Is Abnormal Blood Sugar with Normal HbA1c a Sign of Diabetes?
Abnormal blood glucose levels with consistently normal glycated hemoglobin (HbA1c) may not necessarily indicate diabetes. It is important to consider other factors and conduct further testing to determine the underlying cause of the abnormal blood glucose levels? Hello Doctor, fo...
Dr. Xiao Yongxun Reply:
Dear Mr. Huang: 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 tolerance tes...[Read More] Is Abnormal Blood Sugar with Normal HbA1c a Sign of Diabetes?
Understanding Fasting Blood Sugar Variations: What You Need to Know
Fasting blood glucose Hello doctor, I have a habit of regularly checking my blood sugar. This morning, I went to the clinic and had my blood sugar tested, and the result was 124. About three months ago, at the same clinic, it was in the 90s. Then, about 10 minutes later, I went t...
Dr. Xiao Yongxun Reply:
Dear Mr. Cheng, 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 at least 8 hours, b. A 2-hour plasma glucose level of ≥200 mg/dL during an oral glucose tolerance test...[Read More] Understanding Fasting Blood Sugar Variations: What You Need to Know
Am I Diabetic? Understanding Symptoms and Blood Sugar Levels
Do I have diabetes? I have been experiencing frequent dry mouth and thirst lately, constantly drinking water and urinating, yet I still feel thirsty. I have had similar episodes before, and one morning my fasting blood sugar was as high as 124. I'm not sure if it was related...
Dr. Xiao Yongxun Reply:
Dear Mr. Allen: 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 at least 8 hours. b. A 2-hour plasma glucose level of ≥200 mg/dL during an oral glucose tolera...[Read More] Am I Diabetic? Understanding Symptoms and Blood Sugar Levels
Could Your Thirst and Weight Loss Indicate Diabetes?
What is the likelihood of developing diabetes? Hello Doctor: I have been drinking a lot of beverages in the past few months because I still feel thirsty even after drinking water. I researched ways to quench my thirst and unexpectedly came across the symptoms of diabetes, which s...
Dr. Xiao Yongxun Reply:
Dear Miss Su: 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. HbA1c ≥...[Read More] Could Your Thirst and Weight Loss Indicate Diabetes?
Am I Diabetic? Understanding Blood Sugar and Cholesterol Levels
Could you please tell me if I have diabetes? Hello, last year my tests were normal, but this year I received my health check results showing abnormal blood sugar and lipid levels. Am I diabetic? After fasting for over 12 hours, my weight is 49 kg and my height is 155.7 cm. My cho...
Dr. Xiao Yongxun Reply:
Dear Ms. Vivi: 1. Your fasting blood glucose level is 102 mg/dL, your body mass index (BMI) is 20.4 kg/m², and you do not exhibit any obvious symptoms of diabetes. 2. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. A fasting ...[Read More] Am I Diabetic? Understanding Blood Sugar and Cholesterol Levels
Managing Diabetes and Cholesterol: Key Questions and Insights
Regarding diabetes and cholesterol issues? Hello Dr. Hsiao, Six months ago during my health check-up, my fasting blood glucose was 123 mg/dL and my hemoglobin A1c was 8.3%. The doctor advised me to take medication for control and to focus on weight loss. After four months of ef...
Dr. Xiao Yongxun Reply:
Dear Mr. Justin: 1. If weight loss is achieved gradually, and normal weight is maintained with good dietary control and regular exercise, it is possible to discontinue medication. However, this is contingent upon lifestyle changes and maintenance. Rapid weight loss can lead to r...[Read More] Managing Diabetes and Cholesterol: Key Questions and Insights
Low Lymphocyte Count: Could It Indicate HIV Infection?
A low lymphocyte count and a neutrophil count near the upper limit of normal could potentially indicate various conditions, including HIV. However, these findings alone are not definitive for an HIV diagnosis. It is important to consult a healthcare professional for further evalu...
Dr. Liao Zhongxin Reply:
Regarding <My Story>, the response is as follows: 1. I discovered painful urination and purulent discharge in mid-December last year and immediately sought medical attention at a clinic. However, there was no discharge during the examination. The doctor administered an in...[Read More] Low Lymphocyte Count: Could It Indicate HIV Infection?
Understanding Hemoglobin A1c: Can Weight Loss Reverse Type 2 Diabetes?
Glycated hemoglobin Doctor, I would like to ask you about my situation. In September, my hemoglobin A1c was 6.1, and in January of this year, it was 6.5. Am I diabetic? When I went to the hospital to review my report, the doctor advised me to lose weight. Is this to manage my dia...
Dr. Xiao Yongxun Reply:
Dear Ms. Anonymous: 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....[Read More] Understanding Hemoglobin A1c: Can Weight Loss Reverse Type 2 Diabetes?
Understanding Creatinine Levels and Kidney Health: A Patient's Inquiry
Kidney issues and creatinine? Hello Dr. Wu, I have a few questions that I hope you can help me with. I am 60 years old, 175 cm tall, and weigh 72 kg, giving me a BMI of 23.5. I have a habit of hiking every day. My serum creatinine levels are 1.6 to 1.7 mg/dL, and my glomerular f...
Dr. Wu Jiyu Reply:
Hello, based on the information you provided, you have mild chronic kidney disease, classified as stage 3 (mild). Patients with chronic kidney disease should indeed avoid nephrotoxic medications (such as nonsteroidal anti-inflammatory drugs), but not all medications adversely aff...[Read More] Understanding Creatinine Levels and Kidney Health: A Patient's Inquiry
Managing Poor Blood Sugar Control in Type 2 Diabetes: Is Insulin Necessary?
Poor blood sugar control? Hello Doctor, I was diagnosed with type 2 diabetes in 2010. Over the years, my blood sugar levels have remained consistently high due to poor management and adherence to medication. In July of this year, I underwent tests at China Medical University, whe...
Dr. Xiao Yongxun Reply:
Dear Ms. Deep White: 1. Currently, the common treatment for type 2 diabetes includes dietary control, regular exercise, and medication. Regardless of whether insulin is injected, dietary management and consistent physical activity must be diligently practiced, which means making...[Read More] Managing Poor Blood Sugar Control in Type 2 Diabetes: Is Insulin Necessary?
Understanding Hemoglobin A1c: Am I at Risk for Prediabetes?
Glycated hemoglobin (HbA1c) Hello doctor, I recently donated blood, and I received the test report a few days ago. Every item, such as BMI, total cholesterol, low-density lipoprotein, etc., is normal, but my hemoglobin A1c level is 5.9. Does this mean I have prediabetes?
Dr. Xie Rongyuan Reply:
Hello: The glycated hemoglobin (HbA1c) level is 5.9, which is within the normal range and does not indicate prediabetes. A fasting blood glucose level exceeding 100 mg/dL is required to diagnose prediabetes. Thank you for your message![Read More] Understanding Hemoglobin A1c: Am I at Risk for Prediabetes?
Managing Kidney Health: Dietary Tips for Creatinine and Uric Acid Control
Kidney problems Hello, doctor. In 2014, I had abnormal creatinine levels and elevated uric acid, which led me to seek consultation in the nephrology department of a major hospital for examinations (ultrasound and CT scan) and continuous monitoring. About six months later, my leve...
Dr. Wu Jiyu Reply:
According to the information you provided, a cholesterol level of 130 is considered normal. However, excessive intake of cholesterol from meat can increase the burden on the kidneys, which may lead to adverse effects. Regarding your concerns about sexual function, there are many ...[Read More] Managing Kidney Health: Dietary Tips for Creatinine and Uric Acid Control
Understanding Endocrine Issues and PCOS in Young Women: A Case Study
Regarding Endocrinology and Polycystic Ovary Syndrome (PCOS) Hello, Doctor: I am currently 19 years old, with a height of 151 cm, weight of 45.4 kg, body fat percentage of 20.3%, and a waist circumference of 58 cm. Description of my condition: In March of this year, my weight sud...
Dr. Xiao Yongxun Reply:
Dear Miss Nini: 1. The formula for Basal Metabolic Rate (BMR) is often estimated using various regression equations; it represents the energy required to maintain basic physiological functions daily. It can be used as a reference, but there is no need to be overly concerned, as ...[Read More] Understanding Endocrine Issues and PCOS in Young Women: A Case Study
Managing SLE, COPD, Kidney Function, and High Cholesterol in Your 50s
The patient has systemic lupus erythematosus (SLE) and chronic obstructive pulmonary disease (COPD), along with impaired kidney function and elevated cholesterol levels? My mother is 50 years old and has systemic lupus erythematosus (SLE) and chronic obstructive pulmonary disease...
Dr. Wu Jiyu Reply:
Hello: Since systemic lupus erythematosus (SLE) can potentially affect the kidneys and even cause glomerulonephritis, if your health check shows a significant decrease in glomerular filtration rate, it is recommended that you discuss this with your rheumatologist or bring your me...[Read More] Managing SLE, COPD, Kidney Function, and High Cholesterol in Your 50s
Understanding Cholesterol Levels: Total, LDL, HDL, and Ratios Explained
Cholesterol levels vs. ratios? My cholesterol results are as follows: Total cholesterol 270, Low-Density Lipoprotein (LDL) 190, High-Density Lipoprotein (HDL) 80, and the ratio is 3.38 (270/80). Are these numbers severely elevated? I did some research on Google, and some sources ...
Dr. Li Zhiyao Reply:
Hello: There are various standards for the treatment of hyperlipidemia. Currently, in Taiwan, physicians must adhere to the National Health Insurance (NHI) standards. The decision on whether medication is needed is not based solely on laboratory test results; it also depends on t...[Read More] Understanding Cholesterol Levels: Total, LDL, HDL, and Ratios Explained
Managing Acid Reflux: Symptoms, Treatment, and Diabetes Concerns
Excess stomach acid Hello, doctor. I previously underwent an endoscopy which showed that my gastrointestinal tract is generally fine, but I have gastroesophageal reflux disease (GERD). I have been taking Pantoprazole for a month, but I occasionally experience acid reflux, a burni...
Dr. Xiao Yongxun Reply:
Dear Mr. Ellis: 1. Nexium® (generic name: Esomeprazole) is indicated for gastroesophageal reflux disease (GERD). Possible side effects include abdominal pain, constipation, diarrhea, bloating, nausea, dry mouth, headache, drowsiness, allergic reactions, fever, and others. Genera...[Read More] Managing Acid Reflux: Symptoms, Treatment, and Diabetes Concerns
Managing Diabetes: Weight Loss, Cholesterol Levels, and Health Concerns
Regarding issues related to diabetes..? Hello, Director. I would like to ask about my health situation. I was diagnosed with diabetes on April 27. My blood test results on that date showed: fasting blood glucose 204 mg/dL, postprandial blood glucose 250 mg/dL, HbA1c 8.3%, total c...
Dr. Xiao Yongxun Reply:
Dear Mr. Ah-Chiang: 1. Your original weight was 108 kg, height 180 cm, resulting in a body mass index (BMI) of 33.3 kg/m², which classifies you as obese. Due to insulin resistance, you are at an increased risk for type 2 diabetes. Non-pharmacological treatments for weight loss i...[Read More] Managing Diabetes: Weight Loss, Cholesterol Levels, and Health Concerns
Chest Discomfort, Frequent Hiccups, and Persistent Cough: What to Know
Left chest tightness, persistent hiccups, and continuous coughing? Hello Doctor, at the beginning of the month, I felt a heaviness in my left chest and sometimes experienced slight weakness in my body. On the 8th, I went to a cardiologist for an examination, and the doctor mentio...
Dr. Hong Yuanbin Reply:
Based on your description, the most likely condition is gastroesophageal reflux disease (GERD). The characteristics of GERD include symptoms that occur after eating or when lying down, such as a mild burning sensation in the chest, noticeable belching, and in severe cases, throat...[Read More] Chest Discomfort, Frequent Hiccups, and Persistent Cough: What to Know
When Should You Start Medication for Diabetes Management?
When should medication treatment for diabetes begin? I just received my blood test report, and my hemoglobin A1c is 7.1, and my fasting blood glucose is 118. I have hypertension and high cholesterol, both of which are controlled with medication. My hemoglobin A1c has been around ...
Dr. Xiao Yongxun Reply:
Dear Patient, 1. According to the American Diabetes Association's diagnostic criteria for diabetes: a. Fasting plasma glucose level ≥126 mg/dL after fasting for at least 8 hours, b. Plasma glucose level ≥200 mg/dL during a 2-hour oral glucose tolerance test, c. HbA1c (glyca...[Read More] When Should You Start Medication for Diabetes Management?
Optimal Timing for Taking Metformin: Should It Be Taken with Meals?
The timing of metformin administration? Hello doctor, I heard that metformin should be taken with meals for better effectiveness. Is this true? Thank you for your response.
Dr. Xiao Yongxun Reply:
Dear Mr. Chen: 1. The action of Metformin is to activate the energy-regulating enzyme AMPK, which reduces hepatic glucose production; this consequently inhibits gluconeogenesis, as well as the synthesis of fatty acids and cholesterol in the liver. At the same time, it increases ...[Read More] Optimal Timing for Taking Metformin: Should It Be Taken with Meals?