Understanding Diabetes Risk: Interpreting Your Blood Test Results
What is the likelihood of developing diabetes? Hello Doctor, Happy New Year! I would like to ask about my fasting blood test results after 12 hours: Mean Corpuscular Volume (MCV) 78.5, Hemoglobin 24.6, High-Sensitivity C-Reactive Protein (hs-CRP) 10.58, Glycated Hemoglobin (HbA1c...
Dr. Xiao Yongxun Reply:
1. Your fasting blood test report shows an average red blood cell volume of 78.5, hemoglobin of 24.6, high-sensitivity C-reactive protein of 10.58, glycated hemoglobin (HbA1c) of 7.7, GOT (AST) of 86, GPT (ALT) of 172, alkaline phosphatase of 110, total iron binding capacity of 5...[Read More] Understanding Diabetes Risk: Interpreting Your Blood Test Results
Understanding Right Lower Chest and Abdominal Pain: When to Seek Help
Pain in the lower right quadrant of the abdomen? Hello, doctor! Recently, a family member has been experiencing discomfort in the lower right side of the abdomen, but there are no lumps in the chest or abdomen. The pain comes in waves and has been ongoing for about five days. The...
Dr. Li Zhiyao Reply:
Hello: The most common cause of pain in the upper right abdomen is related to liver and gallbladder issues. If the symptoms are severe, it is advisable to go to the emergency department; otherwise, it is recommended to see a gastroenterologist specializing in liver and gallbladde...[Read More] Understanding Right Lower Chest and Abdominal Pain: When to Seek Help
Understanding Blood Sugar Levels and Their Impact on Sexual Health
Blood sugar issues Doctor, I had a blood sugar test at the end of August, and my fasting level was around 80 mg/dL. I have been worried about various issues related to sexual function this past year and have sought medical attention for it. I read online that diabetes can affect ...
Dr. Li Zhiyao Reply:
Hello: A fasting blood glucose level of 80 is within the normal range. If there are concerns, you may consider additional testing for postprandial blood glucose at 2 hours and glycated hemoglobin (HbA1c). For issues related to sexual function, it is recommended to consult a urolo...[Read More] Understanding Blood Sugar Levels and Their Impact on Sexual Health
Understanding Elevated Fasting Blood Sugar: Causes and Follow-Up
Elevated blood sugar levels in health checkup? The fasting blood glucose level from the health check was measured at 107 mg/dL, and the glycated hemoglobin (HbA1c) is normal. I recently consumed more sweets than usual over the past two weeks. Could this have an impact, or is it u...
Dr. Xiao Yongxun Reply:
1. Generally, a normal fasting plasma glucose level is less than 100 mg/dL. If it falls between 100 mg/dL and 126 mg/dL, it can be considered as prediabetes or impaired fasting glucose. Of course, if the postprandial blood glucose is greater than or equal to 126 mg/dL, diabetes s...[Read More] Understanding Elevated Fasting Blood Sugar: Causes and Follow-Up
Managing Diabetes: Medication and the Role of B Vitamins
Diabetes medications and B vitamins? Hello Doctor, my father is 57 years old and has been diagnosed with diabetes for over two years. He is currently taking the following three medications: 1. Glucophage 500mg (twice daily, one tablet with breakfast and one with dinner) 2. Glybur...
Dr. Xiao Yongxun Reply:
The medications your father is taking are as follows: a. Galvus® (Vidagliptin, typically 50 mg). b. Glimet® (containing Glimepiride 2 mg/Metformin 500 mg). c. Lipitor® (available in Atorvastatin 10, 20, and 40 mg dosages). His hemoglobin A1c is 7.6%. 1. I believe the medication...[Read More] Managing Diabetes: Medication and the Role of B Vitamins
Should You Seek Medical Attention for Blood Sugar Concerns?
Should I seek medical attention for blood sugar issues? Doctor, I had a hemoglobin A1c test two days ago, and it was 5.1. My fasting blood sugar is around 80, but it spikes to about 170 two hours after eating (I only had half a bowl of white rice and some vegetables). If I eat ev...
Dr. Li Zhiyao Reply:
Hello: It is recommended that you continue with dietary control and regular exercise, and follow up with a medical check-up in 3 to 6 months.[Read More] Should You Seek Medical Attention for Blood Sugar Concerns?
Understanding Glucose Intolerance: Causes, Effects, and Management Strategies
Impaired glucose tolerance 1. If eating a bowl of white rice results in a blood sugar level of around 169 two hours after the meal, while consuming steamed vegetables and wonton soup leads to a blood sugar level of 131 two hours later, does this indicate impaired glucose toleranc...
Dr. Xiao Yongxun Reply:
1. Generally, normal postprandial blood glucose levels are less than 140 mg/dL. If the levels are between 140 mg/dL and 200 mg/dL, it is referred to as impaired glucose tolerance. Of course, if postprandial blood glucose is greater than or equal to 200 mg/dL, diabetes mellitus sh...[Read More] Understanding Glucose Intolerance: Causes, Effects, and Management Strategies
Understanding Blood Sugar Levels: Are You at Risk for Diabetes?
Abnormal blood sugar levels? Doctor, I had a boiled egg for breakfast at 11 AM. Two hours later, my blood sugar level was 92. After lunch (which was a small hot pot and a bowl of white rice), my blood sugar level was 165 two hours later. For dinner, after eating half a bowl of fr...
Dr. Li Zhiyao Reply:
Hello: It is recommended that you have your check-up at the hospital when your diet is normal (including timing and portion size) for better assessment. The blood glucose data you provided clearly correlates with your food intake. It would be more accurate to maintain a consisten...[Read More] Understanding Blood Sugar Levels: Are You at Risk for Diabetes?
Am I Pre-Diabetic? Understanding Blood Sugar Levels and Next Steps
Is this prediabetes? This morning, my fasting blood sugar was 82. Two hours after lunch, it was 179. A few minutes later, it changed to 161 and then 169. Two hours after dinner, it was 172, and two and a half hours after dinner, it was 144. My grandfather and father have diabetes...
Dr. Li Zhiyao Reply:
Hello: It is recommended to exercise more as you mentioned, improve dietary habits, especially paying attention to calorie intake and portion control. Following this, tracking your progress will allow for a more accurate diagnosis.[Read More] Am I Pre-Diabetic? Understanding Blood Sugar Levels and Next Steps
Managing Blood Sugar Levels: Essential Checks and Monitoring for Pre-Diabetes
Regarding blood glucose levels? Hello Doctor, I am 24 years old and 173 cm tall. My weight has dropped from 60 kg to 55 kg in three months, and there is a family history of diabetes (my father and grandmother are both diagnosed patients). Last week, I had my blood sugar tested, w...
Dr. Li Zhiyao Reply:
Hello: 1. Follow-up every 1.3 to 6 months; if there are any abnormal symptoms, seek medical attention immediately. If time permits, check HbA1c before and after meals, ideally twice. 2. It is not necessary to check every time; the physician will determine the need based on the pa...[Read More] Managing Blood Sugar Levels: Essential Checks and Monitoring for Pre-Diabetes
Choosing the Right Hospital and Doctor for Diabetes Management
Diabetes physician Hello Doctor: When the examination report confirms diabetes, how should I choose a hospital and a physician for consultation? This is really troubling me.
Dr. Xiao Yongxun Reply:
According to the American Diabetes Association, diabetes is a metabolic disease characterized by a defect in the secretion of insulin by the pancreatic beta cells, resulting in either an insufficient amount of insulin or inadequate action of insulin, leading to elevated blood glu...[Read More] Choosing the Right Hospital and Doctor for Diabetes Management
Understanding Kidney Health: Common Concerns and Diagnostic Tests Explained
How are kidney blood and urine tests conducted, and are there any issues to be aware of? In mid-October, I had blood tests, urine tests, and X-rays done at the nephrology department. The reports came back normal. 1. However, I notice that my urine has bubbles that disappear in ...
Dr. Wu Jiyu Reply:
1. Based on the report you provided, it can only be roughly determined that there is no proteinuria, and it is not possible to fully confirm whether kidney function is normal (as there are no blood test results for creatinine and glomerular filtration rate provided). 2. Most cas...[Read More] Understanding Kidney Health: Common Concerns and Diagnostic Tests Explained
Understanding Diabetes: Can Pancreatitis Cause High Blood Sugar?
Diabetes Consultation Doctor, there are many causes of diabetes. I heard that pancreatitis can also lead to diabetes. If blood glucose and hemoglobin A1c levels are both very high, can we directly conclude that it is type 2 diabetes? Does this mean it cannot be caused by pancreat...
Dr. Li Zhiyao Reply:
Hello: Diabetes caused by pancreatitis is mostly due to chronic pancreatitis resulting from alcohol abuse, which then leads to diabetes. If you do not have this condition, the likelihood of having type 2 diabetes is the highest. If you have any questions, please consult a special...[Read More] Understanding Diabetes: Can Pancreatitis Cause High Blood Sugar?
Exploring Endocrine Issues Behind Chronic Fatigue and Sleepiness
Is it related to endocrinology? Hello, Doctor. The patient has been experiencing long-term fatigue, excessive daytime sleepiness, and difficulty concentrating. After being diagnosed with sleep apnea and undergoing surgery, the sleep oxygen levels have improved significantly. Fati...
Dr. Zeng Guosen Reply:
Hello, online user: The endocrine system has many functions, and its glands are located from the pituitary gland to various parts of the body. If you need further examination, it is recommended to visit an endocrinology specialty clinic for a resolution. Thank you for your questi...[Read More] Exploring Endocrine Issues Behind Chronic Fatigue and Sleepiness
Understanding Morning Blood Sugar Spikes: Causes and Solutions
Every morning around 11 AM, my blood sugar spikes abnormally high? Hello, Doctor. Currently, my fasting blood sugar in the morning is between 110 and 120. Two years ago, my hemoglobin A1c was 5.6. Over the past two years, I've noticed that every morning after 10 AM, before l...
Dr. Lin Shunfa Reply:
TO: yikun It seems that you are concerned about prediabetes. 1. It is often said that in the early stages of diabetes or in patients with prediabetes, there can be an overproduction of insulin in the body before blood glucose levels rise to a point where diabetes can be diagnosed...[Read More] Understanding Morning Blood Sugar Spikes: Causes and Solutions
Understanding Yellowing of Hands and Fingers: When to See a Doctor
Regarding yellowing of the palms, with a single finger turning particularly yellow and experiencing numbness when exposed to cold? Hello Doctor, I am concerned about my mother's health condition, but I am unsure which medical specialty is appropriate for her symptoms. I apol...
Dr. Li Zhiyao Reply:
Hello: 1. If there are no liver or gallbladder issues and you frequently consume foods rich in carotenoids, such as papaya and carrots, then carotenoids may be the reason for the yellowing of your hands. 2. Cold weather can cause finger numbness, which may be related to blood cir...[Read More] Understanding Yellowing of Hands and Fingers: When to See a Doctor
Understanding Blood Sugar Changes After Tuberculosis Treatment
Please ask your questions regarding blood sugar? Hello Doctor, my mother has been taking anti-tuberculosis medication (Rifampicin + EMB + PZA + INH) for a month, and her fasting blood glucose has increased from the 90s to 105. She has a history of gestational diabetes and has bee...
Dr. Li Zhiyao Reply:
Hello: Antituberculosis medications do not cause diabetes; elevated blood sugar levels may be due to increased food intake. During tuberculosis treatment, regular blood tests will be conducted. Please monitor your blood sugar levels regularly and discuss them with your attending ...[Read More] Understanding Blood Sugar Changes After Tuberculosis Treatment
Can Abnormal Blood Sugar Levels Be Reversed with Diet and Exercise?
Development of Abnormal Blood Sugar Levels Hello doctor, I would like to ask: If someone already has elevated fasting blood glucose or impaired glucose tolerance, can they achieve normal blood glucose levels (fasting less than 100) through dietary control, regular exercise, and w...
Dr. Li Zhiyao Reply:
Hello Mr. Lai: The three possibilities you mentioned all exist, and it depends on the severity of your condition and your level of self-control.[Read More] Can Abnormal Blood Sugar Levels Be Reversed with Diet and Exercise?
Understanding Fasting Blood Sugar Levels: Are You at Risk for Diabetes?
Fasting blood glucose level Dear Doctor: I measured my fasting blood glucose levels at the end of September, early October, and yesterday, with values of 120, 103, and 129, respectively, all after fasting for 8 hours. Additionally, I had my hemoglobin A1c tested yesterday, which ...
Dr. Li Zhiyao Reply:
Hello: 1. Based on your blood glucose levels, you are currently classified as "prediabetic." It is recommended that you control your diet, engage in regular exercise, and maintain a healthy weight. 2. Blood glucose levels can fluctuate at any time, and the situations yo...[Read More] Understanding Fasting Blood Sugar Levels: Are You at Risk for Diabetes?
Managing Cellulitis in Diabetic Patients: Effective Strategies and Care
Cellulitis Hello Doctor, I would like to ask about my boyfriend's mother, who is 59 years old and a diabetic patient. She was diagnosed with cellulitis on September 27 and has been hospitalized for two weeks. The doctors have indicated that her blood circulation has not im...
Dr. Xiao Yongxun Reply:
1. Long-term diabetes patients require a combination of diet, exercise, and medication to prevent macrovascular complications (including stroke, myocardial infarction, and peripheral artery disease) and microvascular complications (including retinopathy, nephropathy, and neuropat...[Read More] Managing Cellulitis in Diabetic Patients: Effective Strategies and Care