Understanding the Gap Between Fasting and Post-Meal Blood Sugar Levels
The difference between fasting blood glucose and postprandial blood glucose after breakfast? Hello Doctor, during my first pregnancy, I had gestational diabetes, and I did not follow up or manage it after giving birth. During the early stages of my second pregnancy, I underwent t...
Dr. Xiao Yongxun Reply:
Dear Ms. Anna: 1. According to the American Diabetes Association's diagnostic criteria for diabetes: 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 (gly...[Read More] Understanding the Gap Between Fasting and Post-Meal Blood Sugar Levels
Understanding Kidney Disease Diet: Balancing Potassium, Sodium, and Phosphorus
Diet for Kidney Disease Hello Dr. Huang: My kidney function has shown signs of decline, with a creatinine level of 171 umol/L. My family has looked up information online and mentioned that patients with kidney disease should follow a low-potassium, low-sodium, and low-phosphorus ...
Dr. Huang Yaoxuan Reply:
Hello, this friend (based on your information: Ms. Yeh / 79 years old / male, I'm not sure whether to address you as Ms. Yeh or Mr. Yeh): Your kidneys have shown signs of decline, with a creatinine level of 171 umol/L, which converts to approximately 1.93 mg/dL. The estimate...[Read More] Understanding Kidney Disease Diet: Balancing Potassium, Sodium, and Phosphorus
High Creatinine Levels After Dialysis: Causes and Solutions
After dialysis, creatinine and liver enzyme levels remain elevated? Hello Dr. Wu: I started dialysis in March, and my most recent blood test report showed several values outside the reference range: creatinine was 8.0 before dialysis and 3.1 after; urea was 134 mg/dL before and 4...
Dr. Wu Jiyu Reply:
Hello, regarding your questions, I would like to respond in the following points: 1) The effectiveness of dialysis is commonly referred to by two key indicators: one is the Urea Reduction Ratio (URR, which should be >65%), and the other is Kt/V. Based on the index you provid...[Read More] High Creatinine Levels After Dialysis: Causes and Solutions
Understanding Low CCR Levels: Do You Need a Low-Protein Diet?
Regarding the CCR (Creatinine Clearance Rate) renal function index? Hello, doctor. I would like to ask why my creatinine clearance (CCR) is low, even though my other test results are mostly normal. I have had several tests, and my CCR has consistently been between the low 50s and...
Dr. Wu Jiyu Reply:
Hello: The 24-hour creatinine clearance rate is clinically used as an indirect indicator of glomerular filtration rate. While its accuracy is relatively high, it can still be affected by urine collection methods, medication use, and testing errors, which may influence the results...[Read More] Understanding Low CCR Levels: Do You Need a Low-Protein Diet?
Understanding Persistent Dizziness and Body Heat: Causes and Solutions
Dizziness and a feeling of warmth in the body? Hello, Doctor. I often experience dizziness and have undergone numerous examinations at major hospitals, but nothing has been found. Recently, the frequency of my dizziness has increased, occurring 3-4 days a week, and I also feel a ...
Dr. Xiao Yongxun Reply:
Dear Ms. Lin: 1. The differential diagnosis of dizziness generally begins with distinguishing between central and peripheral causes. If the dizziness is due to a central lesion, it is often associated with more serious issues such as tumors, strokes, epilepsy, meningitis, or enc...[Read More] Understanding Persistent Dizziness and Body Heat: Causes and Solutions
Managing Diabetes Medications for Lean Patients: Key Considerations
Diabetes medication consultation? Hello Doctor, my father is 63 years old and has symptoms of diabetes (pre-meal blood sugar around 120). He is currently taking diabetes medication. My father has a lean body type and is not obese, follows a vegetarian diet, and avoids greasy food...
Dr. Xiao Yongxun Reply:
Dear Mr. Paul Chen: 1. The first-line medication for most patients with type 2 diabetes is Metformin, which you referred to as Asures®. Regarding medication choices for leaner diabetic patients, there can indeed be some controversy in the medical community. It is advisable to in...[Read More] Managing Diabetes Medications for Lean Patients: Key Considerations
Foods to Avoid with Hormonal Imbalance: A Comprehensive Guide
Endocrine disorder Hello, doctor. I would like to ask what other foods should be avoided in addition to fried foods and chocolate for endocrine disorders?
Dr. Xiao Yongxun Reply:
Dear Ms. Anonymous: 1. The endocrine system primarily includes the hypothalamic-pituitary-thyroid axis, the hypothalamic-pituitary-adrenal axis, and the hypothalamic-pituitary-gonadal axis. Each of these axes has its own stimulation and feedback mechanisms. Additionally, the pa...[Read More] Foods to Avoid with Hormonal Imbalance: A Comprehensive Guide
Managing Hypoglycemia: When to Seek Further Testing and Dietary Changes
Management of Hypoglycemia Hello, Doctor! I have experienced symptoms of hypoglycemia since elementary school, occurring about ten times a year. After entering high school, these episodes have become more frequent. My records show that I average a blood sugar test in the school h...
Dr. Xiao Yongxun Reply:
Dear Ms. Olivia: 1. There are many causes of hypoglycemia, the most common being medications used by patients with diabetes. Other causes include renal failure, certain tumors, liver disease, hypothyroidism, muscle starvation, congenital metabolic disorders, adrenal insufficien...[Read More] Managing Hypoglycemia: When to Seek Further Testing and Dietary Changes
Understanding Foamy Urine: Causes and Concerns After Rapid Weight Loss
My urinary issues? Hello Dr. Wu, I previously experienced rapid weight loss due to taking Forxiga, dropping from 116 kg to 109 kg between March 30 and April 11. I stopped the medication on April 8. I was concerned about potential kidney issues, so I had blood tests done on April ...
Dr. Wu Jiyu Reply:
Hello, 1. First, it is essential to understand the dosage of Forxiga you are using and whether you are combining it with other weight loss medications or treatments. A weight loss of nearly seven kilograms in less than two weeks is considered too rapid and may pose potential ha...[Read More] Understanding Foamy Urine: Causes and Concerns After Rapid Weight Loss
Understanding Post-Endoscopy Stomach Pain and Liquid Diets
Gastrointestinal issues Why does my stomach hurt after a painless gastroscopy, and why can I only eat liquid foods?
Dr. Li Zhiyao Reply:
Hello: You should directly consult the physician who performs the gastroscopy.[Read More] Understanding Post-Endoscopy Stomach Pain and Liquid Diets
Understanding Proteinuria, Hematuria, and GFR: When to Seek Medical Help
Proteinuria, hematuria, glomerular filtration rate? Hello Dr. Huang, I would like to ask about my last health check-up in January. The report indicated several areas in red: urine occult blood 1+, urine protein 30 mg/dL, and glomerular filtration rate (GFR) 83. Is this serious? W...
Dr. Huang Yaoxuan Reply:
1. It does not appear to be very serious; the glomerular filtration rate (GFR) is 83, with a normal range of approximately 90 (measured in ml/min/1.73m²). A higher value is better; urine occult blood is 1+, and urine protein is 30 mg/dl, both of which are mildly abnormal. 2. Re...[Read More] Understanding Proteinuria, Hematuria, and GFR: When to Seek Medical Help
Managing Sleep Deprivation: Tips for High School Students
Frequent late nights and insufficient sleep? Doctor, I am a high school student and often stay up late due to my studies. I would like to ask if it would be better to change my sleep schedule to go to bed at 11 PM and wake up at 4:30 AM, since I usually sleep after midnight and w...
Dr. Huang Yaoxuan Reply:
1. It is recommended to have 6-8 hours of sleep each night and about half an hour during the day. If circumstances prevent this, then that is the best one can do. 2. Fresh, minimally processed foods (vegetables, fruits, meats, etc.) are better for the internal organs, and maint...[Read More] Managing Sleep Deprivation: Tips for High School Students
Understanding Weight Loss and Side Effects of Forxiga and Olmetec
Rapid weight loss Hello doctor, on March 30th, my physician prescribed me Forxiga 10mg for weight loss. On April 5th, I returned for a check-up due to discomfort near my heart, and an ECG showed normal results, but my blood pressure was 155/101. The doctor asked if I wanted to tr...
Dr. Huang Yaoxuan Reply:
1. Do you know what Forxiga 10mg is (what it does)? Are there any precautions to take when using this medication? It is a new type of antidiabetic medication (approved by the FDA in the United States), which lowers blood sugar levels and can also lead to weight loss. Some physici...[Read More] Understanding Weight Loss and Side Effects of Forxiga and Olmetec
Can Barley Grass Tablets Help Lower High Uric Acid Levels?
Hyperuricemia Hello, doctor. I would like to ask if taking Chang Gung Biotechnology's barley grass tablets can help lower high uric acid levels. Thank you.
Dr. Huang Yaoxuan Reply:
Non-medical consultation. Hello: "Chang Gung Biotechnology - Barley Grass Tablets" should be classified as a "dietary supplement," which is different from "medications." Before a medication is marketed by a pharmaceutical company, it must undergo mul...[Read More] Can Barley Grass Tablets Help Lower High Uric Acid Levels?
Dietary Considerations for Patients with Sjögren's Syndrome and Allergies
Diet for Patients with Sjögren's Syndrome I have an allergic constitution and have been suffering from urticaria for a long time, so I continuously take a quarter of an antihistamine daily. I also follow my doctor's advice to consume LP33 yogurt and Ambifly powder, and ...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. Currently, the supplements you are taking should not affect your dry syndrome. Antihistamines, however, may exacerbate dry symptoms, especially traditional antihistamines. Therefore, you may want to consult your physician to determine whether th...[Read More] Dietary Considerations for Patients with Sjögren's Syndrome and Allergies
When Should You Start Medication for Diabetes Management?
When should medication treatment for diabetes begin? I just received my blood test report, and my hemoglobin A1c is 7.1, and my fasting blood glucose is 118. I have hypertension and high cholesterol, both of which are controlled with medication. My hemoglobin A1c has been around ...
Dr. Xiao Yongxun Reply:
Dear Patient, 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 (glyca...[Read More] When Should You Start Medication for Diabetes Management?
Can Thyroid Cancer Patients Take Iodine Supplements After Treatment?
Can patients with thyroid cancer consume iodine-containing dietary supplements? Dear Dr. Hsiao, My mother needs to undergo iodine-131 treatment and a whole-body scan due to papillary thyroid cancer. After completing the iodine-131 whole-body scan, is it permissible to consume io...
Dr. Xiao Yongxun Reply:
Dear Ms. Elaine: 1. Papillary carcinoma is the most common type of malignant thyroid tumor, typically occurring in individuals in their 20s and 30s, as well as in older adults. It may be associated with prior radiation exposure to the head and neck during childhood. This type of...[Read More] Can Thyroid Cancer Patients Take Iodine Supplements After Treatment?
Understanding Abdominal Discomfort: Key Signs and Concerns
Abdominal issues? I would like to ask about my boyfriend who is 23 years old. He often drinks Powerade, almost two servings daily. His sleep pattern is irregular, going to bed as late as 4 AM, and he sleeps less than 5 to 6 hours a night, sometimes only 3 to 4 hours. Yesterday, h...
Dr. Wu Jiyu Reply:
Hello, the symptoms you described cannot rule out the possibility of gastrointestinal disorders. It is recommended that you promptly visit a gastroenterology clinic for further examination. Additionally, you should make appropriate adjustments to your daily routine to maintain go...[Read More] Understanding Abdominal Discomfort: Key Signs and Concerns
Understanding Dietary Sensitivities: Dizziness and Nausea After Sweet Foods
Dietary Issues Hello doctor, I would like to ask you something. Since elementary school, I have noticed that whenever I consume sweet foods or drinks, I start to feel dizzy and nauseous. This is very obvious, for example, when I drink beverages or eat chocolate. Even fruits that ...
Dr. Xiao Yongxun Reply:
Dear Ms. Tsai: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association, the following are summarized: a. Fasting plasma glucose level ≥ 126 mg/dl after at least 8 hours of fasting, b. Plasma glucose level ≥ 200 mg/dl during a 2-hour ...[Read More] Understanding Dietary Sensitivities: Dizziness and Nausea After Sweet Foods
Is It Safe to Rub Your Stomach Hard for Constipation Relief?
Can vigorous abdominal rubbing cause injury? I often experience constipation, so sometimes I massage my abdomen to promote gastrointestinal motility. However, if I apply too much pressure while massaging, could it cause any harm?
Dr. Xie Rongyuan Reply:
Hello: If not too much force is used, it should not cause any injury. Chronic constipation can also be improved by changing dietary habits. Thank you for your message![Read More] Is It Safe to Rub Your Stomach Hard for Constipation Relief?