Glycated hemoglobin, Internal Medicine FAQ

Understanding Lipitor's Effects on Blood Sugar and Hypertension Management

excuse me? 1. Does taking Lipitor cause an increase in blood sugar levels and glycated hemoglobin? 2. I am a patient with hypertension and my levels have been normal; should I proactively discuss the possibility of changing medications with my doctor? 3. Is this related to menopa...

Dr. Chen Qingbin Reply:
Hello SPP: Lipitor is a lipid-lowering medication. The main side effects include muscle pain and liver function abnormalities. If you have any issues while taking the medication, you can consult your physician to discuss whether to switch medications or discontinue use.

Impact of Diet on Blood Test Results for Prediabetes

Prediabetes Hello Dr. Lee: Today, the hospital's blood test report shows fasting blood glucose: 117, glycated hemoglobin: 5.8, triglycerides: 193, cholesterol: normal, and uric acid: normal. I consumed a large amount of soda (5 bottles) and ate fried chicken nuggets (4 piece...

Dr. Li Zhiyao Reply:
Hello: Based on what you mentioned, I recommend that you pay attention to the following three points: 1. Correct your dietary habits. 2. You are at high risk for diabetes: as your glycated hemoglobin (HbA1c) is greater than 5.7; please note that glycated hemoglobin is not affecte...

Understanding Diabetes Diagnosis: Key Tests and Follow-Up for Seniors

Diagnosis of Diabetes Mellitus Hello, Doctor: My mother is 78 years old and recently felt unwell, leading her to the emergency room where her fasting blood glucose was measured at 146. She has no prior history of diabetes. Subsequently, during a follow-up visit, the doctor only o...

Dr. Xiao Yongxun Reply:
Hello: In response to your questions: 1. In healthy individuals, postprandial blood glucose levels typically do not exceed 140 mg/dL and return to pre-meal levels within 2-3 hours. The progression of type 2 diabetes is primarily characterized by the continuous deterioration of β-...

Managing Diabetes: Food Control vs. Medication for Blood Sugar Levels

Diabetes mellitus I went to the hospital for a blood sugar test and was diagnosed with diabetes. I bought a blood glucose meter and have stopped taking my blood sugar medication, opting to control it with food instead. My postprandial blood sugar levels are maintained between 120...

Dr. Yang Hongzhi Reply:
Since the blood sugar levels are not very high, dietary control combined with exercise can be tried for a period of time. Monitoring the glycated hemoglobin (HbA1c) will help assess long-term blood sugar control. If the results are not satisfactory, then oral hypoglycemic agents ...

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...

Understanding Blood Sugar Levels: Why Fasting Can Be Higher Than Post-Meal

Pre-meal and post-meal blood glucose issues? Dr. Chen, I have a question. My mother has a history of diabetes, but it has been well controlled. However, during her recent blood sugar test, we found an issue: her fasting blood sugar was higher than her blood sugar two hours after ...

Dr. Chen Qingbin Reply:
Blood glucose levels fluctuate significantly due to diet, medication, and various hormones in the body. The control of blood glucose is more accurately assessed by measuring glycated hemoglobin (HbA1c).

Am I at Risk for Diabetes? Understanding Symptoms and Concerns

Am I suffering from diabetes? Hello Doctor: I am 13 years old, 162 cm tall, and weigh 52 kg. Whenever I wipe with tissue after noticing vaginal discharge (or female secretions, which have a stronger fishy odor), there are many ants that come to crawl and linger. We have a lot of ...

Dr. Wang Fangli Reply:
Please visit a medical facility for testing, which should include fasting blood glucose after 10 hours, postprandial blood glucose after 2 hours, and glycated hemoglobin (HbA1c) testing to determine if diabetes is present.

Understanding Diabetes: Key Symptoms, HbA1c, and Future Treatments

The three polys of diabetes refer to polyuria (excessive urination), polydipsia (excessive thirst), and polyphagia (excessive hunger). Glycated hemoglobin, also known as HbA1c, is a form of hemoglobin that is chemically linked to glucose. It is used as a marker to Hello Dr. Hsiao...

Dr. Xiao Yongxun Reply:
Hello, in response to your questions: 1. The normal fasting plasma glucose level for healthy individuals ranges from 70 to 110 mg/dL, while the postprandial glucose level two hours after a meal should be between 80 and 140 mg/dL. Clinically, one of the criteria for diagnosing d...

Could I Have Diabetes? Understanding Symptoms and Concerns

Do I have diabetes? Hello Doctor: Sometimes I forget to flush the toilet after urinating, and after a few hours, I find that the toilet is crawling with ants. Occasionally, I also notice ants crawling on me while I sleep (even after showering). I went to the hospital for blood te...

Dr. Shi Guangzhong Reply:
Dear Yu-Feng: 1. The presence of ants in the toilet does not necessarily indicate diabetes, especially considering your fasting blood glucose level is 101 mg/dL. According to standard criteria, your current situation does not classify as diabetes. Further testing of your postpra...

Essential Dietary Tips for Diabetes Prevention and Management

Dietary Considerations for Diabetes Management Please provide prevention strategies and dietary considerations related to diabetes.

Dr. He Niaotong Reply:
Dear Lee, Primary prevention of diabetes starts from the community-based healthcare system, providing necessary regular screenings for high-risk groups (as shown in Table 1-1). The goal of primary prevention is to implement preventive interventions for populations with a high su...

Understanding Blood Sugar Levels in Diabetes: Nighttime Drinking Effects

Blood Sugar Issues Related to Diabetes Symptoms: Blood sugar before sleep is 105, but fasting blood sugar is 121, which is higher. Duration: Daily. Additional information: I asked for my father, who is a diabetes patient. Does drinking water at night affect fasting blood sugar le...

Dr. Chen Jingwen Reply:
Your blood sugar levels are 105 before bedtime and 121 when fasting. In the ideal range for diabetics, which is 90-120, this indicates good control. It would be even better if you could monitor your HbA1c (glycated hemoglobin) every 3 to 4 months to maintain it below 6.5%. Drinki...

Managing Diabetes: Risks of Poor Diet and Alcohol Consumption

Diabetes mellitus Hello Dr. Ke: I hope it's not too presumptuous to ask you a few questions. Question 1: My father has been suffering from diabetes for about a year and takes diabetes medication daily, but he hasn't been very careful with his diet and has a habit of dri...

Dr. Ke Zhengchang Reply:
The treatment for diabetes includes diet, medication, exercise, and a healthy lifestyle, along with monitoring blood glucose and other metabolic parameters. Simply taking medication is not sufficient; if dietary habits are not considered, blood glucose levels may remain poorly co...

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