Glycated hemoglobin, Internal Medicine FAQ

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Understanding Pre-Diabetes and Cholesterol Management: Key Insights

Blood sugar/lipid issues Hello Doctor: Recently, my fasting blood glucose was 101 mg/dL, glycated hemoglobin was 5.5%, low-density lipoprotein (LDL) was 161 mg/dL, and high-density lipoprotein (HDL) was 37 mg/dL. There is no family history of diabetes. The day before the test, I ...


Dr. Li Jian Reply:
Fasting blood glucose levels exceeding 100 mg/dL indicate prediabetes. Strengthening dietary control may help restore normal levels. Reducing the intake of red meat may help lower cholesterol. Thank you for your inquiry.

[Read More] Understanding Pre-Diabetes and Cholesterol Management: Key Insights


Understanding Your Blood Sugar Levels: Are You at Risk for Prediabetes?

Both pre-meal and post-meal blood glucose levels are at the threshold? Doctor, my hemoglobin A1c is 5.2, my fasting blood sugar is 99, and my postprandial blood sugar is 140. Since both values are at the borderline, am I considered to have prediabetes? Also, how much should I eat...


Dr. Lin Jianliang Reply:
Hello: Based on the data you provided, a glycated hemoglobin (HbA1c) level of 5.2% falls within the normal range (generally, the normal range is less than 5.7%). The normal range for fasting blood glucose is 70-99 mg/dL, while the normal range for postprandial blood glucose (two ...

[Read More] Understanding Your Blood Sugar Levels: Are You at Risk for Prediabetes?


Understanding Insulin Resistance: Should You Worry About Your Levels?

Assessment of Insulin Resistance Issues Hello Doctor, I recently received my health check report, and my blood sugar values are as follows: *Fasting blood sugar: 90 mg/dL* *Fasting insulin: 11.9 μIU/mL* *Insulin resistance assessment: 2.6* The report indicates that the normal val...


Dr. Li Jian Reply:
You can undergo a glycated hemoglobin (HbA1c) test. Thank you for your inquiry.

[Read More] Understanding Insulin Resistance: Should You Worry About Your Levels?


Understanding Low Insulin Levels in Your Health Check Report

Health Examination Report Hello doctor, I would like to ask about my health check report. My insulin level is 1.9 u/ml, and the report states that the normal range is 2.6 to 24.9. Is this low level of concern?


Dr. Li Jian Reply:
Glycated hemoglobin and fasting blood glucose are important reference indicators. Thank you for your inquiry.

[Read More] Understanding Low Insulin Levels in Your Health Check Report


Understanding Hemoglobin A1c: Concerns About Blood Sugar and Anemia

Glycated hemoglobin (HbA1c) Hello Doctor, I have some questions I would like to ask you: I had a blood test done in December. Since both of my parents have diabetes and my weight has decreased from 64 kg in mid-August to only 59 kg recently, I am very anxious about my blood sugar...


Dr. Lin Jianliang Reply:
Hello, glycated hemoglobin (HbA1c) is an indicator of the average blood glucose levels over the past three months. The most significant factor affecting it is the blood glucose level itself. The primary influences on blood glucose are diet and lifestyle. Mild anemia does not have...

[Read More] Understanding Hemoglobin A1c: Concerns About Blood Sugar and Anemia


Can Stage 3a Chronic Kidney Disease Be Reversed? Medications and Tests Explained

Can stage 3a chronic kidney disease be reversed? What medications are available? The patient has diabetes with a glycated hemoglobin (HbA1c) level maintained at 6.5%. Triglycerides are at 110 mg/dL, uric acid at 4.6 mg/dL, low-density lipoprotein (LDL) cholesterol at 88.2 mg/dL, ...


Dr. Huang Yaoxuan Reply:
Hello Ms. Paul, your creatinine level is 135 mg/dL, and the glomerular filtration rate (GFR) is listed as 1.35 mg/dL, which seems to be incorrect. Please provide the correct values, thank you! (The unit for glomerular filtration rate is ml/min/1.73 m², not mg/dL.) Additionally, a...

[Read More] Can Stage 3a Chronic Kidney Disease Be Reversed? Medications and Tests Explained


Understanding Fluctuations in Glycated Hemoglobin Over One Month

Fluctuations in glycated hemoglobin (HbA1c) levels within one month? Hello Doctor: Thank you for taking the time to answer my questions despite your busy schedule. In my family, besides my parents, my aunts, uncles, and both sets of grandparents have diabetes, so I am particularl...


Dr. Li Jian Reply:
Weight loss can also be evaluated by testing thyroid function. Currently, there are no significant abnormalities in blood glucose levels, so testing once every 1-2 years is sufficient. Thank you for your inquiry.

[Read More] Understanding Fluctuations in Glycated Hemoglobin Over One Month


Understanding Your Blood Test Results: A Guide to Key Metrics

Examination Report Hello Dr. Lee, please help me interpret this blood test report. Thank you. Triglycerides (TG): 52 mg/dL Free Thyroxine (FT4): 1.44 ng/mL Thyroid Stimulating Hormone (TSH): 1.0742 µIU/mL Low-Density Lipoprotein (LDL): 89 mg/dL Total Cholesterol: 172 mg/...


Dr. Li Jian Reply:
The blood test report shows no significant abnormalities. Thank you for your inquiry.

[Read More] Understanding Your Blood Test Results: A Guide to Key Metrics


Understanding High Insulin Resistance and Blood Insulin Levels: A Guide

High blood insulin levels and high insulin resistance? Hello, doctor. I would like to ask about my recent self-paid blood tests. My insulin resistance index is 7.1 (normal range: 1.4-2.0), and my blood insulin concentration is 28.65 uU/mL (normal range: 2.6-24.9), which is higher...


Dr. Lin Jianliang Reply:
Hello, a fasting blood glucose level of 100 mg/dL is classified as impaired fasting glucose (IFG), which is a form of prediabetes. The diagnosis of prediabetes does not rely on the insulin resistance index or blood insulin levels. There are many reasons for a high insulin resista...

[Read More] Understanding High Insulin Resistance and Blood Insulin Levels: A Guide


Is a Fasting Blood Sugar of 90 mg/dL Considered High?

A fasting blood glucose level of 90 mg/dL is generally considered to be within the normal range. However, it is important to interpret this value in the context of individual health conditions and risk factors for diabetes? Hello doctor, is a fasting blood sugar level of 90 consi...


Dr. Li Jian Reply:
A level below 100 is considered normal. If there is a family history of diabetes or issues with being overweight, it is advisable to test for glycated hemoglobin (HbA1c). Thank you for your inquiry.

[Read More] Is a Fasting Blood Sugar of 90 mg/dL Considered High?


Does Hyperthyroidism Affect Fasting Blood Sugar Levels?

Does hyperthyroidism affect fasting blood glucose levels? Hello, doctor! Four years ago, I had my first adult health check-up, and my fasting blood glucose was slightly elevated at 106. Four years later, I had my second check-up, and my fasting blood glucose is still 106. Could t...


Dr. Li Jian Reply:
Thyroid antibody tests should ideally be monitored once a year. If fasting blood glucose levels are elevated, it is advisable to check glycated hemoglobin (HbA1c) to assess average blood sugar levels. Thank you for your inquiry.

[Read More] Does Hyperthyroidism Affect Fasting Blood Sugar Levels?


Understanding Leg Swelling and Muscle Twitches: When to Seek Medical Help

Twitching and pain in the thigh area? The doctor would like to ask you: Last year, after injuring the bottom of my left foot, I experienced swelling in both legs up to my thighs. A subsequent CT scan revealed that I have narrowing of the lymphatic vessels in my legs, but the doct...


Dr. Li Jian Reply:
Please schedule an appointment with the neurology department for an examination. Thank you for your inquiry.

[Read More] Understanding Leg Swelling and Muscle Twitches: When to Seek Medical Help


Understanding Pre-Diabetes: Does It Affect Future Pancreatic Function?

Diabetes mellitus Previously, during a check-up for glycated hemoglobin, the doctor mentioned that some indices were slightly elevated, indicating prediabetes. After a period of self-management, my blood sugar levels are now normal. Given this medical history, will the pancreatic...


Dr. Li Jian Reply:
Typically, young individuals have a fast recovery of bodily functions. As long as there is no history of heavy drinking, pancreatic function is unlikely to be affected. However, regular monitoring of blood glucose levels is necessary. Thank you for your inquiry.

[Read More] Understanding Pre-Diabetes: Does It Affect Future Pancreatic Function?


Understanding Prediabetes: Should You Retest Blood Sugar Levels?

Prediabetes Hello doctor, my most recent health check showed a fasting blood glucose level of 104 mg/dL, glycated hemoglobin (HbA1c) of 5.7%, red blood cell count of 4.56 million cells/µL, hemoglobin of 14 g/dL, MCV of 88.6 fL, and hematocrit of 40.4%. Prior to the health check, ...


Dr. Li Jian Reply:
The current report indicates prediabetes. Please start with dietary control and follow up in three months.

[Read More] Understanding Prediabetes: Should You Retest Blood Sugar Levels?


Understanding Blood Sugar Control in Diabetes Management

Blood sugar issues? Hello Dr. Lin: My father was diagnosed with diabetes in August. He takes insulin before breakfast (18 units) and before dinner (12 units), and he also takes 0.5 tablets of Metformin (HCl) after breakfast and dinner. Currently, his fasting blood glucose levels ...


Dr. Lin Jianliang Reply:
Hello: The difference between pre-meal and post-meal blood glucose levels should ideally not exceed 60 mg/dL. However, there are other indicators that can be used for assessment, such as glycated hemoglobin (HbA1c), fasting blood glucose levels, postprandial blood glucose levels,...

[Read More] Understanding Blood Sugar Control in Diabetes Management


Understanding Accurate Diabetes Testing: Insights on HbA1c and Blood Sugar Levels

What are the more accurate methods for measuring blood glucose levels? Hello, doctor. I recently received my health check report, and the results showed that my fasting blood sugar appears normal, but my glycated hemoglobin (HbA1c) is at 6.0. In the past, my HbA1c levels were bet...


Dr. Li Jian Reply:
If you are concerned that anemia may affect the accuracy of hemoglobin A1c, you can test for glycated albumin.

[Read More] Understanding Accurate Diabetes Testing: Insights on HbA1c and Blood Sugar Levels


Understanding Glycated Hemoglobin: Why My Levels Increased Despite Healthy Eating

Issues related to glycated hemoglobin? Hello, Doctor. I am currently 35 years old, 168 cm tall, and weigh 56 kg. I usually exercise regularly. In the past, my meal times were irregular, and my portion sizes varied greatly. Last year, during a health check, I found out that my fas...


Dr. Li Jian Reply:
When it comes to carbohydrates, try to choose those with a low glycemic index, such as whole grain rice or brown rice. Additionally, fruit intake should not be excessive. You may also consider the 16:8 intermittent fasting method, and then monitor for any changes afterward.

[Read More] Understanding Glycated Hemoglobin: Why My Levels Increased Despite Healthy Eating


Understanding Elevated Fasting Blood Sugar with Normal HbA1c Levels

Elevated fasting blood glucose with normal glycated hemoglobin (HbA1c)? Hello, doctor. I usually have a blood test every month to check my fasting blood glucose levels. In the past few tests, my levels were around 80 to 90, but in the last two months, they were 101 and 124. I als...


Dr. Hong Yuanbin Reply:
Hello, fasting blood sugar reflects the current blood sugar level, while glycated hemoglobin (HbA1c) indicates the average blood sugar over the past three months. Based on your values, it suggests that your average blood sugar is good; however, there may be occasional spikes in b...

[Read More] Understanding Elevated Fasting Blood Sugar with Normal HbA1c Levels


Managing High Fasting Blood Sugar and Cholesterol Levels: A Guide

Health check-up shows elevated fasting blood glucose levels? Hello Doctor, I had a health check-up in 2021 with a fasting blood glucose level of 100 mg/dL and low-density lipoprotein (LDL) cholesterol of 139 mg/dL. On January 15, 2022, my fasting blood glucose was 112 mg/dL and t...


Dr. Lin Jianliang Reply:
Hello: It is recommended to avoid foods and beverages that contain alcohol. Fruits and carbohydrate-rich foods, such as desserts, can also lead to issues with blood sugar and blood lipids. It is advised to have a controlled diet for breakfast, and to exercise regularly and consis...

[Read More] Managing High Fasting Blood Sugar and Cholesterol Levels: A Guide


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


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