Understanding Prediabetes: Is Your Blood Sugar a Cause for Concern?
Is it prediabetes? Hello Doctor, my father has diabetes. Previously, for a health check-up, his fasting blood sugar was 149 after 12 hours of fasting. The doctor mentioned that this might have been caused by not drinking water, which could have led to an increase in blood sugar. ...
Dr. He Yonghe Reply:
Hello, Xiao Chen. You have a family history, so you should regularly monitor your fasting blood glucose and HbA1C levels. Additionally, maintain a controlled diet, engage in appropriate exercise, and drink plenty of water. You can follow up at the outpatient clinic.[Read More] Understanding Prediabetes: Is Your Blood Sugar a Cause for Concern?
Managing Thyroid Antibody Levels: Dietary Tips and Medication Guidance
If thyroid antibodies are abnormally high, what dietary changes should be made? Hello, Doctor Gao: I would like to ask you about my current medication, Bile Acid Sequestrants. I have a habit of drinking goji berry tea right after taking the medication. Will this affect the effica...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here is my response summarized as follows: 1. Does drinking goji berry tea immediately after taking medication affect the efficacy of the drug? --> Goji berries are considered to be between traditional Chinese medicine and food, and their i...[Read More] Managing Thyroid Antibody Levels: Dietary Tips and Medication Guidance
Can Mediterranean Anemia and Microcytic Anemia Occur Together?
Mediterranean anemia and microcytic anemia? Hello, doctor. Can a person have both thalassemia and microcytic anemia at the same time? I previously took iron supplements and consumed a lot of meat for at least six months, which raised my hemoglobin to normal levels. However, after...
Dr. Hong Yuanbin Reply:
Hello, microcytic anemia is a general term that encompasses various types of anemia, with the most common being iron deficiency anemia and thalassemia. To determine which specific type of anemia you have, further testing is required. For instance, iron deficiency anemia can be as...[Read More] Can Mediterranean Anemia and Microcytic Anemia Occur Together?
Managing High White Blood Cell Count and Asthma: Dietary Guidelines
What foods can be consumed with elevated white blood cell count and moderate asthma? Hello, doctor. My family member went to the hospital today for a check-up and found that their white blood cell count is over 20,000. The doctor mentioned there are signs of inflammation. Due to ...
Dr. Hong Yuanbin Reply:
1. Regarding the elevated white blood cell count, it is likely not just inflammation but an indication of infection. Based on the symptoms, the most probable cause is a respiratory infection, and an X-ray may be needed to confirm the presence of pneumonia. Antibiotics or hospital...[Read More] Managing High White Blood Cell Count and Asthma: Dietary Guidelines
Understanding High Cholesterol in Underweight Individuals: A 22-Year-Old's Case
Very thin with high cholesterol? Hello doctor, I am 22 years old, 176 cm tall, and weigh 49 kg, which is quite thin. However, my total cholesterol is 201, which exceeds the standard. Due to my work schedule, I often have irregular sleeping patterns and eat convenience store food....
Dr. Wu Jiyu Reply:
In response to your inquiry regarding oral isotretinoin, it is important to note that a small percentage of patients may experience an increase in blood lipids. It is advisable to monitor lipid levels after discontinuing the medication; if levels decrease, this may indicate a rel...[Read More] Understanding High Cholesterol in Underweight Individuals: A 22-Year-Old's Case
Significant Drop in eGFR: Should You Be Concerned About Kidney Health?
The most recent test showed a significant decrease in glomerular filtration rate (GFR)? Hello, Doctor. I am currently 29 years old, 153 cm tall, and weigh 50 kg. Last year, during a company health check, I was found to have elevated fasting blood glucose levels (118), but my hemo...
Dr. He Yonghe Reply:
Hello Ms. Wang, drinking less water can also lead to a decrease in eGFR. Generally, 2500-3000 cc per day should be sufficient. If your cholesterol is elevated, dietary changes and exercise can help improve it. You may consider visiting an internal medicine specialist for further ...[Read More] Significant Drop in eGFR: Should You Be Concerned About Kidney Health?
Navigating Unexplained Symptoms: A Guide to Possible Vasculitis Diagnosis
I'm not sure where to look? The patient has experienced abnormal sensations in the left limb for approximately two years and has had persistent hematuria for over three years, although kidney examinations have returned normal results. There is a mild Raynaud's phenomeno...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Based on your symptoms, I believe it may still be an issue related to immunology or rheumatology. I recommend that you first visit the immunology and rheumatology department at a medical center, where they can arrange for more detailed examinati...[Read More] Navigating Unexplained Symptoms: A Guide to Possible Vasculitis Diagnosis
Effective Ways to Lower Hemoglobin Levels: Myths and Facts
Hemoglobin Mediterranean-type anemia I would like to ask the doctor, what are the direct and effective methods to lower hemoglobin levels? Does smoking lower hemoglobin?
Dr. Hong Yuanbin Reply:
Hello, hematopoietic function can be influenced by diet and physical condition. Factors such as staying up late, smoking, drinking alcohol, or experiencing high levels of stress can all affect the body's condition, which in turn may impact hematopoiesis and potentially lead ...[Read More] Effective Ways to Lower Hemoglobin Levels: Myths and Facts
Understanding Rising Triglycerides: Diet, Stress, and Cholesterol Levels
Elevated triglycerides? Hello Dr. Hong, In July, during my health check-up, my total cholesterol was 6.07, HDL (good cholesterol) was 1.31, LDL (bad cholesterol) was 4.46, and triglycerides were 1.09. After three months of dietary control and exercising 150 minutes per week, I h...
Dr. Hong Yuanbin Reply:
Hello, triglycerides are usually related to diet; for example, stir-fried vegetables can cause levels to rise. On the other hand, high cholesterol is often influenced by genetic factors. Overall, blood lipids can be affected by multiple factors. It is recommended to avoid high-fa...[Read More] Understanding Rising Triglycerides: Diet, Stress, and Cholesterol Levels
Understanding Dark Stool: Should You Worry About Colon Cancer?
Bowel issues Hello Doctor, two Saturdays ago after using the restroom, I noticed that the water in the toilet had a dark coffee color, and it seemed slightly red, resembling coffee with a hint of red. Could this be a sign of colon cancer or other bleeding symptoms? I do not feel ...
Dr. Hong Yuanbin Reply:
Hello, the chili powder in the spicy chicken leg burger may cause a deep red discoloration, but it's not just the chili powder; many foods, especially vegetables and fruits, can contain food coloring. Therefore, it may not necessarily indicate bleeding. However, since your f...[Read More] Understanding Dark Stool: Should You Worry About Colon Cancer?
Understanding Morning Blood Sugar Levels: Causes and Solutions
High morning blood sugar? My usual morning blood sugar levels are between 82-90 (I measure it regularly), but last night I went to bed late. This morning, my first reading was 91, and after taking a shower, my second reading was 106, which surprised me! After half an hour, my thi...
Dr. Lin Wufu Reply:
Hello: Blood sugar levels naturally fluctuate. A fasting blood sugar level below 126 mg/dL and a postprandial level below 200 mg/dL do not meet the criteria for diabetes. If you are concerned, you can check your HbA1c (glycated hemoglobin), which estimates the average blood sugar...[Read More] Understanding Morning Blood Sugar Levels: Causes and Solutions
Do Diabetic Patients with LDL Cholesterol of 113 Need Medication?
Should a diabetic patient with a low-density lipoprotein (LDL) cholesterol level of 113 be treated with medication? During my health check-up, I found that my glycated hemoglobin (HbA1c) was 6.7, total cholesterol was 185, and low-density lipoprotein (LDL) cholesterol was 123. Af...
Dr. Li Jian Reply:
If a diagnosis of diabetes is confirmed, according to international large-scale studies, lowering low-density lipoprotein (LDL) cholesterol to below 100 mg/dL can reduce the incidence of cardiovascular diseases. This is why the National Health Insurance Administration provides co...[Read More] Do Diabetic Patients with LDL Cholesterol of 113 Need Medication?
Understanding Prediabetes Diagnosis After Post-Meal Blood Sugar Test
Regarding the postprandial blood glucose test results in the United States indicating prediabetes? Hello Dr. Lee, I am approximately 169 cm tall and weighed 67.5 kg at the time of my examination on July 28. I have a history of ankylosing spondylitis (diagnosed in 2008) and am a ...
Dr. Li Jian Reply:
Glycated hemoglobin (HbA1c): A level of 5.8% is sufficient to diagnose prediabetes. HbA1c can be tested after meals, and a follow-up test can be conducted in three months.[Read More] Understanding Prediabetes Diagnosis After Post-Meal Blood Sugar Test
Understanding Chest Pain: Causes and When to Seek Help
Chest pain in the center? For the past 3.4 months, I have been experiencing sudden sharp pain in the center of my chest (the area where CPR compressions are performed). Sometimes the pain radiates to the back at the same point. During these episodes, I also feel a sensation of so...
Dr. Hong Yuanbin Reply:
Based on your description, there are two possible scenarios. If pressing down causes pain in the bony area, it may indicate inflammation of the costal cartilage. In this case, it is recommended to apply some anti-inflammatory ointment on the outer side of the pain, which may help...[Read More] Understanding Chest Pain: Causes and When to Seek Help
Understanding Throat Bleeding: Causes and Recovery Tips
The issue of having blood in the throat? Hello, Dr. Hong. Recently, I had a tonsil stone, and after using a cotton swab to try to remove it myself, it seemed to get inflamed and painful. I visited an otolaryngologist twice, and it eventually got better. The doctor advised me not ...
Dr. Hong Yuanbin Reply:
Hello, based on your description, since the stone has already passed, it is indeed advisable to avoid using your tongue to poke at the area. The blood streaks should gradually resolve in a few days. As for staying up late, having an irregular schedule, and lack of exercise, these...[Read More] Understanding Throat Bleeding: Causes and Recovery Tips
Understanding Blood Sugar Levels: Am I Diabetic After One High Reading?
Diabetes issues In the past three weeks, my average blood glucose levels have been 80-90 in the morning, 80-90 before meals, 110-120 after meals, and over 90 before bed. However, one day I had dinner at 9 PM, and when I checked my blood sugar at 11 PM, it suddenly spiked to 148. ...
Dr. Lin Wufu Reply:
Hello, we define the standards for diabetes as a fasting blood glucose level of 126 mg/dL or a random blood glucose level exceeding 200 mg/dL. Therefore, a postprandial level of 148 mg/dL does not reach the threshold for diabetes, but it does indicate that you may be in the predi...[Read More] Understanding Blood Sugar Levels: Am I Diabetic After One High Reading?
Understanding Rapid Heartbeat and Kidney Health: Do You Need Dialysis?
Sought medical attention due to rapid heartbeat? Due to experiencing a rapid heartbeat and occasional lower back pain, a series of tests were conducted. Initially, it was thought to be a heart issue, but later it was found that the blood CR(B) level is 1.04, uric acid is 7.8, cho...
Dr. Wu Jiyu Reply:
Based on the data you provided, a serum creatinine level of 1.04 corresponds to an estimated glomerular filtration rate (eGFR) greater than 60, which falls within the normal range, and there is no need to worry about dialysis. As for your elevated uric acid and cholesterol levels...[Read More] Understanding Rapid Heartbeat and Kidney Health: Do You Need Dialysis?
Understanding Urination Issues: When to See a Doctor?
Urinary problems I would like to ask if it is necessary to see a doctor or to pay for an abdominal X-ray or ultrasound? Blood and urine tests have all come back normal, but I feel that there is a significant difference between the amount of water I drink and the amount I urinate....
Dr. Wu Jiyu Reply:
According to the data you provided, a serum creatinine level of 0.9 corresponds to an estimated glomerular filtration rate (eGFR) greater than 60, which falls within the normal range. Regarding your input/output from 9/18 to 9/21, with an intake of 8700 cc and an output of 3750 c...[Read More] Understanding Urination Issues: When to See a Doctor?
Understanding Tongue Pain: Is Your Foliate Papillae Normal or Not?
Issues with the tongue? I have been experiencing tongue pain that comes and goes for over three years. I have seen doctors multiple times, and they only noted that it appears red without any sores. After doing some research, it seems that I might be dealing with pain in the folia...
Dr. Hong Yuanbin Reply:
Hello, 1. The foliate papillae are asymmetrical in all individuals, so there should not be any pathological changes in this area. 2. Regarding the pain in the tongue, the most common cause is accidentally biting it. If there are no other factors, typically staying up late, hi...[Read More] Understanding Tongue Pain: Is Your Foliate Papillae Normal or Not?
Understanding Elevated Fasting Blood Sugar: Causes and Concerns
Fasting blood glucose is higher than postprandial blood glucose? Hello, Doctor. I have been experiencing elevated fasting blood glucose levels during my annual company health check-ups, typically ranging from 97 to 102 mg/dL. My postprandial blood glucose levels are around 92 to ...
Dr. Lin Wuxuan Reply:
Hello: Your fasting blood glucose level is elevated, which can generally be classified as Impaired Fasting Glucose (IFG). It is recommended to choose a diet with a low Glycemic Index (GI) to help improve your elevated fasting blood glucose levels. Additionally, you may want to co...[Read More] Understanding Elevated Fasting Blood Sugar: Causes and Concerns