2. SYS refers ...

[Read More] Understanding Low Blood Pressure: Symptoms, Causes, and Solutions


Is a Blood Pressure of 124/77 Considered Normal? Understanding Dizziness Symptoms

Is the blood pressure normal? Doctor, is a blood pressure reading of 124/77 normal? Also, I feel very dizzy in the morning, and I feel dizzy when walking and even when bending down to change clothes. Could there be a problem?


Dr. Li Zhiyao Reply:
Hello: Your blood pressure is not considered high. There are many causes for dizziness, such as anemia, inner ear imbalance, or blood pressure that is too high or too low, among others. It is recommended that you first consult a family medicine or neurology specialist, who will h...

[Read More] Is a Blood Pressure of 124/77 Considered Normal? Understanding Dizziness Symptoms


Understanding Limb Swelling: Causes and Solutions for Office Workers

Swelling of the limbs? I have to sit for long periods at work, and after each shift, I notice that my entire foot is much more swollen than in the morning. When I press on it, it doesn't take long to rebound, but it's clearly different from how my foot looked in the mor...


Dr. Xie Rongyuan Reply:
Hello: If this continues, it would be safer to go to the hospital for a detailed examination. For example, low albumin levels can also cause lower extremity edema and low blood pressure. Thank you for your message!

[Read More] Understanding Limb Swelling: Causes and Solutions for Office Workers


Can I Take Circulin with Aspirin and Diabetes Medications?

Currently taking medication for diabetes, hypertension, Coenzyme Q10, and Aspirin. Is it safe to take Circulin? I have been managing my hypertension, hyperglycemia, and hyperlipidemia for many years with Glucomet (Metformin) and Vytorin (Ezetimibe/Simvastatin), and my blood press...


Dr. Li Zhiyao Reply:
Dear Mr. Yao: Since you are already taking Aspirin, it is not recommended for you to use Clopidogrel to avoid increasing the risk of side effects. Aspirin has been proven to reduce the likelihood of cardiovascular diseases, while Clopidogrel has not been confirmed to do so. It is...

[Read More] Can I Take Circulin with Aspirin and Diabetes Medications?


Understanding Long-Term Low Blood Pressure: Key Considerations

If blood pressure is consistently low, what should one pay attention to? In the past, my blood pressure readings (for example, when measured at a cold clinic) have been on the lower side. My most recent health check report showed a systolic pressure of 86, diastolic pressure of 5...


Dr. Li Zhiyao Reply:
Hello, Cocoa: Some young women may have lower blood pressure. If the readings are consistently similar and there are no symptoms, there is generally no need for concern. However, here are a few reminders: 1. Measure your blood pressure daily to determine the typical range. 2. Che...

[Read More] Understanding Long-Term Low Blood Pressure: Key Considerations


Managing Kidney Stones and Early Kidney Swelling: Dietary Guidelines

Kidney stones and early-stage hydronephrosis? Hello, the hospital informed me that I have kidney stones and early-stage hydronephrosis, and my blood pressure is slightly elevated. What should my daily diet be like? I've seen conflicting information online about whether to li...


Dr. Chen Jianyu Reply:
1. Please return to the nephrology outpatient clinic for follow-up on kidney stones, hydronephrosis, and hypertension issues. 2. As for potassium levels, blood tests should be conducted first to determine whether to restrict potassium intake or recommend a high-potassium diet. ...

[Read More] Managing Kidney Stones and Early Kidney Swelling: Dietary Guidelines


Managing Kidney Health: Dietary Tips and Donation Concerns

Facing the brink of dialysis? After the blood test, the following levels were elevated: creatinine 4.31, potassium 5.0, and phosphorus 5.5. I have high blood pressure. I have the following three questions: 1. How can I improve these levels through diet? 2. If I face the need fo...


Dr. Li Zhiyao Reply:
Hello: Your creatinine level is 4.31, which indicates that you may be entering or approaching stage five of chronic kidney disease. I must remind you to seek treatment from a nephrologist and to follow the guidance of the healthcare team. Do not trust any alternative remedies, as...

[Read More] Managing Kidney Health: Dietary Tips and Donation Concerns


Understanding Hypertension: Symptoms and Health Risks Explained

Hypertension issues Hello, Dr. Lee! Recently, I have been experiencing chest tightness, nausea, pain at the back of my temples (with a feeling of tightness), and bloating. I visited the clinic today, and my blood pressure was 179/87. Am I considered part of the hypertensive popul...


Dr. Li Zhiyao Reply:
Hello: Some of your symptoms may indeed be caused by hypertension, such as headaches. However, the connection between bloating and hypertension is relatively minor. Here is a basic concept for your reference: the diagnosis of hypertension should be based on multiple measurements ...

[Read More] Understanding Hypertension: Symptoms and Health Risks Explained


Understanding Glomerular Filtration Rate: What You Need to Know

Regarding the glomerular filtration rate (GFR) value? Hello, Dr. Hsiao. I have been experiencing fasting blood glucose levels between 102 and 112 for a long time. This time, I underwent tests, and my fasting blood glucose was 108, postprandial was 119, HbA1c was 5.6%, blood urea ...


Dr. Xiao Yongxun Reply:
According to a study published in The Lancet in 2008, it is estimated that 11.93% of adults in Taiwan have chronic kidney disease (CKD). The stages of severity are as follows: 1. Stage 1: Kidney damage with normal or increased GFR, GFR ≥ 90 ml/min/1.73 m². 2. Stage 2: Kidney dama...

[Read More] Understanding Glomerular Filtration Rate: What You Need to Know


Understanding Blood Sugar Fluctuations in Diabetes Management

About diabetes? Hello Director Hsiao, Over two months ago, I had a blood test at the hospital, and my fasting blood glucose was 130 mg/dL, with a hemoglobin A1c of 6.4%. The doctor did not prescribe medication and advised dietary control instead. I purchased a blood glucose mete...


Dr. Xiao Yongxun Reply:
1. Generally, a fasting blood glucose level of 126 mg/dL corresponds to a glycated hemoglobin (HbA1c) level of approximately 6.5%. Therefore, the test results from two months ago should be reliable. 2. In the classification of diabetes, type 2 diabetes accounts for about 92-95%...

[Read More] Understanding Blood Sugar Fluctuations in Diabetes Management


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