Blood sugar, Internal Medicine FAQ

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Understanding Symptoms Similar to Hypoglycemia with Normal Blood Sugar Levels

Normal blood sugar levels but occasionally experiencing symptoms similar to hypoglycemia? Hello Doctor: In the past two to three years, I have occasionally experienced symptoms similar to hypoglycemia, such as sudden cold sweats, anxiety, and hunger pangs, which are relieved afte...


Dr. Li Jian Reply:
You can visit the Metabolism Clinic for further examination. Thank you for your inquiry.

[Read More] Understanding Symptoms Similar to Hypoglycemia with Normal Blood Sugar Levels


Understanding Diabetes Test Results: A Guide for Patients

Diabetes test results inquiry? When I was 23 or 24 years old, during a company health check, I was found to have elevated fasting blood glucose levels. I then went to a large hospital where my postprandial blood glucose reached 395 mg/dL, and my HbA1c was 9.1, which led to a diag...


Dr. Li Jian Reply:
The normal ranges for test values may vary slightly between different testing laboratories. Please return to the original testing hospital for follow-up consultations. Thank you for your inquiry.

[Read More] Understanding Diabetes Test Results: A Guide for Patients


Managing High Cholesterol and Lipid Levels: A Patient's Guide

High cholesterol and elevated blood lipids? Hello Doctor, I have a question to ask. I recently received my health check report: weight 45 kg, height 164 cm, fasting blood sugar 102 mg/dL, hemoglobin A1c 5.3%, HDL 83 mg/dL, LDL 207 mg/dL, triglycerides 94 mg/dL, and total cholest...


Dr. Lin Jianliang Reply:
Hello: Although you have previously used statin medications for lowering cholesterol, you stopped due to muscle cramping side effects. Currently, dietary control has not effectively reduced your cholesterol levels. You may want to discuss different types of cholesterol-lowering m...

[Read More] Managing High Cholesterol and Lipid Levels: A Patient's Guide


Understanding Your Blood Sugar Levels: Are You at Risk for Prediabetes?

Both pre-meal and post-meal blood glucose levels are at the threshold? Doctor, my hemoglobin A1c is 5.2, my fasting blood sugar is 99, and my postprandial blood sugar is 140. Since both values are at the borderline, am I considered to have prediabetes? Also, how much should I eat...


Dr. Lin Jianliang Reply:
Hello: Based on the data you provided, a glycated hemoglobin (HbA1c) level of 5.2% falls within the normal range (generally, the normal range is less than 5.7%). The normal range for fasting blood glucose is 70-99 mg/dL, while the normal range for postprandial blood glucose (two ...

[Read More] Understanding Your Blood Sugar Levels: Are You at Risk for Prediabetes?


Does Drinking Sugary Beverages All Day Cause Insulin Resistance?

Insulin resistance Hello, Doctor: If I drink a cup of sugary bubble tea throughout the day (taking a few sips intermittently), will this cause my blood sugar levels to fluctuate continuously and potentially lead to insulin resistance?


Dr. Lin Jianliang Reply:
Hello: Consuming a large amount of sugary beverages at once or intermittently can lead to fluctuations in blood glucose levels, which may result in insulin resistance. To maintain health, it is recommended to reduce the intake of sugary drinks.

[Read More] Does Drinking Sugary Beverages All Day Cause Insulin Resistance?


Understanding Blood Sugar Fluctuations: Insights from Continuous Glucose Monitoring

I have some questions regarding the use of continuous glucose monitoring devices? Hello Doctor, I am 42 years old. Last August, my health check revealed a fasting blood glucose level of 115 mg/dL and a hemoglobin A1c of 5.8%. Since then, my fasting blood glucose has remained elev...


Dr. Lin Wufu Reply:
Hello, your question falls within the specialty of endocrinology, and the physician may need to ask you additional questions related to your diet and exercise in order to have a discussion. Therefore, it is recommended that you visit the hospital to consult with the endocrinology...

[Read More] Understanding Blood Sugar Fluctuations: Insights from Continuous Glucose Monitoring


Can You Get Infected from Contact with Family Member's Blood?

Regarding contact with another person's blood? Hello Dr. Lin, my family member needs to check their blood sugar, but they cannot operate the device and cannot see, so I assist them. Today, my family member bled more than usual, and when I was about to discard the test strip,...


Dr. Lin Wufu Reply:
Hello, there are many diseases that can be transmitted through exposure to blood and bodily fluids. The ones that are usually of particular concern are HIV, syphilis, hepatitis B, and hepatitis C. It would be advisable to first check if any of your family members have a history o...

[Read More] Can You Get Infected from Contact with Family Member's Blood?


Understanding Insulin Resistance: Should You Worry About Your Levels?

Assessment of Insulin Resistance Issues Hello Doctor, I recently received my health check report, and my blood sugar values are as follows: *Fasting blood sugar: 90 mg/dL* *Fasting insulin: 11.9 μIU/mL* *Insulin resistance assessment: 2.6* The report indicates that the normal val...


Dr. Li Jian Reply:
You can undergo a glycated hemoglobin (HbA1c) test. Thank you for your inquiry.

[Read More] Understanding Insulin Resistance: Should You Worry About Your Levels?


Understanding Your Blood Sugar Levels: Do You Have Diabetic Dermopathy?

Is it a diabetic spot? Hello Doctor, my BMI is 21. I have been consistently engaging in aerobic exercise and maintaining a healthy diet, but I have been troubled by diabetes issues recently. At the end of February this year, my fasting blood glucose was 89, but by the end of Marc...


Dr. Li Jian Reply:
Currently, blood sugar levels are normal. Regarding skin lesions, you can consult a dermatologist. Thank you for your inquiry.

[Read More] Understanding Your Blood Sugar Levels: Do You Have Diabetic Dermopathy?


Understanding Glomerular Filtration Rate: What High Levels Mean for Diabetics

Glomerular filtration rate (GFR) Hello Dr. Chang, I am a diabetes patient. Recently, my blood test report showed the following: estimated glomerular filtration rate (eGFR): 143, creatinine: 0.65, urine microalbumin-to-creatinine ratio: 84, urine occult blood: 1+. Is a higher glom...


Dr. Zhang Shixin Reply:
Hello: 1. Regarding the glomerular filtration rate, if your blood pressure and blood sugar are well-controlled, it is recommended to monitor the trends. 2. Diabetic nephropathy is usually accompanied by proteinuria; therefore, maintaining stable blood sugar and blood pressure is ...

[Read More] Understanding Glomerular Filtration Rate: What High Levels Mean for Diabetics


Understanding Blood Sugar Levels: Should You Worry About Your Readings?

Blood sugar issues? Hello Doctor, I am 22 years old, and my height, weight, and BMI are all normal. I do not have hypertension, hyperlipidemia, or any other unhealthy values. On March 1st of this year, my fasting blood glucose was 89, and today, March 20th, my fasting blood gluco...


Dr. Li Jian Reply:
The current blood test results are normal, so please do not worry excessively. Thank you for your inquiry.

[Read More] Understanding Blood Sugar Levels: Should You Worry About Your Readings?


Understanding Hemoglobin A1c: Concerns About Blood Sugar and Anemia

Glycated hemoglobin (HbA1c) Hello Doctor, I have some questions I would like to ask you: I had a blood test done in December. Since both of my parents have diabetes and my weight has decreased from 64 kg in mid-August to only 59 kg recently, I am very anxious about my blood sugar...


Dr. Lin Jianliang Reply:
Hello, glycated hemoglobin (HbA1c) is an indicator of the average blood glucose levels over the past three months. The most significant factor affecting it is the blood glucose level itself. The primary influences on blood glucose are diet and lifestyle. Mild anemia does not have...

[Read More] Understanding Hemoglobin A1c: Concerns About Blood Sugar and Anemia


Do Low Glycemic Foods Affect Hemoglobin A1c Levels?

Do low glycemic index foods affect glycated hemoglobin levels? Hello doctor, I had a hemoglobin A1c test in November that showed 5.3, and in December, it was 5.6. This past month, aside from meat and fats, I increased my intake of avocados, nuts, and 100% chocolate. I added appro...


Dr. Li Jian Reply:
If the nuts are unsweetened and the chocolate is completely sugar-free, they should have little impact on blood sugar levels. Thank you for your inquiry.

[Read More] Do Low Glycemic Foods Affect Hemoglobin A1c Levels?


Understanding Fasting Blood Sugar Levels: What Does 97 Mean?

Fasting blood glucose issues Hello Doctor, I recently received my health check report, which shows that my fasting blood glucose level is 97, which is close to the maximum reference value of 100. The night before the test, I was too busy and only ate two tea eggs for dinner, and ...


Dr. Li Jian Reply:
Currently, it is considered normal. If there is a family history of diabetes or if you are overweight, you may consider testing for hemoglobin A1c. Thank you for your inquiry.

[Read More] Understanding Fasting Blood Sugar Levels: What Does 97 Mean?


Understanding Fluctuations in Glycated Hemoglobin Over One Month

Fluctuations in glycated hemoglobin (HbA1c) levels within one month? Hello Doctor: Thank you for taking the time to answer my questions despite your busy schedule. In my family, besides my parents, my aunts, uncles, and both sets of grandparents have diabetes, so I am particularl...


Dr. Li Jian Reply:
Weight loss can also be evaluated by testing thyroid function. Currently, there are no significant abnormalities in blood glucose levels, so testing once every 1-2 years is sufficient. Thank you for your inquiry.

[Read More] Understanding Fluctuations in Glycated Hemoglobin Over One Month


Understanding Gout Symptoms: Is Morning Discomfort a Sign of Flare-Up?

Regarding the recent cold weather, I have been experiencing a dull sensation in my big toe, which has a history of gout, upon waking up in the morning. However, after urinating, the discomfort significantly decreases? Hello, Director Gao! I apologize for bothering you, but I have...


Dr. Gao Jiankai Reply:
Hello, this question has been asked before, so I will repost my response. If your uric acid levels remain consistently normal, I don't believe it is a gout attack. Previously affected joints from arthritis may leave some residual effects, making them more sensitive to change...

[Read More] Understanding Gout Symptoms: Is Morning Discomfort a Sign of Flare-Up?


Understanding Gout Symptoms: Is Morning Discomfort a Sign of Flare-Up?

Regarding the recent cold weather, I have been experiencing a feeling of heaviness in my big toe, which previously had gout, upon waking up in the morning. However, after urinating, the sensation decreases significantly? Hello, Director Gao! I apologize for bothering you, but I h...


Dr. Gao Jiankai Reply:
Hello, thank you for your question. If your uric acid levels remain consistently normal, I don't believe this is a gout attack. Joints that have previously experienced arthritis may leave some residual effects, making them more sensitive to changes in humidity and climate. Y...

[Read More] Understanding Gout Symptoms: Is Morning Discomfort a Sign of Flare-Up?


Can You Get HIV from Blood Tests? Understanding the Risks Involved

Is it possible to contract HIV during the blood draw process? Hello, doctor. Thank you for taking the time to answer my question despite your busy schedule. Yesterday morning, I went to a nearby medical laboratory to have my blood tested because I was concerned about my blood sug...


Dr. Liao Zhongxin Reply:
HIV has three main routes of transmission: 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse without a condom with an HIV-infected individual or exchanging other bodily fluids carries a risk of infection. 2. Blood transmission: (1) Receiving or coming into co...

[Read More] Can You Get HIV from Blood Tests? Understanding the Risks Involved


Understanding Blood Sugar Spikes After Pain Management in Diabetics

Factors Affecting Blood Glucose Levels I would like to consult a doctor. My mother has been experiencing lower back pain and has seen an orthopedic doctor. She received an injection and is taking muscle relaxants. Since my mother has diabetes, her blood sugar levels are regularly...


Dr. Li Jian Reply:
Pain can cause an increase in blood sugar levels, and certain injections, such as steroids, can also raise blood sugar levels. Thank you for your inquiry.

[Read More] Understanding Blood Sugar Spikes After Pain Management in Diabetics


Understanding Pre-meal Blood Sugar and HbA1c Levels: A Patient's Inquiry

Questions about pre-meal blood glucose and glycated hemoglobin? Hello Doctor, during my health check in 2018, my fasting blood sugar was 105, and in 2022, it was 113, with other results normal. After undergoing an endoscopy on September 1st this year, I noticed my previous blood ...


Dr. Li Jian Reply:
Elevated fasting blood glucose is also a risk factor for diabetes. It is recommended that you lose weight and continue to follow up at the metabolic clinic. Thank you for your inquiry.

[Read More] Understanding Pre-meal Blood Sugar and HbA1c Levels: A Patient's Inquiry


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