Hemoglobin A1c, Internal Medicine FAQ

Managing Diarrhea in Long-Term Diabetes Patients: A Guide for Caregivers

Diarrhea in diabetic patients? My father has been a diabetes patient for 30 years and is now 77 years old. He controls his blood sugar with insulin injections, and his hemoglobin A1c levels have been normal during his quarterly check-ups. However, since the beginning of March, he...

Dr. Li Jian Reply:
The blood sugar medications that are more likely to cause diarrhea are metformin and acarbose. If the diarrhea is not caused by these medications, further follow-up with a gastroenterologist is still necessary.

Understanding Cholesterol and Blood Sugar Levels: Your Health Questions Answered

Inquire about blood lipid and blood glucose issues? Hello: I have a lipid issue and have been taking traditional Chinese medicine and Lipitor for about six months. My last blood test results on February 21 showed: LDL: 185, HDL: 60, total cholesterol: 249, triglycerides: 67, bloo...

Dr. Lin Jianliang Reply:
Hello: Your blood glucose is currently within the fasting range of 70-100 mg/dL, and your hemoglobin A1c is between 4-6%. Whether there are issues with your blood vessels can be determined based on your symptoms or through examinations. Generally, these conditions require long-te...

Understanding Glucose Tolerance Test Results and Diabetes Risk

Glucose tolerance test Dear Doctor, I recently underwent a glucose tolerance test at the hospital, and the results are as follows: Hemoglobin A1c 5.5%, OGTT: Fasting—96 mg/dL; 30 minutes—167 mg/dL; 60 minutes—212 mg/dL; 90 minutes—174 mg/dL; 120 minutes—132 mg/dL. The outpatient...

Dr. Xie Rongyuan Reply:
Hello: Impaired glucose tolerance (IGT) is more closely associated with early and late insulin secretion deficiencies. If there are abnormalities in the oral glucose tolerance test (OGTT), it can be confirmed again the next day. The diagnostic criteria for diabetes are: (1) sympt...

Understanding Blood Sugar, HbA1c, and Their Impact on Thalassemia

Blood glucose, glycated hemoglobin, and Mediterranean anemia? Hello, I had a company health check before the New Year, and my hemoglobin A1c was 5.6 and my blood glucose was 86. At the end of March, due to feeling unwell, I tested my postprandial blood glucose and it was 155. The...

Dr. Li Jian Reply:
If there are concerns that hemoglobin A1c levels may be affected by anemia, glycated albumin can be tested; the impact of anemia on hemoglobin A1c levels is difficult to estimate.

Understanding Rising Urine Protein Levels: What You Need to Know

The urinary protein index has surged? Hello, Doctor. Below are the results from my visit to Hospital B on the evening of March 14 this year. The random urine test results were as follows: Urine Creatinine: 93.4 mg/dL; Micro Albumin: 25.7 * mg/dL (Random Urine < 1.9 mg/dL); Uri...

Dr. Wu Hongjie Reply:
The presence of bubbles in urine does not necessarily indicate proteinuria; factors such as fever, excessive exercise, consumption of high animal protein, hormonal influences, or other diseases causing abnormal protein production can also be responsible. Even if tests do not show...

Should Stable Type 2 Diabetes Patients Continue Visiting Medical Centers?

Do patients with stable type 2 diabetes still need to continue follow-up visits at a medical center? Hello Doctor, I apologize for the interruption! I would like to ask you a question. I have been living with type 2 diabetes for over seven years. After discovering this issue duri...

Dr. Li Jian Reply:
If blood sugar levels can be consistently controlled, it is recommended that you transfer to a primary care medical facility for management. It is best to choose a facility that has a physician specializing in metabolic disorders or one that is part of a diabetes collaborative ca...

Understanding Kidney Issues: Rising Urine Protein Despite Improved Creatinine Levels

Kidney problems On 03/19/2011, creatinine was 1.18, urine protein was 5, urine creatinine was 53.12, and urine protein-to-creatinine ratio (uPCR) was 94.12. On 10/09/2010, creatinine was 1.26, urine protein was 17, urine creatinine was 108.7, and uPCR was 156.11. On 11/03/200...

Dr. Wu Jiyu Reply:
According to your inquiry, although the serum creatinine levels show little variation (ranging between 60-70), the urinary protein levels are gradually increasing. In addition to pharmacological management of hypertension, diabetes, and hyperlipidemia, the prevention and treatmen...

Understanding Elevated Urea Nitrogen Levels: Causes and Implications

Elevated blood urea nitrogen (BUN) levels? Hello Doctor: I recently had a blood test, and my blood urea nitrogen (BUN) level was 21.2, creatinine was 0.9, with the BUN highlighted in red (two months ago, it was 18.4 and creatinine was 0.95). About a week ago, I underwent dental i...

Dr. Li Jian Reply:
A hemoglobin A1c of 5.9 is consistent with a diagnosis of prediabetes, requiring regular follow-up every three months. Currently, kidney function is considered normal, but ongoing monitoring of future changes is necessary.

Essential Considerations for Diabetic Patients Undergoing Surgery

Considerations for Surgery in Diabetic Patients Hello, doctor. I was diagnosed with diabetes three years ago, and my initial hemoglobin A1c was 9.1. I am still managing my blood sugar with oral medications, and my current hemoglobin A1c is 7.8. I will be hospitalized for surgery ...

Dr. He Yonghe Reply:
Hello, Ms. Wu. Yes, a blood sugar level of 100-150 is a basic requirement for surgery, and it should remain the same postoperatively.

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 ...

Am I at Risk for Prediabetes? Understanding Blood Sugar Levels

Is it prediabetes? Hello Doctor, I am 25 years old, 174 cm tall, and weigh 63 kg. The night before, I consumed about two bowls of rice, two bowls of noodles, and lamb hot pot. After fasting for eight hours, I measured my blood glucose level using a glucometer and found it to be 1...

Dr. Li Jian Reply:
Another test is needed for confirmation. Please include a hemoglobin A1c test in the next blood draw for reference.

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.

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...

Understanding Your Blood Test Results: Cholesterol, Blood Sugar, and Medication Effects

Blood report Hello Dr. Hong, about a month ago I had a blood test at the hospital. The results showed total cholesterol at 210, LDL cholesterol at 144, blood glucose at 105, hemoglobin A1c at 5.3, and potassium at 5.3. I checked the standard values online and found that they are ...

Dr. Hong Yuanbin Reply:
Hello, although your blood sugar is slightly elevated, your glycated hemoglobin is normal, so there should be no issue with diabetes. Your potassium level is slightly high, but if your kidney function is normal, it may be due to constipation or decreased excretion, which usually ...

Postpartum Weight Loss: Understanding Health Concerns After Pregnancy

Significant weight loss after childbirth? Hello Doctor, before my pregnancy, my weight was approximately 65 kg (height 159 cm, BMI was overweight). During my pregnancy, I had gestational diabetes and used short-acting insulin (once in the morning). At the time of delivery, I weig...

Dr. Li Jian Reply:
Postpartum weight loss can also be evaluated by checking thyroid function, as thyroid dysfunction can affect weight.

Understanding Pre-Meal Blood Sugar Levels: Should You Worry?

Fasting blood glucose is 105 mg/dL, and glycated hemoglobin (HbA1c) is 5.3%? Hello Doctor, I measured my fasting blood sugar at 105 today. Although many sources say that a level below 100 is considered normal, the laboratory report states that the standard range is 70-110. Should...

Dr. Hong Yuanbin Reply:
Hello, based on your test results, your fasting blood glucose is 105 mg/dL and your hemoglobin A1c is 5.3%. Currently, these values do not meet the criteria for a diabetes diagnosis. It is recommended to follow up later. Thank you for your inquiry.

Understanding Pre-Meal Blood Sugar Levels: What Do 105 and HbA1c 5.3 Mean?

Fasting blood glucose is 105 mg/dL and HbA1c is 5.3%? I apologize for the inconvenience. Your fasting blood glucose level is 105 mg/dL, while the laboratory standard range is 70-110 mg/dL. This means that your result falls within the laboratory's normal range, so there is no...

Understanding Pre-Meal Blood Sugar Levels: What Does 105 Mean?

Fasting blood glucose is 105 mg/dL and HbA1c is 5.3%? I apologize for the inconvenience. Your fasting blood glucose level of 105 mg/dL falls within the laboratory's reference range of 70-110 mg/dL, which indicates that it is considered normal according to their standards. Wh...

Understanding Prediabetes: Causes, Management, and Lifestyle Changes

Prediabetes Hello, doctor. My height is 173 cm and my weight is 42.2 kg. In March, my weight was 45.2 kg. Due to weight loss, I underwent blood glucose and thyroid tests. The results showed fasting blood glucose of 96 mg/dL, hemoglobin A1c of 5.7%, eAG of 117 mg/dL, free T4 of 1....

Dr. Lin Jianliang Reply:
Hello: The normal range for fasting blood glucose levels is typically 70 to 100 mg/dL, and the normal range for hemoglobin A1c is 4 to 6%. I'm not sure what your laboratory's standard range is. For prediabetes, dietary changes and exercise can be effective in managing t...

Understanding Blood Pressure and HbA1c Levels: Key Insights for Patients

Issues related to blood pressure and glycated hemoglobin? 1. My father is 71 years old. During his health check-up, his hemoglobin A1c level was 6.1. The criteria for passing at the clinic is below 6. The physician there mentioned that levels below 6.7 do not qualify as diabetes....

Dr. Li Jian Reply:
A hemoglobin A1c level of 6.5 or higher can diagnose diabetes. If the hemoglobin A1c continues to rise, early intervention with glucose-lowering medications may be considered to prevent the onset of diabetes; however, these medications may require out-of-pocket expenses. For low ...

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