Sudden Spike in Urinary Protein: Possible Autoimmune Causes?
Sudden increase in urinary protein levels? Hello Doctor, my urine protein levels skyrocketed from below 30 to 106 between June 7 and July 11, along with increases in microalbumin and urine albumin-to-creatinine ratio, while other urine tests remained normal. I was hospitalized in...
Dr. Lin Wuxuan Reply:
If you experience any discomfort, please schedule an earlier appointment and discuss it with your attending physician. Thank you.[Read More] Sudden Spike in Urinary Protein: Possible Autoimmune Causes?
Understanding Your Diabetes Risk: Key Health Check Insights
Questions related to diabetes? Every year, I participate in my company's health check-up. I am 35 years old, 179 cm tall, and weigh between 55 to 56 kg. I have always been slim and unable to gain weight since childhood, and I maintain a regular exercise routine. I have mild ...
Dr. Li Jian Reply:
You can undergo an oral glucose tolerance test at the Metabolism Clinic. Thank you for your inquiry.[Read More] Understanding Your Diabetes Risk: Key Health Check Insights
Understanding Postprandial Blood Sugar Fluctuations and Fatigue Symptoms
Previously measured elevated postprandial blood glucose levels using a glucometer? Hello, doctor. I would like to ask you a few questions. Last August, during a hot weather, I had a sweet smoothie, and shortly after, I experienced dizziness and fatigue, feeling sleepy. This fatig...
Dr. Lin Jianliang Reply:
Hello, there are many conditions that could cause the situation you described. Regarding blood sugar levels, since they can sometimes be elevated, it is advisable to consult a physician for an evaluation and to have a blood test to check your hemoglobin A1c levels.[Read More] Understanding Postprandial Blood Sugar Fluctuations and Fatigue Symptoms
Understanding High Urinary Glucose Levels: Is It Prediabetes?
Urine glucose 3+ issue? My 23-year-old son underwent a military service examination at the National Taiwan University Hospital in Hsinchu. His height is 178 cm, weight is 64.2 kg, and BMI is 20.1. During the examination, he had a urine glucose level of 500 (3+). He returned to th...
Dr. Li Jian Reply:
If fasting is not observed, glycosuria may occur. You can retest the hemoglobin A1c in three months. Thank you for your inquiry.[Read More] Understanding High Urinary Glucose Levels: Is It Prediabetes?
Post-Meal Blood Sugar Concerns: Understanding Abnormal Readings
Postprandial hyperglycemia Hello Dr. Li: During my previous visit to the hospital, I found that my blood sugar levels were somewhat abnormal, with a fasting blood sugar of 102 and a hemoglobin A1c of 5.1. However, I recently noticed some unusual changes in my postprandial blood s...
Dr. Li Jian Reply:
It is recommended that you visit the Metabolism Clinic for an oral glucose tolerance test. Thank you for your inquiry.[Read More] Post-Meal Blood Sugar Concerns: Understanding Abnormal Readings
Understanding Glucose Tolerance Tests: Can You Safely Eat Carbs?
Glucose tolerance test Hello doctor, a year ago I had a hemoglobin A1c test that showed 5.8, and the doctor said I was in the prediabetes stage. Since then, I have been cautious about eating carbohydrates, and when I retested my hemoglobin A1c, it was 5.4, with normal insulin res...
Dr. Li Jian Reply:
Staple foods can include whole grain rice or brown rice, and it is advisable to choose high-fiber or whole foods while minimizing refined carbohydrates. Patients with prediabetes can undergo an oral glucose tolerance test; however, currently, the focus is primarily on hemoglobin ...[Read More] Understanding Glucose Tolerance Tests: Can You Safely Eat Carbs?
Key Health Concerns and Obesity: Understanding Your Test Results
Issues I should be aware of regarding obesity? Examination Date Examination Item Result 01/13/112 Creatinine (U) 22.70 01/13/112 Urine Protein 4.00 01/13/112 Glucose (B) 98.00 01/13/112 HbA1c 6.20 01/13/112 GPT 64 01/13/112 HDL-C 45 01/13/112 LDL-C 82.00 01/13/112...
Dr. Li Jian Reply:
A hemoglobin A1c level of 6.2 indicates prediabetes, and it is important to implement dietary control and exercise to prevent the progression to diabetes in the future.[Read More] Key Health Concerns and Obesity: Understanding Your Test Results
Managing Glucose Intolerance: Dietary Adjustments and Lifestyle Changes
Glucose Tolerance Abnormality and Dietary Adjustments Hello, doctor. I am the person who asked about the elevated fasting blood glucose level (#189944). Recently, my OGTT results came back with fasting: 911, 1-hour: 1822, 2-hour: 1263, and 3-hour: 61, indicating impaired glucose ...
Dr. Li Jian Reply:
1. Clinical diagnostic criteria for diabetes: Hemoglobin A1c (HbA1c) ≥ 6.5%, fasting plasma glucose ≥ 126 mg/dL, 2-hour plasma glucose ≥ 200 mg/dL during an oral glucose tolerance test, or symptoms of hyperglycemia (including polyuria, polydipsia, and weight loss) with a random p...[Read More] Managing Glucose Intolerance: Dietary Adjustments and Lifestyle Changes
Understanding Elevated Fasting Blood Sugar: Causes and Concerns
Fasting blood glucose levels are elevated? On October 14, 2021, I went to the emergency room due to discomfort from vaccine side effects, around 8 PM after dinner, feeling very anxious (due to chest pain). The emergency department recorded a blood glucose level of 171. A few days...
Dr. Li Jian Reply:
Fasting blood glucose greater than 100 mg/dL or hemoglobin A1c greater than 5.6% indicates prediabetes. Low-dose mirtazapine is not commonly associated with hyperglycemia. Maintaining proper dietary control and lifestyle adjustments is key. Thank you for your inquiry.[Read More] Understanding Elevated Fasting Blood Sugar: Causes and Concerns
Can Pre-Diabetes Affect Pancreatic Function and Can It Be Reversed?
Prediabetes Previously, I had a slightly elevated hemoglobin A1c level. After controlling my diet, my subsequent test result was 5.5, and the doctor said it was fine. I would like to ask if a slightly elevated hemoglobin A1c can cause irreversible damage to pancreatic function? C...
Dr. Li Jian Reply:
Mildly elevated blood sugar levels are unlikely to cause significant damage to pancreatic function.[Read More] Can Pre-Diabetes Affect Pancreatic Function and Can It Be Reversed?
Understanding Chronic Kidney Disease Treatment and Blood Sugar Management
Chronic Kidney Disease Treatment Hello Dr. Lin, I am a patient with chronic kidney disease (stage 3B) and have high proteinuria (approximately 1600-2200 mg/g). My blood sugar levels are also elevated, with a hemoglobin A1c of about 6.1 and a blood glucose level of approximately 1...
Dr. Lin Wuxuan Reply:
Hello Mr. Zeng, the glomerular filtration rate may decline due to aging, diseases, and other factors. It is advisable to discuss with your attending physician before starting new medications or adjusting dosages. Thank you.[Read More] Understanding Chronic Kidney Disease Treatment and Blood Sugar Management
Can Forxiga Be Used for Chronic Kidney Disease Not Caused by Diabetes?
Medication Issues in Kidney Disease Hello Dr. Huang, can the SGLT2 inhibitor Forxiga be used to treat chronic kidney disease (stage 3) not caused by type 2 diabetes? My blood sugar is relatively high, with a hemoglobin A1c of about 6.0.
Dr. Huang Yaoxuan Reply:
Hello: Farxiga is an SGLT2 inhibitor. You may discuss with your nephrologist whether this type of medication is suitable for your condition. Thank you![Read More] Can Forxiga Be Used for Chronic Kidney Disease Not Caused by Diabetes?
Understanding Your Blood Test Results: Are You at Risk for Diabetes?
Three high issues (referring to high blood pressure, high Hello Doctor: I recently had a basic blood test, and here are the results: eGFR: 80 (Is this low?), ALT: 12 (Does this indicate that my liver is healthy?), Uric Acid: 5.1 (Is this high?), TG (Triglycerides): 63 (I previous...
Dr. Li Jian Reply:
A hemoglobin A1c level of 6 indicates prediabetes, and regular monitoring is necessary. Currently, dietary control is recommended. Thank you for your inquiry.[Read More] Understanding Your Blood Test Results: Are You at Risk for Diabetes?
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
Is an HbA1c of 8 and Random Blood Sugar of 146 a Diabetes Diagnosis?
Glycated hemoglobin This year, the company checked the hemoglobin A1c level, which was as high as 8, and the random blood glucose was 146. Does this confirm a diagnosis of diabetes?
Dr. Li Jian Reply:
A hemoglobin A1c level of 6.5% or higher, or a fasting blood glucose level of 126 mg/dL or higher, is considered indicative of diabetes.[Read More] Is an HbA1c of 8 and Random Blood Sugar of 146 a Diabetes Diagnosis?
Understanding Your Urine Test Results: Key Insights for Diabetics
Examination Report Doctor, my urine screening report shows a microalbumin level of 30.4 and a urine creatinine level of 270.8. I have diabetes with a hemoglobin A1c of 10.1. Should I be concerned about this? Should I exercise more and control my diet? Thank you.
Dr. Li Jian Reply:
Currently, there is no microalbuminuria; however, it is still important to manage blood sugar levels effectively, aiming to keep the hemoglobin A1c below seven to reduce the risk of complications in the future.[Read More] Understanding Your Urine Test Results: Key Insights for Diabetics
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
Understanding Acanthosis Nigricans and Blood Sugar Levels: A Guide
Blood sugar exceeds? Hello, doctor. I am currently 176 cm tall and at my heaviest, I weighed 103 kg. I have now reduced my weight to 89 kg and am continuing to lose weight. My body fat percentage is 23% (down from 32% at my heaviest) and my visceral fat is 12 (down from 16 at my ...
Dr. Li Jian Reply:
Hello: If you have acanthosis nigricans, it is recommended to test for hemoglobin A1c. If the result is between 5.7 and 6.4, it indicates prediabetes.[Read More] Understanding Acanthosis Nigricans and Blood Sugar Levels: A Guide
Managing Diarrhea in Diabetic Patients: Causes and Solutions
Diarrhea in diabetic patients My father has been a diabetic patient for 30 years and is now 77 years old. He controls his blood sugar with insulin injections. His hemoglobin A1c levels have been normal during his quarterly check-ups. However, since the beginning of March, he has ...
Dr. Li Jian Reply:
If diarrhea persists, please visit the gastroenterology department at a medical center. Thank you.[Read More] Managing Diarrhea in Diabetic Patients: Causes and Solutions