Understanding Blood Sugar Spikes After Pain Management in Diabetics
Factors Affecting Blood Glucose Levels I would like to consult a doctor. My mother has been experiencing lower back pain and has seen an orthopedic doctor. She received an injection and is taking muscle relaxants. Since my mother has diabetes, her blood sugar levels are regularly...
Dr. Li Jian Reply:
Pain can cause an increase in blood sugar levels, and certain injections, such as steroids, can also raise blood sugar levels. Thank you for your inquiry.[Read More] Understanding Blood Sugar Spikes After Pain Management in Diabetics
Understanding Pre-meal Blood Sugar and HbA1c Levels: A Patient's Inquiry
Questions about pre-meal blood glucose and glycated hemoglobin? Hello Doctor, during my health check in 2018, my fasting blood sugar was 105, and in 2022, it was 113, with other results normal. After undergoing an endoscopy on September 1st this year, I noticed my previous blood ...
Dr. Li Jian Reply:
Elevated fasting blood glucose is also a risk factor for diabetes. It is recommended that you lose weight and continue to follow up at the metabolic clinic. Thank you for your inquiry.[Read More] Understanding Pre-meal Blood Sugar and HbA1c Levels: A Patient's Inquiry
Understanding Gastrointestinal Discomfort: Insulin Resistance Connection
Gastrointestinal discomfort Hello doctor, I have been experiencing issues with gas and belching for the past few months. I recently underwent an endoscopy, and the doctor prescribed medication, but it hasn't been very effective. Today, I received my company's health che...
Dr. Cai Mingsong Reply:
Intestinal gas can be caused by gastrointestinal diseases, dietary issues, or other problems. Insulin resistance occurs when the body's muscles and fat respond poorly to insulin, which may lead to hyperglycemia. Individuals with diabetes often experience gastrointestinal iss...[Read More] Understanding Gastrointestinal Discomfort: Insulin Resistance Connection
Understanding Blood Sugar Levels: Insights for Diabetic Concerns
Diabetes-related issues Hello doctor, I have a family history of diabetes, and recently I've been feeling some unusual symptoms. Sometimes I urinate a lot, and after fasting for eight hours, my blood glucose level was 118 mg/dL. My HbA1c was 4.4%, and the doctor said the hem...
Dr. Li Jian Reply:
You may also consider visiting a metabolic clinic for an oral glucose tolerance test. Thank you for your inquiry.[Read More] Understanding Blood Sugar Levels: Insights for Diabetic Concerns
Can Mouse Droppings Cause Severe Infections and Sepsis?
Inquire about the authenticity of this medical news article? Dear Dr. Lin, A family friend recently passed away. The elder had diabetes and felt symptoms of a urinary tract infection, so they took over-the-counter medication. That night, they developed a fever, which subsided af...
Dr. Lin Wufu Reply:
Hello, mice and mouse droppings naturally carry many pathogens, and contact with them can indeed lead to severe bacterial infections. However, the progression of the condition you mentioned is not uncommon in diabetic patients and may not necessarily be related to mice. It is imp...[Read More] Can Mouse Droppings Cause Severe Infections and Sepsis?
Understanding Urine Ketones: What Does a 3+ Result Mean for Your Health?
The medical examination report indicates urine ketones at 3+? Hello doctor, in April of this year, I experienced redness, swelling, and pain in my left foot, and a doctor at a clinic diagnosed it as gout (without blood tests). I have a history of gout and usually manage my diet, ...
Dr. Li Jian Reply:
The production of urine ketones is usually related to prolonged fasting. Please consult a metabolic specialist. Thank you for your inquiry.[Read More] Understanding Urine Ketones: What Does a 3+ Result Mean for Your Health?
Understanding Kidney Function Abnormalities: eGFR Decline and Management
Renal dysfunction eGFR 66, CREA 1.13, PRO Negative. No significant renal parenchymal damage, no diabetes, no hyperlipidemia, no hypertension. Currently occasionally taking Adderall, Centrum, and other medications like Heli-Tamin F50. The kidneys have cysts and stones, and there w...
Dr. Huang Yaoxuan Reply:
Please come to the outpatient clinic for evaluation.[Read More] Understanding Kidney Function Abnormalities: eGFR Decline and Management
Understanding Blood Sugar Levels: Should You Worry About 100 mg/dL?
Blood sugar issues? Doctor, I apologize for bothering you. I would like to ask about my recent concerns regarding my blood sugar levels. The last time I measured my blood sugar was about three to four hours after a meal (the dinner consisted of two packs of Korean instant noodles...
Dr. Lin Wufu Reply:
Hello, a postprandial blood sugar level of 100 mg/dL is quite standard! If you're concerned, you can have your hemoglobin A1c tested, which reflects the average blood glucose levels over the past three months and can provide a more accurate assessment of whether you have pre...[Read More] Understanding Blood Sugar Levels: Should You Worry About 100 mg/dL?
Understanding Diabetes Diagnosis: Is There Room for Reassessment?
Is there still room for maneuver regarding the diagnosis of diabetes? The company's health check showed a fasting blood glucose level of 131 mg/dL (with a hemoglobin A1c of 6.7% from late September). Last week, I had a separate lipid panel test with a triglyceride level of 1...
Dr. Li Jian Reply:
Since the blood glucose levels were tested separately on two occasions, they meet the criteria for diabetes. It is advisable to control it as soon as possible.[Read More] Understanding Diabetes Diagnosis: Is There Room for Reassessment?
Understanding High Insulin Resistance and Blood Insulin Levels: A Guide
High blood insulin levels and high insulin resistance? Hello, doctor. I would like to ask about my recent self-paid blood tests. My insulin resistance index is 7.1 (normal range: 1.4-2.0), and my blood insulin concentration is 28.65 uU/mL (normal range: 2.6-24.9), which is higher...
Dr. Lin Jianliang Reply:
Hello, a fasting blood glucose level of 100 mg/dL is classified as impaired fasting glucose (IFG), which is a form of prediabetes. The diagnosis of prediabetes does not rely on the insulin resistance index or blood insulin levels. There are many reasons for a high insulin resista...[Read More] Understanding High Insulin Resistance and Blood Insulin Levels: A Guide
Exploring Additional Tests for Persistent Low Hemoglobin in Diabetic Patients
Are there any other recommended tests to be done? Hello, my grandfather is a diabetes patient and was previously diagnosed with rectal cancer. Over the past two years, his regular diabetes monitoring tests have shown that his hemoglobin (Hb) levels have consistently been low (aro...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I recommend arranging a hematology outpatient appointment for the elderly gentleman to discuss with the physician the management of iron supplementation that has not been effective. Autoimmunity, bone marrow hematopoietic function, and tumors ma...[Read More] Exploring Additional Tests for Persistent Low Hemoglobin in Diabetic Patients
Is a Fasting Blood Sugar of 90 mg/dL Considered High?
A fasting blood glucose level of 90 mg/dL is generally considered to be within the normal range. However, it is important to interpret this value in the context of individual health conditions and risk factors for diabetes? Hello doctor, is a fasting blood sugar level of 90 consi...
Dr. Li Jian Reply:
A level below 100 is considered normal. If there is a family history of diabetes or issues with being overweight, it is advisable to test for glycated hemoglobin (HbA1c). Thank you for your inquiry.[Read More] Is a Fasting Blood Sugar of 90 mg/dL Considered High?
Understanding Prediabetes: Key Questions and Concerns Explained
Hello doctor, I would like to ask some questions about diabetes? I had a health check-up two weeks ago. My fasting blood sugar was 116 mg/dL and my hemoglobin A1c was 5.7%. Does this mean I am in the prediabetic stage or have I already developed diabetes? In the morning, my fasti...
Dr. Lin Jianliang Reply:
Hello Mr. Kuo: Your fasting blood glucose is 116, and your hemoglobin A1c is 5.7, which indicates impaired fasting glucose, but it is not diabetes yet. Your blood glucose before lunch is also abnormal, ranging from 117 to 12X. It is recommended that you consult a metabolic specia...[Read More] Understanding Prediabetes: Key Questions and Concerns Explained
Understanding Elevated Creatinine and Triglycerides: Key Insights for Patients
Both creatinine and triglycerides are elevated? Question: I visited my family medicine doctor on Sunday because I previously had high cholesterol issues (last year it was 236). The doctor asked if I could have blood drawn to track my levels today. I replied that I had just gone h...
Dr. Lin Jianliang Reply:
Hello, Xiaohua: To measure triglycerides, you should fast for 8-10 hours. The values can be affected by diet, so it is recommended to fast for 8-10 hours and avoid vigorous exercise before the test.[Read More] Understanding Elevated Creatinine and Triglycerides: Key Insights for Patients
Traveling with Diabetes: Essential Tips for Your Trip to Vietnam
Traveling Abroad with Diabetes Hello Dr. Lin: My father has type 2 diabetes, diagnosed for a year and a half, with his HbA1c maintained between 5.8 and 6. He is currently controlling it with medication. Next month, he will be going on a 5-day trip to Vietnam with friends. The med...
Dr. Lin Jianliang Reply:
Hello Ms. Yang: Each country has its own regulations, so please consult the local customs regarding this issue.[Read More] Traveling with Diabetes: Essential Tips for Your Trip to Vietnam
Understanding Blood Sugar Levels: When to Seek Further Testing
Blood sugar issues? Hello doctor, I recently had a health check-up, and the report indicated "generally normal, regular check-ups recommended." However, I noticed that my blood sugar levels are nearing the normal range limit; my fasting blood glucose (AC) is 95 mg/dL. I...
Dr. Li Jian Reply:
If there is a family history of diabetes or issues with being overweight, you can also go to a major hospital for further examinations, such as checking your hemoglobin A1c. Thank you for your inquiry.[Read More] Understanding Blood Sugar Levels: When to Seek Further Testing
Understanding Fasting vs. Postprandial Blood Sugar Levels: A Patient's Concern
Is it considered preprandial blood glucose or postprandial blood glucose? I have a history of hypertension and take my medication every morning before meals. My blood pressure is currently well-controlled. I am 158 cm tall, weigh 55 kg, and am 44 years old. On the evening of Augu...
Dr. Lin Jianliang Reply:
Hello: I had milk tea around 3-4 PM. I tested my blood sugar at 6 PM, which is considered postprandial blood sugar (2 hours after eating), not fasting blood sugar.[Read More] Understanding Fasting vs. Postprandial Blood Sugar Levels: A Patient's Concern
Managing Excessive Sweating and Heat Sensation in Diabetes Patients
Chest heat or chest discomfort? Hello doctor, I have type 2 diabetes, and about three years ago, I started experiencing night sweats while covered with a blanket during winter (mostly concentrated in the chest and back). In recent months, I have been able to clearly feel a wave o...
Dr. Lin Jianliang Reply:
Hello, since the symptoms you described are non-specific, it is recommended to consult a family medicine physician first.[Read More] Managing Excessive Sweating and Heat Sensation in Diabetes Patients
Sudden Spike in Urinary Protein: Possible Autoimmune Causes?
Sudden increase in urinary protein levels? Hello Doctor, my urine protein levels skyrocketed from below 30 to 106 between June 7 and July 11, along with increases in microalbumin and urine albumin-to-creatinine ratio, while other urine tests remained normal. I was hospitalized in...
Dr. Lin Wuxuan Reply:
If you experience any discomfort, please schedule an earlier appointment and discuss it with your attending physician. Thank you.[Read More] Sudden Spike in Urinary Protein: Possible Autoimmune Causes?
Scleroderma and Microalbuminuria: Understanding the Connection and Next Steps
Scleroderma and Urinary Microalbumin Hello, in April of this year, I went to the rheumatology and immunology department due to hand pain and found the following abnormalities: ANA 1:160 (AC-10) Nucleolar punctate, Anti-Scl-70 16 (-) reference value (120 au/ml), Anti-Sm 9 (-), Ant...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. The results from your rheumatology examination are mostly negative, with some results falling into a gray area, making it indeed difficult to draw conclusions based on the current test results. The diagnosis of scleroderma can sometimes be confi...[Read More] Scleroderma and Microalbuminuria: Understanding the Connection and Next Steps