Understanding Proteinuria: When to Stop Medication After Normal Results
Urinary protein has turned negative, doctor: You can stop the medication now? Hello, Doctor Wu: Over three months ago, during a routine check-up, I was found to have trace proteinuria with results of "PCR 189, uACR 54.8, creatinine 1.1, and urea nitrogen 7." The docto...
Dr. Wu Hongjie Reply:
A single urine test for protein is convenient and sufficiently accurate, but it is often best to use the first morning urine. If you want to accurately determine whether protein in the urine has completely disappeared, you may consider a 24-hour urine protein test. If the result ...[Read More] Understanding Proteinuria: When to Stop Medication After Normal Results
Understanding Blood Sugar Levels: Managing Pre-Diabetes and Dietary Choices
Blood sugar issues Hello, doctor. I often drink bubble tea, sometimes up to two cups of lightly sweetened beverages in a day. A urine test showed some sugar in my urine, so my nephrologist ordered a blood test. My fasting blood glucose was 102, and my hemoglobin A1c was around 5....
Dr. Chen Shunfu Reply:
Thank you for your question! Long-term consumption of sugary beverages can increase the risk of diabetes, so it is advisable to reduce intake. The sugar content in each serving of sugary drinks is not fixed, which is why the current international standard for assessment is the or...[Read More] Understanding Blood Sugar Levels: Managing Pre-Diabetes and Dietary Choices
Does Drinking Sugary Beverages Quickly Increase Diabetes Risk?
Drinking sugary beverages too quickly is more likely to increase the risk of developing diabetes compared to drinking them slowly? Recently, a classmate of mine suggested that drinking sugary beverages too quickly may increase the risk of developing diabetes. I also have a habit ...
Dr. Chen Shunfu Reply:
Currently, there is no international research on the correlation between the speed of drinking beverages and the risk of developing diabetes, so it is not possible to provide a definitive answer to this question. However, it is true that excessive consumption of sugary drinks ove...[Read More] Does Drinking Sugary Beverages Quickly Increase Diabetes Risk?
Understanding Glycated Hemoglobin: Insulin Sensitivity and Reversal Potential
Glycated hemoglobin My previous hemoglobin A1c level was 6.4, so I started exercising regularly and eating a lighter diet. After two months, my hemoglobin A1c level dropped to 5.9. There is no history of diabetes in my family. I believe that the 6.4 level was likely due to my lar...
Dr. Chen Jianyu Reply:
The function of insulin is primarily assessed through glycosylated hemoglobin (HbA1c) levels. Please consult the Metabolism Department for further evaluation. Thank you.[Read More] Understanding Glycated Hemoglobin: Insulin Sensitivity and Reversal Potential
Accidental Needle Stick from Diabetic Insulin: Should I Get Tested?
Accidentally pricked by an insulin needle used by a family member with diabetes? Hello Doctor, my mother has diabetes and needs someone to help her with daily insulin injections. However, I have had an experience where I accidentally pricked myself with a used needle, causing it ...
Dr. Hong Yuanbin Reply:
Hello, we are usually mainly concerned about the transmission of Hepatitis B, Hepatitis C, syphilis, and HIV. If your mother does not have any of these four diseases, there should be no need for concern. However, if you are unable to confirm whether your mother has any of these c...[Read More] Accidental Needle Stick from Diabetic Insulin: Should I Get Tested?
Understanding Urine Test Results: Uribilinogen Levels and Health Concerns
In the recent health check report, a urine urobilinogen level of "1+" indicates a mild presence of urobilinogen in the urine. Urobilinogen is a byproduct of bilirubin reduction, and its levels can provide insights into liver function and hemolysis. A "1+" resu...
Dr. Lin Wuxuan Reply:
Hello: The normal value for urobilinogen is less than 1.0 E.U/dL, and your test result is 1.0, which is actually not considered high. This is because urine tests are typically conducted using the first morning urine, which can be concentrated and may lead to a higher value. Furth...[Read More] Understanding Urine Test Results: Uribilinogen Levels and Health Concerns
Is a Fasting Blood Sugar of 131 a Sign of Diabetes?
A blood sugar level of 131 mg/dL does not necessarily indicate diabetes. According to the American Diabetes Association, a fasting blood sugar level of 126 mg/dL or higher is considered diagnostic for diabetes? Hello Dr. Lin, My mother is 83 years old and was diagnosed with Park...
Dr. Lin Wufu Reply:
Hello! According to the current diagnostic criteria, since glycated hemoglobin (HbA1c) reflects the average blood glucose levels over the past three months, a value greater than 6.5% on one occasion is sufficient for a diabetes diagnosis. Of course, considering your mother's...[Read More] Is a Fasting Blood Sugar of 131 a Sign of Diabetes?
Understanding Positive Urine Glucose: Causes and Concerns for Diabetes
Positive urine glucose? Doctor, may I ask why my urine glucose test strips sometimes show weak positive results two hours after breakfast? Today, I even got a 2+ result, which makes me a bit anxious that I might have diabetes. However, I noticed that my fasting urine and urine te...
Dr. Lin Jianliang Reply:
Hello, in some cases of diabetes, fasting blood sugar may not be high, but postprandial blood sugar can be elevated. It is recommended to first measure postprandial blood sugar levels and glycated hemoglobin (HbA1c). Additionally, there are other factors to consider, such as kidn...[Read More] Understanding Positive Urine Glucose: Causes and Concerns for Diabetes
Understanding HbA1c Levels: Can You Reverse Prediabetes?
The glycated hemoglobin (HbA1c) level is 6.2? The hospital measured my hemoglobin A1c at 6.2. After three months of dietary control, my hemoglobin A1c was measured at 5.9. No one in my family has diabetes, but I have gained a lot of weight due to taking medication for bipolar dis...
Dr. Chen Shunfu Reply:
Congratulations! Your hemoglobin A1c has decreased from 6.2% to 5.9% after three months of dietary control. Based on your height of 179 cm and weight of 95 kg, your BMI is calculated to be 29.6, which indicates obesity. The medication Depakine (valproate) that you are taking can ...[Read More] Understanding HbA1c Levels: Can You Reverse Prediabetes?
Understanding Blood Sugar Fluctuations and Diabetes Management
Inquiry about blood sugar issues? Hello Dr. Lin, I would like to ask you a few questions: 1. In non-diabetic patients, is it possible for acute gastroenteritis causing inflammation and persistent vomiting to lead to a temporary increase in blood glucose levels? 2. For patient...
Dr. Lin Jianliang Reply:
1. The body may experience abnormal blood sugar levels when feeling unwell or under significant stress. 2. The current trend seems to suggest that the use of metformin for diabetes prevention is not recommended. 3. In the early stages of diabetes, when the condition is not severe...[Read More] Understanding Blood Sugar Fluctuations and Diabetes Management
Understanding Diabetes: Is a HbA1c of 7.6 Dangerous and What to Do Next?
Medical Inquiry Hello Dr. Chen, I am 23 years old and overweight. Recently, I had surgery for folliculitis near my groin, and I noticed that my wound healed slowly. The doctor suspected that I might have diabetes, so I had my hemoglobin A1c tested, which came back at 7.6, confi...
Dr. Chen Jianyu Reply:
1. Illness is dangerous; safety is paramount. Do not be afraid of taking medication; the real concern should be poor management of the condition. 2. If diet and exercise cannot adequately control blood sugar levels, medication must be used for management.[Read More] Understanding Diabetes: Is a HbA1c of 7.6 Dangerous and What to Do Next?
Can You Reverse High Hemoglobin A1c Levels? A Guide for Patients
Elevated glycosylated hemoglobin (HbA1c) levels? Hello doctor, I used to be quite active in school, but during the summer break, I hardly exercised at all, and my lifestyle has changed significantly. I don't drink much water and often consume sugary drinks. Recently, during ...
Dr. Lin Jianliang Reply:
Glycated hemoglobin: 9.9%. It is recommended to see a physician. With medical management, along with dietary changes and exercise, there should be a chance for improvement. Thank you for your message.[Read More] Can You Reverse High Hemoglobin A1c Levels? A Guide for Patients
Managing Blood Sugar Levels: A Guide for Overweight Individuals
Glycated hemoglobin (HbA1c) Hello, doctor. I am obese and have sleep apnea and high blood pressure. Currently, I am taking half of a 5 mg blood pressure medication, which has been controlling my condition for a while. My morning and evening blood pressure readings are quite stabl...
Dr. Lin Jianliang Reply:
As your physician mentioned: diet and exercise management. Additionally, it is advisable to consult a nutritionist or a diabetes educator for more information on this matter. Thank you for your message.[Read More] Managing Blood Sugar Levels: A Guide for Overweight Individuals
Understanding Arm Pain in Diabetic Patients: Injection vs. Medication
Arm pain Your mother has chronic conditions such as diabetes, hypertension, hyperlipidemia, and gout, and her kidney function is poor. She has recently started insulin therapy. She has been complaining of arm pain and has been requesting injections at the clinic for years wheneve...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. With abnormal kidney function, both injections and oral medications need to be approached with caution. The injections administered at hospitals or clinics are generally similar, but it is important to remind the prescribing physician that the ...[Read More] Understanding Arm Pain in Diabetic Patients: Injection vs. Medication
Dizziness in Type 1 Diabetes: Understanding Symptoms and Seeking Help
Dizziness in Type 1 Diabetes? Hello Doctor: I have type 1 diabetes with a hemoglobin A1c of 6.2. Recently, I've been experiencing dizziness. The first incident occurred two hours after dinner when I suddenly felt dizzy and unable to control my head movements. Lying down was ...
Dr. Lin Jianliang Reply:
We recommend that you first consult with a neurologist and an otolaryngologist. Thank you for your message.[Read More] Dizziness in Type 1 Diabetes: Understanding Symptoms and Seeking Help
Does Drinking Diet Soda Increase Your Risk of Diabetes?
Dietary Habits for Diabetes Management Is drinking diet cola really associated with an increased risk of diabetes? I found an article online that states that due to the presence of artificial sweeteners, when you consume diet beverages, your body is essentially deceived. The swee...
Dr. Lin Jianliang Reply:
Hello: Thank you for your message. According to some studies, both sugar and artificial sweeteners carry a risk of disease (such as diabetes). Therefore, moderation is key to avoid putting a strain on the body.[Read More] Does Drinking Diet Soda Increase Your Risk of Diabetes?
Can Diabetic Patients Safely Run and Participate in Races?
Can diabetic patients run and participate in road races? Hello Dr. Lin, I am very grateful for your response to my previous question (#136924 regarding diabetes medication). I would like to ask if it is suitable for diabetes patients to run and participate in road races as part o...
Dr. Lin Wuxuan Reply:
Hello: Exercise can enhance the body's sensitivity to insulin, not only preventing blood sugar levels from rising but also promoting the entry of glucose into cells, thereby lowering blood sugar concentrations and strengthening the body's regulation of blood glucose. Th...[Read More] Can Diabetic Patients Safely Run and Participate in Races?
Understanding High Postprandial Insulin Levels: Risks and Recommendations
Postprandial insulin levels are elevated? Hello Doctor, I would like to inquire about my blood test results. On May 1st, after a meal, my glycated hemoglobin (HbA1c) level was 5.3, which is within the normal range. However, on May 7th, due to a gynecological issue related to a de...
Dr. Chen Jianyu Reply:
You can make an appointment to inquire at the outpatient clinic.[Read More] Understanding High Postprandial Insulin Levels: Risks and Recommendations
Understanding When to Start Diabetes Medication: A Patient's Dilemma
What is the situation regarding diabetes medications? Hello Dr. Lin, I recently had two fasting blood glucose tests with results of 103 and 107, and my HbA1c levels were 6.5 and 6.8. The physician at the diabetes specialty clinic advised me to start medication and prescribed Metf...
Dr. Lin Wuxuan Reply:
Hello: The treatment of diabetes will generally follow the guidelines provided for diabetes management, but some details will still need to be adjusted based on the physician's clinical experience. Although there are differences in opinion between the two physicians, both fu...[Read More] Understanding When to Start Diabetes Medication: A Patient's Dilemma
How Often Should You Get Tested for Diabetes Risk?
Questions related to diabetes testing? Hello, doctor: I would like to ask how often the general public should get tested for the risk of diabetes. If I am a diabetes patient, how often should I go to the hospital for check-ups? Is it the same as a routine health check-up, once a ...
Dr. Lin Jianliang Reply:
Generally, assessments should be based on individual circumstances such as age, weight, family history, medication history, symptoms, and the presence of other diseases. This is also true for diabetes patients, who should be evaluated according to their specific conditions. It is...[Read More] How Often Should You Get Tested for Diabetes Risk?