Understanding Your Blood Test Results: Are You at Risk for Diabetes?
Three high issues (referring to high blood pressure, high Hello Doctor: I recently had a basic blood test, and here are the results: eGFR: 80 (Is this low?), ALT: 12 (Does this indicate that my liver is healthy?), Uric Acid: 5.1 (Is this high?), TG (Triglycerides): 63 (I previous...
Dr. Li Jian Reply:
A hemoglobin A1c level of 6 indicates prediabetes, and regular monitoring is necessary. Currently, dietary control is recommended. Thank you for your inquiry.[Read More] Understanding Your Blood Test Results: Are You at Risk for Diabetes?
Understanding Elevated Creatinine Levels: When to See a Nephrologist
Creatinine levels exceed the standard? Hello Doctor: In my blood test report, my creatinine level is 1.21 and my glomerular filtration rate (GFR) is 71.7. Should I urgently see a nephrologist? What advice would you give me? My triglycerides are 160, total cholesterol is 210, high...
Dr. Wu Jiyu Reply:
For chronic kidney disease, a glomerular filtration rate (GFR) greater than 60, combined with proteinuria, hematuria, or renal parenchymal damage (such as stones, edema, or cysts), is required for a diagnosis of chronic kidney disease. Based on the report you provided, while your...[Read More] Understanding Elevated Creatinine Levels: When to See a Nephrologist
Understanding Sleep Issues in Teen Athletes: A Guide to Common Concerns
Sleep issues Hello, doctor. I have some questions I would like to ask you. As a teenager, I'm not sure if what I'm experiencing is normal. I am an athlete and I start training at 7 AM and also have practice in the afternoon. Recently, I've been sleeping with the ai...
Dr. Hong Yuanbin Reply:
Hello, 1. It is normal to experience a dry throat when sleeping in an air-conditioned room, as air conditioning has a dehumidifying function. 2. Whether you snore may require the assistance of those around you to observe. As for sleep apnea, a sleep study at a sleep clinic is ...[Read More] Understanding Sleep Issues in Teen Athletes: A Guide to Common Concerns
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...[Read More] Understanding Cholesterol and Blood Sugar Levels: Your Health Questions Answered
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...[Read More] Understanding Rising Urine Protein Levels: What You Need to Know
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 ...[Read More] Unexplained Blisters and Weakness in Legs: Possible Causes and Solutions
Managing Diabetes: Weight Loss, Diet, and Cholesterol Control
Diabetes, Weight, and Diet Last October, I was diagnosed with diabetes and started medication—Metformin. At the end of November, I began intermittent fasting (16:8) to lose weight, eating only lunch and dinner. During my follow-up appointment in February, my weight decreased from...
Dr. Lin Jianliang Reply:
Hello: Avoid consuming items that contain refined sugars, such as candies, sodas, cakes, etc. Instead, try to choose less sweet fruits, such as firm guavas and large tomatoes. You should also discuss with your physician how many calories you can reasonably consume each day based ...[Read More] Managing Diabetes: Weight Loss, Diet, and Cholesterol Control
Understanding Rising Cholesterol Levels: Key Factors and Next Steps
Elevated total cholesterol? Hello, doctor. Recently, during my follow-up visit for my thyroid condition, the hospital conducted blood tests that included cholesterol and triglyceride levels. I have previously done blood tests myself and noticed that my total cholesterol has been ...
Dr. Li Jian Reply:
Currently, the levels do not appear to be high, so there is no need for excessive concern. Triglycerides may be influenced by recent dietary intake, leading to fluctuations. Some medicinal fish oils can help lower triglyceride levels.[Read More] Understanding Rising Cholesterol Levels: Key Factors and Next Steps
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...[Read More] Managing High Fasting Blood Sugar and Cholesterol Levels: A Guide
Understanding Hypothyroidism: Key Questions and Management Strategies
Hypothyroidism Hello, here are some test results: Anti-TPO Ab: 428 (8/26), 242.7 (9/17); TSH: 0.01, Free T4: 0.63, Free T3: 1.6 (9/16); TSH: 8.611, Free T4: 0.67, T3: 0.51 (10/7); TSH: 4.881, Free T4: 0.75 (11/4); TSH: 1.317, Free T4: 1.12 (12/2); TSH: 0.791, Free T4: 1.05 (2/12)...
Dr. Li Jian Reply:
Thyroid function should be maintained within the normal range, which may vary slightly among different medical institutions. A positive TPO antibody indicates the possibility of Hashimoto's thyroiditis. Currently, cholesterol levels are slightly elevated and dietary control ...[Read More] Understanding Hypothyroidism: Key Questions and Management Strategies
Understanding High Cholesterol: The Role of HDL and Health Risks
High cholesterol Hello, my mother is currently 61 years old and recently had a health check-up with the following results: height 167 cm, weight 51 kg, BMI 18.3, blood pressure 138/81, pulse 75, blood glucose 102 (slightly elevated), triglycerides 51, cholesterol 322 (severely el...
Dr. Lin Jianliang Reply:
Hello: High total cholesterol can be partly attributed to high-density lipoprotein (HDL), while low-density lipoprotein (LDL) is a significant factor contributing to cardiovascular disease. Whether or not to take medication depends on health insurance regulations, which consider ...[Read More] Understanding High Cholesterol: The Role of HDL and Health Risks
Understanding Creatinine Levels: Concerns About Kidney Health
Confusion Regarding Blood Test Report for Serum Creatinine Hello Doctor, I am 37 years old, weigh 75 kg, and am 167 cm tall. I have symptoms of gastroesophageal reflux disease and Barrett's esophagus, for which I have been taking proton pump inhibitors (such as Pantoprazole)...
Dr. Wu Jiyu Reply:
1. According to your inquiry, first, it is important to understand the definition of chronic kidney disease (CKD). It can be classified as stage 1 or stage 2 when the glomerular filtration rate (GFR) is greater than 60 mL/min/1.73 m² and there are abnormalities in urine or imagin...[Read More] Understanding Creatinine Levels: Concerns About Kidney Health
Understanding High Cholesterol in Underweight Individuals: A 22-Year-Old's Case
Very thin with high cholesterol? Hello doctor, I am 22 years old, 176 cm tall, and weigh 49 kg, which is quite thin. However, my total cholesterol is 201, which exceeds the standard. Due to my work schedule, I often have irregular sleeping patterns and eat convenience store food....
Dr. Wu Jiyu Reply:
In response to your inquiry regarding oral isotretinoin, it is important to note that a small percentage of patients may experience an increase in blood lipids. It is advisable to monitor lipid levels after discontinuing the medication; if levels decrease, this may indicate a rel...[Read More] Understanding High Cholesterol in Underweight Individuals: A 22-Year-Old's Case
Significant Drop in eGFR: Should You Be Concerned About Kidney Health?
The most recent test showed a significant decrease in glomerular filtration rate (GFR)? Hello, Doctor. I am currently 29 years old, 153 cm tall, and weigh 50 kg. Last year, during a company health check, I was found to have elevated fasting blood glucose levels (118), but my hemo...
Dr. He Yonghe Reply:
Hello Ms. Wang, drinking less water can also lead to a decrease in eGFR. Generally, 2500-3000 cc per day should be sufficient. If your cholesterol is elevated, dietary changes and exercise can help improve it. You may consider visiting an internal medicine specialist for further ...[Read More] Significant Drop in eGFR: Should You Be Concerned About Kidney Health?
Navigating Unexplained Symptoms: A Guide to Possible Vasculitis Diagnosis
I'm not sure where to look? The patient has experienced abnormal sensations in the left limb for approximately two years and has had persistent hematuria for over three years, although kidney examinations have returned normal results. There is a mild Raynaud's phenomeno...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Based on your symptoms, I believe it may still be an issue related to immunology or rheumatology. I recommend that you first visit the immunology and rheumatology department at a medical center, where they can arrange for more detailed examinati...[Read More] Navigating Unexplained Symptoms: A Guide to Possible Vasculitis Diagnosis
Understanding the Impact of Cholesterol on Blood Pressure Variability
Blood Pressure and Cholesterol Hello Doctor: I am a person who gets nervous easily, and every time I go to the hospital to have my blood pressure measured, it is very high, with systolic pressure over 160 and diastolic pressure over 100. However, when I measure my blood pressure ...
Dr. Hong Yuanbin Reply:
Hello, cholesterol itself does not directly affect blood pressure. It is the long-term high levels of lipids that can lead to atherosclerosis, which may then influence an increase in blood pressure. Thank you for your question.[Read More] Understanding the Impact of Cholesterol on Blood Pressure Variability
Understanding Rising Triglycerides: Diet, Stress, and Cholesterol Levels
Elevated triglycerides? Hello Dr. Hong, In July, during my health check-up, my total cholesterol was 6.07, HDL (good cholesterol) was 1.31, LDL (bad cholesterol) was 4.46, and triglycerides were 1.09. After three months of dietary control and exercising 150 minutes per week, I h...
Dr. Hong Yuanbin Reply:
Hello, triglycerides are usually related to diet; for example, stir-fried vegetables can cause levels to rise. On the other hand, high cholesterol is often influenced by genetic factors. Overall, blood lipids can be affected by multiple factors. It is recommended to avoid high-fa...[Read More] Understanding Rising Triglycerides: Diet, Stress, and Cholesterol Levels
Do Diabetic Patients with LDL Cholesterol of 113 Need Medication?
Should a diabetic patient with a low-density lipoprotein (LDL) cholesterol level of 113 be treated with medication? During my health check-up, I found that my glycated hemoglobin (HbA1c) was 6.7, total cholesterol was 185, and low-density lipoprotein (LDL) cholesterol was 123. Af...
Dr. Li Jian Reply:
If a diagnosis of diabetes is confirmed, according to international large-scale studies, lowering low-density lipoprotein (LDL) cholesterol to below 100 mg/dL can reduce the incidence of cardiovascular diseases. This is why the National Health Insurance Administration provides co...[Read More] Do Diabetic Patients with LDL Cholesterol of 113 Need Medication?
Understanding Prediabetes Diagnosis After Post-Meal Blood Sugar Test
Regarding the postprandial blood glucose test results in the United States indicating prediabetes? Hello Dr. Lee, I am approximately 169 cm tall and weighed 67.5 kg at the time of my examination on July 28. I have a history of ankylosing spondylitis (diagnosed in 2008) and am a ...
Dr. Li Jian Reply:
Glycated hemoglobin (HbA1c): A level of 5.8% is sufficient to diagnose prediabetes. HbA1c can be tested after meals, and a follow-up test can be conducted in three months.[Read More] Understanding Prediabetes Diagnosis After Post-Meal Blood Sugar Test
Understanding Rapid Heartbeat and Kidney Health: Do You Need Dialysis?
Sought medical attention due to rapid heartbeat? Due to experiencing a rapid heartbeat and occasional lower back pain, a series of tests were conducted. Initially, it was thought to be a heart issue, but later it was found that the blood CR(B) level is 1.04, uric acid is 7.8, cho...
Dr. Wu Jiyu Reply:
Based on the data you provided, a serum creatinine level of 1.04 corresponds to an estimated glomerular filtration rate (eGFR) greater than 60, which falls within the normal range, and there is no need to worry about dialysis. As for your elevated uric acid and cholesterol levels...[Read More] Understanding Rapid Heartbeat and Kidney Health: Do You Need Dialysis?