Can You Get Vibrio Infection from a Fish Injury? Expert Insights
Vibrio infection Hello, doctor: Today while I was organizing my refrigerator, I got pricked by a frozen fish bone. I immediately rinsed it with water and squeezed out the blood, and then I applied a topical antibiotic. Am I at risk of contracting Vibrio vulnificus?
Dr. Hong Yuanbin Reply:
Hello, theoretically, the likelihood of infection from being injured by a salted fish bone is higher if there is already a compromised immune system, such as in cases of diabetes or liver cirrhosis. It is advisable to monitor for any signs of fever or localized redness, swelling,...[Read More] Can You Get Vibrio Infection from a Fish Injury? Expert Insights
Does Anemia Affect Blood Sugar Diagnosis Standards? Understanding the Impact
Does anemia affect blood sugar diagnostic standards? Recently, my health check report showed a fasting blood glucose level of 101 and a hemoglobin A1c of 5.8. I am very concerned about diabetes, but I have thalassemia. Does this condition affect blood glucose levels or the standa...
Dr. Lin Jianliang Reply:
Hello: Mediterranean anemia can affect the binding of glucose to hemoglobin, which in turn can impact the levels of glycated hemoglobin.[Read More] Does Anemia Affect Blood Sugar Diagnosis Standards? Understanding the Impact
Understanding Cold Sensitivity and Fatigue in Elderly Patients
Chills and lack of energy? Hello Dr. Hong: My mother (in her seventies) mentioned feeling discomfort in her abdomen the night before last. Yesterday, she experienced chills and felt cold even while wearing heavy clothing, and she was shivering. She occasionally coughed, but it wa...
Dr. Hong Yuanbin Reply:
Hello, it is recommended to check her temperature and blood pressure. If she has diabetes, it is also important to measure her blood glucose levels. Based on your description, she may have an infection, which could be a respiratory tract infection, urinary tract infection, or gas...[Read More] Understanding Cold Sensitivity and Fatigue in Elderly Patients
Understanding Blood Sugar and Kidney Health: Key Insights for Patients
Regarding blood sugar and the kidneys? Hello, doctor. At the end of last month, I visited a nearby clinic due to a urinary tract infection. My postprandial blood glucose was measured at 217 (more than one hour after eating). After a blood test, my hemoglobin A1c was found to be 5...
Dr. Chen Jianyu Reply:
Your situation is complex, and it is difficult to convey through text, which may lead to misunderstandings. It is recommended to seek assistance from a specialist in endocrinology, nephrology, or urology. Thank you. 109.12.24[Read More] Understanding Blood Sugar and Kidney Health: Key Insights for Patients
Understanding Your Cholesterol and Blood Sugar Levels: Key Insights
Issues with blood lipids and blood glucose? Hello Dr. Lin, I have a few questions regarding my blood sugar and lipid levels. Below are my test results from two health check-ups spaced seven months apart: - Total Cholesterol (TCH): 235 mg/dL, 256 mg/dL (Reference value: <200)...
Dr. Lin Jianliang Reply:
1. According to your Glu AC and HbA1C, they are currently within the standard range. 2. Whether you need to take lipid-lowering medication depends on other risk factors, such as a family history of cerebrovascular disease or cardiovascular disease, among others. 3. It is currentl...[Read More] Understanding Your Cholesterol and Blood Sugar Levels: Key Insights
Am I at Risk for Diabetes? Understanding Symptoms and Dietary Habits
Am I at risk for diabetes? I am 179 cm tall and weigh 54 kg. Since I contracted pneumonia at the age of 12, I have been experiencing irritable bowel syndrome and fatigue. No matter what I eat, I can't gain weight. After a car accident at 14, I began to show symptoms of traum...
Dr. Hong Yuanbin Reply:
Hello, the risk of diabetes is very complex and includes factors such as body composition and genetics, which cannot be generalized. However, it is recommended to reduce the intake of sugary beverages and increase physical activity, as these measures can indeed lower the risk. Ad...[Read More] Am I at Risk for Diabetes? Understanding Symptoms and Dietary Habits
Managing Post-Meal Blood Sugar Spikes in Type 2 Diabetes Patients
Diabetes: Postprandial Hyperglycemia Hello Dr. Lee, I would like to ask you some questions regarding diabetes. 1. My father was recently diagnosed with type 2 diabetes, and he has been controlling his diet and exercising regularly every evening. Initially, his blood sugar level...
Dr. Li Jian Reply:
1: It seems that dietary control is very strict, but postprandial blood glucose levels still do not decrease. It may be helpful to discuss medication adjustments with your physician to assist in lowering postprandial blood glucose. 2: Smoking accelerates microvascular and macrova...[Read More] Managing Post-Meal Blood Sugar Spikes in Type 2 Diabetes Patients
Understanding HbA1c Levels: Are You at Risk for Prediabetes?
Glycated hemoglobin (HbA1c) 5.7? Hello doctor, during a health check at my company on August 15, my fasting blood glucose was 85 mg/dL, but my hemoglobin A1c was 5.7%. Three months later, I went to a nearby clinic for a recheck, and my fasting blood glucose was 80 mg/dL, while my...
Dr. Li Jian Reply:
A hemoglobin A1c level of 5.7 to 6.4 is considered prediabetes, while a level of 6.5 or higher is classified as diabetes.[Read More] Understanding HbA1c Levels: Are You at Risk for Prediabetes?
Navigating Endocrine Issues: Finding the Right Specialist for Your Health
Endocrine issues Hello, Doctor: Our family has a history of diabetes and thyroid nodules, but I seem to be the unluckiest one. After undergoing thyroid cancer surgery, I have been taking thyroid hormone (levothyroxine), which causes my heart rate to be consistently between 110 an...
Dr. Hong Yuanbin Reply:
Hello, based on the situation you described, it is indeed necessary to conduct a detailed examination of the thyroid. I recommend visiting the endocrinology department at a major hospital. You can refer to the outpatient schedule to find a physician who specializes in thyroid dis...[Read More] Navigating Endocrine Issues: Finding the Right Specialist for Your Health
Understanding Potential Diabetes and PCOS: Symptoms and Management
Suspected diabetes / polycystic ovary syndrome (PCOS) issues? Hello, Doctor. I apologize for the lengthy explanation, and I appreciate your patience. About mid-last year, I consulted an endocrinologist because I felt that my weight loss efforts were ineffective, and I suspected i...
Dr. Lin Jianliang Reply:
You can discuss your condition and how to monitor it with your physician. Most doctors are willing to engage in a collaborative discussion with you, but please clearly communicate your concerns. You may eat between meals, but it is important to avoid foods that could affect your ...[Read More] Understanding Potential Diabetes and PCOS: Symptoms and Management
Am I Prediabetic? Understanding Symptoms and Blood Sugar Levels
Is it prediabetes? Hello Dr. Lin, sometimes about two hours after lunch, I feel hungry and experience symptoms similar to hypoglycemia (but this does not happen after dinner). Six months ago, I had a fasting blood glucose test that showed 101 mg/dL, and my blood glucose two hours...
Dr. Lin Jianliang Reply:
A fasting blood glucose level ranging from 100 to 125 mg/dL is classified as impaired fasting glucose (IFG), also known as "early diabetes," latent diabetes, or prediabetes. At this stage, dietary control and increased physical activity can help manage blood glucose lev...[Read More] Am I Prediabetic? Understanding Symptoms and Blood Sugar Levels
Understanding Your Blood Sugar Test Results: Are They Normal?
Blood glucose recheck results? Hello Dr. Lee! A few days ago, I consulted you about my blood sugar issues and followed your advice to do another blood test. I had dinner at 8 PM the night before the test and did not drink any water after midnight. The blood draw was done around 9...
Dr. Li Jian Reply:
The current test results are considered normal; however, if there is an issue with overweight or a family history of diabetes, it may be advisable to consider a follow-up in one year.[Read More] Understanding Your Blood Sugar Test Results: Are They Normal?
CT Scan with Non-Ionic Contrast: Risks for Diabetic Patients and Medication Guidelines
Recently, I need to undergo a CT scan of the brain with non-ionic contrast agent? I have a history of type 2 diabetes for 8 years, and my kidney function is currently normal based on blood tests. I am scheduled for a CT scan of the brain and will be receiving a non-ionic contrast...
Dr. Huang Yaoxuan Reply:
Please visit the nephrology outpatient clinic to discuss the effects of non-ionic contrast agents on renal function. According to the UpToDate database, specifically the section on "Prevention of contrast-induced acute kidney injury associated with computed tomography,"...[Read More] CT Scan with Non-Ionic Contrast: Risks for Diabetic Patients and Medication Guidelines
Understanding High Fasting Blood Sugar: Is It Prediabetes?
High fasting blood sugar? Hello Dr. Lee, I am currently 25 years old, weighing 50 kg and measuring 167 cm. In mid-September, I underwent a company-arranged health check at a clinic in Japan. The test results showed a fasting blood glucose level of 111 mg/dL (after fasting for six...
Dr. Li Jian Reply:
The standard fasting test requires an 8-hour fasting period. It is recommended to repeat the test, and if the result is still above 100, then a hemoglobin A1C test should be performed to assist in the diagnosis.[Read More] Understanding High Fasting Blood Sugar: Is It Prediabetes?
Understanding High Fasting Blood Sugar: Is It Prediabetes?
High fasting blood sugar? Hello Dr. Lee, I am currently 25 years old, weighing 50 kg with a height of 167 cm. In mid-September, I underwent a company-arranged health check at a clinic in Japan. The test results showed a fasting blood glucose level of 111 mg/dL (after fasting for ...
Dr. Li Jian Reply:
The standard fasting test requires an 8-hour fasting period. It is recommended to repeat the test; if the result is still above 100 mg/dL, then a hemoglobin A1C test should be conducted for further diagnosis.[Read More] Understanding High Fasting Blood Sugar: Is It Prediabetes?
Understanding Diabetes Treatment Options: Medication vs. Lifestyle Changes
Diabetes Treatment Guidelines Hello Dr. Lee, My basic information is as follows: I have a family history of diabetes and was diagnosed with diabetes two years ago, with a fasting blood sugar of 113 and an HbA1c of 7.1 at that time. My weight was in the 80s (kg). Since then, I ha...
Dr. Li Jian Reply:
1. Lifestyle modifications combined with medication management yield better results; relying solely on diet and exercise to control blood sugar is more likely to fail. Having medication assistance makes it easier to achieve targets. 2. If significant weight loss can be achieved...[Read More] Understanding Diabetes Treatment Options: Medication vs. Lifestyle Changes
Understanding Diabetes Symptoms: When to Seek Medical Advice
Diabetes Consultation Hello Doctor: On April 30th, my fasting blood glucose was 98, and my hemoglobin A1c was 4.8. On May 15th, my fasting blood glucose was 91, and my hemoglobin A1c was 4.7. However, on August 14th, my fasting blood glucose was 102, and on August 27th, it was 10...
Dr. Li Jian Reply:
The diagnostic criteria for diabetes are a fasting blood glucose level of 126 mg/dL or higher, or a hemoglobin A1c level of 6.5% or higher. Symptoms such as tingling, fatigue, blurred vision, and frequent urination cannot currently be interpreted as indicative of diabetes.[Read More] Understanding Diabetes Symptoms: When to Seek Medical Advice
Understanding Diabetes Symptoms: When to Seek Medical Advice
Diabetes Consultation Hello Doctor: On April 30th, my fasting blood sugar was 98, and my hemoglobin A1c was 4.8. On May 15th, my fasting blood sugar was 91, and my hemoglobin A1c was 4.7. However, on August 14th, my fasting blood sugar was 102, and on August 27th, it was 104, but...
Dr. Li Jian Reply:
The diagnostic criteria for diabetes mellitus include a fasting blood glucose level of 126 mg/dL or higher, or a hemoglobin A1c level of 6.5% or higher. Symptoms such as tingling, fatigue, blurred vision, and frequent urination cannot currently be interpreted as indicative of dia...[Read More] Understanding Diabetes Symptoms: When to Seek Medical Advice
Understanding Diabetes Risk: Managing Family History and Lifestyle Choices
Diabetes issues Both parents have diabetes, and both sisters have also been diagnosed with diabetes. Therefore, there is a regular habit of exercising and maintaining a light diet. Recently, due to frequent feelings of hunger, a visit was made to the hospital's metabolic dep...
Dr. Li Jian Reply:
1. A hemoglobin A1c level of 5.8% can be diagnosed as prediabetes. 2. Taiwanese people often consume too much fruit, leading to elevated blood sugar levels; it is important to be cautious about excessive fruit intake. 3. Blood tests should be done after an absolute fasting pe...[Read More] Understanding Diabetes Risk: Managing Family History and Lifestyle Choices
Managing Diabetes: Concerns About High Potassium and Urinary Protein
Diabetes mellitus with concerns of hyperkalemia and proteinuria? Hello Doctor, I have encountered some issues recently and would like to ask for your advice. Thank you for taking the time to read this. During my recent follow-up for diabetes, my blood test results showed a hemogl...
Dr. Lin Jianliang Reply:
First of all, I would like to tell you that proteinuria can be an early indicator of kidney disease, reflecting the severity of the current kidney condition and predicting the prognosis of kidney disease. However, there are many causes of proteinuria, such as infections, inflamma...[Read More] Managing Diabetes: Concerns About High Potassium and Urinary Protein