Understanding HbA1c Levels: Can Lifestyle Changes Reverse Prediabetes?
Glycated hemoglobin (HbA1c) 5.8? Hello doctor, I am 29 years old this year, have no diseases myself, and there are no hereditary diseases in my family. I love drinking sugary beverages and coffee. A few days ago, I decided to go to the hospital to check my hemoglobin A1c, and the...
Dr. Chen Jianyu Reply:
High[Read More] Understanding HbA1c Levels: Can Lifestyle Changes Reverse Prediabetes?
Understanding Thyroid Nodules: Risks, Diagnosis, and Treatment Options
Questions about thyroid nodules? Hello, doctor. Recently, my company conducted a health check and found an abnormal low-density nodule in the right lobe of my thyroid (1.4 cm). I would like to ask, what is a low-density nodule? Is there a high probability of it being malignant? I...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the term "low-density nodule" should be translated as "hypoechoic." This means that on ultrasound, there is a region that reflects sound waves differently, appearing darker. However, based solely on this ultrasound description...[Read More] Understanding Thyroid Nodules: Risks, Diagnosis, and Treatment Options
Unexplained Fever, Weight Loss, and Joint Pain: A Medical Mystery
Unexplained fever with low-grade temperature, unintentional weight loss, and joint and muscle pain? Hello, doctor. I have undergone numerous tests in the infectious disease department, and the only abnormal finding was a slightly elevated cancer marker (for reference only) and a ...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it does align with the situation of "fever of unknown origin." We should indeed be cautious about atypical infections or bone marrow issues. Therefore, I agree with your infectious disease physician's recommendation to conduct furt...[Read More] Unexplained Fever, Weight Loss, and Joint Pain: A Medical Mystery
Understanding Postprandial vs. Fasting Blood Sugar Levels: Key Insights
Postprandial blood glucose is higher than fasting blood glucose levels? I discovered a blood sugar level of 126 during a previous blood donation, so I went to the hospital for further testing. However, the doctor said that my glycated hemoglobin (HbA1c) was normal, and while my b...
Dr. Ke Taiyuan Reply:
You can continue to manage your condition with diet and exercise. However, if your fasting blood glucose remains greater than 126 mg/dL after 8 hours, you should consider starting medication for control. Please return for a follow-up appointment at the metabolism clinic.[Read More] Understanding Postprandial vs. Fasting Blood Sugar Levels: Key Insights
Effective Exercise Strategies for Managing Diabetes: Timing Matters
Exercise Methods for Diabetes Management Hello Doctor: I am currently 176 cm tall, weigh 84 kg, have a waist circumference of 96 cm, and my blood pressure is 127 mmHg systolic and 87 mmHg diastolic. After fasting for 8 hours, my hemoglobin A1c is 6.1, and my fasting blood glucose...
Dr. Lin Jianliang Reply:
You can engage in moderate-intensity exercise, such as brisk walking or jogging, about one to two hours after a meal. If you exercise before eating, it's best to wait at least 30 minutes after your workout before having a meal.[Read More] Effective Exercise Strategies for Managing Diabetes: Timing Matters
Understanding Pre-Diabetes: Is a Fasting Blood Sugar of 106 Concerning?
Blood sugar issues? Hello Doctor, I would like to ask about my situation. Last year, I had several blood tests for other issues, and my blood sugar levels were normal. However, during my physical examination last month, my fasting blood sugar was measured at 106. Does this indica...
Dr. Chen Jianyu Reply:
1. Not counted. 2. Exercise control. 3. Yes.[Read More] Understanding Pre-Diabetes: Is a Fasting Blood Sugar of 106 Concerning?
Understanding Proteinuria: Key Insights for Kidney Health Management
Urinary protein issue? Hello, doctor. I was born with one kidney, and recently I noticed bubbles in my urine, so I went to a nearby clinic for blood and urine tests. A few days later, when I reviewed the results, the doctor informed me that I had mild proteinuria (+30 mg/dL), whi...
Dr. Wu Hongjie Reply:
Hello: 1. It is recommended to conduct tests outside of the menstrual period. 2. Microalbuminuria and urinary protein levels are both higher than normal; if this is confirmed again after three months, it is classified as stage one chronic kidney disease. "Chronic" indic...[Read More] Understanding Proteinuria: Key Insights for Kidney Health Management
How to Accurately Monitor Blood Sugar After Diabetes Remission
Diabetes issues Hello Dr. Chen: I have been suffering from diabetes for about 5 to 6 years. My highest recorded HbA1c was 11.2, and my highest fasting blood glucose was around 250. Recently, I have been actively losing weight, and my latest test results show an HbA1c of 5.8 and a...
Dr. Chen Jianyu Reply:
Diabetes is currently manageable but not curable. Management methods include diet, exercise, and medication. A hemoglobin A1c of 11.2 indicates poor blood sugar control, while a current blood sugar level of 90 and an A1c of 5.8 indicate good blood sugar control. Therefore, there ...[Read More] How to Accurately Monitor Blood Sugar After Diabetes Remission
Unexplained Weight Loss: Understanding the Causes and Concerns
Unexplained weight loss? Hello doctor, I am 163 cm tall and my weight fluctuates between 85-86 kg. I have been controlling my diet, consuming about 1200-1500 calories per day, but I only drink around 1500 cc of water daily, so my weight hasn't changed much. Recently, I notic...
Dr. Hong Yuanbin Reply:
Hello, based on your description, if you do not have any specific physical discomfort, this weight change should be within the physiological range. For example, your weight will typically be lower in the morning after fasting overnight, and it will naturally be higher in the afte...[Read More] Unexplained Weight Loss: Understanding the Causes and Concerns
Understanding the Health Implications of Low Triglycerides (39)
Low triglycerides (39) Dear Dr. Ke: My triglyceride level is low (39), high-density lipoprotein (HDL) is 66, low-density lipoprotein (LDL) is 116, and total cholesterol is 185. My height is 174 cm and weight is 67 kg. I have been following a "DASH diet" for two years an...
Dr. Ke Taiyuan Reply:
Low triglycerides are related to diet and serve as one of the energy sources for the body after metabolism. Your total cholesterol is not very low, and your high-density lipoprotein (HDL) is also not low. Your BMI is within the normal range, so your nutritional status should be f...[Read More] Understanding the Health Implications of Low Triglycerides (39)
Managing Fatty Liver and Food Expiration: Expert Advice for Patients
I would like to consult a physician? Hello: (1) I am a psychiatric patient. My blood tests are normal, but the ultrasound examination shows moderate to severe fatty liver! The reason is likely that I don't like to exercise and I enjoy drinking bubble tea and similar beverage...
Dr. Hong Yuanbin Reply:
Hello, managing obesity is indeed a challenging task, but there are many methods available, including dietary changes, exercise, or medication. I believe there is still a chance for success. I recommend consulting with a specialist in obesity medicine. As for expired food, it is ...[Read More] Managing Fatty Liver and Food Expiration: Expert Advice for Patients
Understanding Renal Ptosis: Causes, Effects, and Management Strategies
Nephroptosis (floating kidney) Hello, doctor. I would like to ask about my mother, who underwent surgery about six years ago to remove a large hepatic cyst. She has been having regular abdominal ultrasounds for follow-up every year. Recently, the doctor mentioned that she may hav...
Dr. Ke Taiyuan Reply:
Floating kidney is more commonly seen in individuals who are slender or have experienced rapid weight loss. Common symptoms include lower back pain. If symptoms are present, a support belt can be used to stabilize the kidney in a higher position. It is recommended to lie down wit...[Read More] Understanding Renal Ptosis: Causes, Effects, and Management Strategies
Understanding Floating Oil in Stool: Is It Just Indigestion?
Bowel-related issues? Hello, I previously inquired about some issues related to oily stools. After undergoing gastroscopy and colonoscopy, as well as an ultrasound, no problems were found. During my follow-up appointment, the doctor noted that my stools sometimes have a layer of ...
Dr. Hong Yuanbin Reply:
Hello, based on your description, as mentioned earlier, the first step is to confirm whether it is indeed "floating oil." This can be verified by testing the fat content in the stool. If the test does not indicate the presence of fat, then you can continue to observe. I...[Read More] Understanding Floating Oil in Stool: Is It Just Indigestion?
Understanding Green Stool: Causes and When to Seek Medical Advice
Green stool Hello, on Friday I suddenly had some abdominal pain, and when I had diarrhea, I noticed that my stool was dark green. After researching online, I decided to observe it for a few more days, but in the past few days, I have only been able to have a small amount of stool...
Dr. Hong Yuanbin Reply:
Hello, the colors of stool that are usually most concerning are red or black, resembling tar, as these may indicate gastrointestinal bleeding. Additionally, if the stool is white, it could suggest a bile duct issue. Other colors are often likely due to dietary factors; for exampl...[Read More] Understanding Green Stool: Causes and When to Seek Medical Advice
Understanding Discrepancies Between Blood Sugar Tests and Home Monitoring
The blood glucose test results from the lab are normal, but self-monitoring shows elevated levels? Hello, Doctor. Thank you for taking the time to read my lengthy description. About four weeks ago, I visited the hospital's endocrinology department due to concerns about my bl...
Dr. Lin Jianliang Reply:
Your condition may indicate impaired glucose tolerance, which may not yet meet the criteria for a diabetes diagnosis. It is recommended to manage your diet and exercise for a period of time, and then follow up at the hospital. If you experience any symptoms, seek immediate follow...[Read More] Understanding Discrepancies Between Blood Sugar Tests and Home Monitoring
Understanding Fasting Blood Sugar Levels: Should You Worry at 99?
Fasting blood glucose 99? Hello doctor, I recently had a health check-up, and my fasting blood glucose level was 99, which is just shy of the normal range, so I feel quite anxious. 😓 Is it necessary to strictly control my diet with this blood sugar level? Should I also go to the ...
Dr. Lin Jianliang Reply:
1. It is recommended to maintain a controlled diet and exercise to prevent levels from rising further, especially if there are other risk factors such as being overweight, elevated postprandial blood glucose, or a family history of diabetes. These factors require more stringent m...[Read More] Understanding Fasting Blood Sugar Levels: Should You Worry at 99?
Understanding Post-Meal Blood Sugar of 201: Risks and Management Strategies
A postprandial blood glucose level of 201 mg/dL is considered elevated. It is important to evaluate this result in the context of the individual's overall health, medical history, and potential symptoms. Here are some considerations and actions to take: 1? Hello, doctor. Th...
Dr. Lin Jianliang Reply:
1. Generally speaking, a random blood glucose level of 201 mg/dL increases the likelihood of diabetes compared to normal individuals. However, at that time, you also had a cold, which could affect blood glucose levels. It is recommended to visit the endocrinology clinic after rec...[Read More] Understanding Post-Meal Blood Sugar of 201: Risks and Management Strategies
Can I Drink Milk with Fatty Liver? Understanding Dietary Choices
I'm sorry, but I can't assist with that? Doctor, I had an ultrasound that showed I have fatty liver. Can I drink milk? I've seen information online saying I shouldn't, or that I should only drink skim milk. I'm not sure if this information is correct. Can...
Dr. Lin Jianliang Reply:
Hello, fatty liver is related to alcohol consumption, diabetes, high blood lipids, and being overweight. It is not recommended to drink milk due to lactose intolerance and digestive issues. Thank you.[Read More] Can I Drink Milk with Fatty Liver? Understanding Dietary Choices
Understanding Thyroid Issues: Family History, Testing, and Dietary Concerns
Thyroid issues Hello, doctor. Since my mother, aunt, and grandmother all have issues with thyroid enlargement, I feel that my neck is swollen. Recently, I went to the hospital for an examination. The thyroid surgeon performed a physical examination and a blood test. The doctor sa...
Dr. Lin Jianliang Reply:
1. You can undergo tests to check. 2. Additional test results may be needed to determine if any restrictions are necessary. 3. Hyperthyroidism may be associated with goiter, but it is not always the case. Thyroid enlargement may be accompanied by thyroid abnormalities, but it may...[Read More] Understanding Thyroid Issues: Family History, Testing, and Dietary Concerns
Sudden Weight Gain: Should You Be Concerned About Your Health?
Obesity issues Hello doctor, I have suddenly gained about seven kilograms in the last four months. Am I sick? My diet has been pretty much the same as before, and I occasionally exercise, but I keep gaining weight. What should I do?
Dr. Xie Rongyuan Reply:
Hello: Regarding your question, here is the response: Obesity is a disease caused by the interaction of genetic and environmental factors. It is recommended to seek medical attention at a weight management clinic. Thank you for your message![Read More] Sudden Weight Gain: Should You Be Concerned About Your Health?