Weight Loss Concerns: Stress, Health Checks, and Diabetes Risk
Weight loss In July of this year, after being diagnosed, I continued to have a poor appetite and trouble sleeping. In August, I started a new job that brought a lot of stress, and I had a persistent cough after the diagnosis, which only improved by the end of September. Before th...
Dr. Hong Yuanbin Reply:
Hello, regarding diabetes, a single blood glucose test is not sufficient to determine if there is a concern for diabetes. It is recommended to consult with a specialist in Metabolism or Family Medicine. As for weight loss, it is advisable to maintain a regular routine and engage ...[Read More] Weight Loss Concerns: Stress, Health Checks, and Diabetes Risk
Can Pre-Diabetes Affect Pancreatic Function and Can It Be Reversed?
Prediabetes Previously, I had a slightly elevated hemoglobin A1c level. After controlling my diet, my subsequent test result was 5.5, and the doctor said it was fine. I would like to ask if a slightly elevated hemoglobin A1c can cause irreversible damage to pancreatic function? C...
Dr. Li Jian Reply:
Mildly elevated blood sugar levels are unlikely to cause significant damage to pancreatic function.[Read More] Can Pre-Diabetes Affect Pancreatic Function and Can It Be Reversed?
Understanding Blood Sugar Control in Diabetes Management
Blood sugar issues? Hello Dr. Lin: My father was diagnosed with diabetes in August. He takes insulin before breakfast (18 units) and before dinner (12 units), and he also takes 0.5 tablets of Metformin (HCl) after breakfast and dinner. Currently, his fasting blood glucose levels ...
Dr. Lin Jianliang Reply:
Hello: The difference between pre-meal and post-meal blood glucose levels should ideally not exceed 60 mg/dL. However, there are other indicators that can be used for assessment, such as glycated hemoglobin (HbA1c), fasting blood glucose levels, postprandial blood glucose levels,...[Read More] Understanding Blood Sugar Control in Diabetes Management
Understanding Dry Eye Syndrome: Blood Test Results and Treatment Insights
Sjögren's Syndrome Index Thank you, doctor! First question: I was diagnosed with Sjögren's syndrome on August 19 this year, with an index of 280. Starting from the 20th, I took one quinine daily. On September 21, I had a second blood test, and the index was 334. During ...
Dr. Gao Jiankai Reply:
Hello, thank you for your questions. Here are my responses: First question: I was diagnosed with Sjögren's syndrome on August 19 of this year, with a score of 280. I started taking one quinine tablet daily from the 20th, and on September 21, my blood was drawn again, showin...[Read More] Understanding Dry Eye Syndrome: Blood Test Results and Treatment Insights
Understanding Autoimmune Disorders: Symptoms, Diagnosis, and Treatment
Immune system diseases Hello Doctor, I apologize for the lengthy message. This past March, I experienced a persistent low-grade fever for a month and had blood tests done, which indicated elevated immune system markers suggesting rheumatoid arthritis. I was then referred to a r...
Dr. Gao Jiankai Reply:
Hello, thank you for your questions. Here are my responses: 1. Should taking quinine prevent fever? I informed you that I had a fever for a while that day! But if I haven't been examined, which department should I consult to find out where the inflammation is? --> Fever ...[Read More] Understanding Autoimmune Disorders: Symptoms, Diagnosis, and Treatment
Understanding Dizziness After Sudden Movements: When to Seek Medical Advice
Please ask your question? I apologize for bothering you, doctor, but I have a question. I was lying down playing on my phone when my grandmother suddenly needed to use the bathroom and called for my help. I rushed over, and after standing up, I suddenly felt dizzy and unsteady fo...
Dr. Hong Yuanbin Reply:
Hello, the conditions you mentioned are referred to as "orthostatic hypotension," which occurs when there is a significant change in body posture and the cardiovascular system is unable to adequately adjust, resulting in temporary low blood pressure. It is recommended t...[Read More] Understanding Dizziness After Sudden Movements: When to Seek Medical Advice
Understanding Declining eGFR: Kidney Health Concerns and Solutions
Kidney problems Hello Dr. Huang, my estimated glomerular filtration rate (eGFR) values from previous years (2017 to 2020) were consistently between 117 and 118. However, after undergoing surgery for a gynecological chocolate cyst at the end of March 2021, I started taking a medic...
Dr. Huang Yaoxuan Reply:
Hello "lulu": An eGFR of 117-118 or 99, 94 is considered normal, so you don't need to worry. If you are concerned about your kidneys, it is recommended to measure your blood pressure at home daily (after resting for 20 minutes before taking the measurement). Thank ...[Read More] Understanding Declining eGFR: Kidney Health Concerns and Solutions
Managing High Blood Sugar Levels in Diabetic Patients: A Caregiver's Guide
Recently, blood sugar levels have been consistently rising? Hello Doctor! My mother is 75 years old and has a long-standing history of diabetes. At the beginning of this month, she had a follow-up appointment, and the doctor prescribed half a tablet of Metformin and one tablet of...
Dr. Li Jian Reply:
The current dosage may be insufficient, and it is necessary to consult the original physician to adjust the dosage. Additionally, fried noodles are considered refined carbohydrates and should not be consumed frequently.[Read More] Managing High Blood Sugar Levels in Diabetic Patients: A Caregiver's Guide
Understanding Your Symptoms: When to Seek Medical Attention
Medical issues? Hello Doctor, I have been experiencing persistent dull pain in my lower right abdomen for two weeks, which is why I consulted a gastroenterologist this week. I have undergone eight blood tests, a fecal occult blood test, and an abdominal X-ray, and I am currently ...
Dr. Hong Yuanbin Reply:
Hello, your previous abdominal pain was indeed evaluated by a gastroenterologist. However, the subsequent dizziness and shortness of breath may not necessarily be related to the abdominal pain. It might be necessary to check for issues in other systems. I recommend scheduling an ...[Read More] Understanding Your Symptoms: When to Seek Medical Attention
Understanding Fluctuations in Glomerular Filtration Rate: What You Need to Know
Glomerular filtration rate (GFR) issues? Hello Doctor: I would like to inquire about my glomerular filtration rate (GFR) results from my blood tests. In December 2020, my GFR was 100.6, in May 2021 it was 119.6, and in November 2021 it was 85.3. My concern is why today's GFR...
Dr. Lin Wuxuan Reply:
Hello Ms. Chen, the glomerular filtration rate (GFR) only reflects kidney function, so there is no need to worry too much. If there are additional concerns such as proteinuria, hematuria, abnormalities in ultrasound examinations, or other chronic conditions, please consult a neph...[Read More] Understanding Fluctuations in Glomerular Filtration Rate: What You Need to Know
Understanding Chronic Kidney Disease Treatment and Blood Sugar Management
Chronic Kidney Disease Treatment Hello Dr. Lin, I am a patient with chronic kidney disease (stage 3B) and have high proteinuria (approximately 1600-2200 mg/g). My blood sugar levels are also elevated, with a hemoglobin A1c of about 6.1 and a blood glucose level of approximately 1...
Dr. Lin Wuxuan Reply:
Hello Mr. Zeng, the glomerular filtration rate may decline due to aging, diseases, and other factors. It is advisable to discuss with your attending physician before starting new medications or adjusting dosages. Thank you.[Read More] Understanding Chronic Kidney Disease Treatment and Blood Sugar Management
Understanding Low Blood Pressure: Symptoms, Diagnosis, and Treatment Options
Consultation for Symptoms of Hypotension Currently, my average blood pressure is 90-105/52-60, and I often feel fatigued. My nails appear slightly purple. What symptoms would suggest that I should go to the hospital for low blood pressure? What tests are typically performed to de...
Dr. Lin Wuxuan Reply:
Hello Liu, it is recommended to first consult with a family medicine or general internal medicine outpatient clinic. Based on the physician's assessment, further management can be determined. Thank you.[Read More] Understanding Low Blood Pressure: Symptoms, Diagnosis, and Treatment Options
Understanding Your HIV Viral Load: What to Do Next?
HIV Viral Load has a numerical value? Hello Dr. Hong, I am an HIV-positive patient. I have been adhering to my medication regimen daily to control the virus. However, after my routine blood test this month, I saw in the National Health Insurance Quick Translation system that my H...
Dr. Hong Yuanbin Reply:
Hello, your viral load does appear to have increased. However, whether a change in medication is necessary or if we should just monitor the situation requires evaluation by your attending physician. Therefore, I recommend that you schedule an appointment with your doctor for conf...[Read More] Understanding Your HIV Viral Load: What to Do Next?
Understanding Unexplained Body Heat: When to Seek Medical Help
There is always a sense of heat within the body? Hello, doctor. For the past ten days, I have been feeling a constant sensation of heat in my body, although my temperature readings are normal. I often feel a wave of heat throughout the day, and my toes and the soles of my feet fe...
Dr. Hong Yuanbin Reply:
Hello, it is recommended to first consult a Western medicine physician to check for any endocrine issues, such as thyroid or adrenal gland problems. You can make an appointment with the Family Medicine or Metabolism department. If these tests are normal, then you can consider con...[Read More] Understanding Unexplained Body Heat: When to Seek Medical Help
Assessing HIV Infection Risks After Encountering Blood in an Elevator
Infection concerns? Hello, Doctor Hong. Yesterday, while I was in the elevator, I noticed a large pool of red liquid flowing from the buttons to the floor. I later heard that someone had vomited blood inside the elevator (I did not see it happen). I was told that the floor was co...
Dr. Hong Yuanbin Reply:
Hello, based on the situation you mentioned, you are concerned about the risk of contracting HIV from contact with blood in the elevator. However, since you did not have mucous membrane exposure or direct contact with fresh blood through an obvious wound, it appears that there is...[Read More] Assessing HIV Infection Risks After Encountering Blood in an Elevator
Concerns About Eye Exposure to Water in Public Transport: Should I Worry?
Please ask your question? Hello Doctor, today when I was on my way home after class, I took the MRT and suddenly water started dripping from the ceiling. I suspect it might have come from some pipes, and some of it got into my eyes. Although I rinsed my eyes at a nearby departmen...
Dr. Hong Yuanbin Reply:
Hello, some sexually transmitted infections, including HIV, are not transmitted through eye contact as you mentioned. The only concern would be the possibility of a bacterial infection causing conjunctivitis; however, since you have rinsed your eyes, the risk is lower. Unless you...[Read More] Concerns About Eye Exposure to Water in Public Transport: Should I Worry?
Risk of Syphilis Infection from Blood Contact: What You Need to Know
Syphilis skin contact infection Hello, doctor. I would like to ask about an incident that occurred during my internship at the hospital. While removing an IV from a patient, my fingertip accidentally came into contact with the blood of a patient diagnosed with syphilis. At that m...
Dr. Hong Yuanbin Reply:
Hello, if there is no puncture wound, simple intact skin contact with blood does not lead to syphilis infection unless there is a needle stick injury. In the case of a needle stick injury, it is necessary to follow the needle stick protocol, which includes testing for syphilis an...[Read More] Risk of Syphilis Infection from Blood Contact: What You Need to Know
Sudden Back Pain and Nausea: When to Seek Medical Help?
Sudden lower back pain accompanied by nausea? Hello doctor, I urgently need advice. My girlfriend woke up that morning with lower back pain and discomfort. When she got to work, she started vomiting and even vomited blood. Later, she felt like she had a fever. At that moment, she...
Dr. Xie Rongyuan Reply:
Hello: If you have symptoms such as fever, lower back pain, and vomiting blood, you should go to the emergency room immediately to determine the cause. Thank you for your message![Read More] Sudden Back Pain and Nausea: When to Seek Medical Help?
Concerns About HIV Infection Risks After Encountering Blood in Elevator
Infection Inquiry Hello, Doctor Hong. Yesterday, while I was in the elevator, I noticed a large pool of red liquid flowing from the buttons to the floor. I later heard that someone had vomited blood inside the elevator (I did not see it happen). I was told that the floor was cove...
Dr. Hong Yuanbin Reply:
Hello, based on the situation you mentioned, you are concerned about the risk of contracting HIV from contact with blood in the elevator. However, since you did not have mucous membrane exposure or any obvious open wounds that came into direct contact with fresh blood, it current...[Read More] Concerns About HIV Infection Risks After Encountering Blood in Elevator
Understanding Unusual Breathing Sounds: When to Seek Medical Advice
Regarding respiratory issues? Hello, doctor. I have a question. Sometimes my breathing sounds very loud (not during sleep). It’s like after normal breathing, there’s a sudden loud exhale, and it feels like I have tightness in my chest and can’t breathe out properly. I’m not sure ...
Dr. Hong Yuanbin Reply:
Hello, 1. Regarding the respiratory sounds, being overweight can cause airway compression, which may lead to wheezing or audible breathing. If you are feeling very uncomfortable, you can visit an outpatient clinic for an X-ray to ensure that your lungs are healthy. If it is alr...[Read More] Understanding Unusual Breathing Sounds: When to Seek Medical Advice