Understanding Proteinuria and Elevated Blood Sugar: A Guide for Patients
Urinary protein and blood glucose? A few days ago, my father went to the clinic for a blood test, and the results are as follows: Urine protein 1+, fasting blood glucose 125 mg/dL (after fasting for just over 7 hours), total cholesterol 127 mg/dL, triglycerides 229 mg/dL, HDL 39....
Dr. Hong Yuanbin Reply:
Hello, In response to your father's concerns, here are my replies: First, regarding the protein in urine, the clinic report indicates a preliminary positive result. It is recommended to visit a larger hospital for a quantitative urine protein test, and possibly a 24-hour ...[Read More] Understanding Proteinuria and Elevated Blood Sugar: A Guide for Patients
Understanding Thyroid Issues After Total Thyroidectomy: Free T4 Levels and Heart Health
Thyroid issues? Hello, doctor! I have undergone a total thyroidectomy due to papillary thyroid carcinoma. Currently, I am taking Eltroxin 0.1 mg, averaging 1.5 tablets per day. During my follow-up visits, my doctor has mentioned that my reports are normal. However, recently I hav...
Dr. Xiao Yongxun Reply:
Dear Ms. Liang: 1. After undergoing a total thyroidectomy due to papillary thyroid carcinoma, secondary hypothyroidism often occurs, necessitating long-term thyroid hormone replacement therapy. Levothyroxine (T4) is typically used for this treatment; due to its long half-life, i...[Read More] Understanding Thyroid Issues After Total Thyroidectomy: Free T4 Levels and Heart Health
Understanding Diabetes Diagnosis: Key Blood Test Criteria Explained
Diagnosis of Diabetes Mellitus Hello, Dr. Hsiao. I would like to ask about a recent blood test where the fasting blood glucose and HbA1c levels were 140 mg/dL and 7.3%, respectively. I saw Dr. Hsiao's response regarding the diabetes diagnostic criteria published by the Ameri...
Dr. Xiao Yongxun Reply:
Dear Mr. Kiwi: 1. In clinical medicine, diagnostic standards or treatment guidelines often serve as references when research is uncertain or controversial. In practice, clinicians must make diagnoses or interventions based on the patient's own complaints, symptoms, or chan...[Read More] Understanding Diabetes Diagnosis: Key Blood Test Criteria Explained
Is Abnormal Blood Sugar with Normal HbA1c a Sign of Diabetes?
Abnormal blood glucose levels with consistently normal glycated hemoglobin (HbA1c) may not necessarily indicate diabetes. It is important to consider other factors and conduct further testing to determine the underlying cause of the abnormal blood glucose levels? Hello Doctor, fo...
Dr. Xiao Yongxun Reply:
Dear Mr. Huang: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. A fasting plasma glucose level of ≥126 mg/dL after fasting for more than 8 hours; b. A 2-hour plasma glucose level of ≥200 mg/dL during an oral glucose tolerance tes...[Read More] Is Abnormal Blood Sugar with Normal HbA1c a Sign of Diabetes?
Understanding Fasting Blood Sugar Variations: What You Need to Know
Fasting blood glucose Hello doctor, I have a habit of regularly checking my blood sugar. This morning, I went to the clinic and had my blood sugar tested, and the result was 124. About three months ago, at the same clinic, it was in the 90s. Then, about 10 minutes later, I went t...
Dr. Xiao Yongxun Reply:
Dear Mr. Cheng, 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. A fasting plasma glucose level of ≥126 mg/dL after fasting for at least 8 hours, b. A 2-hour plasma glucose level of ≥200 mg/dL during an oral glucose tolerance test...[Read More] Understanding Fasting Blood Sugar Variations: What You Need to Know
Am I Diabetic? Understanding Symptoms and Blood Sugar Levels
Do I have diabetes? I have been experiencing frequent dry mouth and thirst lately, constantly drinking water and urinating, yet I still feel thirsty. I have had similar episodes before, and one morning my fasting blood sugar was as high as 124. I'm not sure if it was related...
Dr. Xiao Yongxun Reply:
Dear Mr. Allen: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. A fasting plasma glucose level of ≥126 mg/dL after fasting for at least 8 hours. b. A 2-hour plasma glucose level of ≥200 mg/dL during an oral glucose tolera...[Read More] Am I Diabetic? Understanding Symptoms and Blood Sugar Levels
Understanding Blood Sugar Levels: Am I at Risk for Prediabetes?
I'm sorry Hello, doctor. Since both of my parents are diabetic, I pay special attention to my own blood sugar levels. I avoid sweets and sugary drinks, and my diet is relatively light. I also maintain a habit of exercising for over an hour each day. Recently, my fasting bloo...
Dr. Li Zhiyao Reply:
Hello: Based on the values you provided, your blood glucose level is still within the normal range and does not indicate prediabetes. Please continue to maintain dietary control, exercise habits, and blood glucose monitoring. Wishing you health and safety![Read More] Understanding Blood Sugar Levels: Am I at Risk for Prediabetes?
Effective Strategies for Managing Diabetes: Encouraging Medication and Blood Sugar Monitoring
Diabetic patients are reluctant to take their medication on time and monitor their blood glucose levels? My mother has been diagnosed with hyperglycemia for many years, with fasting blood sugar levels around 140. Recently, her levels have spiked to over 200. As a result, she has ...
Dr. Li Zhiyao Reply:
Hello: Based on what you described, your mother's blood sugar levels, which were previously stable, have suddenly become uncontrolled. This situation should not be considered solely within the framework of diabetes; there may be other underlying conditions, such as a urinary...[Read More] Effective Strategies for Managing Diabetes: Encouraging Medication and Blood Sugar Monitoring
Could Your Thirst and Weight Loss Indicate Diabetes?
What is the likelihood of developing diabetes? Hello Doctor: I have been drinking a lot of beverages in the past few months because I still feel thirsty even after drinking water. I researched ways to quench my thirst and unexpectedly came across the symptoms of diabetes, which s...
Dr. Xiao Yongxun Reply:
Dear Miss Su: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. Fasting plasma glucose level ≥126 mg/dl after fasting for more than 8 hours, b. Plasma glucose level ≥200 mg/dl during a 2-hour oral glucose tolerance test, c. HbA1c ≥...[Read More] Could Your Thirst and Weight Loss Indicate Diabetes?
Managing Irritable Bowel Syndrome: Tips for Students Facing Exam Stress
Irritable Bowel Syndrome (IBS) Doctor, I have been experiencing recurrent diarrhea for the past four months, averaging about 4.5 times a day. I often feel the urge to go right after eating, and this happens even during exams. Sometimes it occurs when I'm out with friends, wh...
Dr. Hong Yuanbin Reply:
Hello, experiencing diarrhea after meals or during stressful situations is indeed a common yet bothersome issue. Here are a few suggestions you might consider: 1. **Dietary Changes**: Increase your intake of vegetables and fiber, which can help form more solid stools. 2. **Avoid...[Read More] Managing Irritable Bowel Syndrome: Tips for Students Facing Exam Stress
Understanding Blood in Urine: Symptoms and Possible Causes
Hematuria issues Doctor, I have a fever, dizziness, and gastrointestinal discomfort today. I thought it was a cold, so I went to a small clinic to see a doctor. However, after taking the medication, I still haven't improved. I got up in the middle of the night to use the bat...
Dr. Liao Zhongxin Reply:
Dear readers: Response A regarding "Bright red urine": 1. There are many factors that can cause dark urine, so it is recommended to visit a relevant medical institution for examination to rule out any concerns. 2. Possible causes include: menstruation, inadequate hy...[Read More] Understanding Blood in Urine: Symptoms and Possible Causes
Understanding Glycated Hemoglobin: Managing Blood Sugar Levels Effectively
Glycated Hemoglobin (HbA1c) Hello Doctor: In January, I discovered that my fasting blood sugar was 140. After one week of dietary control, I went to the hospital for a blood test, and the result showed a fasting level of 119 and an HbA1c of 7.2. The doctor gave me two months to m...
Dr. Xiao Yongxun Reply:
Dear Miss Lin: 1. There are many factors that can influence elevated fasting blood glucose levels, including overeating at the previous meal, accidental consumption of caloric foods during fasting, infections or illnesses, excessive stress, the use of certain medications or herb...[Read More] Understanding Glycated Hemoglobin: Managing Blood Sugar Levels Effectively
Effective Strategies to Manage Persistent Edema: A Patient's Guide
How can edema be improved? Hello, doctor... I have asked a question recently. I previously visited a family medicine doctor who ruled out issues with my liver, kidneys, and heart. My blood tests have been normal for several years. I inherited my father's genetic tendency to ...
Dr. Wu Jiyu Reply:
1. First of all, I would like to express that everyone has a different definition of edema. Since I have not seen you in person and you did not mention your current weight, I cannot assess the degree of your edema. 2. You mentioned that you have seen a family physician, who has ...[Read More] Effective Strategies to Manage Persistent Edema: A Patient's Guide
Understanding Shortness of Breath: When Forceful Exhalation Helps
It feels better to exhale forcefully? I have been feeling shortness of breath lately, and I have to exert effort to exhale in order to feel comfortable. Sometimes, my heart feels like it's beating faster, and I also feel bloated after eating.
Dr. Hong Yuanbin Reply:
Hello, based on your symptom description, it is possible that you are experiencing gastroesophageal reflux disease (GERD) or gastric bloating. These conditions are often caused by lifestyle factors, including sleep patterns, diet, and habits. I recommend maintaining a regular sch...[Read More] Understanding Shortness of Breath: When Forceful Exhalation Helps
Understanding Gastroesophageal Reflux: Symptoms and Management Tips
Gastroesophageal reflux disease (GERD) Before the consultation, I experienced severe bloating that did not improve with burping, and I was unable to have a bowel movement. I also had no appetite. For about three months, I had recurrent gastrointestinal issues approximately three ...
Dr. Hong Yuanbin Reply:
Based on your symptom description, there are several possible conditions to consider. First, the most likely cause is chronic constipation, especially if your intake of vegetables is low and you have little time for exercise. This can easily lead to the symptoms you described. ...[Read More] Understanding Gastroesophageal Reflux: Symptoms and Management Tips
Understanding Hyperthyroidism: Key Questions and Considerations for Patients
Hyperthyroidism Hello Doctor: Recently, during a routine health check at my company, I found that my Thyroid Stimulating Hormone (TSH) level was 0.01, Free Thyroxine (Free T4) was 3.07, fasting blood glucose was 100, heart rate was approximately 100 beats per minute, and my white...
Dr. Xiao Yongxun Reply:
Dear Ms. Lin: 1. In our country, most testing laboratories are certified, and to maintain their reputation, the likelihood of significant errors in test results is low. Additionally, Free T4 and TSH levels do not fluctuate rapidly under normal physiological conditions. This mean...[Read More] Understanding Hyperthyroidism: Key Questions and Considerations for Patients
Understanding Blood Sugar Fluctuations: Symptoms and Testing Insights
Blood sugar inquiry? Hello, Doctor: A few days ago, during lunch, I drank a soda and suddenly felt unwell, experiencing neck pain and fatigue. After about half an hour, I still felt uncomfortable, so I consumed an oral rehydration solution (8.44 grams of sucrose and 2.8 grams of ...
Dr. Xiao Yongxun Reply:
Dear Mr. Ming: 1. According to your information, I agree with your attending physician; in other words, there is no evidence indicating the presence of diabetes. 2. Any blood glucose meter can produce inaccuracies; therefore, it is necessary to have the manufacturer perform cali...[Read More] Understanding Blood Sugar Fluctuations: Symptoms and Testing Insights
Understanding Persistent Edema: Causes and Solutions for Long-Term Swelling
I have been experiencing edema for six years, and it hasn't resolved? Hello doctor, my edema started in 2012. However, my diet is light, and I have been vegetarian since childhood. I am 34 years old this year and drink about 3000 ml of water daily. I have seen a family physi...
Dr. Wu Jiyu Reply:
General systemic edema should first rule out systemic issues related to the heart, liver, kidneys, and thyroid. If it is confirmed that there are no problems with these organs, it can then be classified as idiopathic edema. As for the dietary fluid intake you mentioned, it is lik...[Read More] Understanding Persistent Edema: Causes and Solutions for Long-Term Swelling
Understanding Abnormal Creatinine Levels: What You Need to Know
Creatinine level Hello Doctor, I recently received a notification regarding abnormal results from my health check-up. My creatinine level in kidney function tests is 0.59, while both blood urea nitrogen and uric acid levels are normal. What should I be aware of? Thank you for t...
Dr. Wu Hongjie Reply:
Dear Sender, Many factors can interfere with changes in creatinine levels, such as kidney function and muscle mass. Generally speaking, elevated creatinine levels are more concerning, while low levels are typically indicative of reduced muscle mass. It is advisable for individu...[Read More] Understanding Abnormal Creatinine Levels: What You Need to Know
Sudden Stomach Pain: Causes, Remedies, and Dietary Tips
Sudden abdominal pain? Doctor, I suddenly felt a burning pain in my stomach after dinner last night. I noticed I gained weight, and it hurt a lot when I lay down to sleep, but it was more tolerable when I was standing. I drank some milk, which helped ease the pain and allowed me ...
Dr. Xiao Yongxun Reply:
Dear Miss Fang: 1. Based on your description, most physicians would likely consider conditions such as gastroesophageal reflux disease (GERD), gastric ulcers, duodenal ulcers, and acute gastritis; of course, gallstones, acute cholecystitis, acute pancreatitis, and other less com...[Read More] Sudden Stomach Pain: Causes, Remedies, and Dietary Tips