Why Do I Feel Sleepy After Eating? Understanding Post-Meal Drowsiness
Feeling very sleepy after eating? Hello Doctor, I have a question that has been bothering me, and I'm not sure if I should ask you. I usually eat home-cooked meals three times a day, primarily consisting of rice and noodles. About an hour after eating, I feel very sleepy, to...
Dr. Li Zhiyao Reply:
Hello: 1. If there is a suspicion of blood sugar issues, fasting blood glucose, postprandial blood glucose, and glycated hemoglobin (HbA1c) tests can be performed. 2. It is recommended to consult a sleep medicine specialist.[Read More] Why Do I Feel Sleepy After Eating? Understanding Post-Meal Drowsiness
Does Cold Weather Affect Fasting Blood Sugar Levels?
Fasting blood glucose Doctor, may I ask, if the weather is cold, like during the recent cold wave, and I go outside and my body is shivering (jaw chattering), will my blood sugar levels be elevated at that time? Thank you.
Dr. Li Zhiyao Reply:
Hello: Appetite in winter is usually better than in summer, and physical activity tends to decrease, resulting in higher average blood glucose levels in winter compared to summer. As for single blood glucose readings, they are influenced by various factors, so the situation you m...[Read More] Does Cold Weather Affect Fasting Blood Sugar Levels?
Struggling with Post-Meal Blood Sugar Control: What Can You Do?
Postprandial blood sugar levels are difficult to control? Hello Doctor, I would like to ask what I should do if my postprandial blood sugar levels are consistently uncontrolled. I am currently managing my diet, changing the order of my meals, and exercising every day. However, un...
Dr. Li Zhiyao Reply:
Hello: If dietary control and exercise cannot manage blood sugar levels, medication will need to be used for control.[Read More] Struggling with Post-Meal Blood Sugar Control: What Can You Do?
Can I Drink Water or Tea After Meals with Diabetes During Pregnancy?
Is it permissible to drink water or consume other foods within two hours after a meal? Hello Doctor: I have type 2 diabetes and I am currently 5 weeks pregnant. My doctor instructed me to check my blood sugar four times tomorrow. Is it okay if I drink water or "caffeine-free...
Dr. Li Zhiyao Reply:
Hello: Drinking plain water does not affect blood sugar levels.[Read More] Can I Drink Water or Tea After Meals with Diabetes During Pregnancy?
Understanding the Rise in Glycated Hemoglobin: Concerns and Management
Elevated glycosylated hemoglobin? Hello Doctor, my HbA1c was 5.11 on December 19 and 5.6 on January 27. Is this an increase too fast? There is a family history of diabetes, so I have been exercising daily and controlling my diet since December, but my HbA1c has still increased. A...
Dr. Li Zhiyao Reply:
Hello: Your elevated hemoglobin A1c indicates that your average blood sugar levels have increased recently, which may be related to increased appetite during the winter and decreased physical activity. It is recommended that you manage your diet and weight, maintain moderate exer...[Read More] Understanding the Rise in Glycated Hemoglobin: Concerns and Management
Understanding Blood Pressure Variations and Metformin Use During Pregnancy
Regarding blood pressure and metformin? Doctor, I have a question. Recently, when I checked my blood pressure at the doctor's office, it was sometimes 114/79 and other times 133/88. Is this considered high? Also, can metformin be taken during pregnancy? Thank you, doctor!
Dr. Li Zhiyao Reply:
Hello; 1. Blood pressure should not be assessed based on a single measurement; multiple readings are necessary for accurate evaluation. 2. The best method for controlling blood sugar during pregnancy is insulin.[Read More] Understanding Blood Pressure Variations and Metformin Use During Pregnancy
Understanding Sudden Hypoglycemia: Causes and Concerns for Patients
Why does sudden hypoglycemia feel very uncomfortable? Hello, doctor. Today at 8:30 AM, I had breakfast consisting of sweet potatoes and whole grain bread, along with green tea. At 12:30 PM, I started experiencing symptoms of hypoglycemia: cold sweats, trembling, weakness, rapid h...
Dr. Wu Jiyu Reply:
Hello: Based on the information you provided, it is not possible to determine whether your symptoms are caused by hypoglycemia. In addition to low blood sugar, there are many other conditions that can present with similar symptoms. Typically, undiagnosed and untreated diabetes pr...[Read More] Understanding Sudden Hypoglycemia: Causes and Concerns for Patients
Optimal Timing for Fasting Blood Sugar Measurement: Key Insights
The timing for measuring fasting blood glucose? Hello, doctor. Without having diabetes, I would like to measure my fasting blood sugar. What is the most accurate time to measure fasting blood sugar? If I have dinner at 7 PM the night before and then sleep until 10 AM the next mor...
Dr. Li Zhiyao Reply:
Hello: It is recommended to conduct the test in the morning after fasting for 8-10 hours.[Read More] Optimal Timing for Fasting Blood Sugar Measurement: Key Insights
Understanding Blood Glucose Meter Errors and Their Impact on Diabetes Management
Errors in blood glucose meters Hello, doctor. I understand that blood glucose meters can have inaccuracies, but how can I know if I'm managing my blood sugar well based on these measurements? I checked Google, and it says that the error margin for blood glucose meters is aro...
Dr. Li Zhiyao Reply:
Hello: In addition to blood glucose meters, some hospitals have Continuous Glucose Monitoring Systems (CGMS). You can inquire at larger hospitals' endocrinology departments.[Read More] Understanding Blood Glucose Meter Errors and Their Impact on Diabetes Management
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 HbA1c Levels: Should My Mom See a Doctor at 6.6%?
Glycated hemoglobin (HbA1c) 6.6? Doctor, my mother is 58 years old. Last May, her HbA1c was 5.9%. Since then, she hasn't seen a doctor or taken any medication, nor has she made any special dietary changes until recently, when she started controlling her diet and monitoring h...
Dr. Li Zhiyao Reply:
Hello: Your mother's "glycated hemoglobin" has increased by 0.7 over the past eight months, which should not be taken lightly. It is recommended to consult with a specialist in endocrinology. It would also be beneficial for her to receive education from a nutrition...[Read More] Understanding HbA1c Levels: Should My Mom See a Doctor at 6.6%?
Understanding the Impact of Protein Foods on Blood Sugar Levels
Dietary Control of Blood Sugar Levels Hello Doctor: I would like to ask about the impact of eggs, beans, fish, and meat on blood sugar levels. In the fourth paragraph of this article, it states, "Foods that do not affect blood glucose levels include vegetables, fats, and egg...
Dr. Wu Jiyu Reply:
Regarding the principles and applications of the Glycemic Index (GI), you may refer to this paper: http://www2.dietitians.org.tw/userfiles/TJD%202-1-02.pdf. It should address your questions. Thank you for your inquiry. The Nephrology Department of Changhua Hospital cares about yo...[Read More] Understanding the Impact of Protein Foods on 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
Managing Postprandial Blood Sugar: Can Metformin Restore Normal Levels?
Medications for treating postprandial hyperglycemia? Hello, doctor. I heard that Metformin can be used to treat abnormal postprandial blood sugar levels. Can this medication really help the body return to normal? Once normal levels are achieved, can I stop taking it, or will I ne...
Dr. Xiao Yongxun Reply:
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. 2-hour plasma glucose level ≥200 mg/dL during an Oral Glucose Tolerance Test (OGTT), c. HbA1c ≥6.5% (m...[Read More] Managing Postprandial Blood Sugar: Can Metformin Restore Normal Levels?
Managing Hunger and Diabetes: Understanding Blood Sugar Control and Weight Loss
Annoying hunger pangs Hello Doctor, in November 2014, during my health check-up, the doctor diagnosed me with diabetes (fasting blood sugar of 136 after 8 hours, HbA1c of 6.9). The doctor did not prescribe any medication but advised me to buy a blood glucose monitor for self-moni...
Dr. Li Zhiyao Reply:
Hello: 1. Your blood sugar is under control, but this does not mean that diabetes has been cured. 2. Regarding hunger, it is initially recommended to consume foods that are filling yet low in calories. For detailed advice, it is suggested that you consult a nutritionist at a hosp...[Read More] Managing Hunger and Diabetes: Understanding Blood Sugar Control and Weight Loss
How Eating Fruits Affects Post-Meal Blood Sugar Levels
Timing for Blood Sugar Measurement Hello doctor, I would like to measure my mother's postprandial blood sugar. After she ate dinner, she had two pieces of cantaloupe half an hour later (she started eating at 18:20 and measured her blood sugar at 20:20, which was 181; however...
Dr. Xiao Yongxun Reply:
1. Measuring blood glucose levels two hours after a meal is certainly influenced by all the food consumed during those two hours. However, it seems that there are no clinical guidelines specifying whether or not one can eat fruit after a meal before measuring blood glucose levels...[Read More] How Eating Fruits Affects Post-Meal Blood Sugar Levels
Understanding Blood Sugar Levels and Their Impact on Sexual Health
Blood sugar issues Doctor, I had a blood sugar test at the end of August, and my fasting level was around 80 mg/dL. I have been worried about various issues related to sexual function this past year and have sought medical attention for it. I read online that diabetes can affect ...
Dr. Li Zhiyao Reply:
Hello: A fasting blood glucose level of 80 is within the normal range. If there are concerns, you may consider additional testing for postprandial blood glucose at 2 hours and glycated hemoglobin (HbA1c). For issues related to sexual function, it is recommended to consult a urolo...[Read More] Understanding Blood Sugar Levels and Their Impact on Sexual Health
Understanding Elevated Fasting Blood Sugar: Causes and Follow-Up
Elevated blood sugar levels in health checkup? The fasting blood glucose level from the health check was measured at 107 mg/dL, and the glycated hemoglobin (HbA1c) is normal. I recently consumed more sweets than usual over the past two weeks. Could this have an impact, or is it u...
Dr. Xiao Yongxun Reply:
1. Generally, a normal fasting plasma glucose level is less than 100 mg/dL. If it falls between 100 mg/dL and 126 mg/dL, it can be considered as prediabetes or impaired fasting glucose. Of course, if the postprandial blood glucose is greater than or equal to 126 mg/dL, diabetes s...[Read More] Understanding Elevated Fasting Blood Sugar: Causes and Follow-Up
Should You Seek Medical Attention for Blood Sugar Concerns?
Should I seek medical attention for blood sugar issues? Doctor, I had a hemoglobin A1c test two days ago, and it was 5.1. My fasting blood sugar is around 80, but it spikes to about 170 two hours after eating (I only had half a bowl of white rice and some vegetables). If I eat ev...
Dr. Li Zhiyao Reply:
Hello: It is recommended that you continue with dietary control and regular exercise, and follow up with a medical check-up in 3 to 6 months.[Read More] Should You Seek Medical Attention for Blood Sugar Concerns?
Understanding Glucose Intolerance: Causes, Effects, and Management Strategies
Impaired glucose tolerance 1. If eating a bowl of white rice results in a blood sugar level of around 169 two hours after the meal, while consuming steamed vegetables and wonton soup leads to a blood sugar level of 131 two hours later, does this indicate impaired glucose toleranc...
Dr. Xiao Yongxun Reply:
1. Generally, normal postprandial blood glucose levels are less than 140 mg/dL. If the levels are between 140 mg/dL and 200 mg/dL, it is referred to as impaired glucose tolerance. Of course, if postprandial blood glucose is greater than or equal to 200 mg/dL, diabetes mellitus sh...[Read More] Understanding Glucose Intolerance: Causes, Effects, and Management Strategies