Managing Diabetes and Cholesterol: Key Questions and Insights
Regarding diabetes and cholesterol issues? Hello Dr. Hsiao, Six months ago during my health check-up, my fasting blood glucose was 123 mg/dL and my hemoglobin A1c was 8.3%. The doctor advised me to take medication for control and to focus on weight loss. After four months of ef...
Dr. Xiao Yongxun Reply:
Dear Mr. Justin: 1. If weight loss is achieved gradually, and normal weight is maintained with good dietary control and regular exercise, it is possible to discontinue medication. However, this is contingent upon lifestyle changes and maintenance. Rapid weight loss can lead to r...[Read More] Managing Diabetes and Cholesterol: Key Questions and Insights
Understanding Hyperthyroidism: Symptoms, Treatments, and Dietary Guidelines
Thyroid issues Hello, doctor! Over the past one to two years, my thyroid function tests have been normal. However, six months ago, I started feeling hot all the time, not sensitive to cold, and my heart rate increased from 70-80 to around 100. I also noticed slight swelling in my...
Dr. Hong Yuanbin Reply:
Hello, 1. Due to the complex composition of traditional Chinese medicine, it is difficult to generalize whether it will have an effect. 2. Corticosteroids can help with exophthalmos caused by hyperthyroidism, but they are not very effective for neck swelling. 3. If thyroid fu...[Read More] Understanding Hyperthyroidism: Symptoms, Treatments, and Dietary Guidelines
Understanding Hemoglobin A1c: Can Weight Loss Reverse Type 2 Diabetes?
Glycated hemoglobin Doctor, I would like to ask you about my situation. In September, my hemoglobin A1c was 6.1, and in January of this year, it was 6.5. Am I diabetic? When I went to the hospital to review my report, the doctor advised me to lose weight. Is this to manage my dia...
Dr. Xiao Yongxun Reply:
Dear Ms. Anonymous: 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....[Read More] Understanding Hemoglobin A1c: Can Weight Loss Reverse Type 2 Diabetes?
Managing Elevated Blood Sugar: Tips for Diet and Health Monitoring
Blood sugar issues? Hello Doctor, my fasting blood sugar is 110 mg/dL, glycated hemoglobin is 5.7%, blood urea nitrogen is 10 mg/dL, creatinine is 0.72 mg/dL, and liver function tests show alanine aminotransferase (ALT) at 8 U/L. I understand that my fasting blood sugar is elevat...
Dr. Xiao Yongxun Reply:
Dear Ms. Wu: 1. After undergoing these tests, your physician should have explained the results to you. Please make sure to consider the recommendations of the physician who has personally examined you. 2. Your fasting plasma glucose level is 110 mg/dL, which indeed exceeds the ...[Read More] Managing Elevated Blood Sugar: Tips for Diet and Health Monitoring
Understanding the Diabetes Honeymoon Phase: What You Need to Know
Diabetes honeymoon phase Hello Doctor: I was previously diagnosed with prediabetes, and the doctor said that dietary control would suffice. Over the past month, I have been managing my diet and exercising, and my blood sugar levels have gradually returned to normal, which makes m...
Dr. Xiao Yongxun Reply:
Dear Ms. Lin: 1. The term "diabetes honeymoon phase" refers to a period after the onset of diabetes during which blood sugar levels are well-controlled, often without the need for medication, due to dietary changes, exercise, medication, or insulin therapy. In type 2 d...[Read More] Understanding the Diabetes Honeymoon Phase: What You Need to Know
Managing Blood Sugar Levels in Children: Concerns and Guidelines
Blood sugar issues Hello Doctor, due to the Lunar New Year holiday, my child has been indulging in a lot of sweets and has had irregular meal times. Last night, while he was asleep, I checked his blood sugar levels. Two hours after eating, it was 127 mg/dL (at 1 AM), five hours a...
Dr. Xiao Yongxun Reply:
Dear Mr. Wang: 1. Normal fasting plasma glucose levels range from 70 to 100 mg/dL, while normal postprandial glucose levels two hours after eating range from 80 to 140 mg/dL. Therefore, your child, being young with normal pancreatic function, may have normal glucose levels despi...[Read More] Managing Blood Sugar Levels in Children: Concerns and Guidelines
Understanding Yellow and Black Stool: Is It Irritable Bowel Syndrome?
Occasional diarrhea with stool that is yellowish-black? Hello doctor, for the past few months, my bowel movements have been alternating between ribbon-like, scattered, and loose forms. For instance, I might have ribbon-like stools for two days, followed by scattered or loose stoo...
Dr. Hong Yuanbin Reply:
Hello, indeed, the actual food we consume can affect the color of our stool, making it difficult to determine the presence of disease based solely on color. However, concerning problematic stools, we typically refer to "melena," which is characterized by a black, tarry ...[Read More] Understanding Yellow and Black Stool: Is It Irritable Bowel Syndrome?
Managing Blood Sugar Levels After Gestational Diabetes: Key Insights
Gestational diabetes mellitus (GDM) Hello Doctor: I had gestational diabetes during my second pregnancy. I have no family history of diabetes and am not overweight. I managed my condition through dietary control and daily self-monitoring of blood glucose. Now that I have given bi...
Dr. Xiao Yongxun Reply:
(1) According to the American Diabetes Association's diagnostic criteria for diabetes: a. Fasting plasma glucose level ≥126 mg/dL after fasting for at least 8 hours. b. Plasma glucose level ≥200 mg/dL during a 2-hour oral glucose tolerance test. c. HbA1c (glycated hemoglobin...[Read More] Managing Blood Sugar Levels After Gestational Diabetes: Key Insights
Managing Diet for Stage 3 Chronic Kidney Disease: What You Need to Know
Diet for Chronic Kidney Disease Dear Doctor: For a patient with stage 3 chronic kidney disease and an eGFR of 55, how strict should dietary control be? Will occasional indulgences harm the kidneys? For instance, if I occasionally go out with friends for hot pot or barbecue, or if...
Dr. Wu Hongjie Reply:
Hello: According to the guidelines from the National Kidney Foundation, a low-protein diet should be limited to 0.6 grams of protein per kilogram of body weight, with at least two-thirds being high biological value protein. However, achieving this can be challenging, and some rec...[Read More] Managing Diet for Stage 3 Chronic Kidney Disease: What You Need to Know
Understanding Chest Pain and Fatigue: A Guide for Patients with Diabetes and Hypertension
There is a persistent dull pain in the chest near the heart, in the upper back close to the heart, and in the left shoulder? Hello Dr. Hsiao: I am 163 cm tall and weigh 130 kg. For a long time, I have been experiencing persistent dull pain in my chest near the heart, in my back n...
Dr. Xiao Yongxun Reply:
Dear Mr. Anong: 1. Your height is 163 cm, weight is 103 kg, and your body mass index (BMI) is 48.9 kg/m², which classifies you as severely obese. Consequently, your risk of developing the following conditions is increased: hypertension, dyslipidemia, metabolic syndrome, type 2 d...[Read More] Understanding Chest Pain and Fatigue: A Guide for Patients with Diabetes and Hypertension
Understanding Cold Fingers and Prolonged Facial Edema: Causes and Solutions
Stiffness in the fingers and prolonged suspected facial edema? Hello, doctor. I often experience cold fingers, especially during winter. Even after playing sports for two hours, my fingers remain cold. Sometimes, in the morning, my fingers feel a bit stiff, but they improve after...
Dr. Hong Yuanbin Reply:
Hello, regarding your questions, there are a few points that need clarification: 1. Concerning cold hands and feet, I would like to know if there are any color changes, such as turning white, then purple, and finally red. If so, it may indicate Raynaud's phenomenon, and you...[Read More] Understanding Cold Fingers and Prolonged Facial Edema: Causes and Solutions
Should a Middle Schooler with High Uric Acid Levels Take Medication?
A middle school student with a uric acid level of 8 mg/dL, should medication be considered? Doctor, in my lifetime, during a school health check, my uric acid level was found to be elevated at 8. I went to see a doctor, who advised me to take medication to lower uric acid for one...
Dr. Wu Jiyu Reply:
Based on your inquiry, if your uric acid level is 8 and you have no history of gout attacks, you can start with dietary control, increase your fluid intake, and reduce consumption of sugary beverages. After making these adjustments, you should have a follow-up test and then discu...[Read More] Should a Middle Schooler with High Uric Acid Levels Take Medication?
Managing Diabetes-Related Symptoms: Eye Issues and Digestive Discomfort
Symptoms such as discomfort in the stomach associated with diabetes? Hello Doctor, my mother is 57 years old. Last year, she was diagnosed with diabetes and has been taking insulin every morning. Earlier this year, she developed diabetic retinopathy, which required surgery. Recen...
Dr. Xiao Yongxun Reply:
Dear Miss Zhu Zhu: 1. The acute complications of type 2 diabetes primarily include diabetic ketoacidosis and non-ketotic hyperosmolar hyperglycemia; if treatment and dietary management are not optimal, hypoglycemia may also occur. 2. The chronic complications of type 2 diabetes...[Read More] Managing Diabetes-Related Symptoms: Eye Issues and Digestive Discomfort
Managing Poor Blood Sugar Control in Type 2 Diabetes: Is Insulin Necessary?
Poor blood sugar control? Hello Doctor, I was diagnosed with type 2 diabetes in 2010. Over the years, my blood sugar levels have remained consistently high due to poor management and adherence to medication. In July of this year, I underwent tests at China Medical University, whe...
Dr. Xiao Yongxun Reply:
Dear Ms. Deep White: 1. Currently, the common treatment for type 2 diabetes includes dietary control, regular exercise, and medication. Regardless of whether insulin is injected, dietary management and consistent physical activity must be diligently practiced, which means making...[Read More] Managing Poor Blood Sugar Control in Type 2 Diabetes: Is Insulin Necessary?
Does Severe Illness Affect Blood Sugar Levels? Insights and Answers
Does serious illness affect blood sugar fluctuations? Hello Dr. Hsiao, Due to acute renal failure that occurred in the middle of this year, accompanied by severe edema and fluid accumulation in the body, various kidney indicators were significantly elevated, leading to my hospi...
Dr. Xiao Yongxun Reply:
Dear Mr. Anonymous: 1. Conditions such as illness, infection, stress, pregnancy, irregular lifestyle, and the use of certain medications can lead to elevated blood glucose levels or significant fluctuations. 2. If anxiety is severe, it can indeed cause an increase in blood gluco...[Read More] Does Severe Illness Affect Blood Sugar Levels? Insights and Answers
Dietary Guidelines for Children with Hyperthyroidism: What to Avoid
Thyroid issues in children Hello Doctor, my 10-year-old son was diagnosed with hyperthyroidism after a blood test yesterday. He started taking Methimazole 5mg/tablet and Propranolol 10mg/tablet, one tablet after breakfast and dinner. I would like to know what dietary restrictions...
Dr. Hong Yuanbin Reply:
Hello: There are two main types of foods to avoid. First, foods high in iodine, such as kelp, kombu, and nori. Second, stimulating foods, such as caffeinated beverages like coffee and tea. When eating out, it's important to also avoid these two types of foods. Legumes genera...[Read More] Dietary Guidelines for Children with Hyperthyroidism: What to Avoid
Understanding Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding Hello, doctor. In the past few months, I have noticed blood on the toilet paper after wiping, although there is no blood in the stool. The blood is bright red. This situation usually occurs a few days before or after my menstrual period, but it does not happen eve...
Dr. Hong Yuanbin Reply:
Hello, based on your symptom description, it is indeed most likely hemorrhoids; however, other causes cannot be ruled out. Hemorrhoids are primarily caused by difficulty in bowel movements. I recommend that you drink plenty of water, increase your intake of fruits and vegetables,...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Understanding Diabetes Genetics: Can You Prevent It with Diet?
Genetic Issues in Diabetes Hello Doctor: My father has a genetic predisposition to diabetes, and he is currently managing it quite well at the age of 50. I would like to ask if I am at risk of developing diabetes as well. Should I be able to prevent it by paying attention to my d...
Dr. Hong Yuanbin Reply:
Hello, diabetes is usually caused by multiple factors, with genetics being just one part of the equation. Additionally, diabetes often coexists with other metabolic syndromes such as hypertension and hyperlipidemia. It is recommended that you or your father regularly monitor bloo...[Read More] Understanding Diabetes Genetics: Can You Prevent It with Diet?
Managing Chronic Kidney Disease: Tips for Diet and Medication
Chronic Kidney Failure Hello Doctor, my grandmother has issues with hypertension, diabetes, and anemia. Additionally, she was diagnosed this year with proteinuria and chronic kidney failure, but she has not yet started dialysis. Her reports show creatinine levels from June to Sep...
Dr. Wu Hongjie Reply:
Hello: Kalimate is an exchange resin that binds potassium ions for excretion from the body. The excretion of potassium ions (K+) decreases during renal function deterioration and end-stage renal disease, leading to hyperkalemia. Elevated potassium levels can cause arrhythmias and...[Read More] Managing Chronic Kidney Disease: Tips for Diet and Medication
How to Manage a Low-Protein Diet While Eating Out for Kidney Health
How can individuals who eat out achieve a low-protein diet? Hello Doctor: At the beginning of the month, I had a blood test that showed my kidney creatinine level at 2.5, which has increased to 2.62 as of October 27. Although my attending physician referred me to the nutrition de...
Dr. Wu Jiyu Reply:
Based on the information you provided (Cr=2.5), the estimated glomerular filtration rate (eGFR) is 28 mL/min/1.73 m², which indicates stage 4 chronic kidney disease. It is advisable that you are currently seeing a nephrologist and have been referred to a dietitian for consultatio...[Read More] How to Manage a Low-Protein Diet While Eating Out for Kidney Health