Managing Elevated Blood Sugar: Tips for Diet and Health Monitoring
Blood sugar issues? Hello Doctor, my fasting blood sugar is 110 mg/dL, glycated hemoglobin is 5.7%, blood urea nitrogen is 10 mg/dL, creatinine is 0.72 mg/dL, and liver function tests show alanine aminotransferase (ALT) at 8 U/L. I understand that my fasting blood sugar is elevat...
Dr. Xiao Yongxun Reply:
Dear Ms. Wu: 1. After undergoing these tests, your physician should have explained the results to you. Please make sure to consider the recommendations of the physician who has personally examined you. 2. Your fasting plasma glucose level is 110 mg/dL, which indeed exceeds the ...[Read More] Managing Elevated Blood Sugar: Tips for Diet and Health Monitoring
Understanding the Diabetes Honeymoon Phase: What You Need to Know
Diabetes honeymoon phase Hello Doctor: I was previously diagnosed with prediabetes, and the doctor said that dietary control would suffice. Over the past month, I have been managing my diet and exercising, and my blood sugar levels have gradually returned to normal, which makes m...
Dr. Xiao Yongxun Reply:
Dear Ms. Lin: 1. The term "diabetes honeymoon phase" refers to a period after the onset of diabetes during which blood sugar levels are well-controlled, often without the need for medication, due to dietary changes, exercise, medication, or insulin therapy. In type 2 d...[Read More] Understanding the Diabetes Honeymoon Phase: What You Need to Know
Managing Blood Sugar Levels in Children: Concerns and Guidelines
Blood sugar issues Hello Doctor, due to the Lunar New Year holiday, my child has been indulging in a lot of sweets and has had irregular meal times. Last night, while he was asleep, I checked his blood sugar levels. Two hours after eating, it was 127 mg/dL (at 1 AM), five hours a...
Dr. Xiao Yongxun Reply:
Dear Mr. Wang: 1. Normal fasting plasma glucose levels range from 70 to 100 mg/dL, while normal postprandial glucose levels two hours after eating range from 80 to 140 mg/dL. Therefore, your child, being young with normal pancreatic function, may have normal glucose levels despi...[Read More] Managing Blood Sugar Levels in Children: Concerns and Guidelines
Do You Need Regular Kidney Function Tests? Common Concerns Explained
Questions related to kidney examinations? Is it necessary to have regular kidney function tests? I do not have diabetes or hypertension, but I have congenital heart disease and have previously had urinary tract infections and pneumonia. I took a lot of traditional Chinese medicin...
Dr. Wu Hongjie Reply:
Dear Sir/Madam, Renal function monitoring is typically recommended for: 1. Patients with a history of chronic kidney disease (such as chronic nephritis, interstitial nephritis, or hydronephrosis); 2. Individuals with systemic chronic diseases such as diabetes, hypertension, gout...[Read More] Do You Need Regular Kidney Function Tests? Common Concerns Explained
Managing Blood Sugar Levels After Gestational Diabetes: Key Insights
Gestational diabetes mellitus (GDM) Hello Doctor: I had gestational diabetes during my second pregnancy. I have no family history of diabetes and am not overweight. I managed my condition through dietary control and daily self-monitoring of blood glucose. Now that I have given bi...
Dr. Xiao Yongxun Reply:
(1) According to the American Diabetes Association's diagnostic criteria for diabetes: a. Fasting plasma glucose level ≥126 mg/dL after fasting for at least 8 hours. b. Plasma glucose level ≥200 mg/dL during a 2-hour oral glucose tolerance test. c. HbA1c (glycated hemoglobin...[Read More] Managing Blood Sugar Levels After Gestational Diabetes: Key Insights
Understanding Unexplained Proteinuria: Treatment Options and Management
Unexplained proteinuria? Hello, doctor. I do not have any high-risk factors for kidney disease (e.g., hypertension, diabetes, family history...), but I was diagnosed with proteinuria four years ago. Over the past few years, my protein levels have fluctuated between "+3 and n...
Dr. Wu Hongjie Reply:
Dear Sir/Madam, You have reported proteinuria at 3+ for over four years. I am unsure if your physician has discussed the possibility of a kidney biopsy with you to confirm the diagnosis. If it is chronic glomerulonephritis, there are various treatment options available, such as ...[Read More] Understanding Unexplained Proteinuria: Treatment Options and Management
Understanding Chest Pain and Fatigue: A Guide for Patients with Diabetes and Hypertension
There is a persistent dull pain in the chest near the heart, in the upper back close to the heart, and in the left shoulder? Hello Dr. Hsiao: I am 163 cm tall and weigh 130 kg. For a long time, I have been experiencing persistent dull pain in my chest near the heart, in my back n...
Dr. Xiao Yongxun Reply:
Dear Mr. Anong: 1. Your height is 163 cm, weight is 103 kg, and your body mass index (BMI) is 48.9 kg/m², which classifies you as severely obese. Consequently, your risk of developing the following conditions is increased: hypertension, dyslipidemia, metabolic syndrome, type 2 d...[Read More] Understanding Chest Pain and Fatigue: A Guide for Patients with Diabetes and Hypertension
Understanding Blood Sugar Levels: Are You at Risk for Diabetes?
Blood sugar issues? Hello Doctor, I am 168 cm tall and weigh 57 kg. I had a health check-up at a major hospital in early October this year, where my fasting blood glucose level was 95 mg/dL. Since this value is close to the upper limit of the normal range, I was quite worried abo...
Dr. Xiao Yongxun Reply:
Dear Mr. Alex: 1. A fasting blood glucose level of 95 mg/dL or 96 mg/dL shows no significant change clinically; in other words, it lacks significant meaning. Based solely on this value, no physician would suggest that it will soon exceed 100 mg/dL. Generally, blood glucose level...[Read More] Understanding Blood Sugar Levels: Are You at Risk for Diabetes?
Cat Scratch Injury: What Diabetics Need to Know About Infection Risks
Scratched by a stray cat at Dayeh University? Since I have diabetes, I was scratched by a stray cat while feeding it. The wound is small, but what should I pay attention to? Should I get a tetanus shot? I'm a bit worried about the risk of infection or cat scratch fever.
Dr. Liao Zhongxin Reply:
Dear readers: Regarding the concerns about whether a wound may become infected or if there is a risk of cat scratch fever, according to the Centers for Disease Control data: http://www.cdc.gov.tw A. Transmission methods: Most patients (over 90%) have a history of being licked, b...[Read More] Cat Scratch Injury: What Diabetics Need to Know About Infection Risks
Managing Diabetes-Related Symptoms: Eye Issues and Digestive Discomfort
Symptoms such as discomfort in the stomach associated with diabetes? Hello Doctor, my mother is 57 years old. Last year, she was diagnosed with diabetes and has been taking insulin every morning. Earlier this year, she developed diabetic retinopathy, which required surgery. Recen...
Dr. Xiao Yongxun Reply:
Dear Miss Zhu Zhu: 1. The acute complications of type 2 diabetes primarily include diabetic ketoacidosis and non-ketotic hyperosmolar hyperglycemia; if treatment and dietary management are not optimal, hypoglycemia may also occur. 2. The chronic complications of type 2 diabetes...[Read More] Managing Diabetes-Related Symptoms: Eye Issues and Digestive Discomfort
Understanding Kidney Function: Is Your GFR Too Low?
Kidney problems Hello, doctor! I recently received my health check report, which shows a serum creatinine level of 1.23 mg/dL and a glomerular filtration rate (GFR) of 77.51. There were no signs of hematuria or proteinuria. I would like to ask if my GFR is considered low, as I ha...
Dr. Wang Weijie Reply:
Hello: In healthy individuals without proteinuria, a glomerular filtration rate (eGFR) greater than 80 ml/min is considered normal. If there is foamy urine, it may indicate proteinuria, and it is recommended to follow up with a nephrologist. Chronic kidney disease is classified i...[Read More] Understanding Kidney Function: Is Your GFR Too Low?
Managing Poor Blood Sugar Control in Type 2 Diabetes: Is Insulin Necessary?
Poor blood sugar control? Hello Doctor, I was diagnosed with type 2 diabetes in 2010. Over the years, my blood sugar levels have remained consistently high due to poor management and adherence to medication. In July of this year, I underwent tests at China Medical University, whe...
Dr. Xiao Yongxun Reply:
Dear Ms. Deep White: 1. Currently, the common treatment for type 2 diabetes includes dietary control, regular exercise, and medication. Regardless of whether insulin is injected, dietary management and consistent physical activity must be diligently practiced, which means making...[Read More] Managing Poor Blood Sugar Control in Type 2 Diabetes: Is Insulin Necessary?
Does Severe Illness Affect Blood Sugar Levels? Insights and Answers
Does serious illness affect blood sugar fluctuations? Hello Dr. Hsiao, Due to acute renal failure that occurred in the middle of this year, accompanied by severe edema and fluid accumulation in the body, various kidney indicators were significantly elevated, leading to my hospi...
Dr. Xiao Yongxun Reply:
Dear Mr. Anonymous: 1. Conditions such as illness, infection, stress, pregnancy, irregular lifestyle, and the use of certain medications can lead to elevated blood glucose levels or significant fluctuations. 2. If anxiety is severe, it can indeed cause an increase in blood gluco...[Read More] Does Severe Illness Affect Blood Sugar Levels? Insights and Answers
Understanding Diabetes Genetics: Can You Prevent It with Diet?
Genetic Issues in Diabetes Hello Doctor: My father has a genetic predisposition to diabetes, and he is currently managing it quite well at the age of 50. I would like to ask if I am at risk of developing diabetes as well. Should I be able to prevent it by paying attention to my d...
Dr. Hong Yuanbin Reply:
Hello, diabetes is usually caused by multiple factors, with genetics being just one part of the equation. Additionally, diabetes often coexists with other metabolic syndromes such as hypertension and hyperlipidemia. It is recommended that you or your father regularly monitor bloo...[Read More] Understanding Diabetes Genetics: Can You Prevent It with Diet?
Managing Chronic Kidney Disease: Tips for Diet and Medication
Chronic Kidney Failure Hello Doctor, my grandmother has issues with hypertension, diabetes, and anemia. Additionally, she was diagnosed this year with proteinuria and chronic kidney failure, but she has not yet started dialysis. Her reports show creatinine levels from June to Sep...
Dr. Wu Hongjie Reply:
Hello: Kalimate is an exchange resin that binds potassium ions for excretion from the body. The excretion of potassium ions (K+) decreases during renal function deterioration and end-stage renal disease, leading to hyperkalemia. Elevated potassium levels can cause arrhythmias and...[Read More] Managing Chronic Kidney Disease: Tips for Diet and Medication
Understanding Hemoglobin A1c: Am I at Risk for Prediabetes?
Glycated hemoglobin (HbA1c) Hello doctor, I recently donated blood, and I received the test report a few days ago. Every item, such as BMI, total cholesterol, low-density lipoprotein, etc., is normal, but my hemoglobin A1c level is 5.9. Does this mean I have prediabetes?
Dr. Xie Rongyuan Reply:
Hello: The glycated hemoglobin (HbA1c) level is 5.9, which is within the normal range and does not indicate prediabetes. A fasting blood glucose level exceeding 100 mg/dL is required to diagnose prediabetes. Thank you for your message![Read More] Understanding Hemoglobin A1c: Am I at Risk for Prediabetes?
Understanding Changes in Creatinine Levels and Kidney Function
Kidney function issues? Hello, I have a question to ask you. This year's company health check report has been released, and when compared to last year, last year's creatinine level was 1.0 (0.5 ~ 1.3), which corresponds to a GFR of 91. This year, the creatinine level is...
Dr. Wu Jiyu Reply:
The estimated glomerular filtration rate (eGFR) of 91 mL/min/1.73 m² or 79 mL/min/1.73 m² shows a difference, but it is not significant when viewed in the long-term trend. However, if you do not have hypertension, diabetes, proteinuria, or hematuria, and you maintain a controlled...[Read More] Understanding Changes in Creatinine Levels and Kidney Function
Understanding Kidney Function and Glomerular Filtration Rate Issues
Glomerular and renal function issues? Hello doctor, I would like to ask a question. I am 35 years old, and my glomerular filtration rate (GFR) has not exceeded 90 for the past seven years. I do not have hypertension or diabetes. In my most recent urine test, the protein level was...
Dr. Wu Jiyu Reply:
Based on the data you provided, the following is the calculation of the health examination results: Year Age Serum Creatinine Glomerular Filtration Rate (GFR) 2010 29 1.2 mg/dL 72 mL/min 2011 30 1.3 mg/dL 65 mL/min 2012 31 ...[Read More] Understanding Kidney Function and Glomerular Filtration Rate Issues
Unexplained Urethritis: Persistent Pain and Discomfort Solutions
Unexplained urethritis? Hello Dr. Wang, I have experienced a burning sensation during urination and pain at the urethral opening three times in the past two months. However, each time I have undergone urinalysis, the results have been normal, and no infection has been identified,...
Dr. Wang Weijie Reply:
Dear Ms. Wu, Thank you for your letter. A urinary tract infection (UTI) occurs when bacteria invade the urinary system, leading to infection. Common symptoms include: 1. A burning sensation, pain, difficulty urinating, frequent urination, nocturia, cloudy urine, or hematuria dur...[Read More] Unexplained Urethritis: Persistent Pain and Discomfort Solutions
Understanding Post-Exercise Blood Sugar Spikes in Type 2 Diabetes
Post-exercise hyperglycemia in type 2 diabetes? Hello Doctor: I am a patient with type 2 diabetes. Recently, my blood sugar levels were around 200 mg/dL after two exercise sessions (one was a one-hour walk, and the other was a 35-minute brisk walk followed by a 20-minute rest bef...
Dr. Xiao Yongxun Reply:
Dear Mr. Tom: 1. We are unaware of your usual blood sugar control, so we cannot determine whether your post-exercise blood sugar is indeed higher than your pre-exercise level. Additionally, did you eat before exercising? If so, what was the caloric intake? This can also affect y...[Read More] Understanding Post-Exercise Blood Sugar Spikes in Type 2 Diabetes