Blood sugar, Internal Medicine FAQ - Page 25

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Understanding Blood Sugar Levels in Diabetes: Nighttime Drinking Effects

Blood Sugar Issues Related to Diabetes Symptoms: Blood sugar before sleep is 105, but fasting blood sugar is 121, which is higher. Duration: Daily. Additional information: I asked for my father, who is a diabetes patient. Does drinking water at night affect fasting blood sugar le...


Dr. Chen Jingwen Reply:
Your blood sugar levels are 105 before bedtime and 121 when fasting. In the ideal range for diabetics, which is 90-120, this indicates good control. It would be even better if you could monitor your HbA1c (glycated hemoglobin) every 3 to 4 months to maintain it below 6.5%. Drinki...

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Do Diabetic Patients Need Circumcision Even with Controlled Blood Sugar?

Diabetes mellitus Hello, my boyfriend was diagnosed with diabetes a few months ago. After medication, dietary adjustments, and exercise, his blood sugar is now under control. However, due to diabetes making it harder for wounds to heal, the doctor has recommended that my boyfrien...


Dr. Shi Guangzhong Reply:
Dear: Although your boyfriend has diabetes, it is fortunate that his blood sugar is well-controlled through medication, dietary adjustments, and exercise. This indicates that both of you take diabetes seriously, and it is believed that the impact of any complications arising from...

[Read More] Do Diabetic Patients Need Circumcision Even with Controlled Blood Sugar?


Understanding Kidney Function: Key Concerns and Management Strategies

Renal function index Hello Dr. Yang, Due to having urinary tract stones in my youth, I have not noticed for a long time that my left kidney has become swollen. My creatinine level is currently 1.5, and my urine protein level is about 190, for which I am taking medication for co...


Dr. Yang Jun Reply:
Hello: In response to your question, the presence of protein in urine and a creatinine level greater than 1.4 are indicators of impaired kidney function, which must be managed under the guidance of a nephrologist regarding medication and dietary treatment. Kidney function may dec...

[Read More] Understanding Kidney Function: Key Concerns and Management Strategies


Weight Management for Diabetes Patients: Understanding Normal Ranges

Weight management for patients with diabetes? Hello Dr. Shi, I have a question I would like to ask. My father recently had his blood sugar tested at a clinic near our home, and it was found to be over 300, confirming a diagnosis of diabetes. After a few days of treatment with me...


Dr. Shi Guangzhong Reply:
There are two common causes of type 2 diabetes: (1) Insulin resistance: Most individuals with this condition are typically overweight. The reason for elevated blood sugar levels is due to the poor quality of insulin secreted in their bodies, which fails to lower blood sugar level...

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Managing Diabetes: Beyond Insulin Injections and Treatment Options

What are the treatment options for diabetes? Hello, doctor! I would like to ask you a question. Is diabetes caused by diet and lifestyle referred to as type 2 diabetes? Is the treatment method limited to injections (insulin injections), or are there other non-injection methods to...


Dr. Shi Guangzhong Reply:
Dear: The classification of diabetes does not include a category for acquired diabetes. Diabetes can be simply divided into two main types: Type 1 Diabetes: This is commonly seen in children or young adults. Currently, the most recognized pathogenic cause, aside from genetic fa...

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Essential Dietary Guidelines for Managing Diabetes in Young Adults

Dietary Management for Diabetes Patients My boyfriend is 26 years old, approximately 185 cm tall, and weighs between 80 to 90 kg. Since this summer, he has experienced symptoms of thirst, increased fluid intake, and frequent urination. Today, due to persistent nausea and dizzines...


Dr. Shi Guangzhong Reply:
1. As long as blood sugar is well controlled, it may not be necessary to change jobs. 2. A diet low in fat, sugar, and salt should be adopted; a nutritionist can help create a meal plan that includes calorie control. 3. If managed properly, there is still a chance for complete re...

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Understanding Hypoglycemia: Is It Related to Diabetes?

Hypoglycemia Hello: I recently conducted a fasting blood glucose test (I had a meal around 12:00 PM, only drank water afterward, and did not eat again) and found that my blood glucose level was 54 at around 6:30 PM. I would like to know if this is related to diabetes, as I have a...


Dr. Chen Jingwen Reply:
Normal blood glucose levels range from 60 to 110 mg/dL. If you ate at 12 PM and did not consume anything else until measuring your blood sugar at 6:30 PM, it is expected that a normal person's blood sugar would drop below 110, potentially reaching as low as 60 mg/dL. Your me...

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Do Ants Indicate Diabetes? Understanding Symptoms and Concerns

Worry Hello, Doctor. I would like to ask a question. Today, while doing laundry, I found three or four small ants on my underwear foraging for food. This made me worry if it could be related to diabetes, as there is a family history on my mother's side; she has had diabetes ...


Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. Diabetes is indeed related to genetics; however, good dietary habits and regular exercise can effectively prevent its onset. 2. The presence of ketones in urine may be due to diabetes, but it can also be caused by starvation or other reaso...

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Understanding Blood Sugar Levels: Risks of Pre-Diabetes Explained

Blood sugar Hello: I recently had a health check-up, and my blood sugar level was 114 (normal range is 70-120). Although it is within the normal range, it is close to the upper limit. Should I be concerned that I might easily develop diabetes if this continues? Thank you for your...


Dr. Xiao Yongxun Reply:
Hello: 1. The risk factors for developing diabetes primarily include genetic predisposition and lifestyle factors such as diet and exercise. The genetic predisposition refers to having relatives, particularly blood relatives, who have diabetes, which increases our own risk of dev...

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Long-Term Effects of Medications for Sjögren's Syndrome: What to Know

Sjögren's syndrome Hello, Doctor. Last year, I was diagnosed with Sjögren's syndrome by a rheumatologist. I am currently taking Hydroxychloroquine once a day, Aspirin once a day, Prednisolone twice a day, and Methotrexate twice a week. I have been on these four medicati...


Dr. Zeng Guosen Reply:
Hello! Long-term use of Bokey, prednisolone, MTX (methotrexate), and hydroxychloroquine for Sjögren's syndrome can lead to side effects, especially with corticosteroids, MTX, and Plaquenil (hydroxychloroquine). If the condition allows, unnecessary medications should be disco...

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Supporting a Young Friend with Type 1 Diabetes: Essential Care Tips

A 20-year-old patient with diabetes!? Hello Doctor: I am truly at a loss and would like to seek your advice. I have a female friend who has informed me that she has a hereditary form of diabetes, diagnosed as Type 1 diabetes. She must inject insulin daily to maintain her blood su...


Dr. Yang Hongzhi Reply:
1. If there are abnormalities in foot sensation, the risk of foot ulcers increases. It is important to regularly inspect the feet. If there are sensory abnormalities or a history of foot ulcers, custom footwear may be considered. 2. For young women with reasonably controlled bl...

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Diabetes Diet: What Foods to Eat and Avoid for Better Health

Diabetic Diet Hello Dr. Hsiao: I know you have extensive research on diabetes. I would like to ask you: My father was recently diagnosed with diabetes. Should he avoid all foods that contain sugar? Are foods high in starch, such as steamed buns, also not advisable? Could you reco...


Dr. Xiao Yongxun Reply:
Dear Miss Sasa, In response to your question, many people believe that individuals with diabetes should avoid carbohydrates such as rice and bread, but this is incorrect. The key to managing diabetes lies in a balanced diet and weight control. Patients should consume an appropri...

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Understanding Dry Mouth: Causes and Solutions for Your Symptoms

Dry mouth and dry tongue? Hello, doctor! Recently, I've been experiencing frequent dry mouth and a sour sensation at the tip of my tongue. I'm not sure if there's an issue with that part of my body.


Dr. Zhao Chongliang Reply:
Dry mouth, or xerostomia, can be caused by medications, physiological, and psychological factors. Common medications include antihistamines used for nasal congestion and allergies, as well as calcium channel blockers for heart conditions, which can reduce saliva production. Physi...

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Understanding Moduretic: Effects, Concerns, and Patient Safety

Moduretic is a combination medication that contains amiloride and hydrochlorothiazide. It is primarily used to treat high blood pressure (hypertension) and Dear Director Yang, My mother is 72 years old and has osteoporosis, diabetes (with a blood sugar level of 130), hypertensio...


Dr. Yang Jun Reply:
Hello, in response to your inquiry regarding your mother, who is 72 years old and has diabetes, hypertension, and a long-term history of dizziness, currently being treated with a diuretic (Moduretic), here are the answers to your questions: 1. Diuretics are a class of medication...

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Understanding Diabetes Index: Is Medication Necessary for Mild Cases?

What is the diabetes index? Hello, Director Hsiao: My mother is 72 years old. During her health check this year, her blood sugar level was found to be 130, while the normal upper limit is 110. However, the doctor said it is still mild and that she does not need medication, just d...


Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. The normal fasting plasma glucose level for healthy individuals is between 70 to 100 mg/dL, and the postprandial glucose level two hours after a meal should be between 80 to 140 mg/dL. A fasting plasma glucose level of 130 mg/dL after 8 ho...

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Understanding the Causes of Sweet-Tasting Saliva: A Medical Insight

Sweet saliva? The recent sweet taste in your saliva may be related to several factors. It could be a sign of elevated blood sugar levels, which is often associated with diabetes. Other potential causes include certain medications, dietary changes, or even a condition known as ket...


Dr. Xiao Yongxun Reply:
Hello: In response to your question. 1. Generally speaking, taste disorders are relatively rare, and their pathogenic mechanisms are less understood. 2. Taste is primarily categorized into sweet, salty, sour, and bitter, with different distributions of taste buds on the tongue. 3...

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Dietary Guidelines for Managing Hyperkalemia in Diabetic Cancer Patients

Diet for Hyperkalemia Patients with a 30-year history of diabetes and bone cancer, who also have hyperkalemia, should pay careful attention to their diet. It is important to limit potassium intake by avoiding high-potassium foods such as bananas, oranges, potatoes, tomatoes, and ...


Dr. Yang Jun Reply:
Hello: In response to your question regarding dietary considerations for hyperkalemia, please note the following points: 1. Foods high in potassium, such as certain fruits, salad greens, sashimi, rare steak, and raw lobster, should be consumed in moderation. Among fruits, only pi...

[Read More] Dietary Guidelines for Managing Hyperkalemia in Diabetic Cancer Patients


Understanding Weakness and Dizziness from Low Blood Sugar Levels

Is weakness in the limbs due to low blood sugar? Weakness in the limbs and occasional dizziness when standing up from a squat can occur. What discomforts might arise if blood sugar levels are too low?


Dr. Xiao Yongxun Reply:
Hello, in response to your questions: 1. Weakness in the limbs can be caused by low blood sugar, but it can also arise from various other reasons. If you experience dizziness when standing up after squatting, this is commonly referred to as orthostatic hypotension. There are ma...

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Understanding Kidney Function and Cholesterol Levels in Patients

Kidney function and cholesterol? I have a history of hypertension and hyperglycemia for about three years and have been on medication. On April 5, 2002, my blood test results showed HDL-C 75, LDL-C 75, Total Cholesterol 163, Triglycerides 60, BUN 20, Creatinine 1.2, and Uric Acid...


Dr. Xiao Yongxun Reply:
Hello: In response to your questions: 1. BUN and Creatinine generally indicate kidney function. The differences in your two test results are within acceptable ranges, so it cannot be concluded that kidney function has deteriorated based on this. 2. Elevated LDL, decreased HDL, an...

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Understanding High Blood Sugar and Its Connection to Unusual Bleeding

Blood sugar and bleeding? Hello Doctor: I would like to ask you if there are any diseases or causes that can lead to elevated blood sugar levels. Despite adjustments in insulin dosage and diet, we still cannot lower the blood sugar levels. It was well-controlled for a while, but ...


Dr. Chen Guifeng Reply:
Causes of high blood sugar include diet, physical activity, insulin dosage, and other health conditions (such as infections or stress). If blood sugar control is poor, it is important to discuss adjustments with a physician, dietitian, and health educator. Patients undergoing dia...

[Read More] Understanding High Blood Sugar and Its Connection to Unusual Bleeding


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