Blood sugar, Internal Medicine FAQ

Improving Metabolism: Tips for Managing Weight and Blood Sugar Levels

Metabolism Hello: Three years ago, my weight was 92 kg, but it has now dropped to 63 kg. In July of this year, I went to a testing facility for an examination, and the report indicated high blood sugar and high urine protein. The technician only mentioned that my "metabolism...

Dr. Yang Hongzhi Reply:
High blood sugar indicates diabetes. If there is significant weight loss, blood sugar levels are likely very high, and immediate medical attention is required. You should consult a metabolic specialist.

Understanding Temporary High Blood Sugar Levels: What You Need to Know

Hyperglycemia Today, we conducted an experiment and found that my blood sugar level was approximately 270 mg/dL. However, I had breakfast that day, and I did not experience symptoms such as excessive thirst, frequent urination, or increased appetite. Could this be temporary? Than...

Dr. Xiao Yongxun Reply:
Hello: In response to your question, a patient is diagnosed with diabetes if the results of two tests conducted at different times meet one of the following three criteria: (1) Fasting plasma glucose level >= 126 mg/dL after fasting for at least 8 hours. (2) Clinical symptoms ...

Does Eating Pears Before Blood Sugar Tests Affect Results?

Will eating honey pears the day before a blood sugar test affect the results? I am currently 163 cm tall and weigh 63 kg, which I consider to be overweight. In the one to two weeks leading up to my company's health check, I usually eat two honey pears (a type of Asian pear) ...

Dr. Yang Hongzhi Reply:
1. Fasting for 8 hours meets the standard. 2. You have abnormal fasting blood glucose, but it has not yet reached the diabetes threshold (fasting blood glucose greater than 126 mg/dL). However, your risk of developing diabetes in the future is higher than that of the general popu...

Managing Complications of Diabetes: Addressing Nerve Pain and Fatigue

What are some complications associated with diabetes? Hello Dr. Shi, I would like to ask about my mother, who is 68 years old and has a hereditary form of diabetes. She has been diagnosed for over 30 years. Previously, she managed her condition with oral medications, but two year...

Dr. Shi Guangzhong Reply:
Regarding your mother's condition, the main concern is complications. Your mother has had diabetes for 30 years, which can lead to various complications. Numbness in the hands and feet is a common neuropathic complication related to past blood sugar control and the duration ...

Is a Blood Sugar Level of 120 a Sign of Diabetes Risk?

A blood glucose level of 120 mg/dL indicates that you may be at risk for developing diabetes. According to the American Diabetes Association, a fasting blood glucose level of 100 to 125 mg/dL is classified as prediabetes, which increases the likelihood of progressing to type 2 di...

Dr. Yang Hongzhi Reply:
Hello: A fasting blood sugar level of 120 is slightly elevated, but it does not yet meet the diagnostic criteria for diabetes. However, since both of your parents have diabetes, your risk of developing diabetes in the future is significant. This is not closely related to drinking...

Managing Diabetes and Preventing Skin Infections: Essential Tips

What should I do? Hello: My brother is 28 years old and has been diagnosed with diabetes for 2 to 3 years. Recently, he developed cellulitis due to a wound and was hospitalized for surgery, after which he started taking medication to control his blood sugar. However, since that s...

Dr. Shi Guangzhong Reply:
Although your brother has diabetes, he is prone to developing pustules and infections due to acne, and he has even undergone two incision and drainage surgeries. Such cases are not common. The main reasons are: 1. The facial blood circulation is very good, making it less suscepti...

Am I Diabetic? Understanding Your Blood Sugar Test Results

Could you please let me know if my condition is diabetes? Hello Doctor: I just had a blood test, and the results show that my blood sugar level two hours after eating is 129 mg/dL, which exceeds 120. Should I be concerned about having diabetes? Thank you.

Dr. Shi Guangzhong Reply:
Dear A-Zhi: The diagnostic criteria for diabetes are as follows: fasting blood glucose ≥ 126 mg/dL, 2 hours postprandial blood glucose ≥ 200 mg/dL, and random blood glucose ≥ 200 mg/dL. Therefore, based on your test result of 129 mg/dL, it does not indicate diabetes. However, a s...

Dietary Tips for Diabetics with Hypertension: Sweet Potato Impact Explained

Diabetes mellitus Patients with hypertension and diabetes who are currently on prescribed medication should pay attention to the following dietary considerations: 1. **Limit Sodium Intake**: Reducing salt consumption can help manage blood pressure. Aim for less than 2,300 mg of ...

Dr. Xie Yonghui Reply:
Hello Mr. Ahua, 1. Patients with hypertension and diabetes should consume low-sugar and low-sodium foods. Dietary control is crucial for blood sugar management in diabetes patients. 2. The dietary principles for diabetes are as follows: * Follow a meal plan developed in cons...

Diabetic Foot Wounds: When Is Amputation Necessary?

If a diabetic patient's foot wound is not healing, is amputation necessary? My mother is 75 years old and has been suffering from diabetes for 10 years. Her blood sugar, blood pressure, and kidney function are all under control. A year ago, she fell and has a wound that is n...

Dr. Guo Qinghui Reply:
Foot problems are one of the common chronic complications in patients with diabetes and are often a factor that necessitates hospitalization. Due to neuropathy, vascular occlusion, and a higher susceptibility to infections, the feet are more prone to ulcers, gangrene, and even th...

Which Medical Specialty Should You Consult for Diabetic Foot Issues?

Which department should be consulted for a diabetic foot examination? Hello Doctor: Diabetes can lead to foot complications, and which department should one consult for a foot examination? Should it be the Department of Metabolism, Internal Medicine, Surgery, Neurosurgery, Dermat...

Dr. Shi Guangzhong Reply:
1. Regarding which department to consult for foot examinations: Foot lesions can be identified through some simple assessments. Medical institutions within the diabetes care network typically include foot examinations as part of their services. The assessment of small nerve funct...

Managing Diabetes During Pregnancy: Essential Tips for Expecting Mothers

Pregnant women with diabetes Doctor, I am a pregnant woman, 5 months along. I previously had good blood sugar control, but recently my levels have exceeded 200. I am a pregnant woman with type 2 diabetes. What should I pay attention to during pregnancy? What should diabetic pregn...

Dr. Xie Yonghui Reply:
Dear Miss Xiao Qing, The control of blood sugar is extremely important for a pregnant woman, as it significantly affects the health of the fetus. The table below shows the relationship between the hemoglobin A1c (HbA1c) levels in pregnant women during the first trimester and the...

Understanding Persistent Proteinuria: Causes, Risks, and Next Steps

Persistent proteinuria reaching + + +? Hello Dr. Yao, I apologize for bothering you, but I would like to ask for your advice. I have noticed persistent bubbles in my urine for a long time. Since I haven't felt any abnormalities or discomfort, I haven't paid much attent...

Dr. Yao Quan Reply:
Ms. Yang: Hello. Your urine test shows + + protein, and further quantitative urine protein testing is necessary, and possibly a biopsy to determine the cause or pathological type. As you mentioned in your letter, a biopsy must be considered; if a biopsy is not performed, we will ...

Managing Blood Sugar Levels: Do You Need Medication at Age 50?

Blood sugar issues? I am about 50 years old, and my fasting blood glucose is around 115 mg/dL. Should I consider taking medication? Thank you.

Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. A fasting plasma glucose level of 115 mg/dL, which falls between 110-126 mg/dL, is classified as impaired fasting glucose (IFG). Whether this indicates diabetes still requires further confirmation. 2. If a diagnosis of diabetes is confirme...

Understanding Blood Sugar Levels: Why Fasting Can Be Higher Than Post-Meal

Pre-meal and post-meal blood glucose issues? Dr. Chen, I have a question. My mother has a history of diabetes, but it has been well controlled. However, during her recent blood sugar test, we found an issue: her fasting blood sugar was higher than her blood sugar two hours after ...

Dr. Chen Qingbin Reply:
Blood glucose levels fluctuate significantly due to diet, medication, and various hormones in the body. The control of blood glucose is more accurately assessed by measuring glycated hemoglobin (HbA1c).

Understanding Strong Urine Odor: Is It a Sign of Diabetes?

Urological issues Hello Dr. Yang, after I urinate in my girlfriend's bathroom, she always thinks my urine has a strong odor. She suspects that I might have diabetes, which could be causing the strong smell. Is this true?

Dr. Yang Hongzhi Reply:
Hello: Diabetes does not present with such symptoms. If you are concerned, you can check your blood sugar levels to rule out diabetes.

Navigating Diabetes: How to Seek Medical Help for Your Loved Ones

Route I have seen some medical literature and I feel that a family member at home might really have diabetes. My relative should see a doctor. How should I follow up on this? Where can I find resources for seeking medical help?

Dr. Shi Guangzhong Reply:
1. You can visit the metabolism or endocrinology department at various hospitals. 2. Once diabetes is confirmed, the physician may ask you to join a diabetes care network, which will include not only the physician but also nurses, dietitians, and health educators who will teach y...

How to Diagnose and Manage Suspected Diabetes in Family Members

Diabetes mellitus I have read books about diabetes and noticed that a family member may have symptoms of diabetes. Where should I go for a consultation to confirm this? If they are indeed diagnosed with diabetes, how should I proceed with follow-up care?

Dr. Shi Guangzhong Reply:
1. You can visit the Metabolism or Endocrinology departments at various hospitals. 2. If diabetes is confirmed, the physician may ask you to join a diabetes care network, which will include not only the physician but also nurses, dietitians, and health educators who will teach yo...

Understanding Nausea and Dizziness in Dialysis Patients: Causes and Solutions

Dialysis patients often experience vomiting and dizziness? Hello Doctor, my father started dialysis at the end of January this year, just before the Lunar New Year. He did not feel particularly unwell initially, but in the past month, after undergoing dialysis at the hospital, he...

Dr. Yang Jun Reply:
Hello: In response to your question, based on your description, your father appears to have developed uremia due to diabetes mellitus complicated by hypertension, necessitating hemodialysis treatment. After dialysis, symptoms such as dizziness, vomiting, and cold sweats may occur...

Managing Metabolic Syndrome: Weight Loss Strategies and Treatment Options

Metabolic syndrome Could you please ask Dr. He the following question regarding metabolic syndrome? Is weight loss the best approach for metabolic syndrome? If dietary changes and exercise to control weight do not lead to weight loss and there is also an issue with fatty liver, h...

Dr. He Niaotong Reply:
1. Weight loss requires persistence; dietary control and exercise are essential. The most important factor is to develop good lifestyle habits, such as consuming low-sugar, low-fat, high-fiber foods and engaging in regular physical activity to achieve lasting results. It is best ...

Managing High Blood Sugar: Dietary Tips for Better Health

Hyperglycemia Hello, doctor. My mother has a problem with high blood sugar, but it hasn't reached the stage where she needs medical attention yet. What dietary considerations should she keep in mind? For example, what types of foods should she limit? She is already being cau...

Dr. Yang Hongzhi Reply:
The principle of dietary control for diabetes is to manage total caloric intake; there are no strict regulations on food proportions. Generally, sweet foods are high in calories and are recommended to be consumed in moderation, while fruits can be eaten in limited amounts.

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