Blood sugar, Internal Medicine FAQ

Understanding Elevated Fasting Blood Sugar with Normal HbA1c Levels

Elevated fasting blood glucose with normal glycated hemoglobin (HbA1c)? Hello, doctor. I usually have a blood test every month to check my fasting blood glucose levels. In the past few tests, my levels were around 80 to 90, but in the last two months, they were 101 and 124. I als...

Dr. Hong Yuanbin Reply:
Hello, fasting blood sugar reflects the current blood sugar level, while glycated hemoglobin (HbA1c) indicates the average blood sugar over the past three months. Based on your values, it suggests that your average blood sugar is good; however, there may be occasional spikes in b...

Understanding Gout Symptoms: Normal Uric Acid Levels and Foot Discomfort

Regarding normal uric acid levels but slight discomfort in the big toe? Hello Director Gao, I apologize for disturbing you, but I would like to consult you regarding a patient. About ten years ago, the patient experienced sudden severe pain in the foot and was diagnosed with gou...

Dr. Gao Jiankai Reply:
Hello, thank you for your question. Here are my responses: 1. Can gout occur even with normal uric acid levels? For example, if someone suddenly consumes a large amount of seafood or red meat, or if they haven't been drinking enough water recently, could this trigger a mild...

Managing Diarrhea in Diabetic Patients: Causes and Solutions

Diarrhea in diabetic patients? My father has been a diabetic patient for 30 years and is now 77 years old. He controls his blood sugar with insulin injections. His HbA1c levels have been normal during his quarterly check-ups. However, since early March, he has suddenly started ex...

Dr. Li Jian Reply:
If diarrhea persists, please visit a gastroenterology department at a medical center. Thank you.

Understanding Acanthosis Nigricans and Blood Sugar Levels: A Guide

Blood sugar exceeds? Hello, doctor. I am currently 176 cm tall and at my heaviest, I weighed 103 kg. I have now reduced my weight to 89 kg and am continuing to lose weight. My body fat percentage is 23% (down from 32% at my heaviest) and my visceral fat is 12 (down from 16 at my ...

Dr. Li Jian Reply:
Hello: If you have acanthosis nigricans, it is recommended to test for hemoglobin A1c. If the result is between 5.7 and 6.4, it indicates prediabetes.

Managing Diarrhea in Diabetic Patients: Causes and Solutions

Diarrhea in diabetic patients My father has been a diabetic patient for 30 years and is now 77 years old. He controls his blood sugar with insulin injections. His hemoglobin A1c levels have been normal during his quarterly check-ups. However, since the beginning of March, he has ...

Dr. Li Jian Reply:
If diarrhea persists, please visit the gastroenterology department at a medical center. Thank you.

Managing Diarrhea in Long-Term Diabetes Patients: A Guide for Caregivers

Diarrhea in diabetic patients? My father has been a diabetes patient for 30 years and is now 77 years old. He controls his blood sugar with insulin injections, and his hemoglobin A1c levels have been normal during his quarterly check-ups. However, since the beginning of March, he...

Dr. Li Jian Reply:
The blood sugar medications that are more likely to cause diarrhea are metformin and acarbose. If the diarrhea is not caused by these medications, further follow-up with a gastroenterologist is still necessary.

Understanding Cholesterol and Blood Sugar Levels: Your Health Questions Answered

Inquire about blood lipid and blood glucose issues? Hello: I have a lipid issue and have been taking traditional Chinese medicine and Lipitor for about six months. My last blood test results on February 21 showed: LDL: 185, HDL: 60, total cholesterol: 249, triglycerides: 67, bloo...

Dr. Lin Jianliang Reply:
Hello: Your blood glucose is currently within the fasting range of 70-100 mg/dL, and your hemoglobin A1c is between 4-6%. Whether there are issues with your blood vessels can be determined based on your symptoms or through examinations. Generally, these conditions require long-te...

Understanding Glucose Tolerance Test Results and Diabetes Risk

Glucose tolerance test Dear Doctor, I recently underwent a glucose tolerance test at the hospital, and the results are as follows: Hemoglobin A1c 5.5%, OGTT: Fasting—96 mg/dL; 30 minutes—167 mg/dL; 60 minutes—212 mg/dL; 90 minutes—174 mg/dL; 120 minutes—132 mg/dL. The outpatient...

Dr. Xie Rongyuan Reply:
Hello: Impaired glucose tolerance (IGT) is more closely associated with early and late insulin secretion deficiencies. If there are abnormalities in the oral glucose tolerance test (OGTT), it can be confirmed again the next day. The diagnostic criteria for diabetes are: (1) sympt...

Understanding Blood Sugar, HbA1c, and Their Impact on Thalassemia

Blood glucose, glycated hemoglobin, and Mediterranean anemia? Hello, I had a company health check before the New Year, and my hemoglobin A1c was 5.6 and my blood glucose was 86. At the end of March, due to feeling unwell, I tested my postprandial blood glucose and it was 155. The...

Dr. Li Jian Reply:
If there are concerns that hemoglobin A1c levels may be affected by anemia, glycated albumin can be tested; the impact of anemia on hemoglobin A1c levels is difficult to estimate.

Understanding Rising Urine Protein Levels: What You Need to Know

The urinary protein index has surged? Hello, Doctor. Below are the results from my visit to Hospital B on the evening of March 14 this year. The random urine test results were as follows: Urine Creatinine: 93.4 mg/dL; Micro Albumin: 25.7 * mg/dL (Random Urine < 1.9 mg/dL); Uri...

Dr. Wu Hongjie Reply:
The presence of bubbles in urine does not necessarily indicate proteinuria; factors such as fever, excessive exercise, consumption of high animal protein, hormonal influences, or other diseases causing abnormal protein production can also be responsible. Even if tests do not show...

Unexplained Blisters and Weakness in Legs: Possible Causes and Solutions

Weakness in the feet accompanied by unexplained blisters? Dear Dr. Lin, My mother is 58 years old. Over the past six months, she has experienced weakness in her legs (mainly feeling unsteady while walking, as if she is walking on cotton). In the last three months, she has develo...

Dr. Lin Wufu Reply:
Hello: It is difficult to determine the issue based solely on this information. I recommend separating the concerns of foot weakness and blisters. For foot weakness, it is indeed advisable to consult a neurologist, preferably at a regional hospital or higher, as they can arrange ...

Should Stable Type 2 Diabetes Patients Continue Visiting Medical Centers?

Do patients with stable type 2 diabetes still need to continue follow-up visits at a medical center? Hello Doctor, I apologize for the interruption! I would like to ask you a question. I have been living with type 2 diabetes for over seven years. After discovering this issue duri...

Dr. Li Jian Reply:
If blood sugar levels can be consistently controlled, it is recommended that you transfer to a primary care medical facility for management. It is best to choose a facility that has a physician specializing in metabolic disorders or one that is part of a diabetes collaborative ca...

Managing High Fasting Blood Sugar and Cholesterol Levels: A Guide

Health check-up shows elevated fasting blood glucose levels? Hello Doctor, I had a health check-up in 2021 with a fasting blood glucose level of 100 mg/dL and low-density lipoprotein (LDL) cholesterol of 139 mg/dL. On January 15, 2022, my fasting blood glucose was 112 mg/dL and t...

Dr. Lin Jianliang Reply:
Hello: It is recommended to avoid foods and beverages that contain alcohol. Fruits and carbohydrate-rich foods, such as desserts, can also lead to issues with blood sugar and blood lipids. It is advised to have a controlled diet for breakfast, and to exercise regularly and consis...

Understanding Kidney Issues: Rising Urine Protein Despite Improved Creatinine Levels

Kidney problems On 03/19/2011, creatinine was 1.18, urine protein was 5, urine creatinine was 53.12, and urine protein-to-creatinine ratio (uPCR) was 94.12. On 10/09/2010, creatinine was 1.26, urine protein was 17, urine creatinine was 108.7, and uPCR was 156.11. On 11/03/200...

Dr. Wu Jiyu Reply:
According to your inquiry, although the serum creatinine levels show little variation (ranging between 60-70), the urinary protein levels are gradually increasing. In addition to pharmacological management of hypertension, diabetes, and hyperlipidemia, the prevention and treatmen...

Understanding Blood Sugar Fluctuations: Dawn Phenomenon or Poor Sleep?

Diabetes issues Hello Doctor, I was diagnosed with diabetes in early February. I would like to ask you about my blood sugar levels. On the evening of February 23rd, after taking my blood sugar medication following dinner, my blood sugar was 94 two hours post-meal. However, my fas...

Dr. Li Jian Reply:
This is typically referred to as the dawn phenomenon, which is commonly observed in patients with diabetes.

Possible Causes of Swelling and Pain in the Right Ring Finger Joint

The possible causes of swelling and pain in the first joint of the right hand's ring finger may include: 1. **Osteoarthritis**: Degenerative joint disease that can cause pain and swelling in the joints. 2. **Rheumatoid Arthritis**: An autoimmune condition that leads to infl...

Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Based on your symptoms, I suspect you may have trigger finger, and I recommend having another physician take a look. The occurrence of trigger finger is related to overuse of the fingers, but in some cases, the cause remains unclear. Additionall...

How to Improve Fasting Blood Sugar After Gestational Diabetes

How to improve fasting blood glucose levels after gestational diabetes? Hello Doctor: During my pregnancy, I strictly controlled my diet due to gestational diabetes, and my blood sugar levels remained within the normal range. After giving birth, I continued to manage my diet, but...

Dr. Lin Jianliang Reply:
Hello Ms. Lin: It is recommended to continue dietary control and find time to exercise more to manage blood sugar levels. The likelihood of developing high blood sugar in the future due to gestational diabetes is slightly higher than average. Therefore, it is advised to maintain ...

Should You Worry About Your Blood Sugar Levels? A Guide for Young Adults

Excessive worrying? Hello Doctor, my fasting blood glucose this year was 97 mg/dL (measured in the morning, last year it was 93 mg/dL). I usually control my intake of sugary drinks, having a hand-shaken beverage at most once a week. My BMI is 18. I went to the lab for an HbA1c te...

Dr. Li Jian Reply:
Current test results are all within normal ranges, and maintaining a healthy lifestyle does not warrant excessive concern.

Understanding Elevated Urea Nitrogen Levels: Causes and Implications

Elevated blood urea nitrogen (BUN) levels? Hello Doctor: I recently had a blood test, and my blood urea nitrogen (BUN) level was 21.2, creatinine was 0.9, with the BUN highlighted in red (two months ago, it was 18.4 and creatinine was 0.95). About a week ago, I underwent dental i...

Dr. Li Jian Reply:
A hemoglobin A1c of 5.9 is consistent with a diagnosis of prediabetes, requiring regular follow-up every three months. Currently, kidney function is considered normal, but ongoing monitoring of future changes is necessary.

Understanding HIV Transmission Risks: Needle Safety and Blood Sugar Monitoring

HIV infection Hello, Doctor. I have two questions: 1. If a silver needle accidentally pricked a family member with HIV and was not disinfected, and then I accidentally pricked myself with it again after one day, is there a risk of transmission? 2. I have high blood sugar and c...

Dr. Hong Yuanbin Reply:
Hello, 1. The amount of blood and virus residue on a needle cannot be generalized; however, under normal circumstances, all needles used by the general public are disposable, so this situation should not occur. 2. As long as the needle is changed, there should be no risk of infec...

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