Diabetes, Internal Medicine FAQ

Understanding Diabetic Complications: Dialysis and Its Impact

Complications caused by diabetes? Hello Doctor: My friend is 56 years old and was diagnosed with uremia caused by 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 dialys...

Dr. Wu Jiyu Reply:
Q: Will vomiting symptoms decrease after starting dialysis due to uremia caused by diabetes? A: Vomiting is one of the symptoms of uremia, and it should improve after starting dialysis. Q: How long can he maintain his life after starting dialysis? A: If he cooperates well ...

Understanding the Referral from Family Medicine to Nephrology for Diabetes Patients

The family medicine physician referred the case of my father to the nephrology department? Hello, my father has been suffering from diabetes and kidney stones for a long time. He was originally seeing a family medicine doctor, but for some reason, his case has been referred to a ...

Dr. Wu Jiyu Reply:
Sugar (Glycosuria): 1+ (-) HbA1c: 7.8% Uric Acid: 4.2 mg/dl Cholesterol Total: 219* mg/dl Q1: Attached is the examination report from February 7th. I noticed that there are no kidney function indices in the report. Can I request this test during my next outpatient visit? Answer1:...

Understanding Hypokalemia: Causes and Kidney Health Concerns

Hypokalemia issues? Hello, Doctor. In December, my blood test showed a potassium level of 3.3. I did not have diarrhea or vomiting, nor did I use diuretics. The doctor prescribed Slow-K BID for three weeks, and when I was re-evaluated in early February, my potassium level had dro...

Dr. Lin Shunfa Reply:
Hello Mimi: 1. It seems that you are quite aware of the possible causes of hypokalemia. The main causes can be summarized as follows: a. Gastrointestinal losses, which are the most common. b. Renal losses due to certain complications of diabetes, autoimmune diseases, hi...

Understanding Nighttime Chest Pain: Causes and Solutions

Chest pain at night? Hello Dr. Lee, I have been experiencing chest pain for the past five nights since February 1st. I cannot determine if the pain is superficial or internal; it feels like being punched or having a heavy weight pressing down. During the day, after I get up, th...

Dr. Li Huixiong Reply:
Since there are no issues with your cardiology consultation, you can at least be relieved about heart-related problems. In my opinion, your issue may not be easily identified through blood tests, X-rays, or electrocardiograms. I recommend that you visit a trusted internal medicin...

Understanding Thigh Pain in Diabetic Patients on Dialysis

Thigh bone pain may be caused by dialysis or diabetes? Hello Doctor: I have had diabetes for 40 years and have been on dialysis for 6 years. Currently, I am troubled by thigh bone pain, which makes walking difficult, and I am unsure of the cause. Rehabilitation and electrical the...

Dr. Lin Shunfa Reply:
1. The text does not describe the dialysis situation, such as whether there were any discomfort symptoms during dialysis, low blood pressure, cramps, etc., so it may not be possible to determine if there is a direct correlation with dialysis. It is recommended that you consult yo...

Can Oral Sex Transmit Chlamydia? Weight Loss Concerns Explained

Sexually transmitted infections (STIs) Hello Dr. Liao, 1. Can chlamydia be transmitted through oral sex? 2. What tests should be conducted if there is a sudden and significant weight loss?

Dr. Liao Zhongxin Reply:
Dear readers: 1. There is a wide variety of sexually transmitted infections (STIs), with syphilis and HIV being the most notable. 2. The method of sexual activity can lead to STIs in different areas; typically, these infections are located in the perineal region (both anterior a...

Why Won't My Grandfather's Wound Heal After a Fall?

Why do injuries from falls never seem to heal? My grandfather fell and got injured over a year ago. At that time, we didn't think much and treated the wound with standard first aid, but it never healed and continued to spread. Later, we went to a major hospital for examinati...

Dr. Liao Zhongxin Reply:
Dear readers, 1. First, assess whether the grandfather is of advanced age and if his diet is normal; then consider if there are any underlying diseases or medications involved. Many factors can affect wound healing. 2. If liver disease, diabetes, and malnutrition have been ru...

Understanding Uremia: Can Diabetes-Induced Kidney Failure Be Reversed?

Uremia? Hello Doctor: My friend is 56 years old and has been diagnosed with uremia due to diabetes. If she manages to control her condition well, can she recover? Or is uremia a lifelong affliction? Is it considered a terminal illness? How much longer can she expect to live? What...

Dr. Wu Jiyu Reply:
1. If managed well, can it be cured? If it has progressed to uremia, please face the reality that it is not possible to cure it. The only option is to cooperate well with your physician and choose appropriate renal replacement therapy (hemodialysis, peritoneal dialysis, or kidney...

Understanding Diabetic Uremia: Symptoms, Treatment, and Prognosis

Uremia..? Hello: I would like to ask if it is normal to vomit continuously due to uremia caused by diabetes? The doctor said that if there is no improvement, dialysis will be necessary. Can uremia be cured? Can uremia be fatal?

Dr. Wu Jiyu Reply:
Before answering, I would like to ask a question: Do you or your family member have uremia? Regardless, please ensure that you or your family member (or friend) consult a nephrologist as soon as possible. First, uremia (regardless of whether it is caused by diabetes) can lead to ...

Is Ionized Water Safe for Dialysis Patients with Diabetes?

Is it suitable for dialysis patients to drink ionized water? I would like to ask if my mother, who is a diabetic patient and currently undergoing dialysis, can drink alkaline water. Will it cause electrolyte imbalance or have any adverse effects on her body?

Dr. Wu Jiyu Reply:
You can consider "negative ion water" as regular water, because your mother is undergoing dialysis and has diabetes. Generally speaking, patients on dialysis tend to require the removal of more fluid (as fluid can accumulate easily), so fluid intake needs to be carefull...

Can Diabetic Patients Safely Use Electric Blankets? Expert Insights

Regarding diabetes? My mother is a diabetes patient, and recently due to the cold weather, combined with living in a damp and cold mountainous area, she had to receive intravenous therapy for two consecutive days. She is slowly recovering. I was thinking about using an electric b...

Dr. Xiao Yongxun Reply:
Electric blankets can be used to warm bedding, but should not be used directly to avoid burns. It is advisable to wear socks for warmth.

Understanding a Round Bump on Your Upper Lip After Swelling

There is a round bump in the middle of the upper lip? I scraped the upper lip with my fingernail, and now my mouth is swollen. After the swelling went down, there is a round bump in the middle of my upper lip that I don't know what it is.

Dr. Liao Zhongxin Reply:
Dear readers: 1. The skin and mucous membranes of the lips typically heal quickly after injury or abrasion (new skin formation), provided there is no nutritional imbalance (such as picky eating) or underlying immune diseases (e.g., diabetes). They should return to their origina...

Understanding Gastrointestinal and Urological Issues: Causes of Hunger and Persistent Inflammation

Gastrointestinal and urinary systems Hello Dr. Liao, what could be the reasons for not feeling full after meals and always feeling hungry? Regarding the condition of glans and foreskin inflammation that doesn't improve, besides diabetes, what other diseases could cause this?

Dr. Liao Zhongxin Reply:
Hello readers: 1. If you still do not feel satisfied after eating, aside from the developmental stage of adolescence, consider whether there may be a metabolic disorder, such as diabetes. You may want to visit a regional or higher-level hospital for further diagnosis and treatmen...

Managing Diabetes: Key Questions on Health, Exercise, and Supplements

Diabetes-related issues Hello Doctor: I have had diabetes since the first year of junior high school, primarily due to being overweight and consuming a lot of junk food from a young age (with a family history of diabetes). I have previously struggled with blood sugar control, but...

Dr. Cai Zonglin Reply:
When muscles are not contracted, they remain in a softer state. It is advisable to consult a sports medicine specialist or a rehabilitation physician regarding diabetes, which primarily involves issues with the pancreatic islet cells. Poor blood sugar control can lead to complica...

Why Can't I Gain Weight? Understanding Unexplained Weight Loss

It's strange, I can't gain weight? No matter how I eat, it seems like I can't gain weight. My height is 173 cm and my weight is 52 kg.

Dr. Cai Zonglin Reply:
There are many reasons for weight loss, including hyperthyroidism, diabetes, tuberculosis, and cancer. Patients should seek consultation at a specialty clinic or general internal medicine or family medicine outpatient department.

Can Drinking Sugary Beverages Lead to Diabetes Beyond Genetics?

Diabetes mellitus Hello, Dr. Lee. Aside from genetics, can long-term consumption of overly sweet beverages lead to diabetes?

Dr. Li Zhiyao Reply:
Mr. Chen: Hello. I would like to inform you of the main risk factors for Type 2 diabetes as follows: 1. Family history of diabetes (parents, siblings with diabetes) 2. Age over 45 years 3. Overweight (Body Mass Index ≥ 24 kg/m²) 4. Lack of physical activity 5. Ethnicity (such as ...

Can Drinking Sugary Beverages Lead to Diabetes?

Diabetes mellitus Hello, Dr. Tsai. Besides diabetes, can long-term consumption of overly sweet beverages lead to diabetes?

Dr. Cai Zonglin Reply:
Diabetes is caused by insufficient insulin production or reduced insulin sensitivity in the body. In healthy individuals, consuming sweet foods typically has a minimal impact on blood sugar levels. However, patients with a predisposition to diabetes or those who are overweight ma...

Understanding Weight Loss in Diabetes: Causes and Insights

Diabetes mellitus Hello, Dr. Lee. What is the reason for significant weight loss in patients with diabetes?

Dr. Li Zhiyao Reply:
Hello Mr. Chen: The typical symptoms of diabetes usually present as the "three polys" (polyphagia, polydipsia, polyuria) and "one decrease" (weight loss), but not every patient will exhibit these classic symptoms. When a patient's blood glucose concentrat...

Managing Proteinuria: Dietary and Exercise Tips for Better Health

Proteinuria issues? This year during my health check-up, my proteinuria results were abnormal. What dietary and exercise adjustments should I make in my daily life?

Dr. Huang Yaoxuan Reply:
In daily life, avoid smoking and drinking alcohol, and do not stay up late. In terms of diet, limit salt intake, avoid excessive protein consumption, and refrain from binge eating (if there are conditions such as diabetes, hyperlipidemia, hyperuricemia, or chronic kidney disease,...

Is Alkaline Ionized Water Safe? Debunking Myths and Health Risks

Questions regarding commercially available alkaline ionized water? Hello, doctor. There are many products on the market labeled as "alkaline ionized water" that claim to adjust the body's pH balance. I would like to know if this is true. I previously saw news repor...

Dr. Hong Hongchang Reply:
Hello, sir: Thank you for your inquiry. Here is my response to your question along with some recommendations: It is advisable to boil drinking water before consumption. Regarding hypertension and diabetes, since there is a family history, it is recommended to control weight and f...

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