Understanding Your Health: Morning Urine Bubbles and Other Symptoms
Health Consultation In the morning, my urine is foamy, and it is usually yellow and cloudy. I frequently feel the urge to urinate, have lower back pain, and feel fatigued.
Dr. Wang Weijie Reply:
Dear Aron, In the early stages of kidney disease, there are often no obvious symptoms. However, if you experience the following symptoms, it is crucial to seek medical attention promptly, especially for individuals with hypertension, hyperlipidemia, heart disease, or diabetes. R...[Read More] Understanding Your Health: Morning Urine Bubbles and Other Symptoms
Can Diabetic Patients Donate Blood While on Medication?
Diabetes mellitus Can a person with diabetes who is on medication donate blood?
Dr. Zhang Guoji Reply:
According to the "Health Standards for Blood Donors" published by the Department of Health: Article 4: Blood donors who have any of the following conditions should postpone their donation: 5. Currently suffering from syphilis, active tuberculosis, diabetes, heart diseas...[Read More] Can Diabetic Patients Donate Blood While on Medication?
Managing Diabetes Complications: Infections, Insulin Reactions, and Alcohol Risks
Diabetic complications Hello Dr. Liao, 1. I have diabetes and am undergoing treatment, but I still frequently experience fungal infections. What should I do? 2. I develop allergic reactions with redness and rashes after insulin injections. What should I do? What are the side e...
Dr. Liao Zhongxin Reply:
Dear readers: 1. For questions related to diabetes, you can visit the metabolic clinic to consult with a physician and a diabetes educator for clarification. 2. Fungal infections may occur in individuals who are obese, female, or have chronic diseases. It is important to manage b...[Read More] Managing Diabetes Complications: Infections, Insulin Reactions, and Alcohol Risks
Choosing Between Hemodialysis and Peritoneal Dialysis for Complex Cases
Hemodialysis or peritoneal dialysis? Based on the medical history provided, including left nephrectomy in 1988, abdominal surgery for peritonitis in 1992, and two cardiac catheterizations in 1997, this patient may be more suitable for peritoneal dialysis (PD) rather than hemodial...
Dr. Chen Jianyu Reply:
Due to the incomplete understanding of the patient's overall issues, such as the patient's age, whether they have diabetes or other systemic diseases, and their adherence to medical treatment, performing peritoneal dialysis may be less appropriate considering the patien...[Read More] Choosing Between Hemodialysis and Peritoneal Dialysis for Complex Cases
Understanding Impaired Glucose Tolerance: Symptoms and Management
Impaired glucose tolerance Doctor, I seem to have impaired glucose tolerance. My fasting blood sugar is around 80, which is normal, but my postprandial blood sugar sometimes reaches 130, 140, 150, and even up to 166 after two hours. Could this be a sign of impaired glucose tolera...
Dr. Cai Zonglin Reply:
The standard procedure is the Oral Glucose Tolerance Test (OGTT), where a solution containing 75 grams of glucose is consumed. If the blood glucose level is between 140 and 199 mg/dL two hours after drinking, it is classified as impaired glucose tolerance (IGT). Regardless of whe...[Read More] Understanding Impaired Glucose Tolerance: Symptoms and Management
Understanding Diabetes: Kidney Atrophy and Uremia Symptoms Explained
Diabetes concerns? Hello, Dr. Lee. 1. Why does diabetes cause renal atrophy and uremia? 2. What are the symptoms of uremia?
Dr. Li Zhiyao Reply:
Hello: In response to your two questions: 1. Metabolic factors and hemodynamic changes are the primary causes affecting diabetic nephropathy. The effects of hyperglycemia alter the feedback control of the glomeruli and renal tubules, leading to abnormal glucose metabolic path...[Read More] Understanding Diabetes: Kidney Atrophy and Uremia Symptoms Explained
Understanding Diabetic Neuropathy: Symptoms, Treatment, and Management
Diabetic neuropathy? Dear Li, Question 1: Recently, my grandmother has experienced a loss of sensation in the tips of her fingers, particularly in her index, middle, and ring fingers, which has become more severe. In addition to the numbness in her fingers, she also experiences ...
Dr. Cai Zonglin Reply:
Diabetic neuropathy commonly presents with numbness, tingling, or a sensation of wearing gloves in the extremities. If a diabetes educator is available at the hospital, a monofilament test can be performed initially. For further evaluation, a referral to a neurologist may be nece...[Read More] Understanding Diabetic Neuropathy: Symptoms, Treatment, and Management
Understanding High Uric Acid: Gout, Genetics, and Long-Term Treatment
Uric acid and metabolism issues? Hello Dr. Hsiao, Question 1: Around the age of 20, I was diagnosed with high uric acid levels, approximately double the normal range, which led to gout (in my toe). The doctor mentioned it might be hereditary, but my family members do not exhibit...
Dr. Xiao Yongxun Reply:
Question 1: The definition of hyperuricemia is a serum uric acid concentration greater than 7.0 mg/dL in men and greater than 6.0 mg/dL in women. Uric acid is a risk factor for the development of gout; however, the relationship between hyperuricemia and acute gout remains unclear...[Read More] Understanding High Uric Acid: Gout, Genetics, and Long-Term Treatment
Managing Wound Healing Challenges in Diabetic Patients After Surgery
Foot injuries in diabetic patients? Hello Doctor, my mother is 55 years old and has diabetes and hypertension. After an accident in early September, she underwent surgery for injuries to her right knee and calf, which resulted in three wounds. She was discharged after six days, b...
Dr. Chen Qingbin Reply:
Hello Xiaowen: Your mother's condition is quite complex. She has issues with diabetes, a wound infection, and nutritional problems, among others. It would be best to discuss with the attending physician before deciding whether a transfer to another hospital is necessary.[Read More] Managing Wound Healing Challenges in Diabetic Patients After Surgery
Essential Foods to Avoid for Diabetes Management
Diabetes contraindications Hello, Dr. Liao. Besides avoiding sugar and reducing oil intake, what other foods should people with diabetes avoid?
Dr. Liao Zhongxin Reply:
Hello Mr. W: For patients with diabetes, it is recommended to follow a balanced diet, with low oil and sugar intake, and an emphasis on consuming more vegetables and fruits along with regular exercise. Nutritionists suggest that any food can be consumed, but portion control is im...[Read More] Essential Foods to Avoid for Diabetes Management
Understanding Biochemical Reports: Managing Diabetes and Kidney Health
Family's biochemical report Hello Dr. Wu, I consulted with you in February this year, and today I am attaching more biochemical report data for your explanation. My father is 60 years old today and has been suffering from diabetes and kidney stones for a long time. He was or...
Dr. Wu Jiyu Reply:
My father is 60 years old today and has long been troubled by diabetes and kidney stones. He has been seeing a family medicine doctor, but for some reason, his case has been referred to a nephrologist. I have attached the examination reports from February of this year to the pres...[Read More] Understanding Biochemical Reports: Managing Diabetes and Kidney Health
Understanding the Causes of Diabetes-Related Deaths: Insights from Dr. Liao
Diabetes mellitus Hello Dr. Liao, could you please explain the causes of death related to diabetes?
Dr. Liao Zhongxin Reply:
Hello Mr. Tang: If diabetes is not well controlled, it can lead to the following complications: (1) cardiovascular disease (2) eye disorders (3) kidney disease (4) neuropathy. These are the potential impacts of poor blood sugar control. The primary goal of diabetes management is ...[Read More] Understanding the Causes of Diabetes-Related Deaths: Insights from Dr. Liao
Understanding Pain Near the Bladder: Possible Kidney Issues?
Pain occurs when pressure or pulling is applied to both sides of the bladder? Hello Doctor: I recently noticed that if I curl my body or stretch backward, I experience pain on both sides of my bladder, which should be around the kidney area. However, it’s strange because the pain...
Dr. Wu Jiyu Reply:
Dear Kay: 1. Regarding the pain when pressing or pulling on both sides of the bladder, it is important to note that this is not related to the kidneys, as the kidneys are located in the retroperitoneal space. If there were pain, it would be felt in the back, not the front. 2....[Read More] Understanding Pain Near the Bladder: Possible Kidney Issues?
Understanding Sepsis Risks in Elderly Patients with High White Blood Cell Count
The causes of sepsis? Hello, doctor: I would like to ask a question! A male patient in his seventies or eighties has a white blood cell count elevated to 17,501/cumm and a platelet count decreased to 67,000/cumm. Is it possible for him to develop sepsis and potentially die from i...
Dr. Cai Zonglin Reply:
Clinically, a systemic inflammatory response due to infection (characterized by elevated temperature, respiratory rate, heart rate, and white blood cell count) is referred to as sepsis. The prognosis may be influenced by factors such as the patient's age, nutritional status,...[Read More] Understanding Sepsis Risks in Elderly Patients with High White Blood Cell Count
Understanding Blood Sugar Monitoring: Accuracy and Common Concerns
About diabetes? First of all, I would like to thank Dr. Lee for the previous response. I do have hyperlipidemia and hypertension, which I am currently managing with medication. My average blood pressure is (systolic) 110-120 and (diastolic) 65-75. In my last inquiry, my fasting b...
Dr. Li Zhiyao Reply:
Hello: The blood glucose levels obtained from a standard blood draw are typically about 15% higher than those measured by a glucose meter, which may raise some questions for you. Since you are at high risk for diabetes, it is recommended that you continue to manage your diet and ...[Read More] Understanding Blood Sugar Monitoring: Accuracy and Common Concerns
Impact of Diet on Blood Test Results for Prediabetes
Prediabetes Hello Dr. Lee: Today, the hospital's blood test report shows fasting blood glucose: 117, glycated hemoglobin: 5.8, triglycerides: 193, cholesterol: normal, and uric acid: normal. I consumed a large amount of soda (5 bottles) and ate fried chicken nuggets (4 piece...
Dr. Li Zhiyao Reply:
Hello: Based on what you mentioned, I recommend that you pay attention to the following three points: 1. Correct your dietary habits. 2. You are at high risk for diabetes: as your glycated hemoglobin (HbA1c) is greater than 5.7; please note that glycated hemoglobin is not affecte...[Read More] Impact of Diet on Blood Test Results for Prediabetes
Understanding STDs and Diabetes: Key Insights on HIV and Type 1 vs Type 2
Sexually Transmitted Diseases and Diabetes Mellitus Hello Dr. Liao, 1. Can oral sex transmit HIV? 2. I am certain that I have diabetes; how can I determine if it is Type 1 or Type 2?
Dr. Liao Zhongxin Reply:
Hello readers: 1. The risk of HIV transmission through oral sex depends on the health status of both partners. If the oral sex provider is HIV-positive and has other sexually transmitted infections or open sores, and the recipient does not take any precautions, such as using a co...[Read More] Understanding STDs and Diabetes: Key Insights on HIV and Type 1 vs Type 2
Understanding Uremia: Kidney Dialysis, Symptoms, and Life Expectancy
Uremia Hello Doctor: My friend is 56 years old and was diagnosed with uremia due to diabetes at the end of last year. He has been experiencing continuous vomiting and has now started dialysis. Will the vomiting symptoms decrease after starting dialysis? How long can he expect to ...
Dr. Chen Jianyu Reply:
1. If vomiting is caused by uremic symptoms, it should improve after dialysis; if it is not caused by uremia, vomiting will likely persist. 2. Dialysis is not a terminal condition; the duration of life is more closely related to the control of diabetes and its vascular complicati...[Read More] Understanding Uremia: Kidney Dialysis, Symptoms, and Life Expectancy
How to Distinguish Between Type 1 and Type 2 Diabetes
Chronic diseases Hello, Dr. Lee. After a blood test, it has been confirmed that I have diabetes. How can I determine whether my diabetes is type 1 or type 2?
Dr. Li Zhiyao Reply:
Hello: Blood tests alone cannot distinguish between Type 1 and Type 2 diabetes. The classic feature of Type 1 diabetes—ketoacidosis—can sometimes also occur in Type 2 diabetes patients. Therefore, it can indeed be challenging to determine the initial classification of diabetes. S...[Read More] How to Distinguish Between Type 1 and Type 2 Diabetes
Exploring Online Claims of Kidney Disease Remedies: Fact or Fiction?
The internet is circulating information about dialysis therapy? Hello Dr. Wu, I came across a post online regarding a treatment for kidney disease that could allow patients to avoid dialysis. The original link is: https://www.facebook.com/photo.php?fbid=355286714492436&set=a....
Dr. Wu Jiyu Reply:
Dear Lawren: Regarding this widely circulated information, Dr. Wu has also received inquiries about the five principles of medication promotion by the Department of Health: 1. Do not listen to radio recommendations 2. Do not believe in miraculous effects 3. Do not buy from street...[Read More] Exploring Online Claims of Kidney Disease Remedies: Fact or Fiction?