Blood sugar, Internal Medicine FAQ

Understanding Diabetes: Is a HbA1c of 7.6 Dangerous and What to Do Next?

Medical Inquiry Hello Dr. Chen, I am 23 years old and overweight. Recently, I had surgery for folliculitis near my groin, and I noticed that my wound healed slowly. The doctor suspected that I might have diabetes, so I had my hemoglobin A1c tested, which came back at 7.6, confi...

Dr. Chen Jianyu Reply:
1. Illness is dangerous; safety is paramount. Do not be afraid of taking medication; the real concern should be poor management of the condition. 2. If diet and exercise cannot adequately control blood sugar levels, medication must be used for management.

Managing Blood Sugar Levels: A Guide for Overweight Individuals

Glycated hemoglobin (HbA1c) Hello, doctor. I am obese and have sleep apnea and high blood pressure. Currently, I am taking half of a 5 mg blood pressure medication, which has been controlling my condition for a while. My morning and evening blood pressure readings are quite stabl...

Dr. Lin Jianliang Reply:
As your physician mentioned: diet and exercise management. Additionally, it is advisable to consult a nutritionist or a diabetes educator for more information on this matter. Thank you for your message.

Understanding Kidney Issues: Blood Sugar, Proteinuria, and Hypertension Concerns

Kidney problems Doctor, I have a blood sugar level of 113, urine protein, creatinine level of 1.35, and a glomerular filtration rate of 56.7. Is this considered serious, and is there a possibility of recovery? Additionally, I have high blood pressure of 198/86. What should I be a...

Dr. Lin Wuxuan Reply:
Hello: Based on the information you provided, your kidney function is classified as stage 3 chronic kidney disease, and your blood pressure is significantly elevated. Additionally, it is unclear whether you have other chronic health issues. It is recommended that you visit a neph...

Dizziness in Type 1 Diabetes: Understanding Symptoms and Seeking Help

Dizziness in Type 1 Diabetes? Hello Doctor: I have type 1 diabetes with a hemoglobin A1c of 6.2. Recently, I've been experiencing dizziness. The first incident occurred two hours after dinner when I suddenly felt dizzy and unable to control my head movements. Lying down was ...

Dr. Lin Jianliang Reply:
We recommend that you first consult with a neurologist and an otolaryngologist. Thank you for your message.

Can Diabetic Patients Safely Run and Participate in Races?

Can diabetic patients run and participate in road races? Hello Dr. Lin, I am very grateful for your response to my previous question (#136924 regarding diabetes medication). I would like to ask if it is suitable for diabetes patients to run and participate in road races as part o...

Dr. Lin Wuxuan Reply:
Hello: Exercise can enhance the body's sensitivity to insulin, not only preventing blood sugar levels from rising but also promoting the entry of glucose into cells, thereby lowering blood sugar concentrations and strengthening the body's regulation of blood glucose. Th...

Understanding When to Start Diabetes Medication: A Patient's Dilemma

What is the situation regarding diabetes medications? Hello Dr. Lin, I recently had two fasting blood glucose tests with results of 103 and 107, and my HbA1c levels were 6.5 and 6.8. The physician at the diabetes specialty clinic advised me to start medication and prescribed Metf...

Dr. Lin Wuxuan Reply:
Hello: The treatment of diabetes will generally follow the guidelines provided for diabetes management, but some details will still need to be adjusted based on the physician's clinical experience. Although there are differences in opinion between the two physicians, both fu...

Understanding Low C-Peptide Levels: Is It Type 1 Diabetes?

Low C-Peptide Hello Dr. Lin, My current fasting blood glucose is 90 mg/dL and 2-hour postprandial is 80 mg/dL, which seems normal. However, my HbA1c is 6.2%, and my peptide insulin level is only 0.6. About a year and a half ago, I experienced a sudden and significant weight loss...

Dr. Lin Jianliang Reply:
1. Based on the information you provided, your likelihood of having type 1 diabetes is low. 2. Avoiding all-you-can-eat restaurants, enhancing dietary control, and increasing physical activity should help improve your blood sugar levels. 3. Improving your lifestyle, being mindful...

Understanding Trace Protein in Urine: Should You Worry?

Both urine protein tests showed +/-? Hello Dr. Lin, I underwent a health check on April 18, and the report indicated trace hematuria and trace proteinuria, with increased lung markings; all other results were normal. Today, I conducted another test, and the abnormal or borderline...

Dr. Lin Wuxuan Reply:
Hello: This urine test report does indicate the presence of trace proteinuria. Generally, if proteinuria is initially detected, it is recommended to conduct two to three follow-up tests, preferably using the first urine sample collected in the morning. Additionally, women should ...

Understanding Elevated Evening Blood Sugar Levels: Causes and Solutions

Blood sugar issues? Hello Doctor: My fasting blood sugar and blood sugar levels two hours after breakfast and lunch are normal. However, my blood sugar two hours after dinner is elevated, around 160. Could you please explain why this is happening and how I should adjust my diet? ...

Dr. Xie Rongyuan Reply:
Hello: Please go to the hospital for further examination of HbA1c (glycated hemoglobin). Postprandial blood glucose levels can be easily influenced by the type and amount of food consumed. Thank you for your message!

Understanding Blood Sugar Concerns: Anxiety or Medical Issue?

Blood sugar issues? Three weeks ago, due to the flu, I experienced dry mouth. At that time, I noticed that diabetes also has symptoms of dry mouth, which made me very stressed and anxious for those few days. The doctor at the clinic measured my blood sugar four hours after a meal...

Dr. Chen Jianyu Reply:
You can make an appointment to inquire at the outpatient clinic.

Managing Blood Sugar Levels: Concerns and Solutions for Anxiety-Driven Results

How to improve blood sugar levels? Last Friday, I suddenly experienced itching all over my body, and I was worried it might be diabetes. I felt very low and anxious for three consecutive days—Friday, Saturday, and Sunday—resulting in insufficient sleep. On Monday, I went to the h...

Dr. Xiao Yongxun Reply:
Dear Mr. Cc: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. A fasting plasma glucose level of ≥126 mg/dl after fasting for more than 8 hours, b. A 2-hour plasma glucose level of ≥200 mg/dl during an oral glucose toleranc...

Should You Be Concerned About Your Blood Sugar Levels?

Is there a concern for diabetes? I had a company health check-up and my fasting blood glucose level was 101 after fasting for more than 12 hours. According to online standards, it should be below 100. Should I start dietary control and see a doctor for follow-up? I am 180 cm tall...

Dr. Xiao Yongxun Reply:
1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. A fasting plasma glucose level of ≥126 mg/dL after 8 hours or more of fasting, b. A 2-hour plasma glucose level of ≥200 mg/dL during an oral glucose tolerance test, c. An HbA1c of ≥6...

Understanding Hypoglycemia in Non-Diabetics: Causes and Symptoms

Hypoglycemia without diabetes? Hello, doctor. I do not have diabetes. I had a normal lunch, but around 2 PM, I experienced hand tremors and my blood sugar was in the 80s. The second time, around 4 PM, I had hand tremors, dizziness, and sweating, and my blood sugar was only 61. Wh...

Dr. Xiao Yongxun Reply:
Dear Ms. Hui: 1. There are many causes of hypoglycemia; among them, iatrogenic hypoglycemia is the most common, primarily caused by oral hypoglycemic agents or insulin. If this is not the case, a thorough investigation is warranted. Generally, hypoglycemia can be categorized int...

Understanding Hypoglycemia in Non-Diabetics: Causes and Symptoms

Dr. Xiao Yongxun Reply:
Dear Ms. Hui: 1. There are many causes of hypoglycemia; among them, iatrogenic hypoglycemia is the most common, primarily caused by oral hypoglycemic agents or insulin. If this is not the case, a thorough evaluation is necessary. Generally, hypoglycemia can be categorized into f...

Understanding Low Blood Sugar and Seizures in Teenagers: A Case Study

High school student with hypoglycemic coma? Hello Doctor, my daughter, who is in her first year of high school, suddenly reported feeling dizzy and weak while studying at home in mid-December. I intended to check her blood pressure (her school health check and regular measurement...

Dr. Xiao Yongxun Reply:
Dear Mr. Zhang: 1. There are many causes of hypoglycemia; among them, iatrogenic hypoglycemia is the most common, primarily caused by oral hypoglycemic agents or insulin. If this is not the case, a thorough consideration of other factors is necessary. Generally, hypoglycemia can...

How to Diagnose My Health Issues: Weight Gain and Urinary Concerns

How can I get a diagnosis? Hello Doctor, I have had a question for a long time. My weight suddenly increased by over 20 kilograms in the past few years. During my health check last year, the report showed that my blood sugar was normal, but my urine glucose was ++. At that time, ...

Dr. Xiao Yongxun Reply:
Dear Ms. Gigi: According to medical principles, polycystic ovary syndrome (PCOS) is an endocrine disorder that can lead to irregular menstruation, obesity, masculinization, and even infertility. It is often associated with diabetes or insulin resistance-related glucose intoleranc...

Managing High Nighttime Blood Sugar Levels in Diabetes Patients

Diabetes and Blood Sugar Issues (Elevated Blood Sugar Levels Before Bedtime) Hello Doctor, my father is about 58 years old and had a stroke two years ago. Hospital examinations indicated that diabetes led to hypertension. After rehabilitation, he was able to live independently an...

Dr. Xiao Yongxun Reply:
Dear Mr. A-Hsiang, Before bed, the blood glucose level was 200 mg/dL, and the fasting blood glucose level in the morning was 105 mg/dL. Clinically, for diabetic patients who manage their condition solely through diet and exercise, these levels are acceptable. Normal postprandial...

Managing High Blood Sugar: When to See a Doctor and Dietary Tips

Blood sugar issues? Hello, doctor. After my health check-up, I found that my blood sugar levels were elevated, so I completely stopped eating sweets. However, I often feel very hungry after meals. Although it doesn't significantly affect my daily routine, I would like to ask...

Dr. Xiao Yongxun Reply:
Dear Mr. Ahong: 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. Plasma glucose level ≥ 200 mg/dL during a 2-hour oral glucose tolerance test, c. HbA...

Managing High Uric Acid and Cholesterol Levels: Dietary Tips and Concerns

Health check shows elevated uric acid and cholesterol levels? Hello Doctor: I recently had a health check, and my uric acid level is 7.1, which is above the normal range. Isn't the normal value for women supposed to be less than 6.6? I currently do not have any symptoms of g...

Dr. Xiao Yongxun Reply:
Dear Ms. Kiki: 1. Elevated uric acid levels primarily refer to high concentrations of uric acid in the blood. When uric acid precipitates in joint tissues (such as the big toe joint, the back of the foot, or finger joints), it can trigger an inflammatory response, leading to go...

Managing High Uric Acid and Cholesterol Levels: Dietary Tips and Concerns

Health check shows elevated uric acid and cholesterol levels? Hello Doctor: I recently had a health check-up, and my uric acid level is 7.1, which is above the normal range. Isn't the normal value for women supposed to be less than 6.6? I currently do not have any symptoms o...

Dr. Xiao Yongxun Reply:
Dear Ms. KiKi: 1. Elevated uric acid levels primarily refer to high concentrations of uric acid in the blood. If uric acid precipitates in joint tissues (such as the big toe joint, the back of the foot, or finger joints), it can trigger an inflammatory response, leading to gout....

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