Are Starchy Liquid Foods Suitable for Diabetics?
Are starchy liquid foods suitable for individuals with diabetes? Hello, my mother has type 2 diabetes (non-insulin dependent), bile duct cancer, and dementia, and she has insufficient chewing ability due to missing teeth. Currently, she is being fed three cans of nutritional supp...
Dr. Xiao Yongxun Reply:
Dear Mr. Wan Hsiu-Ming: 1. Regarding your questions about dietary management for diabetes, it is best to consult with a nutritionist at your mother's hospital. Designing a diet suitable for an elderly person with diabetes, bile duct cancer, and dementia is quite complex. 2...[Read More] Are Starchy Liquid Foods Suitable for Diabetics?
Understanding Endocrine Issues and PCOS in Young Women: A Case Study
Regarding Endocrinology and Polycystic Ovary Syndrome (PCOS) Hello, Doctor: I am currently 19 years old, with a height of 151 cm, weight of 45.4 kg, body fat percentage of 20.3%, and a waist circumference of 58 cm. Description of my condition: In March of this year, my weight sud...
Dr. Xiao Yongxun Reply:
Dear Miss Nini: 1. The formula for Basal Metabolic Rate (BMR) is often estimated using various regression equations; it represents the energy required to maintain basic physiological functions daily. It can be used as a reference, but there is no need to be overly concerned, as ...[Read More] Understanding Endocrine Issues and PCOS in Young Women: A Case Study
Understanding Proteinuria: Key Questions and Considerations
Proteinuria - Supplementary Questions Therefore, when urine protein is greater than 0.15 g/d, several issues need to be considered: 1. Is the urine protein primarily albumin? 2. Was the urine sample collected during a time when the daily urine volume was close to 1-1.5 liters? Ot...
Dr. Wu Hongjie Reply:
Hello: Albumin is just one component of proteinuria. In other words, if the urine protein level is 0.15 g/L, then the absolute amount of albumin in the urine is less than 0.15 g/d (at most, all protein could be albumin). Testing for microalbuminuria is more ideal, especially for ...[Read More] Understanding Proteinuria: Key Questions and Considerations
Managing SLE, COPD, Kidney Function, and High Cholesterol in Your 50s
The patient has systemic lupus erythematosus (SLE) and chronic obstructive pulmonary disease (COPD), along with impaired kidney function and elevated cholesterol levels? My mother is 50 years old and has systemic lupus erythematosus (SLE) and chronic obstructive pulmonary disease...
Dr. Wu Jiyu Reply:
Hello: Since systemic lupus erythematosus (SLE) can potentially affect the kidneys and even cause glomerulonephritis, if your health check shows a significant decrease in glomerular filtration rate, it is recommended that you discuss this with your rheumatologist or bring your me...[Read More] Managing SLE, COPD, Kidney Function, and High Cholesterol in Your 50s
Understanding Normal Blood Sugar Levels for Gestational Diabetes
Reference values for gestational diabetes mellitus? Hello, Director Hsiao: Could you please tell me what the reference values for "fasting" and "postprandial 2 hours" blood glucose levels are for gestational diabetes? I would like to monitor my blood sugar lev...
Dr. Xiao Yongxun Reply:
Dear Ms. JJ: 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. HbA1c (g...[Read More] Understanding Normal Blood Sugar Levels for Gestational Diabetes
Understanding Postprandial Blood Sugar Levels: Concerns and Insights
Blood sugar issues Hello Doctor: My height is 165 cm and my weight is 58 kg (my weight has been about the same for the past six months). Last year, my fasting blood glucose (glucose AC) was 92 mg/dL. I tested my fasting blood glucose again in early August, and it was 96 mg/dL. La...
Dr. Xiao Yongxun Reply:
Dear Mr. Jacky: 1. Your weight is 58 kg, height is 165 cm, and your body mass index (BMI) is 21.3 kg/m², which falls within the normal range. 2. In 2015, your fasting blood glucose level was 92 mg/dL, and in August 2016, it was 96 mg/dL. Last week, your hemoglobin A1c (HbA1c) wa...[Read More] Understanding Postprandial Blood Sugar Levels: Concerns and Insights
Understanding Blood Sugar Variations Before and After Meals During Pregnancy
The differences between before and after meals? Hello, Doctor! I have been diagnosed with high blood sugar issues for 12 years and have been under medical follow-up. Recently, due to my pregnancy, I have been monitoring my blood sugar levels before and after meals. My fasting blo...
Dr. Xiao Yongxun Reply:
Dear Ms. Wang: 1. Although pregnancy is a joyful event, it can cause significant changes in the body, particularly in the endocrine system. Consequently, fluctuations in blood sugar levels and hyperglycemia may become more pronounced. Generally speaking, if a person without diab...[Read More] Understanding Blood Sugar Variations Before and After Meals During Pregnancy
Understanding Frequent Urination: Causes, Symptoms, and Treatment Options
Frequent urination issues? Hello, Doctor. About a month ago, I was diagnosed with gastritis at a clinic and took medication for two weeks without improvement. I then went to Tzu Chi Hospital for an endoscopy, where the physician confirmed that I only had inflammation and no signi...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that you don't have much trouble during the day, although you do wake up several times at night to urinate, and each time the volume is quite large. The most common reason for this could be that you are drinking too much water in th...[Read More] Understanding Frequent Urination: Causes, Symptoms, and Treatment Options
Do I Have GERD? Understanding Symptoms and When to Seek Help
Is it gastroesophageal reflux disease (GERD), and is there a need for a medical consultation? I am not sure if I have gastroesophageal reflux disease (GERD) because I do not experience any burning sensation. Since elementary school, I have had episodes where, about half an hour a...
Dr. Xiao Yongxun Reply:
Dear Miss Ganzi: 1. The symptoms of gastroesophageal reflux disease (GERD) include a burning sensation in the epigastric area, chest pain, upper abdominal discomfort, a feeling of a lump in the throat, regurgitation of stomach contents, acid reflux, frequent belching, vomiting,...[Read More] Do I Have GERD? Understanding Symptoms and When to Seek Help
Understanding Employee Health Check Results: When to See a Nephrologist?
Employee health check issues Hello, doctor. I would like to ask about my annual employee health check. The report came out on May 3rd. I am a 26-year-old male, and my results show a GFR of 86, serum creatinine of 1.1 mg/dL, serum uric acid of 8.5 mg/dL, blood urea nitrogen of 15 ...
Dr. Lin Peifeng Reply:
A urine specific gravity of 1.024 indicates concentrated urine; therefore, a urine protein level of 1+ does not necessarily indicate a kidney issue. Additionally, it is important to consider whether the individual has hypertension or diabetes, as well as any family history of chr...[Read More] Understanding Employee Health Check Results: When to See a Nephrologist?
Understanding Blood Sugar Levels: Diabetes, Insulin, and Digestion Effects
Blood sugar issues? I would like to ask the doctor, in diabetes patients, high blood sugar occurs due to loss or insufficient insulin function. If they do not take medication or inject insulin, will they experience hypoglycemia? Additionally, if their gastrointestinal function is...
Dr. Li Zhiyao Reply:
Hello: 1. Abnormal eating habits or other medical conditions can also lead to hypoglycemia. 2. The composition of the diet and the ability to digest and absorb nutrients can affect blood glucose levels.[Read More] Understanding Blood Sugar Levels: Diabetes, Insulin, and Digestion Effects
Understanding Diabetes: Key Questions on Blood Sugar Levels and Genetics
Regarding diabetes and the genetic aspects of diabetes? Director Li, I have a few questions: 1. My bedtime blood sugar levels are between 90 and 100. Is this considered low? In the morning, my levels are around 110 to 120. What should I be aware of? 2. Why do my post-meal blo...
Dr. Li Zhiyao Reply:
Hello: 1.a. There is no hypoglycemia. b. Please manage your diet and weight, and engage in regular exercise. 2. It may be an issue with the technique; you can consult a diabetes educator for the correct method. 3. I am unaware of your treatment plan, so I cannot answer; please di...[Read More] Understanding Diabetes: Key Questions on Blood Sugar Levels and Genetics
Managing Acid Reflux: Symptoms, Treatment, and Diabetes Concerns
Excess stomach acid Hello, doctor. I previously underwent an endoscopy which showed that my gastrointestinal tract is generally fine, but I have gastroesophageal reflux disease (GERD). I have been taking Pantoprazole for a month, but I occasionally experience acid reflux, a burni...
Dr. Xiao Yongxun Reply:
Dear Mr. Ellis: 1. Nexium® (generic name: Esomeprazole) is indicated for gastroesophageal reflux disease (GERD). Possible side effects include abdominal pain, constipation, diarrhea, bloating, nausea, dry mouth, headache, drowsiness, allergic reactions, fever, and others. Genera...[Read More] Managing Acid Reflux: Symptoms, Treatment, and Diabetes Concerns
Managing Diabetes: Weight Loss, Cholesterol Levels, and Health Concerns
Regarding issues related to diabetes..? Hello, Director. I would like to ask about my health situation. I was diagnosed with diabetes on April 27. My blood test results on that date showed: fasting blood glucose 204 mg/dL, postprandial blood glucose 250 mg/dL, HbA1c 8.3%, total c...
Dr. Xiao Yongxun Reply:
Dear Mr. Ah-Chiang: 1. Your original weight was 108 kg, height 180 cm, resulting in a body mass index (BMI) of 33.3 kg/m², which classifies you as obese. Due to insulin resistance, you are at an increased risk for type 2 diabetes. Non-pharmacological treatments for weight loss i...[Read More] Managing Diabetes: Weight Loss, Cholesterol Levels, and Health Concerns
Understanding Meal Frequency: Managing Insulin Resistance in Pre-Diabetes
Regarding small frequent meals for diabetes? Hello Doctor, I have been concerned about the term "frequent small meals." In the past, doctors and news reports often mentioned that frequent small meals help control insulin secretion and food intake. However, I have recent...
Dr. Xiao Yongxun Reply:
Dear Mr. Ah Xiang: The term "small frequent meals" is often mentioned in daily life; however, it has never been precisely defined, making it easy to misuse. For instance, what constitutes a small amount? What is the glycemic index (GI) of the food? What is the glycemic ...[Read More] Understanding Meal Frequency: Managing Insulin Resistance in Pre-Diabetes
Understanding Your 75g Glucose Tolerance Test Results: What They Mean
75 grams oral glucose tolerance test? Hello, I recently underwent a 75-gram oral glucose tolerance test after fasting for eight hours, and the results were as follows: Fasting: 75 mg/dL, 1 hour after drinking the glucose solution: 88 mg/dL, and 2 hours after drinking the glucose ...
Dr. Xiao Yongxun Reply:
Dear Ms. Huihui: 1. According to the American Diabetes Association's diagnostic criteria for diabetes: 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. HbA1c (g...[Read More] Understanding Your 75g Glucose Tolerance Test Results: What They Mean
Managing Diabetes: Tips for Blood Sugar Control and Digestive Health
Diabetes issues Hello Doctor, last month I went to the hospital due to blurred vision and was diagnosed with diabetes (blood sugar over 300). The doctor prescribed Metformin HCl 500 mg, to take half a tablet before breakfast and dinner, and to monitor my blood sugar two hours aft...
Dr. Li Zhiyao Reply:
Hello: 1. Your blood sugar shows "improvement"; however, to determine if it has reached the control target, we still need to refer to your hemoglobin A1c levels. 2. A postprandial blood sugar of 110 is not considered high. It is possible for blood sugar levels to decrea...[Read More] Managing Diabetes: Tips for Blood Sugar Control and Digestive Health
Managing Water Intake for Patients with Chronic Kidney Disease
Water Intake Issues in Patients with Chronic Kidney Failure Hello Dr. Wu, My mother has a history of mild stroke, along with mild diabetes, hypertension, hyperlipidemia, high uric acid, proteinuria, and hematuria. Her estimated glomerular filtration rate (eGFR) is currently arou...
Dr. Wu Jiyu Reply:
Hello: Regarding your question, we will discuss it in two parts: (1) Based on the information you provided, your mother's estimated glomerular filtration rate (eGFR) of 50 indicates that she is approximately in stage 3 of chronic kidney disease (CKD), which has a total of fi...[Read More] Managing Water Intake for Patients with Chronic Kidney Disease
Understanding Persistent Right Upper Abdomen Pain After Exercise
Regarding sharp pain in the upper right abdomen after exercise? Hello Dr. Hsiao, I previously inquired about a problem here (#107015). The symptoms of hunger have not disappeared, and I am currently maintaining a small, frequent meal schedule. I would like to ask another question...
Dr. Xiao Yongxun Reply:
Dear Mr. Steve: 1. First of all, I sincerely apologize for the inconvenience. I am unsure whether it is a system issue or if there was an error in handling my files, but <a href="https://adoctor.tw/article/107015">#107015</a> did not appear in my personal f...[Read More] Understanding Persistent Right Upper Abdomen Pain After Exercise
Understanding Diabetes Risk and Weight Loss: Key Insights for Health
Regarding diabetes and weight loss? Hello Dr. Hsiao, Last year's health check report indicated that my fasting blood glucose was elevated (101 > 100) and my hemoglobin A1c was normal (5.7 < 6.7). The year before, my fasting blood glucose was 85 (normal < 100) and m...
Dr. Xiao Yongxun Reply:
Dear Mr. ABC: Please read the following two points: 1. According to the American Diabetes Association's diagnostic criteria for diabetes: a. Fasting plasma glucose level ≥126 mg/dL after fasting for 8 hours or more, b. Plasma glucose level ≥200 mg/dL during a 2-hour oral g...[Read More] Understanding Diabetes Risk and Weight Loss: Key Insights for Health