Effective Exercise Strategies for Managing Diabetes: Timing Matters
Exercise Methods for Diabetes Management Hello Doctor: I am currently 176 cm tall, weigh 84 kg, have a waist circumference of 96 cm, and my blood pressure is 127 mmHg systolic and 87 mmHg diastolic. After fasting for 8 hours, my hemoglobin A1c is 6.1, and my fasting blood glucose...
Dr. Lin Jianliang Reply:
You can engage in moderate-intensity exercise, such as brisk walking or jogging, about one to two hours after a meal. If you exercise before eating, it's best to wait at least 30 minutes after your workout before having a meal.[Read More] Effective Exercise Strategies for Managing Diabetes: Timing Matters
Understanding Pre-Diabetes: Is a Fasting Blood Sugar of 106 Concerning?
Blood sugar issues? Hello Doctor, I would like to ask about my situation. Last year, I had several blood tests for other issues, and my blood sugar levels were normal. However, during my physical examination last month, my fasting blood sugar was measured at 106. Does this indica...
Dr. Chen Jianyu Reply:
1. Not counted. 2. Exercise control. 3. Yes.[Read More] Understanding Pre-Diabetes: Is a Fasting Blood Sugar of 106 Concerning?
Understanding Normal Ranges for Hemoglobin A1c and Fasting Glucose Levels
What is the standard level of glycated hemoglobin? The hemoglobin A1c (HbA1c) level of 5.7% indicates that you are in the range considered to be prediabetes. The normal range for HbA1c is typically below 5.7%. For fasting blood glucose, a normal level is generally considered to b...
Dr. Lin Jianliang Reply:
Glycated hemoglobin levels may vary slightly between different laboratories and testing methods. Generally, the normal range is approximately 4% to 6%.[Read More] Understanding Normal Ranges for Hemoglobin A1c and Fasting Glucose Levels
How to Accurately Monitor Blood Sugar After Diabetes Remission
Diabetes issues Hello Dr. Chen: I have been suffering from diabetes for about 5 to 6 years. My highest recorded HbA1c was 11.2, and my highest fasting blood glucose was around 250. Recently, I have been actively losing weight, and my latest test results show an HbA1c of 5.8 and a...
Dr. Chen Jianyu Reply:
Diabetes is currently manageable but not curable. Management methods include diet, exercise, and medication. A hemoglobin A1c of 11.2 indicates poor blood sugar control, while a current blood sugar level of 90 and an A1c of 5.8 indicate good blood sugar control. Therefore, there ...[Read More] How to Accurately Monitor Blood Sugar After Diabetes Remission
Understanding Elevated Creatinine Levels: Should You Worry?
Elevated creatinine levels? Hello Doctor, I am 30 years old. In recent years, my health check-ups have shown elevated creatinine levels twice, around 1.2 or 1.3. My glomerular filtration rate (GFR) has been in the 60s or 70s, but there is no protein or blood in my urine. I do not...
Dr. Wu Jiyu Reply:
Regarding your first question, a creatinine level of 1.2 or 1.3 roughly corresponds to a current estimated glomerular filtration rate (eGFR) of about 75 or 68, which is slightly low for your age. However, you mentioned that you do not have proteinuria or hematuria, nor do you hav...[Read More] Understanding Elevated Creatinine Levels: Should You Worry?
Managing Post-Pill Symptoms in Diabetic Patients: What to Know
Diabetic patients taking emergency contraceptive pills? Hello doctor, I am a diabetes patient. About two weeks ago, I took emergency contraceptive pills, and recently I have been experiencing frequent nausea, unusual fatigue, palpitations, and elevated blood sugar levels. Will th...
Dr. Ke Taiyuan Reply:
The side effects of emergency contraceptive pills include nausea and fatigue, but they typically do not last for two weeks. The package insert does not mention any effects on blood sugar levels. In this regard, obstetricians and gynecologists have more experience with these medic...[Read More] Managing Post-Pill Symptoms in Diabetic Patients: What to Know
Can Kidney Disease Patients Consume Methylglyoxal in Manuka Honey?
Kidney problems Methylglyoxal: If a patient has kidney disease, can they consume foods containing this substance? I would like to inquire about Manuka honey available on the market, as there are articles stating that patients should avoid it. Additionally, there are reports sugge...
Dr. Ke Taiyuan Reply:
Research has shown that in patients with chronic kidney disease caused by diabetes, higher levels of methylglyoxal in the blood are associated with a decline in renal function. Current studies indicate that elevated blood concentrations of methylglyoxal in patients with diabetes ...[Read More] Can Kidney Disease Patients Consume Methylglyoxal in Manuka Honey?
Understanding Blood Sugar Issues: Insights on PCOS and Metabolic Health
Blood sugar issues Question 1: Recently, due to polycystic ovary syndrome, I was prescribed oral metformin and SGLT2 inhibitors. Although these are not for diabetes treatment, I underwent blood tests due to gynecological examinations revealing metabolic issues. My fasting blood g...
Dr. Lin Jianliang Reply:
1. On the day of fasting blood glucose testing, do not eat or take any medications. 2. Fasting blood glucose is 106 mg/dL, and hemoglobin A1c is 6.2%, indicating prediabetes. 3. Avoid all types of sugars, including brown sugar, black sugar, white sugar, cube sugar, fructose, and ...[Read More] Understanding Blood Sugar Issues: Insights on PCOS and Metabolic Health
Does Long-Term Use of Finasteride Affect HbA1c Levels?
Will long-term use of Posca affect glycosylated hemoglobin levels? Hello Dr. Chen, I would like to ask a question. Due to a family history of diabetes, I recently went to the hospital for a blood test. However, I have male pattern baldness and have been taking finasteride. I am...
Dr. Chen Jianyu Reply:
No, there is no such information mentioned in the package insert.[Read More] Does Long-Term Use of Finasteride Affect HbA1c Levels?
Managing Diabetes and Appetite Loss: A Guide for Caregivers
Diabetes and fasting? Hello Doctor, my grandmother is 74 years old and has diabetes and hypertension. She has had kidney issues over the past few years, so she injects about 16 cc of insulin before meals and takes medication after eating. However, for the past few days, she has n...
Dr. Lin Jianliang Reply:
The concept of preventing hypoglycemia is important. Based on your grandmother's condition, I recommend that she first consult her original physician.[Read More] Managing Diabetes and Appetite Loss: A Guide for Caregivers
Understanding Discrepancies Between Blood Sugar Tests and Home Monitoring
The blood glucose test results from the lab are normal, but self-monitoring shows elevated levels? Hello, Doctor. Thank you for taking the time to read my lengthy description. About four weeks ago, I visited the hospital's endocrinology department due to concerns about my bl...
Dr. Lin Jianliang Reply:
Your condition may indicate impaired glucose tolerance, which may not yet meet the criteria for a diabetes diagnosis. It is recommended to manage your diet and exercise for a period of time, and then follow up at the hospital. If you experience any symptoms, seek immediate follow...[Read More] Understanding Discrepancies Between Blood Sugar Tests and Home Monitoring
Understanding Fasting Blood Sugar Levels: Should You Worry at 99?
Fasting blood glucose 99? Hello doctor, I recently had a health check-up, and my fasting blood glucose level was 99, which is just shy of the normal range, so I feel quite anxious. 😓 Is it necessary to strictly control my diet with this blood sugar level? Should I also go to the ...
Dr. Lin Jianliang Reply:
1. It is recommended to maintain a controlled diet and exercise to prevent levels from rising further, especially if there are other risk factors such as being overweight, elevated postprandial blood glucose, or a family history of diabetes. These factors require more stringent m...[Read More] Understanding Fasting Blood Sugar Levels: Should You Worry at 99?
Understanding Post-Meal Blood Sugar of 201: Risks and Management Strategies
A postprandial blood glucose level of 201 mg/dL is considered elevated. It is important to evaluate this result in the context of the individual's overall health, medical history, and potential symptoms. Here are some considerations and actions to take: 1? Hello, doctor. Th...
Dr. Lin Jianliang Reply:
1. Generally speaking, a random blood glucose level of 201 mg/dL increases the likelihood of diabetes compared to normal individuals. However, at that time, you also had a cold, which could affect blood glucose levels. It is recommended to visit the endocrinology clinic after rec...[Read More] Understanding Post-Meal Blood Sugar of 201: Risks and Management Strategies
Seeking Alternative Medical Opinions for Esophageal Swelling and Airway Compression
A family member recently sought medical attention due to esophageal swelling compressing the trachea? My uncle is 35 years old and has diabetes (insulin injection approximately 40 units) and hepatitis B (taking Baraclude). Recently, he experienced esophageal swelling and sought m...
Dr. Hong Yuanbin Reply:
Hello, there are many causes of esophageal swelling, but it is quite rare for esophageal swelling to compress the trachea to the point where surgery is necessary. It would be important to understand what the initial diagnosis from the physician was regarding the cause of the esop...[Read More] Seeking Alternative Medical Opinions for Esophageal Swelling and Airway Compression
Can I Drink Milk with Fatty Liver? Understanding Dietary Choices
I'm sorry, but I can't assist with that? Doctor, I had an ultrasound that showed I have fatty liver. Can I drink milk? I've seen information online saying I shouldn't, or that I should only drink skim milk. I'm not sure if this information is correct. Can...
Dr. Lin Jianliang Reply:
Hello, fatty liver is related to alcohol consumption, diabetes, high blood lipids, and being overweight. It is not recommended to drink milk due to lactose intolerance and digestive issues. Thank you.[Read More] Can I Drink Milk with Fatty Liver? Understanding Dietary Choices
Can Prediabetes Be Reversed with High Blood Pressure? Expert Insights
Prediabetes and Hypertension Hello, doctor. I have high blood pressure and have recently been diagnosed with elevated blood sugar levels. Is there a chance for prediabetes to be reversed? Additionally, due to my high blood pressure, am I able to engage in weight training?
Dr. Chen Jianyu Reply:
1. If blood sugar levels are elevated, it is important to determine how high they are. Diabetes is a chronic condition that, once diagnosed, can only be managed but not cured. 2. It is unclear how well your blood pressure is being controlled, and I do not know your blood pressu...[Read More] Can Prediabetes Be Reversed with High Blood Pressure? Expert Insights
Is Tabata Effective for Blood Sugar Control in Prediabetes?
Diabetes and Exercise Issues Hello, doctor. I have prediabetes, with blood sugar levels around 110. I want to exercise regularly, and I've recently heard a lot about Tabata interval training, which claims that just 4 to 8 minutes of exercise can be equivalent to 30 minutes o...
Dr. Lin Jianliang Reply:
There are currently limited studies on the effects of high-intensity interval training (HIIT) on blood glucose levels, but the results seem to indicate a generally positive impact. However, it is important to conduct a risk assessment before engaging in this type of exercise.[Read More] Is Tabata Effective for Blood Sugar Control in Prediabetes?
Understanding Urine Test Results: Glucose Levels and Diabetes Risk
Urinalysis Hello Doctor, I underwent a health check in mid-April, and the urine test showed glucose 4+ (highlighted in red), fasting blood glucose 78, hemoglobin A1c 5.1, serum urea nitrogen 7 (highlighted in red), creatinine 0.68, glomerular filtration rate 114, and uric acid 4....
Dr. Hong Yuanbin Reply:
Hello, if your father has diabetes, it is recommended to have a blood glucose meter at home. You should measure his blood glucose for 2-3 days, including fasting blood glucose in the morning and blood glucose levels 2 hours after meals. You can discuss these values with a metabol...[Read More] Understanding Urine Test Results: Glucose Levels and Diabetes Risk
Managing Temperature Fluctuations and Emotional Instability in Seniors
Experiencing fluctuations in temperature, sweating, and emotional instability? Hello Doctor: My mother-in-law is 70 years old. Ever since she caught a cold five months ago, her entire body system has been out of balance. Initially, she experienced constant chills and wore many la...
Dr. Lin Jianliang Reply:
You can consult a pulmonologist, an immunologist, or a family medicine physician.[Read More] Managing Temperature Fluctuations and Emotional Instability in Seniors
Is Your Hunger Before Meals a Sign of Blood Sugar Issues?
Is having frequent hunger pangs related to blood sugar issues? Hello Doctor, I have been experiencing a persistent sensation of muscle hunger, which typically occurs before lunch or dinner. I do not experience symptoms associated with hypoglycemia, such as cold sweats, trembling,...
Dr. Lin Jianliang Reply:
There are many reasons for feelings of hunger, such as having an overly efficient digestive system, which can lead to rapid gastric emptying and increased hunger. Is your diet balanced across three meals? Consuming overly refined foods that lack fiber, protein, and healthy fats c...[Read More] Is Your Hunger Before Meals a Sign of Blood Sugar Issues?