Managing Hypoglycemia: When to Seek Further Testing and Dietary Changes
Management of Hypoglycemia Hello, Doctor! I have experienced symptoms of hypoglycemia since elementary school, occurring about ten times a year. After entering high school, these episodes have become more frequent. My records show that I average a blood sugar test in the school h...
Dr. Xiao Yongxun Reply:
Dear Ms. Olivia: 1. There are many causes of hypoglycemia, the most common being medications used by patients with diabetes. Other causes include renal failure, certain tumors, liver disease, hypothyroidism, muscle starvation, congenital metabolic disorders, adrenal insufficien...[Read More] Managing Hypoglycemia: When to Seek Further Testing and Dietary Changes
Understanding Post-Meal Blood Sugar Levels: Is 62 mg/dL Normal?
Blood sugar issues? What is the normal blood sugar level one hour after a meal? I measured mine and it was 62. Does this indicate a problem with my blood sugar?
Dr. Xiao Yongxun Reply:
Dear Ms. Ella: 1. In medical practice, for the convenience of treatment or discussion, the postprandial blood glucose level measured two hours after eating is commonly used as a standard. In healthy individuals, the postprandial plasma glucose level is below 140 mg/dL, while in ...[Read More] Understanding Post-Meal Blood Sugar Levels: Is 62 mg/dL Normal?
Understanding Weight Loss and Side Effects of Forxiga and Olmetec
Rapid weight loss Hello doctor, on March 30th, my physician prescribed me Forxiga 10mg for weight loss. On April 5th, I returned for a check-up due to discomfort near my heart, and an ECG showed normal results, but my blood pressure was 155/101. The doctor asked if I wanted to tr...
Dr. Huang Yaoxuan Reply:
1. Do you know what Forxiga 10mg is (what it does)? Are there any precautions to take when using this medication? It is a new type of antidiabetic medication (approved by the FDA in the United States), which lowers blood sugar levels and can also lead to weight loss. Some physici...[Read More] Understanding Weight Loss and Side Effects of Forxiga and Olmetec
Understanding Blood Sugar Issues: When to Seek Medical Advice
Blood sugar issues? The hospital's blood test report shows an AC of 89 and an HbA1c of 5.3. Although these values are within the normal range and the lab technician mentioned that a single test may not be conclusive, during the Lunar New Year period, I experienced intermitte...
Dr. Xiao Yongxun Reply:
Dear Ms. Alice: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. Fasting plasma glucose level ≥ 126 mg/dL after 8 hours of fasting, b. Plasma glucose level ≥ 200 mg/dL during a 2-hour oral glucose tolerance test, c. HbA1c (glycate...[Read More] Understanding Blood Sugar Issues: When to Seek Medical Advice
Understanding Dietary Sensitivities: Dizziness and Nausea After Sweet Foods
Dietary Issues Hello doctor, I would like to ask you something. Since elementary school, I have noticed that whenever I consume sweet foods or drinks, I start to feel dizzy and nauseous. This is very obvious, for example, when I drink beverages or eat chocolate. Even fruits that ...
Dr. Xiao Yongxun Reply:
Dear Ms. Tsai: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association, the following are summarized: a. Fasting plasma glucose level ≥ 126 mg/dl after at least 8 hours of fasting, b. Plasma glucose level ≥ 200 mg/dl during a 2-hour ...[Read More] Understanding Dietary Sensitivities: Dizziness and Nausea After Sweet Foods
Understanding Postprandial Blood Sugar Levels: What’s Normal?
Postprandial blood glucose Hello Doctor, I understand that postprandial blood glucose is usually measured two hours after a meal. However, sometimes I also check my blood glucose one hour after eating. I've noticed that sometimes my blood glucose one hour after eating is hig...
Dr. Xiao Yongxun Reply:
Dear Miss Cheng: 1. If you eat white bread, drink high-sugar watermelon juice, and then have some popcorn, your blood sugar levels will rise rapidly, stimulating a large release of insulin, which can cause your blood sugar to drop quickly afterward. These foods not only have a h...[Read More] Understanding Postprandial Blood Sugar Levels: What’s Normal?
Understanding Weight Distribution and Healthy Eating for Students
I am a student? Hello, Doctor! 1. I am currently a student with a BMI of over 20, but compared to others of the same height, my thighs and buttocks are noticeably larger (while my waist is relatively slim). Could you explain why this is happening? Are there any methods to impro...
Dr. Zeng Guosen Reply:
Hello, thank you for your question. However, my knowledge in this area is limited, and I may not provide an accurate response. I recommend consulting a nutritionist. Thank you.[Read More] Understanding Weight Distribution and Healthy Eating for Students
Should You Take Diabetes Medications After Fasting Blood Sugar Tests?
Fasting for tests, blood sugar medication? I would like to ask, if I need to fast after breakfast for a test and my blood sugar is 120, should I still take my medication and administer insulin before breakfast?
Dr. Li Zhiyao Reply:
Hello: I don't understand your meaning, so I cannot respond. I apologize![Read More] Should You Take Diabetes Medications After Fasting Blood Sugar Tests?
Understanding GI and Weight Management: Tips for Students
GI-related issues Hello, doctor! 1. I am a student with a BMI of over 20, but compared to others of the same height, my thighs and buttocks are noticeably smaller, while my waist is relatively slim. Why is this? Are there ways to improve it? (I spend most of my time in school a...
Dr. Li Zhiyao Reply:
Hello: 1. To achieve a good physique, in addition to dietary control, exercise is also essential. 2. Your BMI is approximately 20, so there is no need for weight loss; therefore, questions 3 and 4 are irrelevant (do not trust online information; consulting a nutritionist is the b...[Read More] Understanding GI and Weight Management: Tips for Students
Understanding Weight Loss: Tips for Students on Diet and Nutrition
Weight loss and slimming? Hello, doctor! 1. I am currently a student with a BMI of over 20, but compared to others of the same height, my thighs and buttocks are noticeably larger, while my waist is relatively slim. Could you explain why this is the case? Are there any methods ...
Dr. Xiao Yongxun Reply:
Dear Miss Lin: 1. For a 16-year-old female, maintaining a BMI (body mass index) between 18.5 and 23.9 kg/m² is considered good. It would be even better if the waist circumference is below 80 cm. As for a larger hip-to-thigh ratio, there could be many reasons, including genetic f...[Read More] Understanding Weight Loss: Tips for Students on Diet and Nutrition
Post-Meal Blood Sugar: Walking Benefits and Glucose Fluctuations Explained
Measuring postprandial blood glucose? Hello Doctor, I have been controlling my diet. If I eat at 12 PM and measure my postprandial blood glucose at 2 PM, I usually start walking around 1:30 PM, which means I will be slightly active for about half an hour before the measurement. I...
Dr. Xiao Yongxun Reply:
Dear Mr. Gao: 1. A moderate walk after meals can effectively lower postprandial blood glucose levels; there should not be any major issues. In fact, individuals with regular exercise habits tend to have increased sensitivity of insulin receptors, which helps maintain stable bloo...[Read More] Post-Meal Blood Sugar: Walking Benefits and Glucose Fluctuations Explained
Understanding Anemia: Symptoms, Causes, and Dietary Solutions
Dizziness, anemia? Doctor, I need your advice regarding my condition. - I often feel dizzy and sometimes almost faint (I stand still and wait to recover). - Sometimes I have difficulty breathing. - Occasionally, I experience chest pain. - Sometimes when I stand up, everything goe...
Dr. Xie Rongyuan Reply:
Hello: If you frequently experience dizziness, shortness of breath, and chest pain, you should seek medical attention as soon as possible. Anemia can cause dizziness, but it is important to determine the underlying cause of the anemia in order to treat it effectively. Additionall...[Read More] Understanding Anemia: Symptoms, Causes, and Dietary Solutions
Can Fasting Blood Sugar Be Higher Than Pre-Bedtime Levels?
Is it possible for pre-meal blood sugar to be higher than bedtime blood sugar? Hello Doctor: I would like to ask if it is possible for fasting blood glucose levels to be higher than bedtime blood glucose levels. I usually measure my father's fasting blood glucose in the morn...
Dr. Li Zhiyao Reply:
Hello: Please monitor if your father experiences "nocturnal hypoglycemia" and discuss it with his attending physician.[Read More] Can Fasting Blood Sugar Be Higher Than Pre-Bedtime Levels?
Understanding the Link Between Fasting and Postprandial Blood Sugar Levels
The relationship between fasting blood glucose and postprandial blood glucose two hours after a meal? Hello doctor, due to a family history of diabetes, I previously had my blood glucose level tested and it was 78. However, I read in other articles that the blood glucose level tw...
Dr. Chen Jianyu Reply:
A blood glucose level of 78 is unclear whether it is fasting or postprandial. Please follow up at the outpatient clinic.[Read More] Understanding the Link Between Fasting and Postprandial Blood Sugar Levels
Normal Bedtime Blood Sugar Levels for Non-Diabetics Explained
Bedtime blood glucose What should a normal bedtime blood sugar level be for a person without diabetes? Thank you, doctor.
Dr. Xiao Yongxun Reply:
Dear Miss Su: 1. Generally speaking, blood glucose levels gradually rise after meals, peaking around two hours postprandially. If insulin secretion and action are normal, blood glucose levels should not exceed 140 mg/dL and will then gradually decline. However, due to the body&#...[Read More] Normal Bedtime Blood Sugar Levels for Non-Diabetics Explained
Understanding Post-Meal Sleepiness: Is It Blood Sugar Related?
Blood sugar issues? Hello Doctor, I seem to have a tendency to feel very sleepy after meals since childhood. It's severe enough that I often feel drowsy during tutoring, classes, and study sessions, even after eating a small amount, like a bowl of rice or a portion of rice f...
Dr. Li Zhiyao Reply:
Hello: It is recommended that you visit a family medicine physician, and a blood test can help assess your blood glucose levels.[Read More] Understanding Post-Meal Sleepiness: Is It Blood Sugar Related?
Which Hand is More Accurate for Blood Sugar Measurement in Stroke Patients?
Measuring blood glucose? In stroke patients, which hand is more accurate for measuring blood glucose levels? Since the affected side has poorer blood circulation, will this impact the values? Thank you.
Dr. Li Zhiyao Reply:
Hello: Both hands can be tested.[Read More] Which Hand is More Accurate for Blood Sugar Measurement in Stroke Patients?
Understanding Post-Meal Blood Sugar Levels: 1 Hour vs 2 Hours
Blood glucose levels one hour and two hours after meals? Doctor, is it normal for blood sugar levels to be higher one hour after eating compared to two hours after eating? If I measure my blood sugar and find that my two-hour post-meal level is higher than my one-hour level, what...
Dr. Xiao Yongxun Reply:
1. Generally, blood sugar levels rise gradually after meals, peaking two hours postprandially, and then gradually decline. If high-sugar or high-calorie foods are consumed, and there is sufficient insulin secretion in the body, blood sugar levels may spike rapidly; in some cases,...[Read More] Understanding Post-Meal Blood Sugar Levels: 1 Hour vs 2 Hours
How Post-Meal Exercise Helps Lower Blood Sugar Levels
Exercise and Blood Sugar Hello doctor, I have noticed that if I exercise after eating, my blood sugar remains within the normal range. However, if I remain seated and inactive after a meal, my blood sugar tends to be higher. Is this situation normal? Why does post-meal activity l...
Dr. Xiao Yongxun Reply:
1. Moderate exercise can utilize glucose as the primary energy source and increase the sensitivity of insulin receptors, thereby lowering blood glucose levels—both fasting blood glucose and postprandial blood glucose two hours after meals. Consistent and regular exercise can also...[Read More] How Post-Meal Exercise Helps Lower Blood Sugar Levels
Understanding Blood Sugar Management: Key Indicators and Medication Options
Blood sugar issues Dear Dr. Hsiao, I have been concerned about my blood sugar levels since my health check in 2004, when my fasting blood glucose was 100. I only started medication in 2015, but my weight has decreased from my usual 38 kg to the current 34 kg. For the past ten ye...
Dr. Xiao Yongxun Reply:
1. For a 65-year-old diabetic patient, a fasting blood glucose level of 155 mg/dL, a postprandial blood glucose level of 169 mg/dL two hours after eating, and a hemoglobin A1c level of 6.6% indicate relatively good control. Each of these values carries individual significance, an...[Read More] Understanding Blood Sugar Management: Key Indicators and Medication Options