Hemoglobin, Internal Medicine FAQ - Page 11

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Could These Symptoms Indicate Diabetes? Expert Insights on Testing

Is it possible that this could be diabetes? Hello Dr. Lee! Recently, I have been experiencing the following conditions: 1. Frequent urination (I often wake up in the middle of the night to urinate, about 1-2 times per night). 2. Weight loss from 63.5 kg to 60.5 kg (over about one...


Dr. Li Zhiyao Reply:
Hello, regarding your inquiries: 1. The measurements of glycated hemoglobin (HbA1c) before and after meals are the same. 2. According to your routine health check data from June, there are no signs of diabetes. If you are still concerned, you can have your fasting blood glucose a...

[Read More] Could These Symptoms Indicate Diabetes? Expert Insights on Testing


Understanding Easy Bruising: Causes, Symptoms, and When to Seek Help

Easy bruising? Hello, doctor. Recently, I've noticed that my legs bruise easily, with several bruises appearing. I had a cold a while ago, and since then, my body temperature has been slightly elevated, around 37.3°C. There was one instance when my temperature suddenly rose ...


Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I believe that based solely on the examination data, there doesn't appear to be any major issues. It may be necessary for a physician to evaluate the patient in person to arrange for more precise testing. I recommend consulting with a hemat...

[Read More] Understanding Easy Bruising: Causes, Symptoms, and When to Seek Help


Understanding Kidney Issues: A Comprehensive Guide for Patients and Families

Kidney problems Hello Doctor, My family member (female, 29 years old) has long-term chronic health issues. She has been diagnosed with refractory epilepsy for 23 years and is currently taking the following medications: Depakote 700mg, Vimpat 100mg, Keppra 1000mg, and Lamictal 30...


Dr. Wu Hongjie Reply:
Hello: Currently, your family member's creatinine levels have returned to normal range. The recent decline in kidney function is likely due to acute kidney injury, but regular monitoring is still necessary. Dietary restrictions are not required at this time. The exact causes...

[Read More] Understanding Kidney Issues: A Comprehensive Guide for Patients and Families


Does Drinking Sugary Beverage Before Fasting Blood Test Affect Results?

Drank a sip of sugary beverage before blood draw? Fasting for 8 hours before a blood draw is typically required for accurate results, especially for tests related to blood glucose levels. Drinking a small amount of sugary beverage at 7 AM before a 9 AM blood draw may affect the r...


Dr. Xiao Yongxun Reply:
Dear Mr. Lee: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. Fasting plasma glucose level ≥ 126 mg/dL after fasting for at least 8 hours. b. Plasma glucose level ≥ 200 mg/dL during a 2-hour oral glucose tolerance test. c. HbA1c ...

[Read More] Does Drinking Sugary Beverage Before Fasting Blood Test Affect Results?


Understanding the Discrepancy Between Blood Glucose Meter and Lab Results

Questions about blood glucose meters? Hello Doctor: Recently, a family member noticed that urination attracted ants, so they went to the clinic for a blood test. On the same day, after the nurse drew blood, she used the venous blood to measure fasting blood glucose with a Roche A...


Dr. Xiao Yongxun Reply:
Dear Ms. Wang Su-Chen: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association, a. a fasting plasma glucose level of ≥126 mg/dL after fasting for more than 8 hours, b. a 2-hour plasma glucose level of ≥200 mg/dL during an oral glucose tolera...

[Read More] Understanding the Discrepancy Between Blood Glucose Meter and Lab Results


Understanding Anemia: Symptoms, Types, and Improvement Strategies

Regarding issues related to my anemia? I am a male, naturally tall and thin. At the age of 13-14, I was diagnosed with anemia at a general clinic. I have often experienced dizziness, headaches, and difficulty falling asleep for a long time. This condition has improved over time. ...


Dr. Hong Yuanbin Reply:
Hello, to differentiate between the types of anemia, a blood test is necessary to examine the size of red blood cells. In Taiwan, there is a higher prevalence of thalassemia and iron deficiency anemia. The symptoms of anemia depend on the level of hemoglobin; generally, if it is ...

[Read More] Understanding Anemia: Symptoms, Types, and Improvement Strategies


Understanding Elevated Blood Sugar: Is 104 mg/dl a Warning Sign?

Regarding elevated blood sugar levels? Hello doctor, I would like to ask if a fasting blood glucose test result of 104 mg/dL indicates that I am in a prediabetic state? Or could my recent consumption of ice cream and sweets during the summer have affected this value?


Dr. Li Zhiyao Reply:
Hello Ms. Lin: According to the definition, a fasting blood glucose level of 104 mg/dL is considered "prediabetes." However, a single test result is not sufficient for a diagnosis. It is recommended that you reduce your intake of sugary foods and follow up in three mont...

[Read More] Understanding Elevated Blood Sugar: Is 104 mg/dl a Warning Sign?


Understanding Diabetes: Key Questions About Diagnosis and Management

Diabetes concerns? Hello Doctor: My son is 26 years old and has been attracting ants with his urine. He went to the clinic for a blood test, which showed a fasting blood glucose level of 266 mg/dL and a hemoglobin A1c of 10.58%. There is a family history of diabetes (both of my p...


Dr. Xiao Yongxun Reply:
Dear Miss Wang Su-Chen: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association, a. a fasting plasma glucose level ≥126 mg/dL after fasting for more than 8 hours, b. a 2-hour plasma glucose level ≥200 mg/dL during an oral glucose tolerance t...

[Read More] Understanding Diabetes: Key Questions About Diagnosis and Management


Is a Blood Sugar Level of 114 mg/dL a Sign of Early Diabetes?

Blood sugar issues? Hello doctor, I started fasting at 8:00 PM and had blood and urine tests at 10:00 AM the next day. The report showed a blood glucose level of 114 mg/dL. Does this mean I am in the early stages of diabetes? Thank you!


Dr. Li Zhiyao Reply:
Hello: Based on the values from your report, you can be classified as having "prediabetes" (not early-stage diabetes). If you could also test for "glycated hemoglobin" (also known as HbA1c) and postprandial blood glucose levels two hours after eating, it would...

[Read More] Is a Blood Sugar Level of 114 mg/dL a Sign of Early Diabetes?


Could My Symptoms Indicate Diabetes? Understanding Blood Sugar Levels and Weight Loss

Could this indicate the possibility of diabetes? Hello, Doctor. In mid-May of this year, I had a blood test that showed a hemoglobin A1c of 5.0 and a fasting blood glucose level of 86. From the end of May until today, my height and weight changed from 160 cm/55 kg to 160 cm/52 kg...


Dr. Xiao Yongxun Reply:
Dear Ms. NN: 1. Zoloft® (Sertraline) is classified as a selective serotonin reuptake inhibitor (SSRI) because it specifically inhibits the reuptake of serotonin, exhibiting a selectivity for serotonin transporters that is 300 to 3000 times greater compared to norepinephrine tran...

[Read More] Could My Symptoms Indicate Diabetes? Understanding Blood Sugar Levels and Weight Loss


Should You See a Doctor for Thalassemia Concerns?

Should individuals with thalassemia see a doctor? Hello doctor, there is a history of thalassemia in my family, and I suspect I might have it as well. During high school, I was diagnosed during a health check-up. I have previously experienced palpitations, and a cardiology examin...


Dr. Xiao Yongxun Reply:
Dear Miss Wenwen: 1. Thalassemia, known in Chinese as "海洋性貧血" or "地中海型貧血," is an autosomal recessive genetic disorder. It is primarily classified into two types: α-thalassemia and β-thalassemia, similar to what is taught in middle school regarding Mendelian i...

[Read More] Should You See a Doctor for Thalassemia Concerns?


Understanding Diabetes Diagnosis: Key Blood Test Criteria Explained

Diagnosis of Diabetes Mellitus Hello, Dr. Hsiao. I would like to ask about a recent blood test where the fasting blood glucose and HbA1c levels were 140 mg/dL and 7.3%, respectively. I saw Dr. Hsiao's response regarding the diabetes diagnostic criteria published by the Ameri...


Dr. Xiao Yongxun Reply:
Dear Mr. Kiwi: 1. In clinical medicine, diagnostic standards or treatment guidelines often serve as references when research is uncertain or controversial. In practice, clinicians must make diagnoses or interventions based on the patient's own complaints, symptoms, or chan...

[Read More] Understanding Diabetes Diagnosis: Key Blood Test Criteria Explained


Is Abnormal Blood Sugar with Normal HbA1c a Sign of Diabetes?

Abnormal blood glucose levels with consistently normal glycated hemoglobin (HbA1c) may not necessarily indicate diabetes. It is important to consider other factors and conduct further testing to determine the underlying cause of the abnormal blood glucose levels? Hello Doctor, fo...


Dr. Xiao Yongxun Reply:
Dear Mr. Huang: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. A fasting plasma glucose level of ≥126 mg/dL after fasting for more than 8 hours; b. A 2-hour plasma glucose level of ≥200 mg/dL during an oral glucose tolerance tes...

[Read More] Is Abnormal Blood Sugar with Normal HbA1c a Sign of Diabetes?


Understanding Fasting Blood Sugar Variations: What You Need to Know

Fasting blood glucose Hello doctor, I have a habit of regularly checking my blood sugar. This morning, I went to the clinic and had my blood sugar tested, and the result was 124. About three months ago, at the same clinic, it was in the 90s. Then, about 10 minutes later, I went t...


Dr. Xiao Yongxun Reply:
Dear Mr. Cheng, 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. A fasting plasma glucose level of ≥126 mg/dL after fasting for at least 8 hours, b. A 2-hour plasma glucose level of ≥200 mg/dL during an oral glucose tolerance test...

[Read More] Understanding Fasting Blood Sugar Variations: What You Need to Know


Am I Diabetic? Understanding Symptoms and Blood Sugar Levels

Do I have diabetes? I have been experiencing frequent dry mouth and thirst lately, constantly drinking water and urinating, yet I still feel thirsty. I have had similar episodes before, and one morning my fasting blood sugar was as high as 124. I'm not sure if it was related...


Dr. Xiao Yongxun Reply:
Dear Mr. Allen: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. A fasting plasma glucose level of ≥126 mg/dL after fasting for at least 8 hours. b. A 2-hour plasma glucose level of ≥200 mg/dL during an oral glucose tolera...

[Read More] Am I Diabetic? Understanding Symptoms and Blood Sugar Levels


Could Your Thirst and Weight Loss Indicate Diabetes?

What is the likelihood of developing diabetes? Hello Doctor: I have been drinking a lot of beverages in the past few months because I still feel thirsty even after drinking water. I researched ways to quench my thirst and unexpectedly came across the symptoms of diabetes, which s...


Dr. Xiao Yongxun Reply:
Dear Miss Su: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. Fasting plasma glucose level ≥126 mg/dl after fasting for more than 8 hours, b. Plasma glucose level ≥200 mg/dl during a 2-hour oral glucose tolerance test, c. HbA1c ≥...

[Read More] Could Your Thirst and Weight Loss Indicate Diabetes?


Managing Blood Sugar: When to Use Medication for Carbohydrate Intake

Issues with blood sugar medications Doctor, I usually have normal blood sugar levels, with fasting levels between 100 and 110. Typically, after consuming five types of rice, my blood sugar is around 135 two hours later. However, when I eat carbohydrates like white rice, dumplings...


Dr. Li Zhiyao Reply:
Hello Mr. Ke: The glycemic index of white rice and white noodles is higher than that of multigrain rice, which causes an increase in your post-meal blood sugar levels when eating out. If you cannot reduce your intake of white rice, then using Glucophage for control may be necessa...

[Read More] Managing Blood Sugar: When to Use Medication for Carbohydrate Intake


Understanding Glycated Hemoglobin: Managing Blood Sugar Levels Effectively

Glycated Hemoglobin (HbA1c) Hello Doctor: In January, I discovered that my fasting blood sugar was 140. After one week of dietary control, I went to the hospital for a blood test, and the result showed a fasting level of 119 and an HbA1c of 7.2. The doctor gave me two months to m...


Dr. Xiao Yongxun Reply:
Dear Miss Lin: 1. There are many factors that can influence elevated fasting blood glucose levels, including overeating at the previous meal, accidental consumption of caloric foods during fasting, infections or illnesses, excessive stress, the use of certain medications or herb...

[Read More] Understanding Glycated Hemoglobin: Managing Blood Sugar Levels Effectively


Am I Diabetic? Understanding Blood Sugar and Cholesterol Levels

Could you please tell me if I have diabetes? Hello, last year my tests were normal, but this year I received my health check results showing abnormal blood sugar and lipid levels. Am I diabetic? After fasting for over 12 hours, my weight is 49 kg and my height is 155.7 cm. My cho...


Dr. Xiao Yongxun Reply:
Dear Ms. Vivi: 1. Your fasting blood glucose level is 102 mg/dL, your body mass index (BMI) is 20.4 kg/m², and you do not exhibit any obvious symptoms of diabetes. 2. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. A fasting ...

[Read More] Am I Diabetic? Understanding Blood Sugar and Cholesterol Levels


Understanding Blood Sugar Fluctuations: Symptoms and Testing Insights

Blood sugar inquiry? Hello, Doctor: A few days ago, during lunch, I drank a soda and suddenly felt unwell, experiencing neck pain and fatigue. After about half an hour, I still felt uncomfortable, so I consumed an oral rehydration solution (8.44 grams of sucrose and 2.8 grams of ...


Dr. Xiao Yongxun Reply:
Dear Mr. Ming: 1. According to your information, I agree with your attending physician; in other words, there is no evidence indicating the presence of diabetes. 2. Any blood glucose meter can produce inaccuracies; therefore, it is necessary to have the manufacturer perform cali...

[Read More] Understanding Blood Sugar Fluctuations: Symptoms and Testing Insights


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