Understanding Your Diabetes Risk: Key Health Check Insights
Questions related to diabetes? Every year, I participate in my company's health check-up. I am 35 years old, 179 cm tall, and weigh between 55 to 56 kg. I have always been slim and unable to gain weight since childhood, and I maintain a regular exercise routine. I have mild ...
Dr. Li Jian Reply:
You can undergo an oral glucose tolerance test at the Metabolism Clinic. Thank you for your inquiry.[Read More] Understanding Your Diabetes Risk: Key Health Check Insights
Can Switching to Insulin Help Manage Post-Meal Blood Sugar Levels?
If the effect of using metformin after meals is not satisfactory, can insulin therapy be considered? Hello, Doctor. Thank you very much for your response. I have had diabetes for 2 years, with an initial HbA1c of 6.6 and a fasting blood glucose of 142. I have been using Metformin...
Dr. Lin Jianliang Reply:
Hello: 1. There are many factors that contribute to postprandial hyperglycemia, and there are various ways to manage it. Insulin is one of the methods. I am not aware of the specific regulations regarding insulin under the health insurance system. 2. Your physician will likely co...[Read More] Can Switching to Insulin Help Manage Post-Meal Blood Sugar Levels?
Understanding High Urinary Glucose Levels: Is It Prediabetes?
Urine glucose 3+ issue? My 23-year-old son underwent a military service examination at the National Taiwan University Hospital in Hsinchu. His height is 178 cm, weight is 64.2 kg, and BMI is 20.1. During the examination, he had a urine glucose level of 500 (3+). He returned to th...
Dr. Li Jian Reply:
If fasting is not observed, glycosuria may occur. You can retest the hemoglobin A1c in three months. Thank you for your inquiry.[Read More] Understanding High Urinary Glucose Levels: Is It Prediabetes?
Understanding Diabetic Peripheral Neuropathy Recovery Challenges
Diabetic peripheral neuropathy recovery issues? Hello Doctor, my father (59 years old) has been experiencing numbness in his legs since October of last year. By January, his condition deteriorated rapidly from being able to walk to having difficulty walking within just a few week...
Dr. Lin Jianliang Reply:
1. Seeking a second opinion, if necessary, is not a waste of time. 2. Some conditions can be cured, while others can only be managed. However, not treating them is not an option, and improvement may take time. 3. If leg swelling cannot be adequately controlled through diet al...[Read More] Understanding Diabetic Peripheral Neuropathy Recovery Challenges
Does Hyperthyroidism Affect Fasting Blood Sugar Levels?
Does hyperthyroidism affect fasting blood glucose levels? Hello, doctor! Four years ago, I had my first adult health check-up, and my fasting blood glucose was slightly elevated at 106. Four years later, I had my second check-up, and my fasting blood glucose is still 106. Could t...
Dr. Li Jian Reply:
Thyroid antibody tests should ideally be monitored once a year. If fasting blood glucose levels are elevated, it is advisable to check glycated hemoglobin (HbA1c) to assess average blood sugar levels. Thank you for your inquiry.[Read More] Does Hyperthyroidism Affect Fasting Blood Sugar Levels?
Understanding Leg Swelling and Muscle Twitches: When to Seek Medical Help
Twitching and pain in the thigh area? The doctor would like to ask you: Last year, after injuring the bottom of my left foot, I experienced swelling in both legs up to my thighs. A subsequent CT scan revealed that I have narrowing of the lymphatic vessels in my legs, but the doct...
Dr. Li Jian Reply:
Please schedule an appointment with the neurology department for an examination. Thank you for your inquiry.[Read More] Understanding Leg Swelling and Muscle Twitches: When to Seek Medical Help
Dietary Recommendations for Elderly Patients with Diabetes, Hypertension, and Kidney Issues
For patients with chronic kidney dysfunction, diabetes, and hypertension, it is important to follow a diet that helps manage these conditions. Here are some dietary recommendations: 1. **Limit Sodium Intake**: Reduce salt consumption to help control blood pressure. Aim for less ...
Dr. Lin Wuxuan Reply:
Hello, it is recommended to first take the elderly person to an outpatient clinic for examination and evaluation, and then consult a nutritionist for dietary advice. Thank you.[Read More] Dietary Recommendations for Elderly Patients with Diabetes, Hypertension, and Kidney Issues
Understanding Proteinuria: Key Questions About Kidney Health and Lifestyle
Inquiry Consultation Dear Dr. Wu, I had a health check-up in September 2015, during which my fasting blood glucose level was 95 mg/dL; my estimated glomerular filtration rate (eGFR) was 105 mL/min; my albumin level was 3.5 g/dL; and my albumin-to-globulin ratio was 1.6. All of t...
Dr. Wu Hongjie Reply:
Q1. News reports online indicate that some doctors state: "Chronic kidney failure typically takes 20 to 30 years from the initial damage to the kidneys until dialysis is needed." Dr. Wu, is this statement accurate? Given that different stages of chronic kidney disease (...[Read More] Understanding Proteinuria: Key Questions About Kidney Health and Lifestyle
Understanding Pre-Diabetes: Does It Affect Future Pancreatic Function?
Diabetes mellitus Previously, during a check-up for glycated hemoglobin, the doctor mentioned that some indices were slightly elevated, indicating prediabetes. After a period of self-management, my blood sugar levels are now normal. Given this medical history, will the pancreatic...
Dr. Li Jian Reply:
Typically, young individuals have a fast recovery of bodily functions. As long as there is no history of heavy drinking, pancreatic function is unlikely to be affected. However, regular monitoring of blood glucose levels is necessary. Thank you for your inquiry.[Read More] Understanding Pre-Diabetes: Does It Affect Future Pancreatic Function?
Understanding Glucose Tolerance Tests: Can You Safely Eat Carbs?
Glucose tolerance test Hello doctor, a year ago I had a hemoglobin A1c test that showed 5.8, and the doctor said I was in the prediabetes stage. Since then, I have been cautious about eating carbohydrates, and when I retested my hemoglobin A1c, it was 5.4, with normal insulin res...
Dr. Li Jian Reply:
Staple foods can include whole grain rice or brown rice, and it is advisable to choose high-fiber or whole foods while minimizing refined carbohydrates. Patients with prediabetes can undergo an oral glucose tolerance test; however, currently, the focus is primarily on hemoglobin ...[Read More] Understanding Glucose Tolerance Tests: Can You Safely Eat Carbs?
Key Health Concerns and Obesity: Understanding Your Test Results
Issues I should be aware of regarding obesity? Examination Date Examination Item Result 01/13/112 Creatinine (U) 22.70 01/13/112 Urine Protein 4.00 01/13/112 Glucose (B) 98.00 01/13/112 HbA1c 6.20 01/13/112 GPT 64 01/13/112 HDL-C 45 01/13/112 LDL-C 82.00 01/13/112...
Dr. Li Jian Reply:
A hemoglobin A1c level of 6.2 indicates prediabetes, and it is important to implement dietary control and exercise to prevent the progression to diabetes in the future.[Read More] Key Health Concerns and Obesity: Understanding Your Test Results
Concerns About Ants in My Cup: Diabetes Worries Explained
About ants? Hello doctor, I recently noticed that sometimes there are ants in my water cup, and I'm worried that I might have diabetes. (My situation: I have no family history of the disease, I'm currently 23 years old, and I usually go to bed late and wake up late, aro...
Dr. Hong Yuanbin Reply:
Hello, the presence of ants cannot indicate whether someone has diabetes. It is recommended to purchase or borrow a simple blood glucose meter to test fasting blood glucose levels. A fasting blood glucose level below 100 mg/dL is considered normal. Thank you for your inquiry.[Read More] Concerns About Ants in My Cup: Diabetes Worries Explained
Understanding Increased Bowel Movements: Is It Irritable Bowel Syndrome?
Bowel movements 4 to 5 times a day? Hello Doctor, since December, my bowel movements have increased from 1-2 times a day to 4-5 times a day. I have diabetes and usually have a bowel movement once after breakfast, which is typically well-formed. However, in the afternoon, I experi...
Dr. Hong Yuanbin Reply:
Hello, it is indeed possible that it could be irritable bowel syndrome or food-related issues, such as dragon fruit, which can easily cause diarrhea. It is recommended to first consult a gastroenterologist or a family medicine physician to check for any issues with your stool. Af...[Read More] Understanding Increased Bowel Movements: Is It Irritable Bowel Syndrome?
Managing Glucose Intolerance: Dietary Adjustments and Lifestyle Changes
Glucose Tolerance Abnormality and Dietary Adjustments Hello, doctor. I am the person who asked about the elevated fasting blood glucose level (#189944). Recently, my OGTT results came back with fasting: 911, 1-hour: 1822, 2-hour: 1263, and 3-hour: 61, indicating impaired glucose ...
Dr. Li Jian Reply:
1. Clinical diagnostic criteria for diabetes: Hemoglobin A1c (HbA1c) ≥ 6.5%, fasting plasma glucose ≥ 126 mg/dL, 2-hour plasma glucose ≥ 200 mg/dL during an oral glucose tolerance test, or symptoms of hyperglycemia (including polyuria, polydipsia, and weight loss) with a random p...[Read More] Managing Glucose Intolerance: Dietary Adjustments and Lifestyle Changes
Managing High Cholesterol: When to See a Doctor and Lifestyle Tips
Recent health check revealed slightly elevated cholesterol levels? Recently, a health check revealed slightly elevated cholesterol levels. My height is 164 cm and weight is 44 kg. Total cholesterol is 238 mg/dL, triglycerides are 42 mg/dL, HDL (high-density lipoprotein) is 69.9 m...
Dr. Lin Jianliang Reply:
Hello: It is recommended to see a physician. Whether treatment is necessary depends on the physician's assessment of any risk factors you may have, such as hypertension, diabetes, cardiovascular disease, cerebrovascular disease, and other risk factors. Additionally, it is im...[Read More] Managing High Cholesterol: When to See a Doctor and Lifestyle Tips
Understanding Elevated Fasting Blood Sugar: Causes and Concerns
Fasting blood glucose levels are elevated? On October 14, 2021, I went to the emergency room due to discomfort from vaccine side effects, around 8 PM after dinner, feeling very anxious (due to chest pain). The emergency department recorded a blood glucose level of 171. A few days...
Dr. Li Jian Reply:
Fasting blood glucose greater than 100 mg/dL or hemoglobin A1c greater than 5.6% indicates prediabetes. Low-dose mirtazapine is not commonly associated with hyperglycemia. Maintaining proper dietary control and lifestyle adjustments is key. Thank you for your inquiry.[Read More] Understanding Elevated Fasting Blood Sugar: Causes and Concerns
Understanding Elevated Creatinine Levels: Health Tips for a 34-Year-Old
The health check report shows a creatinine level of 1.31? Dear Doctor, I am 34 years old. My health check report from October 4, 2022, shows a BMI of 22.4, a waist circumference of 77 cm, a creatinine level of 1.31, and a glomerular filtration rate (GFR) of 66.57. There is no pro...
Dr. Huang Yaoxuan Reply:
Hello HEBE: "Creatinine 1.31, Glomerular Filtration Rate 66.57." You can follow up at the nephrology outpatient clinic. Additionally, regarding "daily diet/lifestyle," it is recommended to measure your blood pressure daily, avoid excessive salt intake, limit f...[Read More] Understanding Elevated Creatinine Levels: Health Tips for a 34-Year-Old
Is It Safe for My Diabetic Grandpa to Sleep In? Health Implications Explained
Is it okay for my grandfather with diabetes to sleep until he wakes up naturally, even if that means sleeping until noon or later? Hello Dr. Lee, my grandfather is 80 years old and has been a long-term diabetes patient (with a 40-year history). Two years ago, he had a stroke that...
Dr. Li Jian Reply:
Regarding sleep issues in the elderly and cerebral circulation problems, it is advisable to consult a neurologist. However, if there is a tendency to wake up late, one should be aware of the possibility of hypoglycemia during sleep. If waking up around noon, it may be necessary t...[Read More] Is It Safe for My Diabetic Grandpa to Sleep In? Health Implications Explained
Can You Get Hepatitis B from Using a Family Member's Glucometer?
Blood glucose meter and hepatitis B? My mother is around 58 years old and has diabetes, so she purchased a blood glucose meter. She also has hepatitis B. I used the blood glucose meter once after she bought it, and I remember it wasn't long after her last use. At that time, ...
Dr. Hong Yuanbin Reply:
Hello, the only risk of infection is from the repeated use of needles that prick the finger. However, currently, disposable needles are commonly used, which reduces this concern. Therefore, based on your description, it should not lead to a hepatitis B infection. Thank you for yo...[Read More] Can You Get Hepatitis B from Using a Family Member's Glucometer?
Managing Diabetes: Dietary Tips for Seniors with High Blood Sugar
Diabetes Recipe Hello Doctor, my grandmother is 148 cm tall and weighs 31 kg. She follows a lacto-vegetarian diet and has diabetes, hypertension, and hyperlipidemia, with blood sugar levels around 120-140 mg/dL. She takes oral medications for blood sugar and blood pressure in the...
Dr. Li Jian Reply:
The dietary principles for diabetes focus on a balanced diet, emphasizing the intake of foods rich in dietary fiber, such as whole grains, vegetables, and fruits. It is important to avoid refined carbohydrate foods, such as sugar, desserts, fruit juices, honey, and sugary beverag...[Read More] Managing Diabetes: Dietary Tips for Seniors with High Blood Sugar