Managing Increased Appetite and Blood Sugar Concerns After Stress
Diabetes, excessive eating? Hello Doctor, I experienced autonomic nervous system dysfunction a while ago, which caused a loss of appetite. Now that my symptoms have improved, I find myself eating a lot. Today, I skipped breakfast, had a bowl of fried chicken rice for lunch, half ...
Dr. Hong Yuanbin Reply:
Hello, diabetes is usually caused by a combination of long-term dietary habits, reduced physical activity, and genetics. It is not typically caused by short-term dietary changes. The main concern with short-term overeating is actually obesity. It is recommended to practice dietar...[Read More] Managing Increased Appetite and Blood Sugar Concerns After Stress
Concerns About Infection After Blood Test and Allergic Reaction
Hello, I would like to inquire about infection issues? On the morning of September 3rd, around 10 AM, I had a blood test for a gynecological check-up. In the afternoon, I noticed itching on the back of my hand. I went to the pharmacy, explained the situation, and bought an ointme...
Dr. Liao Zhongxin Reply:
A. According to the data from the Centers for Disease Control (CDC), there are three main routes of HIV transmission: 1. Sexual transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges of bodily fluids with an HIV-infected individual carries a risk of infec...[Read More] Concerns About Infection After Blood Test and Allergic Reaction
Understanding Prediabetes: Should You Retest Blood Sugar Levels?
Prediabetes Hello doctor, my most recent health check showed a fasting blood glucose level of 104 mg/dL, glycated hemoglobin (HbA1c) of 5.7%, red blood cell count of 4.56 million cells/µL, hemoglobin of 14 g/dL, MCV of 88.6 fL, and hematocrit of 40.4%. Prior to the health check, ...
Dr. Li Jian Reply:
The current report indicates prediabetes. Please start with dietary control and follow up in three months.[Read More] Understanding Prediabetes: Should You Retest Blood Sugar Levels?
Weight Loss Concerns: Stress, Health Checks, and Diabetes Risk
Weight loss In July of this year, after being diagnosed, I continued to have a poor appetite and trouble sleeping. In August, I started a new job that brought a lot of stress, and I had a persistent cough after the diagnosis, which only improved by the end of September. Before th...
Dr. Hong Yuanbin Reply:
Hello, regarding diabetes, a single blood glucose test is not sufficient to determine if there is a concern for diabetes. It is recommended to consult with a specialist in Metabolism or Family Medicine. As for weight loss, it is advisable to maintain a regular routine and engage ...[Read More] Weight Loss Concerns: Stress, Health Checks, and Diabetes Risk
Can Pre-Diabetes Affect Pancreatic Function and Can It Be Reversed?
Prediabetes Previously, I had a slightly elevated hemoglobin A1c level. After controlling my diet, my subsequent test result was 5.5, and the doctor said it was fine. I would like to ask if a slightly elevated hemoglobin A1c can cause irreversible damage to pancreatic function? C...
Dr. Li Jian Reply:
Mildly elevated blood sugar levels are unlikely to cause significant damage to pancreatic function.[Read More] Can Pre-Diabetes Affect Pancreatic Function and Can It Be Reversed?
Understanding Blood Sugar Control in Diabetes Management
Blood sugar issues? Hello Dr. Lin: My father was diagnosed with diabetes in August. He takes insulin before breakfast (18 units) and before dinner (12 units), and he also takes 0.5 tablets of Metformin (HCl) after breakfast and dinner. Currently, his fasting blood glucose levels ...
Dr. Lin Jianliang Reply:
Hello: The difference between pre-meal and post-meal blood glucose levels should ideally not exceed 60 mg/dL. However, there are other indicators that can be used for assessment, such as glycated hemoglobin (HbA1c), fasting blood glucose levels, postprandial blood glucose levels,...[Read More] Understanding Blood Sugar Control in Diabetes Management
Managing Vitamin B Supplementation in Patients with Kidney Disease
Regarding the issue of taking vitamin B? Hello doctor, I have diabetes and a kidney disease known as Fanconi syndrome. I have regular follow-up appointments, and my kidney function is currently about half of that of a normal person. Previously, I visited a neurologist due to pain...
Dr. Huang Yaoxuan Reply:
Hello, Xiao You: "I heard the attending physician in nephrology say that my condition does not allow my body to absorb vitamins." I'm not very clear on what "unable to absorb" means. Generally, vitamins are absorbed through the gastrointestinal tract, and...[Read More] Managing Vitamin B Supplementation in Patients with Kidney Disease
Managing High Blood Sugar Levels in Diabetic Patients: A Caregiver's Guide
Recently, blood sugar levels have been consistently rising? Hello Doctor! My mother is 75 years old and has a long-standing history of diabetes. At the beginning of this month, she had a follow-up appointment, and the doctor prescribed half a tablet of Metformin and one tablet of...
Dr. Li Jian Reply:
The current dosage may be insufficient, and it is necessary to consult the original physician to adjust the dosage. Additionally, fried noodles are considered refined carbohydrates and should not be consumed frequently.[Read More] Managing High Blood Sugar Levels in Diabetic Patients: A Caregiver's Guide
Is Frequent Urination Linked to Kidney Health Issues?
Is there a relationship between frequent urination and the kidneys? Hello doctor, I have been experiencing frequent urination, more than 8 times a day, with each voiding around 50, 100, or 150 ml, and sometimes it can reach 200 ml. The color of my urine is deep yellow in the morn...
Dr. Lin Wuxuan Reply:
Hello, Yaxun. If the frequency of urination increases, it could indeed indicate a problem with the kidneys. However, it may also be due to excessive fluid intake or psychological factors such as anxiety and stress leading to psychogenic polydipsia. Other potential causes include ...[Read More] Is Frequent Urination Linked to Kidney Health Issues?
Understanding Chronic Kidney Disease Treatment and Blood Sugar Management
Chronic Kidney Disease Treatment Hello Dr. Lin, I am a patient with chronic kidney disease (stage 3B) and have high proteinuria (approximately 1600-2200 mg/g). My blood sugar levels are also elevated, with a hemoglobin A1c of about 6.1 and a blood glucose level of approximately 1...
Dr. Lin Wuxuan Reply:
Hello Mr. Zeng, the glomerular filtration rate may decline due to aging, diseases, and other factors. It is advisable to discuss with your attending physician before starting new medications or adjusting dosages. Thank you.[Read More] Understanding Chronic Kidney Disease Treatment and Blood Sugar Management
Understanding Unusual Breathing Sounds: When to Seek Medical Advice
Regarding respiratory issues? Hello, doctor. I have a question. Sometimes my breathing sounds very loud (not during sleep). It’s like after normal breathing, there’s a sudden loud exhale, and it feels like I have tightness in my chest and can’t breathe out properly. I’m not sure ...
Dr. Hong Yuanbin Reply:
Hello, 1. Regarding the respiratory sounds, being overweight can cause airway compression, which may lead to wheezing or audible breathing. If you are feeling very uncomfortable, you can visit an outpatient clinic for an X-ray to ensure that your lungs are healthy. If it is alr...[Read More] Understanding Unusual Breathing Sounds: When to Seek Medical Advice
Understanding Loud Breathing: Causes and When to Seek Help
Regarding respiratory issues? Hello, doctor. I have a question. Sometimes my breathing sounds very loud (not during sleep). It's like after normal breathing, there will suddenly be a loud exhalation, and it feels like I have a tightness in my chest and can't breathe out...
Dr. Hong Yuanbin Reply:
Hello, 1. Regarding respiratory sounds, being overweight can cause airway compression, which may lead to wheezing or audible breathing. If you are feeling very uncomfortable, you can visit an outpatient clinic for an X-ray to confirm that your lungs are in good condition. If it...[Read More] Understanding Loud Breathing: Causes and When to Seek Help
Can Forxiga Be Used for Chronic Kidney Disease Not Caused by Diabetes?
Medication Issues in Kidney Disease Hello Dr. Huang, can the SGLT2 inhibitor Forxiga be used to treat chronic kidney disease (stage 3) not caused by type 2 diabetes? My blood sugar is relatively high, with a hemoglobin A1c of about 6.0.
Dr. Huang Yaoxuan Reply:
Hello: Farxiga is an SGLT2 inhibitor. You may discuss with your nephrologist whether this type of medication is suitable for your condition. Thank you![Read More] Can Forxiga Be Used for Chronic Kidney Disease Not Caused by Diabetes?
Medication Safety for Kidney Disease Patients with Diabetes
Kidney issues, medication safety? Hello doctor, I have diabetes and a kidney disease known as Fanconi syndrome. I have regular check-ups, and my kidney function is about half that of a normal person. I am planning to travel to Xiao Liuqiu and will need to take a boat, but I tend ...
Dr. Li Jian Reply:
Fanconi syndrome is a rare kidney disorder, and only a few physicians have experience in treating it. It is advisable to consult your original nephrologist for appropriate guidance. Thank you for your inquiry.[Read More] Medication Safety for Kidney Disease Patients with Diabetes
Should You Take Medication for High LDL Cholesterol Levels?
Elevated low-density lipoprotein cholesterol (LDL-C)? The total cholesterol is 245 mg/dL, low-density lipoprotein (LDL) cholesterol is 150 mg/dL (exceeding the standard value of 130 mg/dL), and high-density lipoprotein (HDL) cholesterol is 78 mg/dL. Given that triglycerides are 9...
Dr. Lin Jianliang Reply:
Hello: According to the regulations for medication coverage under the National Health Insurance, it is necessary to consider whether the patient has cardiovascular disease, diabetes, or risk factors. The definition of cardiovascular disease includes: (1) coronary atherosclerosis ...[Read More] Should You Take Medication for High LDL Cholesterol Levels?
Understanding Your Blood Test Results: Are You at Risk for Diabetes?
Three high issues (referring to high blood pressure, high Hello Doctor: I recently had a basic blood test, and here are the results: eGFR: 80 (Is this low?), ALT: 12 (Does this indicate that my liver is healthy?), Uric Acid: 5.1 (Is this high?), TG (Triglycerides): 63 (I previous...
Dr. Li Jian Reply:
A hemoglobin A1c level of 6 indicates prediabetes, and regular monitoring is necessary. Currently, dietary control is recommended. Thank you for your inquiry.[Read More] Understanding Your Blood Test Results: Are You at Risk for Diabetes?
Understanding Accurate Diabetes Testing: Insights on HbA1c and Blood Sugar Levels
What are the more accurate methods for measuring blood glucose levels? Hello, doctor. I recently received my health check report, and the results showed that my fasting blood sugar appears normal, but my glycated hemoglobin (HbA1c) is at 6.0. In the past, my HbA1c levels were bet...
Dr. Li Jian Reply:
If you are concerned that anemia may affect the accuracy of hemoglobin A1c, you can test for glycated albumin.[Read More] Understanding Accurate Diabetes Testing: Insights on HbA1c and Blood Sugar Levels
Is an HbA1c of 8 and Random Blood Sugar of 146 a Diabetes Diagnosis?
Glycated hemoglobin This year, the company checked the hemoglobin A1c level, which was as high as 8, and the random blood glucose was 146. Does this confirm a diagnosis of diabetes?
Dr. Li Jian Reply:
A hemoglobin A1c level of 6.5% or higher, or a fasting blood glucose level of 126 mg/dL or higher, is considered indicative of diabetes.[Read More] Is an HbA1c of 8 and Random Blood Sugar of 146 a Diabetes Diagnosis?
Understanding Your Urine Test Results: Key Insights for Diabetics
Examination Report Doctor, my urine screening report shows a microalbumin level of 30.4 and a urine creatinine level of 270.8. I have diabetes with a hemoglobin A1c of 10.1. Should I be concerned about this? Should I exercise more and control my diet? Thank you.
Dr. Li Jian Reply:
Currently, there is no microalbuminuria; however, it is still important to manage blood sugar levels effectively, aiming to keep the hemoglobin A1c below seven to reduce the risk of complications in the future.[Read More] Understanding Your Urine Test Results: Key Insights for Diabetics
Understanding Sleep Issues in Teen Athletes: A Guide to Common Concerns
Sleep issues Hello, doctor. I have some questions I would like to ask you. As a teenager, I'm not sure if what I'm experiencing is normal. I am an athlete and I start training at 7 AM and also have practice in the afternoon. Recently, I've been sleeping with the ai...
Dr. Hong Yuanbin Reply:
Hello, 1. It is normal to experience a dry throat when sleeping in an air-conditioned room, as air conditioning has a dehumidifying function. 2. Whether you snore may require the assistance of those around you to observe. As for sleep apnea, a sleep study at a sleep clinic is ...[Read More] Understanding Sleep Issues in Teen Athletes: A Guide to Common Concerns