Blood sugar, Internal Medicine FAQ

Understanding Diabetic Complications: Dialysis and Its Impact

Complications caused by diabetes? Hello Doctor: My friend is 56 years old and was diagnosed with uremia caused by diabetes at the end of last year. He has been experiencing continuous vomiting and has now started dialysis. Will the vomiting symptoms decrease after starting dialys...

Dr. Wu Jiyu Reply:
Q: Will vomiting symptoms decrease after starting dialysis due to uremia caused by diabetes? A: Vomiting is one of the symptoms of uremia, and it should improve after starting dialysis. Q: How long can he maintain his life after starting dialysis? A: If he cooperates well ...

Understanding Nighttime Chest Pain: Causes and Solutions

Chest pain at night? Hello Dr. Lee, I have been experiencing chest pain for the past five nights since February 1st. I cannot determine if the pain is superficial or internal; it feels like being punched or having a heavy weight pressing down. During the day, after I get up, th...

Dr. Li Huixiong Reply:
Since there are no issues with your cardiology consultation, you can at least be relieved about heart-related problems. In my opinion, your issue may not be easily identified through blood tests, X-rays, or electrocardiograms. I recommend that you visit a trusted internal medicin...

Managing Diabetes: Key Questions on Health, Exercise, and Supplements

Diabetes-related issues Hello Doctor: I have had diabetes since the first year of junior high school, primarily due to being overweight and consuming a lot of junk food from a young age (with a family history of diabetes). I have previously struggled with blood sugar control, but...

Dr. Cai Zonglin Reply:
When muscles are not contracted, they remain in a softer state. It is advisable to consult a sports medicine specialist or a rehabilitation physician regarding diabetes, which primarily involves issues with the pancreatic islet cells. Poor blood sugar control can lead to complica...

Understanding Blood Sugar and Low Urea Nitrogen Levels: What You Need to Know

Blood glucose & blood urea nitrogen (BUN) The school conducted a blood test for a health check... my blood glucose level is 106... The normal range I found online is 70-110, so... am I normal or abnormal? My blood urea nitrogen (BUN) level is 6, which is low. What effects can...

Dr. Wang Fangli Reply:
If the fasting blood glucose is 106, it needs to be monitored; however, if the postprandial blood glucose is 106, it is considered acceptable. A urea nitrogen level of 6 is not a concern. Dr. Wang Fangli, Internal Medicine, Department of Health, Executive Yuan.

Can Drinking Sugary Beverages Lead to Diabetes?

Diabetes mellitus Hello, Dr. Tsai. Besides diabetes, can long-term consumption of overly sweet beverages lead to diabetes?

Dr. Cai Zonglin Reply:
Diabetes is caused by insufficient insulin production or reduced insulin sensitivity in the body. In healthy individuals, consuming sweet foods typically has a minimal impact on blood sugar levels. However, patients with a predisposition to diabetes or those who are overweight ma...

Can Diabetics Drink Fresh Juice? A Guide to Safe Fruit Choices

Fruits for Diabetes Dr. Liao, regarding a patient with a fasting blood glucose level of 160 mg/dL, is it acceptable for them to consume a cup of homemade fruit juice (approximately 200 cc) daily? The fruits used in the juice include apple, kiwi, banana, papaya, and pineapple. Are...

Dr. Liao Zhongxin Reply:
Hello: 1. Fasting blood glucose has exceeded 140 mg/dL, which may indicate prediabetes, so it is advisable to follow up with a metabolic specialist. 2. The five types of fruits mentioned are all delicious but can significantly raise blood sugar levels, so it is recommended to con...

Managing Diabetes in Seniors: Key Tips for Care and Nutrition

Concerns about diabetes? Hello, doctor. I would like to ask about my grandmother, who is 77 years old and has diabetes (not on insulin). In mid-July, her blood sugar spiked to over 200, and she received medication at the clinic, which caused her blood sugar to drop too low. Since...

Dr. Xiao Yongxun Reply:
1. The treatment of diabetes includes three main components: diet, exercise, and medication, all of which are essential and cannot be neglected. It cannot be fully explained in just a few words. On the other hand, the complications of diabetes include both acute and chronic condi...

Managing Diabetes and Cirrhosis: Foods and Juices for Better Health

Diabetes and Liver Cirrhosis Your father has liver cirrhosis and diabetes, and he is currently using insulin. He experiences frequent hunger, so what foods can he eat that won't raise his blood sugar levels? Additionally, what juices are suitable for people with diabetes? Ho...

Dr. Xiao Yongxun Reply:
Hello, in response to your questions: 1. The management of diabetes and blood sugar control must focus on diet, exercise, and medication. This includes dietary content, form, caloric intake, types of exercise, timing, and intensity. The use of medications, their interactions, a...

Sudden Nausea, Mild Fever, and Blurred Vision: What Could It Mean?

Sudden onset of nausea, mild fever, and blurred vision? This morning, I went to school without having breakfast, and as soon as I arrived, it was time for the flag-raising ceremony. The weather was cool and there wasn't much sunlight. At first, standing there felt normal, bu...

Dr. Xiao Yongxun Reply:
Hello: In response to your concerns, based on your symptoms of nausea, blurred vision, darkness in your vision, and cold sweats, it is possible that these are related to low blood sugar due to skipping breakfast and having irregular sleep patterns. If similar situations persist, ...

Managing Kidney Disease: Dietary Tips for Optimal Health

Diet for Kidney Disease Hello Dr. Yang: A year ago, I inquired about dietary issues related to kidney disease. At that time, I was advised to follow a low-protein diet, but the doctor recommended a normal diet, so I increased my protein and caloric intake. However, my muscle mass...

Dr. Yang Zhongwei Reply:
Hello: Currently, the formulas used worldwide to estimate kidney function utilize four variables: serum creatinine levels, age, gender, and race. Therefore, kidney function tends to decline with age. However, the symptoms you described do not seem to be closely related to kidney ...

Managing Prediabetes: Key Tips for Blood Sugar Control

Precautions for Prediabetes Dear Dr. Hsiao, I had a fasting blood glucose level of 127 mg/dL at the health examination center. After two weeks of paying special attention to my diet and recording it daily, along with maintaining a routine of walking 10,000 steps three times a we...

Dr. Xiao Yongxun Reply:
Hello: Here are the responses to your questions: 1. According to the diagnostic criteria for diabetes published by the American Diabetes Association in 2010, the following criteria are used: (1) Fasting plasma glucose level >= 126 mg/dL after at least 8 hours; (2) 2-hour plas...

Consulting a Doctor: Managing Blood Sugar and Leukocytosis in Patients

Consult a physician? Hello Dr. Ke: I have two questions to ask: 1. A patient without diabetes has elevated blood glucose levels due to intravenous administration of albumin and glucose because of inability to eat. Is it appropriate to administer insulin to suppress blood glucos...

Dr. Ke Zhengchang Reply:
1. In individuals without diabetes, even without food intake, intravenous glucose administration can lead to elevated blood sugar levels. Therefore, insulin can be added, provided the dosage is appropriate, as there will be no side effects as long as hypoglycemia (below 70 mg/dL)...

Understanding Diabetes: Symptoms, Causes, and Eye Health Concerns

Symptoms of diabetes? Is high cholesterol and high blood sugar a primary cause of diabetes? If I have blurred vision, could it be related to diabetes? Isn't diabetes associated with weight loss? Can overweight individuals also have diabetes? Should I see an ophthalmologist f...

Dr. Qiu Zhengbin Reply:
Hello: The symptoms of diabetes include increased appetite, increased thirst, frequent urination, and weight loss; however, a significant portion of patients may be asymptomatic. Diabetes can lead to retinopathy and increase the incidence of various eye diseases. If you experienc...

Managing High Blood Sugar and Cholesterol: What You Need to Know

I'm sorry, but I need more context to provide a translation. Could you please provide additional information or content? I went to the hospital for an examination and found that I have high blood sugar and high total cholesterol levels. The 24-hour urine test results are unk...

Dr. Qiu Zhengbin Reply:
Hello; you have undergone examinations at the hospital and found that you have high blood sugar and elevated total cholesterol levels, which may indicate the possibility of diabetes and dyslipidemia. The rapid weight gain may be related to the psychiatric medications you are taki...

Effective Strategies for Managing Blood Sugar Levels Beyond Medication

How can blood sugar be stabilized and controlled? Dr. Chiu: How should diabetes be managed? Besides medication, what other options are available?

Dr. Qiu Zhengbin Reply:
Hello, Xiao Hui: The three key points for blood sugar control are (1) medication adherence, (2) exercise, and (3) dietary management. Please follow these three principles to manage your blood sugar. If you have any questions, please contact the outpatient department of Changhua H...

Understanding HbA1C Levels: What Does a 7 Mean for Average Blood Sugar?

Standards for HbA1c Control Dr. Chiu: May I ask if my HbA1C is controlled at 7, what would be the average daily blood glucose level? What range is considered standard for control?

Dr. Qiu Zhengbin Reply:
Hello, Xiao Hui: An HbA1c level of 7% corresponds to an average daily blood glucose of approximately 170 mg/dL. Generally, our treatment goal is to achieve an HbA1c of 6.5%. Maintaining an HbA1c of 7% indicates that there is still room for improvement. Thank you for your consulta...

Exploring DPP-4 Inhibitors for Type 2 Diabetes Management: A Patient's Perspective

The new generation of oral hypoglycemic agents for type 2 diabetes: DPP-4 inhibitors? My mother is currently taking oral hypoglycemic medication for her diabetes, but she only wants to take one pill at most, and her blood sugar control is not good. Additionally, if she takes the ...

Dr. Yang Hongzhi Reply:
There are various types of diabetes medications, and physicians consider multiple factors when selecting a specific class. DPP-4 inhibitors are generally used less frequently as first-line therapy.

Managing High Blood Sugar and Blood Pressure: Daily Health Tips

How to manage elevated blood sugar levels in daily life? Hello Doctor: My father recently underwent a health check-up and his blood sugar level was found to be elevated at 119 mg/dL. Additionally, his blood pressure readings showed a systolic pressure of 175 mmHg and a diastolic ...

Dr. Xiao Yongxun Reply:
Hello: In response to your questions: 1. A fasting blood glucose level of 119 mg/dL raises clinical suspicion for potential impaired glucose tolerance. It is advisable to consult your family physician for further evaluation to gain a deeper understanding of your condition. ...

Effective Strategies for Managing Diabetes in Older Adults

How to manage diabetes? Dear Dr. Chiu: How should diabetes be managed? My grandfather's blood sugar has been poorly controlled, and our family is unsure how to assist in managing it.

Dr. Qiu Zhengbin Reply:
Hello Selina: Essentially, blood sugar control requires three aspects: (1) medication management, (2) dietary control, and (3) exercise. These three areas need to be addressed together in order to effectively manage blood sugar levels. Changhua Hospital cares about you.

Can Diabetics Drink Fruit Juice? Expert Advice on Managing Blood Sugar

Diabetes and Juice Consumption Dr. Yang, I would like to ask: My mother has diabetes and usually takes medication to lower her blood sugar (her most recent fasting blood sugar was 138). Is it okay for me to give her juice every day (approximately made from apples, bananas, grapes...

Dr. Yang Hongzhi Reply:
Diabetic patients are not prohibited from eating fruits or drinking fruit juices; they just need to limit their intake. The amount they consume should be significantly less than what is typically consumed by others. Additionally, sugar is not completely forbidden for diabetic pat...

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