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
Understanding Proteinuria and Hematuria in Kidney Health: Key Insights
Proteinuria Hematuria Question 1: I do not have diabetes, and my UACR results were normal according to my doctor, and my blood tests were also normal. However, shouldn't I undergo a UPCR test to definitively determine if there is proteinuria? Question 2: I do not have chron...
Dr. Chen Jianyu Reply:
Symptoms may vary for each individual during each episode. If there are any abnormal values, please consult a hospital for a follow-up examination.[Read More] Understanding Proteinuria and Hematuria in Kidney Health: Key Insights
How to Combine Bitter Melon Peptides with Insulin for Diabetes Management
Diabetes medications For diabetic patients who are using insulin and wish to consume bitter melon peptides, it is important to consult with a healthcare professional before making any changes to their medication regimen. Bitter melon may have blood sugar-lowering effects, so it i...
Dr. Lin Jianliang Reply:
Hello: It is recommended to consult your attending physician during your follow-up appointment.[Read More] How to Combine Bitter Melon Peptides with Insulin for Diabetes Management
Does Hydration Affect Serum Creatinine Levels in Chronic Kidney Disease?
Factors affecting elevated creatinine levels? I have chronic kidney disease and have been undergoing regular follow-ups. However, the results of my kidney function tests have shown significant fluctuations this year (ranging from the 50s to the 30s). Therefore, I would like to as...
Dr. Wu Jiyu Reply:
Based on the data you provided, it falls within the range of stage 3 chronic kidney disease. Sometimes, we monitor kidney function by looking at a broader range and trends over several years, rather than just comparing the most recent outpatient visit with the previous one. In yo...[Read More] Does Hydration Affect Serum Creatinine Levels in Chronic Kidney Disease?
How Low Should Hemoglobin A1c Levels Be for Diabetes Management?
What should the target level for glycated hemoglobin be? I was diagnosed with type 2 diabetes in 2012 and currently visit a clinic where I take Glibudon F.C. Tablets 500 mg (Metformin Hydrochloride) once a day. My HbA1c levels are controlled between 6.3 and 6.5. However, I found ...
Dr. Lin Jianliang Reply:
Hello: Online information is for reference only; it is advisable to seek a doctor's examination.[Read More] How Low Should Hemoglobin A1c Levels Be for Diabetes Management?
Understanding Gallstones and Elevated Blood Sugar in Seniors
Consultation Inquiry Hello, Doctor. I have some questions to ask you. 1. My mother is 65 years old and has been experiencing frequent abdominal pain, so she underwent an ultrasound and a colonoscopy. The results showed some gallstones and that her pancreatic duct is slightly la...
Dr. Wu Jiyu Reply:
Question 1: Please consult a hepatobiliary and gastroenterology specialist to confirm if there is a possibility of having diabetes or if you are already a diabetic patient with poor blood sugar control. It is important to seek medical assistance promptly and manage your diet and ...[Read More] Understanding Gallstones and Elevated Blood Sugar in Seniors
Understanding Proteinuria and Its Implications in Chronic Kidney Disease
Proteinuria Kidney 1. I do not have diabetes, and after undergoing a Urine Albumin-to-Creatinine Ratio (UACR) test, the doctor said the results were normal. However, shouldn't a Urine Protein-to-Creatinine Ratio (UPCR) test be performed to confirm the presence of proteinuria...
Dr. Huang Yaoxuan Reply:
Hello Mr. AC: 1. You can consult the physician who arranged your UACR test to discuss what I believe is crucial: "how to take care of your kidneys." Arranging tests (such as blood tests for creatinine and urine tests for UACR or UPCR) is just one method. Don't fo...[Read More] Understanding Proteinuria and Its Implications in Chronic Kidney Disease
UACR vs UPCR: Which Test is Better for Detecting Proteinuria?
Which is better for assessing proteinuria: UACR or UPCR? (Urine Protein and Creatinine Ratio, hereafter referred to as UPCR) ≥ 150 mg/gm UACR ≥ 30 mg/gm proteinuria. Which is better, UACR or UPCR? Or is it sufficient to test UACR to determine the presence of proteinuria? Can both...
Dr. Wu Jiyu Reply:
For diabetic patients, using UACR (Urine Albumin-to-Creatinine Ratio) as an early diagnostic criterion is recommended. For other chronic kidney disease patients (without diabetes), UPCR (Urine Protein-to-Creatinine Ratio) should be the primary focus. Thank you for your inquiry, a...[Read More] UACR vs UPCR: Which Test is Better for Detecting Proteinuria?
Understanding Unexplained Foot Size Differences in Women
Women have larger feet than men? Typically, women wear shoe sizes ranging from 24 to 39. My foot size is 27.5, and particularly, my right foot is significantly more swollen than my left, making it impossible to fit into such small shoes. Additionally, my feet are larger than thos...
Dr. Chen Jianyu Reply:
The issue is complex; it is recommended to visit a hospital for a more detailed consultation and examination.[Read More] Understanding Unexplained Foot Size Differences in Women
Is It Safe to Take Low-Dose Isotretinoin for Acne Management?
Is it safe to take a low dose? The dermatologist prescribed oral low-dose Isotretinoin (A acid) at 10 mg once a week. I can control my acne with just one capsule, and I can tolerate the side effects. I am currently continuing this regimen. However, I have type 2 diabetes, and my ...
Dr. Li Jian Reply:
Hello, dermatology is not my specialty. I recommend consulting your primary physician or a dermatologist.[Read More] Is It Safe to Take Low-Dose Isotretinoin for Acne Management?
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 Needle Stick Risks and HIV Infection: Key Insights
Suspected infection The risk of needlestick injury occurs when a used needle is immediately inserted into another person. If a person is accidentally pricked with a used needle and it causes bleeding, does the risk decrease if it is not immediate? Can viruses survive on the needl...
Dr. Lin Wufu Reply:
Hello! The primary concern regarding needle stick injuries is the potential survival of viruses on the needle, which could infect the person being punctured. The duration that a virus can survive outside the human body depends on the surrounding environment, but there is definite...[Read More] Understanding Needle Stick Risks and HIV Infection: Key Insights
Understanding Dry Tongue: Possible Links to Stomach Ulcers and Diabetes
Regarding dry tongue? Hello Doctor, let me describe my condition: Two and a half years ago, during a newborn health check, my fasting blood glucose was 75 mg/dL, with no diabetes, and everything else was normal. About one to two years ago, I experienced two episodes of dry mouth ...
Dr. Hong Yuanbin Reply:
Hello, regarding your question about dry mouth, it is likely not caused by other underlying diseases. Typically, a healthy young person should consume around 2000-3000 cc of fluids (including water) per day, especially in hot weather when fluid loss is rapid. It is advisable to m...[Read More] Understanding Dry Tongue: Possible Links to Stomach Ulcers and Diabetes
Managing Blood Sugar Levels: Insights for Seniors with Diabetes
High blood sugar issue? My mother is 75 years old, weighs 70 kg, and her fasting blood sugar in the morning is 83 mg/dL, while it rises to 180 mg/dL after meals. She has been experiencing increasingly blurred vision, and after dinner around 6 PM, she reported some numbness and di...
Dr. Lin Jianliang Reply:
Based on your description, there are many reasons for poor blood sugar control, including diet, medication, exercise, and the functioning of the liver and kidneys, as well as other underlying conditions. It is advisable to consult your mother's attending physician to seek so...[Read More] Managing Blood Sugar Levels: Insights for Seniors with Diabetes
Understanding Dryness Syndrome: Symptoms, Diagnosis, and Tests
Immunity and Sjögren's Syndrome Hello Doctor: Two years ago, I experienced joint swelling and inflammation in my little finger. My family doctor recommended tests, including rheumatoid arthritis (RA) and anti-citrullinated protein antibody (CCP) tests, both of which returned...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Sjögren's syndrome requires a detailed medical history, which includes not only questions about dry mouth but also inquiries about dry eyes and even respiratory symptoms. Blood tests should be arranged, including screening for antinuclear a...[Read More] Understanding Dryness Syndrome: Symptoms, Diagnosis, and Tests
Understanding Fasting Blood Sugar Levels: Causes and Concerns for Pre-Diabetes
Please consult a doctor regarding blood sugar issues. Thank you! This year, at 42 years old, I have a standard build (166 cm / 55 kg) and a history of gallbladder removal surgery as well as kidney stones. My father and grandmother have a history of diabetes. In early January, a b...
Dr. Lin Wuxuan Reply:
Hello: Based on your initial glycated hemoglobin (HbA1c) level of 6.5 and your relevant family history, you can be diagnosed with diabetes according to diabetes management guidelines. However, diabetes patients are not completely unable to metabolize glucose; the body retains var...[Read More] Understanding Fasting Blood Sugar Levels: Causes and Concerns for Pre-Diabetes
Understanding HbA1c Levels: Can Lifestyle Changes Reverse Prediabetes?
Glycated hemoglobin (HbA1c) 5.8? Hello doctor, I am 29 years old this year, have no diseases myself, and there are no hereditary diseases in my family. I love drinking sugary beverages and coffee. A few days ago, I decided to go to the hospital to check my hemoglobin A1c, and the...
Dr. Chen Jianyu Reply:
High[Read More] Understanding HbA1c Levels: Can Lifestyle Changes Reverse Prediabetes?
Post-Meal Symptoms: Heat, Itching, Blurry Vision, and Heart Palpitations
Recently, about 1 to 2 hours after eating, I have experienced skin warmth and itching, as well as blurred vision? In the past few weeks, I have noticed that about 1 to 2 hours after I eat lunch or dinner, my skin starts to feel warm and slightly itchy. My eyes also begin to feel ...
Dr. Chen Jianyu Reply:
It is possible.[Read More] Post-Meal Symptoms: Heat, Itching, Blurry Vision, and Heart Palpitations
Concerns About Using Empagliflozin for Type 2 Diabetes Management
Regarding the use of the diabetes medication - Empagliflozin film-coated tablets? Hello Dr. Lin, I have type 2 diabetes and have been taking the extended-release metformin prescribed by my endocrinologist for many years. Earlier this year, my doctor recommended switching to empa...
Dr. Lin Jianliang Reply:
Empagliflozin in Jardiance Duo causes glucose to be excreted in the urine, which is why there is sugar in the urine. When taking this medication, it is important to be aware of potential side effects such as hypoglycemia, ketoacidosis, urinary tract infections, genital fungal inf...[Read More] Concerns About Using Empagliflozin for Type 2 Diabetes Management
Understanding Postprandial vs. Fasting Blood Sugar Levels: Key Insights
Postprandial blood glucose is higher than fasting blood glucose levels? I discovered a blood sugar level of 126 during a previous blood donation, so I went to the hospital for further testing. However, the doctor said that my glycated hemoglobin (HbA1c) was normal, and while my b...
Dr. Ke Taiyuan Reply:
You can continue to manage your condition with diet and exercise. However, if your fasting blood glucose remains greater than 126 mg/dL after 8 hours, you should consider starting medication for control. Please return for a follow-up appointment at the metabolism clinic.[Read More] Understanding Postprandial vs. Fasting Blood Sugar Levels: Key Insights