Managing High Albumin and Liver Enzymes: Dietary Tips for Better Health
Biochemical test issues? Hello doctor, I have undergone a health check-up. In the biochemical tests over the past 2-3 years, my albumin level was 5.8, which is slightly high, and my GOT was 40 and GPT was 59, both of which are elevated. I would like to know what I should pay atte...
Dr. Yao Quan Reply:
It is best to first determine whether there is chronic viral hepatitis or fatty liver to identify the cause of elevated liver enzymes, and then treat accordingly. If it is viral hepatitis, dietary changes may have limited benefits, but if it is fatty liver, one should avoid high-...[Read More] Managing High Albumin and Liver Enzymes: Dietary Tips for Better Health
Could My Symptoms Indicate Diabetes or Low Blood Sugar?
Do I have diabetes based on my symptoms? Hello Doctor: I have a long-term symptom where my hands shake when I feel hungry. Sometimes, a few hours after eating, I start to feel a bit shaky, but eating something helps me return to normal. Some people have suggested that I might hav...
Dr. Lü Jing Reply:
Your current condition may be due to hypoglycemia, which can also occur in the early stages of diabetes. Additionally, a tumor in the pancreas could lead to abnormal insulin secretion. To confirm, it is advisable to check your blood sugar levels during episodes of shaking to see ...[Read More] Could My Symptoms Indicate Diabetes or Low Blood Sugar?
Managing Blood Sugar Fluctuations and Weight Loss in Diabetes
Blood sugar fluctuations & weight loss In 2000, I discovered weight loss (from 62 kg to 54 kg) and was diagnosed with diabetes. After taking medication for three months, I stopped and switched to managing my condition through diet and exercise, which yielded stable results (p...
Dr. Yang Hongzhi Reply:
A glycated hemoglobin (HbA1c) level around 6.5 is still considered good blood sugar control and should not lead to weight loss due to poor diabetes management. It seems that medications and lifestyle factors are unlikely to cause weight loss either, as the degree of weight loss o...[Read More] Managing Blood Sugar Fluctuations and Weight Loss in Diabetes
Interpreting Your Health Check Results: Cholesterol and Beyond
Interpretation of Physical Examination Results Over the years, my health check results show a total serum cholesterol level ranging from 210 to 248 mg/dL: High-Density Lipoprotein (HDL) at 51 mg/dL; Low-Density Lipoprotein (LDL) at 174 mg/dL; and Triglycerides at 115 mg/dL. My to...
Dr. Sun Yizhen Reply:
Your cholesterol levels have shown significant improvement, congratulations! Other values that are outside the normal range should be interpreted in conjunction with your overall health status; relying solely on a few laboratory results is insufficient for a definitive conclusion...[Read More] Interpreting Your Health Check Results: Cholesterol and Beyond
Understanding Diabetes: Symptoms, Diagnosis, and When to Medicate
Diabetes mellitus Hello, three years ago during a health check, I was informed that my blood glucose was on the borderline of diabetes, with a fasting blood glucose level of 108 mg/dL after fasting for 8 hours. Now, my self-monitored fasting blood glucose levels range between 103...
Dr. Chen Qingbin Reply:
Hello Ms. Huang: You likely have early-stage diabetes, and you need to manage your diet, engage in regular exercise, and attend follow-up appointments for monitoring.[Read More] Understanding Diabetes: Symptoms, Diagnosis, and When to Medicate
Is Blurry Vision a Serious Sign of Diabetes? Understanding Your Symptoms
Is having blurred vision already considered a severe case of diabetes? Three days ago, I suddenly experienced extreme thirst and a bitter taste in my mouth, and no amount of water could quench my thirst. I have also been urinating frequently. Two days ago, I noticed that I was fe...
Dr. Shi Guangzhong Reply:
From your letter, I understand that you are experiencing the three P's: polyuria (excessive urination), polydipsia (excessive thirst), and polyphagia (excessive hunger), along with general weakness and blurred vision. These are symptoms of hyperglycemia, and you likely have ...[Read More] Is Blurry Vision a Serious Sign of Diabetes? Understanding Your Symptoms
Diabetes and Erectile Dysfunction: Impact on Fertility and Treatment Options
Diabetes can lead to erectile dysfunction, which may affect fertility? A few years ago, my husband was diagnosed with high blood sugar, with fasting levels reaching around 200. He initially managed it with traditional Chinese medicine but eventually stopped and has been relying o...
Dr. Shi Guangzhong Reply:
According to the American Diabetes Association's recommendations, diabetes patients should aim for a fasting blood glucose level below 120 mg/dL and a postprandial blood glucose level below 140 mg/dL two hours after eating. From your letter, it is evident that your husband&#...[Read More] Diabetes and Erectile Dysfunction: Impact on Fertility and Treatment Options
Can Diabetics Eat Korean Pearl Barley? Expert Insights
excuse me? Hello, I would like to ask if diabetic patients can consume Korean pearl grass. Thank you.
Dr. Xiao Yongxun Reply:
Hello, I would like to respond as follows: 1. The management of blood sugar levels in diabetes primarily relies on dietary control and regular exercise, with medication as a supplementary treatment when necessary. This perspective remains unchanged in the medical community to ...[Read More] Can Diabetics Eat Korean Pearl Barley? Expert Insights
Managing Mildly Elevated Low Blood Pressure: Links to Obesity and Fatty Liver
Mildly elevated low blood pressure? 1. How to manage slightly elevated low blood pressure? 2. Is it related to obesity and fatty liver?
Dr. Zhong Weisheng Reply:
The low blood pressure you mentioned likely refers to elevated diastolic pressure, which is also a form of hypertension. According to the JNC VII (the seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure), the c...[Read More] Managing Mildly Elevated Low Blood Pressure: Links to Obesity and Fatty Liver
Understanding Blood Sugar Levels: Impact of Illness and Sleep on Results
Elevated blood sugar levels? I previously had a health check-up where my fasting blood sugar was 100, and I was advised to undergo a glucose tolerance test. The results showed a fasting blood sugar of 105 (which the doctor said is normal) and a postprandial blood sugar of 136 (wi...
Dr. Xiao Yongxun Reply:
Hello, I would like to respond as follows: 1. A fasting plasma glucose level between 100-125 mg/dL is referred to as impaired fasting glucose; a two-hour plasma glucose level between 140-199 mg/dL during an oral glucose tolerance test is referred to as impaired glucose toleranc...[Read More] Understanding Blood Sugar Levels: Impact of Illness and Sleep on Results
Effective Weight Loss Strategies for Obese Diabetic Patients
How can obese patients with diabetes lose weight? I am very concerned about the complications of diabetes, particularly the risk of diabetic retinopathy leading to blindness, which often causes significant psychological stress. Here are my personal details: Age: 23, Height: 175 c...
Dr. Yang Hongzhi Reply:
It is generally recommended to aim for a weight loss of 0.5 to 1 kilogram per week. Trying to burn 1500 calories through 2 hours of exercise may be quite challenging. There are some issues regarding your metabolic energy calculations; consuming 2300 calories per day is slightly h...[Read More] Effective Weight Loss Strategies for Obese Diabetic Patients
Struggling to Lose Weight: Seeking Effective Solutions for Busy Professionals
Why can't I lose weight? Hello Dr. Yang: I am a working professional who eats out for breakfast and lunch, and has dinner at home. I am 174 cm tall and weigh 97 kg, and I have been diagnosed with fatty liver disease. Both of my parents have had strokes and are on diabetes me...
Dr. Yang Hongzhi Reply:
Hello: Diet and exercise are the foundation of weight loss. While weight loss medications may have some effects, if lifestyle habits do not fundamentally change after discontinuation, weight regain will occur quickly. Therefore, it is essential to make a firm commitment to contro...[Read More] Struggling to Lose Weight: Seeking Effective Solutions for Busy Professionals
Does a Sugar-Free, Oil-Free, and Starch-Free Diet Harm Kidney Health?
A diet that is free of sugar, oil, and starch may not necessarily harm the kidneys, but it is important to ensure that it is well-balanced and provides all essential nutrients. Extreme dietary restrictions can lead to deficiencies that may affect kidney function over time. It is ...
Dr. Wang Weijie Reply:
Hello: A diet that is free of sugar, oil, and starch falls under the category of an unhealthy "ketogenic" diet in nutritional science. This can lead to abnormal fat metabolism in the body, resulting in ketoacidosis. When the body has no caloric sources to utilize, and c...[Read More] Does a Sugar-Free, Oil-Free, and Starch-Free Diet Harm Kidney Health?
Understanding Diabetic Neuropathy: Concerns and Management Strategies
Diabetic neuropathy issues? Hello Dr. Shi: My mother is a diabetic and she is 65 years old. Last year, she underwent surgery for cervical spondylosis (she initially went for surgery due to numbness in her left hand), but unexpectedly, after the surgery, she experienced weakness i...
Dr. Shi Guangzhong Reply:
From your letter, it is evident that your mother has been struggling with weakness in her limbs for quite some time. There are many potential causes for limb weakness, including blood sugar control issues and cervical spondylosis. It appears that your mother's weakness has s...[Read More] Understanding Diabetic Neuropathy: Concerns and Management Strategies
Essential Dietary Tips for Diabetic Hypertension Patients on Dialysis
Dietary Considerations for Diabetes, Hypertension, and Dialysis Management Dear Doctor, my mother is 63 years old and has hypertension and diabetes. She is scheduled for dialysis in two days. Could you please advise on dietary considerations and any specific precautions we should...
Dr. Guo Qinghui Reply:
Diabetes and hypertension are both causes of kidney disease that can lead to dialysis. There are many considerations for individuals undergoing dialysis. In principle, it is essential to control blood sugar levels and manage hypertension. Dietary considerations are related to the...[Read More] Essential Dietary Tips for Diabetic Hypertension Patients on Dialysis
How Much Taller Can Boys Grow After Puberty? Tips for Height Increase
Height Concerns Hello, I am a 17-year-old male, soon to be 18, but my height is only 168 cm. Compared to the boys in my school, I feel quite short, and some middle school students are even taller than me. I am not much taller than my female classmates either. I would like to ask ...
Dr. Wang Fangli Reply:
Boys still have the opportunity to grow taller before the age of 25. It is recommended to engage in regular exercise, ensure adequate sleep, and maintain a balanced diet; with these practices, you are likely to continue growing. Internal Medicine, Dr. Wang Fangli, May 6, 2008.[Read More] How Much Taller Can Boys Grow After Puberty? Tips for Height Increase
Understanding Hypothyroidism: Dietary Considerations and Concerns
Hypothyroidism Hello Director Yang, Regarding your last response, I still have some questions. Isn't hypothyroidism related to insufficient iodine absorption? Shouldn't the recommendation to avoid high-iodine foods (such as nori and kelp) apply to individuals with hype...
Dr. Yang Hongzhi Reply:
Hello: Iodine is one of the raw materials for the production of thyroid hormones. However, foods high in iodine may cause individuals with a tendency toward hypothyroidism to actually develop hypothyroidism, and those with a tendency toward hyperthyroidism may experience hyperthy...[Read More] Understanding Hypothyroidism: Dietary Considerations and Concerns
Post-Thyroid Surgery Care: Dietary Tips for Hypothyroidism Management
Hypothyroidism Hello Dr. Yang, I underwent surgery for hypothyroidism in September 2007 due to a tumor on the left side of my thyroid. The attending physician's report indicated "left thyroid follicular adenoma." I would like to inquire about any special consider...
Dr. Yang Hongzhi Reply:
Hello: If only one side of the thyroid gland is removed, it is expected that thyroid function will not be significantly affected. There are no special dietary precautions necessary; however, foods high in iodine (such as seaweed and kelp) may still have potential effects, so it i...[Read More] Post-Thyroid Surgery Care: Dietary Tips for Hypothyroidism Management
Understanding Dark Circles: When to See a Specialist
Dark circles Hello doctor, I also have allergic rhinitis and I have very noticeable dark circles around my eyes. I haven't experienced much allergy symptoms in the past year, but the dark circles are still quite severe. Which specialist should I see? Thank you! :)
Dr. Xiao Yongxun Reply:
Hello: In response to your question. Dark circles (also known as periorbital dark circles) are commonly seen in clinical practice and trouble many individuals. There are various causes, including allergic conditions related to asthma or eczema, genetics, certain medications, anem...[Read More] Understanding Dark Circles: When to See a Specialist
Effective Dietary Strategies for Managing Diabetes
How to manage diabetes through diet? I have a family history of diabetes and have been on medication for 5 years, but my condition is not very stable. I exercise by playing table tennis at least 4 days a week. My recent check-up showed a hemoglobin A1c level of 7, which I believe...
Dr. Shi Guangzhong Reply:
How should diabetic patients choose their food? The following suggestions may serve as a reference: General Principles: - Remember the portion sizes for each meal and consume food at regular intervals. - Pay attention to both the quality and quantity of food to ensure balanced n...[Read More] Effective Dietary Strategies for Managing Diabetes