Diabetes, Internal Medicine FAQ

Diabetes test results inquiry? When I was 23 or 24 years old, during a company health check, I was found to have elevated fasting blood glucose levels. I then went to a large hospital where my postprandial blood glucose reached 395 mg/dL, and my HbA1c was 9.1, which led to a diag...

After being diagnosed with COVID-19 three times, the patient has been unable to test negative for an extended period following the most recent diagnosis? Hello Doctor, my mother has been diagnosed with Sjögren's syndrome for over ten years. Currently, she is taking one pill ...

Blood sugar/lipid issues Hello Doctor: Recently, my fasting blood glucose was 101 mg/dL, glycated hemoglobin was 5.5%, low-density lipoprotein (LDL) was 161 mg/dL, and high-density lipoprotein (HDL) was 37 mg/dL. There is no family history of diabetes. The day before the test, I ...

Both pre-meal and post-meal blood glucose levels are at the threshold? Doctor, my hemoglobin A1c is 5.2, my fasting blood sugar is 99, and my postprandial blood sugar is 140. Since both values are at the borderline, am I considered to have prediabetes? Also, how much should I eat...

Feeling hungry shortly after eating? About one to two weeks ago, I started feeling hungry again about 1-2 hours after eating, to the point where my stomach growls. However, sometimes I don't really feel like eating psychologically, even though physiologically I feel hungry. ...

I have some questions regarding the use of continuous glucose monitoring devices? Hello Doctor, I am 42 years old. Last August, my health check revealed a fasting blood glucose level of 115 mg/dL and a hemoglobin A1c of 5.8%. Since then, my fasting blood glucose has remained elev...

Is it a diabetic spot? Hello Doctor, my BMI is 21. I have been consistently engaging in aerobic exercise and maintaining a healthy diet, but I have been troubled by diabetes issues recently. At the end of February this year, my fasting blood glucose was 89, but by the end of Marc...

Hypoglycemia Report [Radioimmunoassay Nuclear Medicine Test] Hypoglycemia Report Date: 01/08/2021 [Thyroglobulin] 25.51 ng/ml [hGH] 11.13 ng/ml [C-Peptide] 1.01 ng/ml [Insulin] 2.52 uIU/ml [Cortisol] 15.35 (17:39) µg/dl [Free T4] 1.06 ng/ml [TSH] 2.44 uIU/ml [Ab-T...

Glomerular filtration rate (GFR) Hello Dr. Chang, I am a diabetes patient. Recently, my blood test report showed the following: estimated glomerular filtration rate (eGFR): 143, creatinine: 0.65, urine microalbumin-to-creatinine ratio: 84, urine occult blood: 1+. Is a higher glom...

Smoking and then relighting (more than once)? Hello doctor, my family member has diabetes and wants to smoke but doesn't want to smoke too much. They take a few puffs, extinguish the cigarette, then smoke again after a while... Is this more harmful to the body compared to sm...

I would like to inquire about unexplained swelling on the back of the hand? Hello Doctor: I would like to inquire about my father (in his 60s). He previously went to the emergency room and was diagnosed with cellulitis. His symptoms included swelling and pain in his hand without ...

I would like to inquire about unexplained swelling on the back of the hand? Hello Doctor, I would like to inquire about my father, who is in his 60s. He previously went to the emergency room and was diagnosed with cellulitis. His symptoms included swelling and pain in his hand ...

Glycated hemoglobin (HbA1c) Hello Doctor, I have some questions I would like to ask you: I had a blood test done in December. Since both of my parents have diabetes and my weight has decreased from 64 kg in mid-August to only 59 kg recently, I am very anxious about my blood sugar...

Fasting blood glucose issues Hello Doctor, I recently received my health check report, which shows that my fasting blood glucose level is 97, which is close to the maximum reference value of 100. The night before the test, I was too busy and only ate two tea eggs for dinner, and ...

Can stage 3a chronic kidney disease be reversed? What medications are available? The patient has diabetes with a glycated hemoglobin (HbA1c) level maintained at 6.5%. Triglycerides are at 110 mg/dL, uric acid at 4.6 mg/dL, low-density lipoprotein (LDL) cholesterol at 88.2 mg/dL, ...

Slightly elevated total cholesterol? Hello doctor, I recently received my cholesterol test results as follows: Total cholesterol 228, triglycerides 155, high-density lipoprotein (HDL) 102.3, low-density lipoprotein (LDL) 107.8, and atherosclerosis risk index 2.23. Should I take m...

Fluctuations in glycated hemoglobin (HbA1c) levels within one month? Hello Doctor: Thank you for taking the time to answer my questions despite your busy schedule. In my family, besides my parents, my aunts, uncles, and both sets of grandparents have diabetes, so I am particularl...

Regarding the recent cold weather, I have been experiencing a dull sensation in my big toe, which has a history of gout, upon waking up in the morning. However, after urinating, the discomfort significantly decreases? Hello, Director Gao! I apologize for bothering you, but I have...

Regarding the recent cold weather, I have been experiencing a feeling of heaviness in my big toe, which previously had gout, upon waking up in the morning. However, after urinating, the sensation decreases significantly? Hello, Director Gao! I apologize for bothering you, but I h...

When blood pressure drops during dialysis and heart rate also decreases, how should it be managed? Hello, Doctor Wu: I have been a dialysis patient for over a year and have hypertension, hyperlipidemia, and diabetes. I also have coronary artery disease and mild arrhythmia. Last y...