Diabetes, Internal Medicine FAQ - Page 13

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Does Masturbation Affect Urine Tests for Prediabetes?

Diabetes issues Hello Dr. Lin, my fasting urine test showed a hemoglobin A1c level of 6.1%, and the report indicates possible prediabetes. I would like to know if masturbating within 2 hours before the urine test could affect the accuracy of the results?


Dr. Lin Jianliang Reply:
For prediabetes, it is recommended to manage diet and exercise, and to have regular follow-ups. Before a urine test, it is advised to avoid masturbation. If there are any related concerns, it is recommended to consult a professional physician in person.

[Read More] Does Masturbation Affect Urine Tests for Prediabetes?


Understanding Low C-Peptide Levels: Implications for Diabetes and Weight Management

Low C-Peptide Dear Dr. Lin, Thank you for your prompt response. I apologize for needing to ask a few more questions: 1) Is there a difference in fasting C-Peptide levels between 8 hours and 12 hours? 2) Is a low C-Peptide level associated with a lower likelihood of regaining ...


Dr. Lin Jianliang Reply:
1. C-peptide: It is generally recommended to have blood drawn after fasting for about 8 hours, but prolonged fasting is not advised as it may affect the test results. 2. Generally, C-peptide is not commonly used to assess the likelihood of weight regain. 3. Based on your current ...

[Read More] Understanding Low C-Peptide Levels: Implications for Diabetes and Weight Management


Understanding Low C-Peptide Levels: Is It Type 1 Diabetes?

Low C-Peptide Hello Dr. Lin, My current fasting blood glucose is 90 mg/dL and 2-hour postprandial is 80 mg/dL, which seems normal. However, my HbA1c is 6.2%, and my peptide insulin level is only 0.6. About a year and a half ago, I experienced a sudden and significant weight loss...


Dr. Lin Jianliang Reply:
1. Based on the information you provided, your likelihood of having type 1 diabetes is low. 2. Avoiding all-you-can-eat restaurants, enhancing dietary control, and increasing physical activity should help improve your blood sugar levels. 3. Improving your lifestyle, being mindful...

[Read More] Understanding Low C-Peptide Levels: Is It Type 1 Diabetes?


Understanding Kidney Health: Long-Term Effects of Medications and Monitoring

Kidney problems Hello, I would like to ask about my health history. When I was young, I had poor health and took a lot of medications, including both Western and traditional Chinese medicines, as well as some unknown herbal powders intermittently until I was around 18 years old. ...


Dr. Wu Jiyu Reply:
Based on your inquiry, it seems you are concerned about the potential kidney damage caused by aristolochic acid. If you took unknown herbal powders during childhood but had a normal kidney function test during your last routine blood check as an adult, there is likely no cause fo...

[Read More] Understanding Kidney Health: Long-Term Effects of Medications and Monitoring


Understanding Blood Sugar Concerns: Anxiety or Medical Issue?

Blood sugar issues? Three weeks ago, due to the flu, I experienced dry mouth. At that time, I noticed that diabetes also has symptoms of dry mouth, which made me very stressed and anxious for those few days. The doctor at the clinic measured my blood sugar four hours after a meal...


Dr. Chen Jianyu Reply:
You can make an appointment to inquire at the outpatient clinic.

[Read More] Understanding Blood Sugar Concerns: Anxiety or Medical Issue?


Understanding Kidney Health: Tests, Concerns, and Dietary Advice

Examination, health, and other related issues concerning having one less kidney? Doctor Wu: Hello, over the past ten years, I have undergone abdominal ultrasounds three times due to gastrointestinal issues, and three different physicians have been unable to locate my right kidney...


Dr. Wu Hongjie Reply:
1. The diagnostic rate of ultrasound has already reached a high level, and computed tomography (CT) can enhance diagnostic accuracy. However, it is recommended that if the results of a non-contrast scan indicate a single kidney, it should be classified as a Class A diagnosis. The...

[Read More] Understanding Kidney Health: Tests, Concerns, and Dietary Advice


Managing Blood Sugar Levels: Concerns and Solutions for Anxiety-Driven Results

How to improve blood sugar levels? Last Friday, I suddenly experienced itching all over my body, and I was worried it might be diabetes. I felt very low and anxious for three consecutive days—Friday, Saturday, and Sunday—resulting in insufficient sleep. On Monday, I went to the h...


Dr. Xiao Yongxun Reply:
Dear Mr. Cc: 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 toleranc...

[Read More] Managing Blood Sugar Levels: Concerns and Solutions for Anxiety-Driven Results


Should You Be Concerned About Your Blood Sugar Levels?

Is there a concern for diabetes? I had a company health check-up and my fasting blood glucose level was 101 after fasting for more than 12 hours. According to online standards, it should be below 100. Should I start dietary control and see a doctor for follow-up? I am 180 cm tall...


Dr. Xiao Yongxun Reply:
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 8 hours or more of fasting, b. A 2-hour plasma glucose level of ≥200 mg/dL during an oral glucose tolerance test, c. An HbA1c of ≥6...

[Read More] Should You Be Concerned About Your Blood Sugar Levels?


Understanding Hypoglycemia in Non-Diabetics: Causes and Symptoms

Hypoglycemia without diabetes? Hello, doctor. I do not have diabetes. I had a normal lunch, but around 2 PM, I experienced hand tremors and my blood sugar was in the 80s. The second time, around 4 PM, I had hand tremors, dizziness, and sweating, and my blood sugar was only 61. Wh...


Dr. Xiao Yongxun Reply:
Dear Ms. Hui: 1. There are many causes of hypoglycemia; among them, iatrogenic hypoglycemia is the most common, primarily caused by oral hypoglycemic agents or insulin. If this is not the case, a thorough investigation is warranted. Generally, hypoglycemia can be categorized int...

[Read More] Understanding Hypoglycemia in Non-Diabetics: Causes and Symptoms


Understanding Hypoglycemia in Non-Diabetics: Causes and Symptoms

Hypoglycemia without diabetes? Hello, doctor. I do not have diabetes. I had a normal lunch, but around 2 PM, I experienced hand tremors and my blood sugar was in the 80s. The second time, around 4 PM, I had hand tremors, dizziness, and sweating, and my blood sugar was only 61. Wh...


Dr. Xiao Yongxun Reply:
Dear Ms. Hui: 1. There are many causes of hypoglycemia; among them, iatrogenic hypoglycemia is the most common, primarily caused by oral hypoglycemic agents or insulin. If this is not the case, a thorough evaluation is necessary. Generally, hypoglycemia can be categorized into f...

[Read More] Understanding Hypoglycemia in Non-Diabetics: Causes and Symptoms


Adjusting Lipitor Dosage for Cholesterol Management: Key Considerations

The dosage of Lipitor? Hello Doctor, I am a patient with diabetes and hypercholesterolemia. Currently, I am managing my condition through diet and exercise, and my HbA1c is maintained below 6. However, my cholesterol levels remain high (total cholesterol 250, LDL 180, HDL 55). Th...


Dr. Xiao Yongxun Reply:
Dear Ms. Song Sang-Sang: 1. Lipitor® (generic name Atorvastatin) is typically prescribed at a dosage of 10 mg per tablet. It belongs to the class of 3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors, commonly known as statins. It effectively lowers elevated le...

[Read More] Adjusting Lipitor Dosage for Cholesterol Management: Key Considerations


Managing High Cholesterol: Should You Choose Medication or Lifestyle Changes?

High cholesterol I have had high cholesterol issues since childhood. After taking lipid-lowering medication for about a year, my cholesterol levels returned to normal. My doctor believes I can try stopping the medication. Since stopping, I have been exercising regularly and follo...


Dr. Xiao Yongxun Reply:
Dear Ms. Fei: 1. According to the regulations of our national health insurance, patients with cardiovascular diseases or diabetes whose total cholesterol level exceeds 160 mg/dL or low-density lipoprotein cholesterol (LDL-C) exceeds 100 mg/dL may be eligible for pharmacological ...

[Read More] Managing High Cholesterol: Should You Choose Medication or Lifestyle Changes?


Understanding Low Blood Sugar and Seizures in Teenagers: A Case Study

High school student with hypoglycemic coma? Hello Doctor, my daughter, who is in her first year of high school, suddenly reported feeling dizzy and weak while studying at home in mid-December. I intended to check her blood pressure (her school health check and regular measurement...


Dr. Xiao Yongxun Reply:
Dear Mr. Zhang: 1. There are many causes of hypoglycemia; among them, iatrogenic hypoglycemia is the most common, primarily caused by oral hypoglycemic agents or insulin. If this is not the case, a thorough consideration of other factors is necessary. Generally, hypoglycemia can...

[Read More] Understanding Low Blood Sugar and Seizures in Teenagers: A Case Study


Does Drinking Ice-Cold Beverages Lead to Kidney Failure?

Does drinking cold beverages affect the kidneys? Drinking 1000-1500cc of cold beverages every day may not directly cause early kidney failure, but excessive consumption of sugary or caffeinated drinks can lead to other health issues, such as obesity, diabetes, and hypertension, w...


Dr. Wu Jiyu Reply:
Drinking 1000-1500cc of iced beverages daily, does it lead to kidney failure? Currently, there is no medical literature that supports this hypothesis if you are referring to iced plain water. However, if by iced beverages you mean sugary drinks, consuming 1000-1500cc of sugary be...

[Read More] Does Drinking Ice-Cold Beverages Lead to Kidney Failure?


How to Diagnose My Health Issues: Weight Gain and Urinary Concerns

How can I get a diagnosis? Hello Doctor, I have had a question for a long time. My weight suddenly increased by over 20 kilograms in the past few years. During my health check last year, the report showed that my blood sugar was normal, but my urine glucose was ++. At that time, ...


Dr. Xiao Yongxun Reply:
Dear Ms. Gigi: According to medical principles, polycystic ovary syndrome (PCOS) is an endocrine disorder that can lead to irregular menstruation, obesity, masculinization, and even infertility. It is often associated with diabetes or insulin resistance-related glucose intoleranc...

[Read More] How to Diagnose My Health Issues: Weight Gain and Urinary Concerns


Unexplained Redness and Swelling in the Foot: Seeking Answers

Unexplained redness and swelling of the foot? At the end of the text, there are images. Since there is a lot of text, I will summarize the key points first: From this past Monday (12/18) to yesterday (12/23), I have been taking antibiotics for five days. The wound does not feel s...


Dr. Liao Zhongxin Reply:
Dear readers: Regarding the issue of "unexplained redness and swelling in the foot," here is the response: A: 1. You are a very attentive and patient person; it is rare for someone to keep such detailed records of their medical history. 2. The progression of the wound ...

[Read More] Unexplained Redness and Swelling in the Foot: Seeking Answers


Managing High Nighttime Blood Sugar Levels in Diabetes Patients

Diabetes and Blood Sugar Issues (Elevated Blood Sugar Levels Before Bedtime) Hello Doctor, my father is about 58 years old and had a stroke two years ago. Hospital examinations indicated that diabetes led to hypertension. After rehabilitation, he was able to live independently an...


Dr. Xiao Yongxun Reply:
Dear Mr. A-Hsiang, Before bed, the blood glucose level was 200 mg/dL, and the fasting blood glucose level in the morning was 105 mg/dL. Clinically, for diabetic patients who manage their condition solely through diet and exercise, these levels are acceptable. Normal postprandial...

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Understanding IgG and IgG4 Abnormalities: Lifelong Medication and Health Implications

IgG: 1750 and IgG4: 208? Hello Doctor, I apologize for bothering you, but I have some questions. Recently, after several days of staying up late, I have been feeling very fatigued, experiencing dry mouth and reduced saliva. Therefore, I visited an oral surgeon, but they did not ...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I will address your questions as follows: 1. You may have IgG4-related disease, which has symptoms similar to Sjögren's syndrome. It may require long-term medication, but there might be possibilities for dose reduction or discontinuation. ...

[Read More] Understanding IgG and IgG4 Abnormalities: Lifelong Medication and Health Implications


Managing High Blood Sugar: When to See a Doctor and Dietary Tips

Blood sugar issues? Hello, doctor. After my health check-up, I found that my blood sugar levels were elevated, so I completely stopped eating sweets. However, I often feel very hungry after meals. Although it doesn't significantly affect my daily routine, I would like to ask...


Dr. Xiao Yongxun Reply:
Dear Mr. Ahong: 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. HbA...

[Read More] Managing High Blood Sugar: When to See a Doctor and Dietary Tips


Understanding Blood Sugar Levels in Gestational Diabetes Management

Blood sugar issues? Hello Dr. Hsieh, I am currently 36 years old and have been diagnosed with gestational diabetes. My first question is: should I check my blood sugar one hour or two hours after eating for more indicative results? Second, my blood sugar level was 155 mg/dL two h...


Dr. Xie Rongyuan Reply:
Hello: The diagnosis of gestational diabetes should be accompanied by education in obstetric clinics, emphasizing early dietary control. Blood glucose levels can be measured 2 hours after meals. In more severe cases, it is advisable to monitor blood glucose levels four times a da...

[Read More] Understanding Blood Sugar Levels in Gestational Diabetes Management


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