Understanding High Insulin Resistance and Blood Insulin Levels: A Guide
High blood insulin levels and high insulin resistance? Hello, doctor. I would like to ask about my recent self-paid blood tests. My insulin resistance index is 7.1 (normal range: 1.4-2.0), and my blood insulin concentration is 28.65 uU/mL (normal range: 2.6-24.9), which is higher...
Dr. Lin Jianliang Reply:
Hello, a fasting blood glucose level of 100 mg/dL is classified as impaired fasting glucose (IFG), which is a form of prediabetes. The diagnosis of prediabetes does not rely on the insulin resistance index or blood insulin levels. There are many reasons for a high insulin resista...[Read More] Understanding High Insulin Resistance and Blood Insulin Levels: A Guide
Understanding Elevated Alkaline Phosphatase Levels: Causes and Concerns
Alkaline phosphatase Recently, my alkaline phosphatase level was 132, with the normal range being 25-130. I have been taking red yeast rice due to high cholesterol; could this affect the alkaline phosphatase levels? Would dental implants with bone grafts and the use of a regenera...
Dr. Zeng Guosen Reply:
Elevated alkaline phosphatase levels usually warrant consideration of liver, biliary, and bone issues. If there are no symptoms and the levels are only slightly elevated (2 times the normal value), and if the GOT, GPT, CA 19-9, and alpha-fetoprotein are all normal, there is no ne...[Read More] Understanding Elevated Alkaline Phosphatase Levels: Causes and Concerns
Cholesterol Levels: Understanding Medication Impact and Testing Accuracy
Cholesterol levels were high before medication, but normalized after treatment? Hello Doctor, last month I had a non-fasting blood test at a general clinic, and the results showed total cholesterol 395, low-density lipoprotein (LDL) 312, and high-density lipoprotein (HDL) 70. Lat...
Dr. Lin Jianliang Reply:
Hello, a total cholesterol level of 395 and low-density lipoprotein (LDL) of 312 is quite uncommon. After three weeks of medication, your total cholesterol dropped to 185, LDL to 112, and high-density lipoprotein (HDL) to 64, which is also an unusual decrease. Other values are no...[Read More] Cholesterol Levels: Understanding Medication Impact and Testing Accuracy
Does Taking Ezetimibe Cause Weight Loss in Heart Patients?
Will taking (Eito tablets) lead to weight loss? Hello doctor, my father is 81 years old and is a heart failure patient. He has a stent implanted in his heart. The doctor hopes to lower his cholesterol, so he prescribed 40 mg of Lipitor (atorvastatin) once daily. This summer, an a...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. This issue is more related to cardiology, so I recommend consulting a cardiologist. The Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare, is concerned about you.[Read More] Does Taking Ezetimibe Cause Weight Loss in Heart Patients?
Understanding Prediabetes: Key Questions and Concerns Explained
Hello doctor, I would like to ask some questions about diabetes? I had a health check-up two weeks ago. My fasting blood sugar was 116 mg/dL and my hemoglobin A1c was 5.7%. Does this mean I am in the prediabetic stage or have I already developed diabetes? In the morning, my fasti...
Dr. Lin Jianliang Reply:
Hello Mr. Kuo: Your fasting blood glucose is 116, and your hemoglobin A1c is 5.7, which indicates impaired fasting glucose, but it is not diabetes yet. Your blood glucose before lunch is also abnormal, ranging from 117 to 12X. It is recommended that you consult a metabolic specia...[Read More] Understanding Prediabetes: Key Questions and Concerns Explained
Understanding Elevated Creatinine and Triglycerides: Key Insights for Patients
Both creatinine and triglycerides are elevated? Question: I visited my family medicine doctor on Sunday because I previously had high cholesterol issues (last year it was 236). The doctor asked if I could have blood drawn to track my levels today. I replied that I had just gone h...
Dr. Lin Jianliang Reply:
Hello, Xiaohua: To measure triglycerides, you should fast for 8-10 hours. The values can be affected by diet, so it is recommended to fast for 8-10 hours and avoid vigorous exercise before the test.[Read More] Understanding Elevated Creatinine and Triglycerides: Key Insights for Patients
Do You Need Medication for Fatty Liver and High Cholesterol? What Specialist to See?
Mild to moderate fatty liver, elevated cholesterol levels, and low thyroid-stimulating hormone (TSH) levels may require medical evaluation and treatment. It is advisable to consult a physician, specifically an endocrinologist for thyroid issues and a hepatologist or a gastroenter...
Dr. Lin Jianliang Reply:
Hello Edward: It is recommended to see a metabolic specialist. If necessary, the physician will prescribe medication for treatment.[Read More] Do You Need Medication for Fatty Liver and High Cholesterol? What Specialist to See?
Understanding Your Health Issues: Symptoms and Solutions for Better Wellness
Recently, I have been experiencing a lot of health issues? Hello Doctor, since the beginning of this summer, I have been feeling excessively hot and sweating profusely even with slight exercise. I have also been experiencing recurrent infections in my intimate area (itching and d...
Dr. Li Jian Reply:
Due to the symptoms involving multiple organ systems, it is recommended to visit a large hospital and consult with a family medicine specialist for a systematic examination. Thank you for your inquiry.[Read More] Understanding Your Health Issues: Symptoms and Solutions for Better Wellness
Understanding Carotid Ultrasound Reports: Insights on Stroke Risk and Atherosclerosis
Carotid Ultrasound Report Hello Doctor, I have high cholesterol (not on medication, 280), and there is a history of stroke in my family (grandfather and father). Recently, I often feel dizzy several times a day, each episode lasting several seconds. This is the report from my tra...
Dr. Yu Liying Reply:
Hello Ms. Chen, the causes of dizziness are diverse and may indeed be related to cerebral blood circulation. It is advisable for you to visit a neurologist in person. The doctor will conduct a thorough history taking, along with physical and neurological examinations, to provide ...[Read More] Understanding Carotid Ultrasound Reports: Insights on Stroke Risk and Atherosclerosis
Understanding Low Hemoglobin and Cholesterol Levels in Health Reports
The health check report has red text? Based on your health check report, your hemoglobin (Hb) level is 11.2 g/dL, hematocrit (Ht) is 35.4%, and low-density lipoprotein (LDL) cholesterol is 62 mg/dL, all of which are below the standard values. You should pay attention to the follo...
Dr. Lin Jianliang Reply:
Hello: Please transfer to the hematology department. A low-density lipoprotein (LDL) level of 62 is still within an acceptable range for most individuals.[Read More] Understanding Low Hemoglobin and Cholesterol Levels in Health Reports
Understanding Your Diabetes Risk: Key Health Check Insights
Questions related to diabetes? Every year, I participate in my company's health check-up. I am 35 years old, 179 cm tall, and weigh between 55 to 56 kg. I have always been slim and unable to gain weight since childhood, and I maintain a regular exercise routine. I have mild ...
Dr. Li Jian Reply:
You can undergo an oral glucose tolerance test at the Metabolism Clinic. Thank you for your inquiry.[Read More] Understanding Your Diabetes Risk: Key Health Check Insights
Can Hemodialysis Treat High Cholesterol by Filtering Excess Fats?
Hemodialysis Can blood dialysis be used to treat conditions similar to hyperlipidemia, such as filtering excess fats from the blood?
Dr. Hong Yuanbin Reply:
Hello, currently some people are attempting to do this, but the disadvantages outweigh the benefits because hemodialysis can pose life-threatening risks, and most of the body's fat is located in the visceral area rather than in the blood, making it difficult to remove. Thank...[Read More] Can Hemodialysis Treat High Cholesterol by Filtering Excess Fats?
Key Health Concerns and Obesity: Understanding Your Test Results
Issues I should be aware of regarding obesity? Examination Date Examination Item Result 01/13/112 Creatinine (U) 22.70 01/13/112 Urine Protein 4.00 01/13/112 Glucose (B) 98.00 01/13/112 HbA1c 6.20 01/13/112 GPT 64 01/13/112 HDL-C 45 01/13/112 LDL-C 82.00 01/13/112...
Dr. Li Jian Reply:
A hemoglobin A1c level of 6.2 indicates prediabetes, and it is important to implement dietary control and exercise to prevent the progression to diabetes in the future.[Read More] Key Health Concerns and Obesity: Understanding Your Test Results
Managing High Cholesterol: When to See a Doctor and Lifestyle Tips
Recent health check revealed slightly elevated cholesterol levels? Recently, a health check revealed slightly elevated cholesterol levels. My height is 164 cm and weight is 44 kg. Total cholesterol is 238 mg/dL, triglycerides are 42 mg/dL, HDL (high-density lipoprotein) is 69.9 m...
Dr. Lin Jianliang Reply:
Hello: It is recommended to see a physician. Whether treatment is necessary depends on the physician's assessment of any risk factors you may have, such as hypertension, diabetes, cardiovascular disease, cerebrovascular disease, and other risk factors. Additionally, it is im...[Read More] Managing High Cholesterol: When to See a Doctor and Lifestyle Tips
Is High HDL Cholesterol Really Safe? Understanding Your Cholesterol Levels
Cholesterol issues Recently, blood tests showed triglycerides at 67 mg/dL, high-density lipoprotein (HDL) cholesterol at 133 mg/dL, low-density lipoprotein (LDL) cholesterol at 150 mg/dL, and total cholesterol at 273 mg/dL. The ratio of total cholesterol to HDL cholesterol is 2.1...
Dr. Lin Jianliang Reply:
Hello: Some studies have shown that excessively high levels of high-density lipoprotein (HDL) cholesterol may be detrimental to health. Elevated HDL cholesterol levels can actually increase the risk of cardiovascular diseases. Additionally, other research has found that having to...[Read More] Is High HDL Cholesterol Really Safe? Understanding Your Cholesterol Levels
Understanding Abnormal eGFR: Insights into Kidney Function Issues
Experience reports indicate abnormal glomerular filtration rate? Hello Doctor, the results of my recent tests show a creatinine level of 0.84, BUN of 13, and eGFR of 86.4 (indicating a significant abnormality). My albumin level is 4.3, and I weigh 48 kg. I have a low skeletal mus...
Dr. Lin Wuxuan Reply:
Hello! It is recommended that you bring your health check-up report to a family medicine or nephrology clinic for evaluation by a physician. Thank you.[Read More] Understanding Abnormal eGFR: Insights into Kidney Function Issues
Consulting a Doctor: Understanding Your Blood Test Results
Consult a doctor regarding examination issues? Doctor, I would like to ask if this is really not a concern? Although the family medicine doctor told me today that it’s okay and not to worry too much. These two red numbers are Lymphocyte 54.7% and Neutrophil Seg. However, the doct...
Dr. Hong Yuanbin Reply:
Hello, regarding the blood cell part, it is indeed as your physician mentioned. If the white blood cell count is normal, the neutrophils and lymphocytes are just a matter of ratio and usually do not require concern. As for the cholesterol levels, the elevation is likely due to a ...[Read More] Consulting a Doctor: Understanding Your Blood Test Results
Managing High Cholesterol: Tips for Balancing HDL and LDL Levels
High total cholesterol Hello, Doctor. During my health check-up, I found that my total cholesterol is above the normal range. I have noticed a trend of increasing total cholesterol in the past few years: total cholesterol (161→186→194→227), triglycerides (60→58→82→79). This time,...
Dr. Lin Jianliang Reply:
Hello: 1. Currently, there are no primary methods for treating elevated high-density lipoprotein (HDL) cholesterol; however, if HDL cholesterol levels are already high, it is advised not to supplement with related health products. 2. If HDL cholesterol is elevated, do not supplem...[Read More] Managing High Cholesterol: Tips for Balancing HDL and LDL Levels
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
Should You Take Medication for High LDL Cholesterol Levels?
Elevated low-density lipoprotein cholesterol (LDL-C)? The total cholesterol is 245 mg/dL, low-density lipoprotein (LDL) cholesterol is 150 mg/dL (exceeding the standard value of 130 mg/dL), and high-density lipoprotein (HDL) cholesterol is 78 mg/dL. Given that triglycerides are 9...
Dr. Lin Jianliang Reply:
Hello: According to the regulations for medication coverage under the National Health Insurance, it is necessary to consider whether the patient has cardiovascular disease, diabetes, or risk factors. The definition of cardiovascular disease includes: (1) coronary atherosclerosis ...[Read More] Should You Take Medication for High LDL Cholesterol Levels?