Managing Chronic Illness in Hot Environments: Risks and Tips
Chronic diseases in hot environments? Hello, I have renal tubular dysfunction (currently around stage 3 chronic kidney disease) and diabetes. Due to my job, I need to spend about half an hour outdoors in the sun or in hot environments every noon for business. After finishing my w...
Dr. Wu Jiyu Reply:
Regarding the care of diabetes combined with chronic kidney disease, please pay attention to the control of the "three highs" (high blood sugar, high blood pressure, and high cholesterol) to prevent the worsening of the condition. If you need to work in a hot environmen...[Read More] Managing Chronic Illness in Hot Environments: Risks and Tips
Managing High Cholesterol: Diet, Supplements, and Testing Tips
Cholesterol reduction issues? Hello, Doctor. I found out I have high cholesterol after my health check-up at the end of July. My total cholesterol is 234 mg/dL, HDL (good cholesterol) is 51 mg/dL, and LDL (bad cholesterol) is 172 mg/dL. It is not familial hypercholesterolemia. I ...
Dr. Hong Yuanbin Reply:
Hello, 1. Red yeast rice and similar nutritional supplements can partially help improve blood lipid levels, but their effects are not as exaggerated as advertised. It is recommended to focus on exercise, maintain a regular routine, and avoid a diet primarily consisting of fried...[Read More] Managing High Cholesterol: Diet, Supplements, and Testing Tips
Understanding Your Blood Test Results: Cholesterol, Blood Sugar, and Medication Effects
Blood report Hello Dr. Hong, about a month ago I had a blood test at the hospital. The results showed total cholesterol at 210, LDL cholesterol at 144, blood glucose at 105, hemoglobin A1c at 5.3, and potassium at 5.3. I checked the standard values online and found that they are ...
Dr. Hong Yuanbin Reply:
Hello, although your blood sugar is slightly elevated, your glycated hemoglobin is normal, so there should be no issue with diabetes. Your potassium level is slightly high, but if your kidney function is normal, it may be due to constipation or decreased excretion, which usually ...[Read More] Understanding Your Blood Test Results: Cholesterol, Blood Sugar, and Medication Effects
Struggling with Hypothyroidism: Seeking Effective Treatment Solutions
Hypothyroidism Treatment Issues Hello Doctor, I am a patient with hypothyroidism. I have been undergoing treatment for about three years and have been taking thyroid hormone, but there has been little improvement in my lab values or physical condition. Dietary changes and exercis...
Dr. Lin Jianliang Reply:
Hello: Generally speaking, patients with hypothyroidism who regularly take their medication to keep thyroid hormone levels within the normal range are less likely to experience symptoms of hypothyroidism. Based on your description, it is recommended to first consult with an endoc...[Read More] Struggling with Hypothyroidism: Seeking Effective Treatment Solutions
Understanding Cholesterol and Triglyceride Changes in Health Checkups
Health check report: Elevated cholesterol levels, but decreased triglycerides? Hello, doctor. Three years ago, my health check report showed a height of 156 cm and weight of 48.3 kg, with total cholesterol at 202 mg/dL, HDL at 85 mg/dL, LDL at 107 mg/dL, and triglycerides at 50 m...
Dr. Lin Jianliang Reply:
Hello: The main factors affecting triglycerides include a high-fat, high-calorie diet, overweight and increased waist circumference, diabetes, alcohol consumption, and the use of female hormones. The sources of cholesterol come partly from synthesis and metabolism in the liver an...[Read More] Understanding Cholesterol and Triglyceride Changes in Health Checkups
Dietary Tips to Increase Low Triglycerides Without Raising Blood Sugar
Dietary Recommendations for Low Triglycerides Hello, doctor. I recently had a health check-up, and my triglyceride level was only 12 (compared to 20 a year ago). My low-density lipoprotein (LDL) and high-density lipoprotein (HDL) cholesterol levels are normal, at 90 and 77, respe...
Dr. Lin Jianliang Reply:
Hello JJ: Generally speaking, animal fats, alcohol, and increased dietary calories can lead to hypertriglyceridemia. Elevated blood lipids can contribute to cardiovascular diseases and cerebrovascular diseases. It is advisable to discuss with a physician before deciding on a trea...[Read More] Dietary Tips to Increase Low Triglycerides Without Raising Blood Sugar
Understanding Creatinine Levels: Impact of Exercise and Hydration
Creatinine: Differences Before and After Exercise Hello Doctor, during the company health check, my creatinine level was found to be 1.38 mg/dL, and my glomerular filtration rate (GFR) was 63.9 mg/dL. My cholesterol level was 205 mg/dL. I am a carrier of hepatitis B, obese, and h...
Dr. Su Zhehong Reply:
Intense exercise or an increase in muscle mass can cause a slight rise in creatinine levels, which does not necessarily indicate a decline in kidney function. If the levels are not continuously rising or accompanied by proteinuria, it is generally acceptable to monitor the situat...[Read More] Understanding Creatinine Levels: Impact of Exercise and Hydration
Understanding Your Cholesterol and Blood Sugar Levels: Key Insights
Issues with blood lipids and blood glucose? Hello Dr. Lin, I have a few questions regarding my blood sugar and lipid levels. Below are my test results from two health check-ups spaced seven months apart: - Total Cholesterol (TCH): 235 mg/dL, 256 mg/dL (Reference value: <200)...
Dr. Lin Jianliang Reply:
1. According to your Glu AC and HbA1C, they are currently within the standard range. 2. Whether you need to take lipid-lowering medication depends on other risk factors, such as a family history of cerebrovascular disease or cardiovascular disease, among others. 3. It is currentl...[Read More] Understanding Your Cholesterol and Blood Sugar Levels: Key Insights
Understanding Blood Test Results: Concerns About Leukemia and Cholesterol Levels
Follow-up examination? Hello, I have a follow-up appointment to discuss my blood test results and I would like to take some of your time to ask the doctor some questions. On August 5, 2020, my lab results showed ALT 40, AST 22, Cholesterol 224, LDL 150, Neutrophils 26%, Lymphocyt...
Dr. Hong Yuanbin Reply:
Hello, 1. Based on your previous reports, the likelihood of a viral infection causing your cold is high. Most colds are caused by viral infections, and a key characteristic of viral infections is an increase in lymphocytes and a decrease in neutrophils. It is recommended to ret...[Read More] Understanding Blood Test Results: Concerns About Leukemia and Cholesterol Levels
Managing Cholesterol and Wound Care: Your Health Questions Answered
Two questions? Hello Doctor, I received my health check results today as school is starting. The only red flags were a heart rate of 92 and a cholesterol level of 219. I would like to ask if there are any methods to lower cholesterol. I feel that my weight is not high, but this c...
Dr. Hong Yuanbin Reply:
Hello, regarding your health check-up, a heart rate of 92 is still within the normal physiological range, and a liver enzyme level of 37 is also within normal limits, so there is no need to worry. The only thing you should consider is your cholesterol level of 219; it is recommen...[Read More] Managing Cholesterol and Wound Care: Your Health Questions Answered
Managing Diabetes: Concerns About High Potassium and Urinary Protein
Diabetes mellitus with concerns of hyperkalemia and proteinuria? Hello Doctor, I have encountered some issues recently and would like to ask for your advice. Thank you for taking the time to read this. During my recent follow-up for diabetes, my blood test results showed a hemogl...
Dr. Lin Jianliang Reply:
First of all, I would like to tell you that proteinuria can be an early indicator of kidney disease, reflecting the severity of the current kidney condition and predicting the prognosis of kidney disease. However, there are many causes of proteinuria, such as infections, inflamma...[Read More] Managing Diabetes: Concerns About High Potassium and Urinary Protein
Understanding Blood Test Results: What Your Doctor Might Be Concerned About
Follow-up data and related issues? Hello, Doctor. I actually visited a family medicine clinic this morning because my liver enzyme levels were at 40 and my cholesterol was slightly over 200, so I have been following up every three months. However, this time the doctor suddenly su...
Dr. Hong Yuanbin Reply:
Hello, as you mentioned, these values are all types of white blood cells, and they add up to 100%. Your main concern is that the lymphocyte ratio is too high, while the neutrophil/segment ratio is too low, along with the presence of atypical lymphocytes (a.lym). This situation ca...[Read More] Understanding Blood Test Results: What Your Doctor Might Be Concerned About
Managing Type 2 Diabetes: Key Insights from 8 Years of Diagnosis
Type 2 diabetes diagnosed for 8 years? Type 2 diabetes diagnosed for 8 years. Recent blood test results are as follows: - AC: 115 (Normal range: 70-100) - HbA1C: 6.3% (Normal range: 4-6%) - Triglycerides: 59 mg/dL (Normal range: <150 mg/dL) - Cholesterol: 170 mg/dL (Normal ra...
Dr. Chen Jianyu Reply:
Aside from elevated blood glucose levels and glycated hemoglobin, all other values are within normal range. Please continue to take your medication regularly, maintain dietary control, and engage in exercise. Regular follow-ups are recommended.[Read More] Managing Type 2 Diabetes: Key Insights from 8 Years of Diagnosis
Fasting Blood Tests: Do You Really Need to Avoid Water?
Blood test? Hello, Dr. Hong. I apologize for bothering you. I would like to ask if, when doing a 12-hour fasting blood test that includes cholesterol testing, I should avoid drinking any water at all for the full 12 hours. Previously, there was a nurse who told me that because I ...
Dr. Hong Yuanbin Reply:
Hello, 1. There are two situations regarding fasting. The first situation is when undergoing a CT scan or surgery, where fasting means that no food or even water can be consumed to prevent the risk of vomiting during the procedure. The second situation is for blood tests, such ...[Read More] Fasting Blood Tests: Do You Really Need to Avoid Water?
Managing Cholesterol Levels in Hypothyroidism Patients: A Guide
Hypothyroidism and Cholesterol Hello Dr. Li, I am a patient with Hashimoto's thyroiditis and have been on medication—Entresto—for the past two years. My total cholesterol is between 220 and 250 mg/dL, low-density lipoprotein (LDL) cholesterol is between 160 and 190 mg/dL, an...
Dr. Li Jian Reply:
The enteric-coated tablets primarily lower cholesterol and have a slight effect on reducing triglycerides, but the impact is not significant.[Read More] Managing Cholesterol Levels in Hypothyroidism Patients: A Guide
Understanding Abnormal Urine Test Results: Albumin Concerns and Kidney Health
Urinalysis shows elevated levels of urinary albumin? Hello Doctor, I had a health check-up this month, and there were several abnormal results in my urinalysis. The findings included red blood cells at 10-19, bacteria at 1+, and trace amounts of hemoglobin. I also had a history ...
Dr. Lin Wuxuan Reply:
Hello: Based on the urine test results you provided, along with the normal albumin/creatinine ratio and protein/creatinine ratio, it is highly likely that the abnormal test data is influenced by gynecological issues. It is recommended that you return to the nephrology clinic for ...[Read More] Understanding Abnormal Urine Test Results: Albumin Concerns and Kidney Health
Understanding High Adrenaline Levels: Causes and Health Implications
Elevated adrenaline levels? Hello doctor, in recent months I have experienced chest tightness, chest pain, and shortness of breath, which led me to consult a cardiologist. I have also fainted a couple of times. The cardiac examination report indicated tachycardia and very mild ar...
Dr. Lin Jianliang Reply:
It is recommended to consult an endocrinologist. Elevated adrenaline levels can potentially affect blood pressure and heart rate. However, there are other factors that can also influence these levels. Certain contraceptives may impact adrenaline levels, but there are also other f...[Read More] Understanding High Adrenaline Levels: Causes and Health Implications
Understanding Tongue Injuries and Cholesterol Management: When to Seek Help
Question for the doctor? Hello, doctor. This afternoon, while biting into a malt cookie, I accidentally scraped my tongue against something stuck to my teeth. Although there was no bleeding, I noticed a small red spot under my tongue. Could this be due to a microvascular bleed? D...
Dr. Hong Yuanbin Reply:
Hello, 1. A small cut on the tongue from accidentally biting it usually heals on its own, unless it worsens; otherwise, there is no need for medical attention. 2. High cholesterol is indeed caused by multiple factors, including diet, exercise, genetics, body composition, and ...[Read More] Understanding Tongue Injuries and Cholesterol Management: When to Seek Help
Understanding Weight Loss Challenges: Insights on Mild Obesity and Health Metrics
Obesity issues Hello doctor, I am 160 cm tall and weigh 73-74 kg, which indicates mild obesity according to my BMI. I have been controlling my diet, but my weight hasn't changed much. I drink more than 2000 cc of water daily and have bowel movements 1-2 times a day. I had bl...
Dr. Li Jian Reply:
Obesity is related to both genetic factors and environmental influences. In addition to thyroid hormones, other hormonal abnormalities may also contribute to obesity. Currently, one of the weight loss methods highly endorsed by mainstream medicine is intermittent fasting. For mor...[Read More] Understanding Weight Loss Challenges: Insights on Mild Obesity and Health Metrics
Understanding Lipemia: Impact of Cholesterol and Triglycerides on Blood Tests
Consultation for Lipid Disorders Hello Dr. Lin, I am the person who consulted about cholesterol issues on 2020/03/25 <a href="https://adoctor.tw/article/154449">#154449</a>. Thank you for your previous response. I would like to follow up on my earlier questi...
Dr. Lin Jianliang Reply:
After medication, if blood lipid levels can be maintained within the standard range, it is generally less likely to experience hyperlipidemia.[Read More] Understanding Lipemia: Impact of Cholesterol and Triglycerides on Blood Tests