Managing Microalbuminuria in Diabetic Patients: Concerns and Treatments
The issue of microalbuminuria? Dear Doctor Wu, I was diagnosed with diabetes three years ago, and since then I have been controlling my diet and taking medication, maintaining my hemoglobin A1c below 6. My blood pressure before bed has been below 130. However, starting around No...
Dr. Wu Hongjie Reply:
ACR is used as a substitute for the 24-hour urine collection method to measure daily protein loss; the former is only an approximate estimation of the latter. Therefore, the accuracy of this estimation is inevitably not completely reliable. If ACR does not significantly increase,...[Read More] Managing Microalbuminuria in Diabetic Patients: Concerns and Treatments
Understanding Blood Sugar Levels: Are You at Risk for Prediabetes?
Blood glucose level is 102, but glycated hemoglobin (HbA1c) is normal? Hello doctor, my height is 176 cm and my weight is 77 kg. My fasting blood glucose level is 102 mg/dL, but my hemoglobin A1c is 5.5%. Am I considered to be in the prediabetic range, or do I need to retest my f...
Dr. Li Jian Reply:
Fasting blood glucose levels exceeding 100 mg/dL raise concerns for prediabetes, and regular monitoring is necessary. Both hemoglobin A1c and fasting blood glucose have their respective reference values; no single number can provide complete assurance, so both should be considere...[Read More] Understanding Blood Sugar Levels: Are You at Risk for Prediabetes?
What is the Normal Range for Hemoglobin A1c Levels?
What is the normal range for hemoglobin A1c? The normal range for hemoglobin A1c (HbA1c) levels can vary slightly depending on the guidelines used. Generally, an HbA1c level of less than 5.7% is considered normal, while levels between 5.7% and 6.4% indicate prediabetes. A level o...
Dr. Li Jian Reply:
Both the American Diabetes Association and the Taiwan Diabetes Association define a normal fasting blood glucose level as below 5.6 mmol/L.[Read More] What is the Normal Range for Hemoglobin A1c Levels?
Managing Diabetes in HIV Patients: Expert Advice and Insights
Simultaneous diagnosis of HIV and diabetes? Hello Dr. Chen, due to my infection condition, I have hesitated to seek treatment from specialties outside of infectious diseases. However, my hemoglobin A1c has consistently been above 8.5. I am currently taking three different antidia...
Dr. Chen Jianyu Reply:
Hello: The infectious disease department of the hospital also has internal medicine specialty qualifications. Please inform the infectious disease physician to handle it accordingly.[Read More] Managing Diabetes in HIV Patients: Expert Advice and Insights
Understanding Autoimmune Disorders in Children: Symptoms and Testing
Autoimmunity Hello Doctor, in October 2019, my son (7 years old) was infected with influenza type B. Later, he developed some red spots on his hands, and when we went to the hospital for a blood test, the emergency doctor said everything was normal, with a platelet count of 180,0...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. It is indeed possible for children to develop skin rashes and abnormal blood test results due to viral infections, and if these symptoms resolve quickly or the test results return to normal, there is usually no need for concern. However, blood t...[Read More] Understanding Autoimmune Disorders in Children: Symptoms and Testing
Does Anemia Affect Blood Sugar Diagnosis Standards? Understanding the Impact
Does anemia affect blood sugar diagnostic standards? Recently, my health check report showed a fasting blood glucose level of 101 and a hemoglobin A1c of 5.8. I am very concerned about diabetes, but I have thalassemia. Does this condition affect blood glucose levels or the standa...
Dr. Lin Jianliang Reply:
Hello: Mediterranean anemia can affect the binding of glucose to hemoglobin, which in turn can impact the levels of glycated hemoglobin.[Read More] Does Anemia Affect Blood Sugar Diagnosis Standards? Understanding the Impact
Understanding Abnormal Blood Test Results: Should You See an Endocrinologist?
Abnormal blood test results? The most recent blood test report from my check-up shows a fasting blood glucose level of 101, which is slightly above the normal range, but the hemoglobin A1c level is 5.3, which seems to be normal. Should I see an endocrinologist for adjustment or f...
Dr. Li Jian Reply:
Fasting blood glucose levels exceeding 100 require regular follow-up visits. It is also important to consider that some individuals may have inaccurate hemoglobin A1c results due to anemia.[Read More] Understanding Abnormal Blood Test Results: Should You See an Endocrinologist?
Understanding Blood Sugar and Kidney Health: Key Insights for Patients
Regarding blood sugar and the kidneys? Hello, doctor. At the end of last month, I visited a nearby clinic due to a urinary tract infection. My postprandial blood glucose was measured at 217 (more than one hour after eating). After a blood test, my hemoglobin A1c was found to be 5...
Dr. Chen Jianyu Reply:
Your situation is complex, and it is difficult to convey through text, which may lead to misunderstandings. It is recommended to seek assistance from a specialist in endocrinology, nephrology, or urology. Thank you. 109.12.24[Read More] Understanding Blood Sugar and Kidney Health: Key Insights for Patients
Understanding Your Cholesterol and Blood Sugar Levels: Key Insights
Issues with blood lipids and blood glucose? Hello Dr. Lin, I have a few questions regarding my blood sugar and lipid levels. Below are my test results from two health check-ups spaced seven months apart: - Total Cholesterol (TCH): 235 mg/dL, 256 mg/dL (Reference value: <200)...
Dr. Lin Jianliang Reply:
1. According to your Glu AC and HbA1C, they are currently within the standard range. 2. Whether you need to take lipid-lowering medication depends on other risk factors, such as a family history of cerebrovascular disease or cardiovascular disease, among others. 3. It is currentl...[Read More] Understanding Your Cholesterol and Blood Sugar Levels: Key Insights
Understanding HbA1c Levels: Are You at Risk for Prediabetes?
Glycated hemoglobin (HbA1c) 5.7? Hello doctor, during a health check at my company on August 15, my fasting blood glucose was 85 mg/dL, but my hemoglobin A1c was 5.7%. Three months later, I went to a nearby clinic for a recheck, and my fasting blood glucose was 80 mg/dL, while my...
Dr. Li Jian Reply:
A hemoglobin A1c level of 5.7 to 6.4 is considered prediabetes, while a level of 6.5 or higher is classified as diabetes.[Read More] Understanding HbA1c Levels: Are You at Risk for Prediabetes?
Understanding Consistent Hemoglobin A1c Levels of 5.7: Causes and Management
Glycated hemoglobin (HbA1c) 5.7? Hello, Doctor: If I have been testing my hemoglobin A1c and fasting blood glucose every 3-6 months over the past few years, with the hemoglobin A1c consistently at 5.7 and normal fasting blood glucose (around 90), and my BMI has been stable at 16....
Dr. Li Jian Reply:
If there are doubts about the accuracy of glycated hemoglobin, one can also have glycated albumin tested at a major hospital as a reference.[Read More] Understanding Consistent Hemoglobin A1c Levels of 5.7: Causes and Management
Am I Prediabetic? Understanding Symptoms and Blood Sugar Levels
Is it prediabetes? Hello Dr. Lin, sometimes about two hours after lunch, I feel hungry and experience symptoms similar to hypoglycemia (but this does not happen after dinner). Six months ago, I had a fasting blood glucose test that showed 101 mg/dL, and my blood glucose two hours...
Dr. Lin Jianliang Reply:
A fasting blood glucose level ranging from 100 to 125 mg/dL is classified as impaired fasting glucose (IFG), also known as "early diabetes," latent diabetes, or prediabetes. At this stage, dietary control and increased physical activity can help manage blood glucose lev...[Read More] Am I Prediabetic? Understanding Symptoms and Blood Sugar Levels
Understanding High Fasting Blood Sugar: Is It Prediabetes?
High fasting blood sugar? Hello Dr. Lee, I am currently 25 years old, weighing 50 kg and measuring 167 cm. In mid-September, I underwent a company-arranged health check at a clinic in Japan. The test results showed a fasting blood glucose level of 111 mg/dL (after fasting for six...
Dr. Li Jian Reply:
The standard fasting test requires an 8-hour fasting period. It is recommended to repeat the test, and if the result is still above 100, then a hemoglobin A1C test should be performed to assist in the diagnosis.[Read More] Understanding High Fasting Blood Sugar: Is It Prediabetes?
Understanding High Fasting Blood Sugar: Is It Prediabetes?
High fasting blood sugar? Hello Dr. Lee, I am currently 25 years old, weighing 50 kg with a height of 167 cm. In mid-September, I underwent a company-arranged health check at a clinic in Japan. The test results showed a fasting blood glucose level of 111 mg/dL (after fasting for ...
Dr. Li Jian Reply:
The standard fasting test requires an 8-hour fasting period. It is recommended to repeat the test; if the result is still above 100 mg/dL, then a hemoglobin A1C test should be conducted for further diagnosis.[Read More] Understanding High Fasting Blood Sugar: Is It Prediabetes?
Understanding Diabetes Symptoms: When to Seek Medical Advice
Diabetes Consultation Hello Doctor: On April 30th, my fasting blood glucose was 98, and my hemoglobin A1c was 4.8. On May 15th, my fasting blood glucose was 91, and my hemoglobin A1c was 4.7. However, on August 14th, my fasting blood glucose was 102, and on August 27th, it was 10...
Dr. Li Jian Reply:
The diagnostic criteria for diabetes are a fasting blood glucose level of 126 mg/dL or higher, or a hemoglobin A1c level of 6.5% or higher. Symptoms such as tingling, fatigue, blurred vision, and frequent urination cannot currently be interpreted as indicative of diabetes.[Read More] Understanding Diabetes Symptoms: When to Seek Medical Advice
Understanding Diabetes Symptoms: When to Seek Medical Advice
Diabetes Consultation Hello Doctor: On April 30th, my fasting blood sugar was 98, and my hemoglobin A1c was 4.8. On May 15th, my fasting blood sugar was 91, and my hemoglobin A1c was 4.7. However, on August 14th, my fasting blood sugar was 102, and on August 27th, it was 104, but...
Dr. Li Jian Reply:
The diagnostic criteria for diabetes mellitus include a fasting blood glucose level of 126 mg/dL or higher, or a hemoglobin A1c level of 6.5% or higher. Symptoms such as tingling, fatigue, blurred vision, and frequent urination cannot currently be interpreted as indicative of dia...[Read More] Understanding Diabetes Symptoms: When to Seek Medical Advice
Understanding Diabetes Risk: Managing Family History and Lifestyle Choices
Diabetes issues Both parents have diabetes, and both sisters have also been diagnosed with diabetes. Therefore, there is a regular habit of exercising and maintaining a light diet. Recently, due to frequent feelings of hunger, a visit was made to the hospital's metabolic dep...
Dr. Li Jian Reply:
1. A hemoglobin A1c level of 5.8% can be diagnosed as prediabetes. 2. Taiwanese people often consume too much fruit, leading to elevated blood sugar levels; it is important to be cautious about excessive fruit intake. 3. Blood tests should be done after an absolute fasting pe...[Read More] Understanding Diabetes Risk: Managing Family History and Lifestyle Choices
Managing Diabetes: Concerns About High Potassium and Urinary Protein
Diabetes mellitus with concerns of hyperkalemia and proteinuria? Hello Doctor, I have encountered some issues recently and would like to ask for your advice. Thank you for taking the time to read this. During my recent follow-up for diabetes, my blood test results showed a hemogl...
Dr. Lin Jianliang Reply:
First of all, I would like to tell you that proteinuria can be an early indicator of kidney disease, reflecting the severity of the current kidney condition and predicting the prognosis of kidney disease. However, there are many causes of proteinuria, such as infections, inflamma...[Read More] Managing Diabetes: Concerns About High Potassium and Urinary Protein
How Low Should Hemoglobin A1c Levels Be for Diabetes Management?
What should the target level for glycated hemoglobin be? I was diagnosed with type 2 diabetes in 2012 and currently visit a clinic where I take Glibudon F.C. Tablets 500 mg (Metformin Hydrochloride) once a day. My HbA1c levels are controlled between 6.3 and 6.5. However, I found ...
Dr. Lin Jianliang Reply:
Hello: Online information is for reference only; it is advisable to seek a doctor's examination.[Read More] How Low Should Hemoglobin A1c Levels Be for Diabetes Management?
Understanding Fasting Blood Sugar Levels: Causes and Concerns for Pre-Diabetes
Please consult a doctor regarding blood sugar issues. Thank you! This year, at 42 years old, I have a standard build (166 cm / 55 kg) and a history of gallbladder removal surgery as well as kidney stones. My father and grandmother have a history of diabetes. In early January, a b...
Dr. Lin Wuxuan Reply:
Hello: Based on your initial glycated hemoglobin (HbA1c) level of 6.5 and your relevant family history, you can be diagnosed with diabetes according to diabetes management guidelines. However, diabetes patients are not completely unable to metabolize glucose; the body retains var...[Read More] Understanding Fasting Blood Sugar Levels: Causes and Concerns for Pre-Diabetes