Blood sugar, Internal Medicine FAQ - Page 11

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Understanding Fasting Blood Sugar Variations: What You Need to Know

Fasting blood glucose Hello doctor, I have a habit of regularly checking my blood sugar. This morning, I went to the clinic and had my blood sugar tested, and the result was 124. About three months ago, at the same clinic, it was in the 90s. Then, about 10 minutes later, I went t...


Dr. Xiao Yongxun Reply:
Dear Mr. Cheng, 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. A fasting plasma glucose level of ≥126 mg/dL after fasting for at least 8 hours, b. A 2-hour plasma glucose level of ≥200 mg/dL during an oral glucose tolerance test...

[Read More] Understanding Fasting Blood Sugar Variations: What You Need to Know


Am I Diabetic? Understanding Symptoms and Blood Sugar Levels

Do I have diabetes? I have been experiencing frequent dry mouth and thirst lately, constantly drinking water and urinating, yet I still feel thirsty. I have had similar episodes before, and one morning my fasting blood sugar was as high as 124. I'm not sure if it was related...


Dr. Xiao Yongxun Reply:
Dear Mr. Allen: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. A fasting plasma glucose level of ≥126 mg/dL after fasting for at least 8 hours. b. A 2-hour plasma glucose level of ≥200 mg/dL during an oral glucose tolera...

[Read More] Am I Diabetic? Understanding Symptoms and Blood Sugar Levels


Understanding Blood Sugar Levels: Am I at Risk for Prediabetes?

I'm sorry Hello, doctor. Since both of my parents are diabetic, I pay special attention to my own blood sugar levels. I avoid sweets and sugary drinks, and my diet is relatively light. I also maintain a habit of exercising for over an hour each day. Recently, my fasting bloo...


Dr. Li Zhiyao Reply:
Hello: Based on the values you provided, your blood glucose level is still within the normal range and does not indicate prediabetes. Please continue to maintain dietary control, exercise habits, and blood glucose monitoring. Wishing you health and safety!

[Read More] Understanding Blood Sugar Levels: Am I at Risk for Prediabetes?


Effective Strategies for Managing Diabetes: Encouraging Medication and Blood Sugar Monitoring

Diabetic patients are reluctant to take their medication on time and monitor their blood glucose levels? My mother has been diagnosed with hyperglycemia for many years, with fasting blood sugar levels around 140. Recently, her levels have spiked to over 200. As a result, she has ...


Dr. Li Zhiyao Reply:
Hello: Based on what you described, your mother's blood sugar levels, which were previously stable, have suddenly become uncontrolled. This situation should not be considered solely within the framework of diabetes; there may be other underlying conditions, such as a urinary...

[Read More] Effective Strategies for Managing Diabetes: Encouraging Medication and Blood Sugar Monitoring


Understanding Blood Sugar Levels: Anxiety's Impact on Health

Blood sugar issues? Hello Doctor: I have anxiety issues, and according to my psychiatrist, I have what is known as panic disorder, which often causes chest pain, hyperventilation, and difficulty breathing. Yesterday, I experienced sudden, unbearable chest pain and felt like I cou...


Dr. Hong Yuanbin Reply:
Hello, regarding your anxiety issue, based on your description, it seems to be "hyperventilation syndrome," which refers to excessive breathing that leads to the removal of carbon dioxide, causing numbness in the hands and feet. You can try breathing into a paper bag to...

[Read More] Understanding Blood Sugar Levels: Anxiety's Impact on Health


Understanding Increased Urination: Is It Normal After Hydration?

Experiencing a quick urge to urinate after drinking water, along with a total urine output that exceeds the amount of water consumed, can indicate a condition known as polyuria. This may be associated with various factors, including diabetes mellitus, excessive fluid intake, or c...


Dr. Wang Weijie Reply:
Hello, 1. Fluid intake includes both the water content in food and the amount of water consumed. Relying solely on water intake can lead to inaccuracies; it is advisable to check the specific gravity of urine and the presence of proteinuria to assess hydration status. 2. What...

[Read More] Understanding Increased Urination: Is It Normal After Hydration?


Managing Blood Sugar: When to Use Medication for Carbohydrate Intake

Issues with blood sugar medications Doctor, I usually have normal blood sugar levels, with fasting levels between 100 and 110. Typically, after consuming five types of rice, my blood sugar is around 135 two hours later. However, when I eat carbohydrates like white rice, dumplings...


Dr. Li Zhiyao Reply:
Hello Mr. Ke: The glycemic index of white rice and white noodles is higher than that of multigrain rice, which causes an increase in your post-meal blood sugar levels when eating out. If you cannot reduce your intake of white rice, then using Glucophage for control may be necessa...

[Read More] Managing Blood Sugar: When to Use Medication for Carbohydrate Intake


Understanding Glycated Hemoglobin: Managing Blood Sugar Levels Effectively

Glycated Hemoglobin (HbA1c) Hello Doctor: In January, I discovered that my fasting blood sugar was 140. After one week of dietary control, I went to the hospital for a blood test, and the result showed a fasting level of 119 and an HbA1c of 7.2. The doctor gave me two months to m...


Dr. Xiao Yongxun Reply:
Dear Miss Lin: 1. There are many factors that can influence elevated fasting blood glucose levels, including overeating at the previous meal, accidental consumption of caloric foods during fasting, infections or illnesses, excessive stress, the use of certain medications or herb...

[Read More] Understanding Glycated Hemoglobin: Managing Blood Sugar Levels Effectively


Am I Diabetic? Understanding Blood Sugar and Cholesterol Levels

Could you please tell me if I have diabetes? Hello, last year my tests were normal, but this year I received my health check results showing abnormal blood sugar and lipid levels. Am I diabetic? After fasting for over 12 hours, my weight is 49 kg and my height is 155.7 cm. My cho...


Dr. Xiao Yongxun Reply:
Dear Ms. Vivi: 1. Your fasting blood glucose level is 102 mg/dL, your body mass index (BMI) is 20.4 kg/m², and you do not exhibit any obvious symptoms of diabetes. 2. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. A fasting ...

[Read More] Am I Diabetic? Understanding Blood Sugar and Cholesterol Levels


Understanding Blood Sugar Fluctuations: Symptoms and Testing Insights

Blood sugar inquiry? Hello, Doctor: A few days ago, during lunch, I drank a soda and suddenly felt unwell, experiencing neck pain and fatigue. After about half an hour, I still felt uncomfortable, so I consumed an oral rehydration solution (8.44 grams of sucrose and 2.8 grams of ...


Dr. Xiao Yongxun Reply:
Dear Mr. Ming: 1. According to your information, I agree with your attending physician; in other words, there is no evidence indicating the presence of diabetes. 2. Any blood glucose meter can produce inaccuracies; therefore, it is necessary to have the manufacturer perform cali...

[Read More] Understanding Blood Sugar Fluctuations: Symptoms and Testing Insights


Managing Diabetes and Cholesterol: Key Questions and Insights

Regarding diabetes and cholesterol issues? Hello Dr. Hsiao, Six months ago during my health check-up, my fasting blood glucose was 123 mg/dL and my hemoglobin A1c was 8.3%. The doctor advised me to take medication for control and to focus on weight loss. After four months of ef...


Dr. Xiao Yongxun Reply:
Dear Mr. Justin: 1. If weight loss is achieved gradually, and normal weight is maintained with good dietary control and regular exercise, it is possible to discontinue medication. However, this is contingent upon lifestyle changes and maintenance. Rapid weight loss can lead to r...

[Read More] Managing Diabetes and Cholesterol: Key Questions and Insights


Understanding Hemoglobin A1c: Can Weight Loss Reverse Type 2 Diabetes?

Glycated hemoglobin Doctor, I would like to ask you about my situation. In September, my hemoglobin A1c was 6.1, and in January of this year, it was 6.5. Am I diabetic? When I went to the hospital to review my report, the doctor advised me to lose weight. Is this to manage my dia...


Dr. Xiao Yongxun Reply:
Dear Ms. Anonymous: 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....

[Read More] Understanding Hemoglobin A1c: Can Weight Loss Reverse Type 2 Diabetes?


Managing Elevated Blood Sugar: Tips for Diet and Health Monitoring

Blood sugar issues? Hello Doctor, my fasting blood sugar is 110 mg/dL, glycated hemoglobin is 5.7%, blood urea nitrogen is 10 mg/dL, creatinine is 0.72 mg/dL, and liver function tests show alanine aminotransferase (ALT) at 8 U/L. I understand that my fasting blood sugar is elevat...


Dr. Xiao Yongxun Reply:
Dear Ms. Wu: 1. After undergoing these tests, your physician should have explained the results to you. Please make sure to consider the recommendations of the physician who has personally examined you. 2. Your fasting plasma glucose level is 110 mg/dL, which indeed exceeds the ...

[Read More] Managing Elevated Blood Sugar: Tips for Diet and Health Monitoring


Understanding the Diabetes Honeymoon Phase: What You Need to Know

Diabetes honeymoon phase Hello Doctor: I was previously diagnosed with prediabetes, and the doctor said that dietary control would suffice. Over the past month, I have been managing my diet and exercising, and my blood sugar levels have gradually returned to normal, which makes m...


Dr. Xiao Yongxun Reply:
Dear Ms. Lin: 1. The term "diabetes honeymoon phase" refers to a period after the onset of diabetes during which blood sugar levels are well-controlled, often without the need for medication, due to dietary changes, exercise, medication, or insulin therapy. In type 2 d...

[Read More] Understanding the Diabetes Honeymoon Phase: What You Need to Know


Managing Blood Sugar Levels in Children: Concerns and Guidelines

Blood sugar issues Hello Doctor, due to the Lunar New Year holiday, my child has been indulging in a lot of sweets and has had irregular meal times. Last night, while he was asleep, I checked his blood sugar levels. Two hours after eating, it was 127 mg/dL (at 1 AM), five hours a...


Dr. Xiao Yongxun Reply:
Dear Mr. Wang: 1. Normal fasting plasma glucose levels range from 70 to 100 mg/dL, while normal postprandial glucose levels two hours after eating range from 80 to 140 mg/dL. Therefore, your child, being young with normal pancreatic function, may have normal glucose levels despi...

[Read More] Managing Blood Sugar Levels in Children: Concerns and Guidelines


Understanding Blood Sugar Levels: High Readings and Sleep Impact

Blood sugar issues? Hello Doctor, I recently purchased a blood glucose meter and found that my fasting blood sugar level is as high as 140 after more than 8 hours of fasting, but my blood sugar level is only 128 two hours after eating. I have tested this for two consecutive days ...


Dr. Hong Yuanbin Reply:
Hello, the values obtained from a simple blood glucose meter may not always be accurate and should be used as a reference for postprandial blood glucose levels. If the caloric intake of a meal is not high, it is indeed possible for the blood sugar levels to remain low. I recommen...

[Read More] Understanding Blood Sugar Levels: High Readings and Sleep Impact


Managing Blood Sugar Levels After Gestational Diabetes: Key Insights

Gestational diabetes mellitus (GDM) Hello Doctor: I had gestational diabetes during my second pregnancy. I have no family history of diabetes and am not overweight. I managed my condition through dietary control and daily self-monitoring of blood glucose. Now that I have given bi...


Dr. Xiao Yongxun Reply:
(1) According to the American Diabetes Association's diagnostic criteria for diabetes: a. Fasting plasma glucose level ≥126 mg/dL after fasting for at least 8 hours. b. Plasma glucose level ≥200 mg/dL during a 2-hour oral glucose tolerance test. c. HbA1c (glycated hemoglobin...

[Read More] Managing Blood Sugar Levels After Gestational Diabetes: Key Insights


Understanding c-ANCA Positivity: Implications for Your Health and Vision

c-ANCA positive Hello, Doctor. Since April of this year, I have experienced two episodes of transient visual disturbances resembling a TIA, where my vision became blurry for a few seconds and then returned to normal, usually around mealtime. Sometimes I also feel dizzy, so I cons...


Dr. Zeng Guosen Reply:
1. C-ANCA positivity is less likely to cause eye problems. 2. C-ANCA positivity is associated with Wegener's granulomatosis (now known as granulomatosis with polyangiitis, GPA), and a series of tests must be conducted for a definitive diagnosis. 3. Whether to initiate me...

[Read More] Understanding c-ANCA Positivity: Implications for Your Health and Vision


Understanding Blood Sugar Levels: Are You at Risk for Diabetes?

Blood sugar issues? Hello Doctor, I am 168 cm tall and weigh 57 kg. I had a health check-up at a major hospital in early October this year, where my fasting blood glucose level was 95 mg/dL. Since this value is close to the upper limit of the normal range, I was quite worried abo...


Dr. Xiao Yongxun Reply:
Dear Mr. Alex: 1. A fasting blood glucose level of 95 mg/dL or 96 mg/dL shows no significant change clinically; in other words, it lacks significant meaning. Based solely on this value, no physician would suggest that it will soon exceed 100 mg/dL. Generally, blood glucose level...

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


Managing Diabetes-Related Symptoms: Eye Issues and Digestive Discomfort

Symptoms such as discomfort in the stomach associated with diabetes? Hello Doctor, my mother is 57 years old. Last year, she was diagnosed with diabetes and has been taking insulin every morning. Earlier this year, she developed diabetic retinopathy, which required surgery. Recen...


Dr. Xiao Yongxun Reply:
Dear Miss Zhu Zhu: 1. The acute complications of type 2 diabetes primarily include diabetic ketoacidosis and non-ketotic hyperosmolar hyperglycemia; if treatment and dietary management are not optimal, hypoglycemia may also occur. 2. The chronic complications of type 2 diabetes...

[Read More] Managing Diabetes-Related Symptoms: Eye Issues and Digestive Discomfort


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