Understanding HbA1c Levels: Should My Mom See a Doctor at 6.6%?
Glycated hemoglobin (HbA1c) 6.6? Doctor, my mother is 58 years old. Last May, her HbA1c was 5.9%. Since then, she hasn't seen a doctor or taken any medication, nor has she made any special dietary changes until recently, when she started controlling her diet and monitoring h...
Dr. Li Zhiyao Reply:
Hello: Your mother's "glycated hemoglobin" has increased by 0.7 over the past eight months, which should not be taken lightly. It is recommended to consult with a specialist in endocrinology. It would also be beneficial for her to receive education from a nutrition...[Read More] Understanding HbA1c Levels: Should My Mom See a Doctor at 6.6%?
Understanding Diabetes: Symptoms, Testing, and Risk Factors Explained
Diabetes concerns? Hello Dr. Lee: In the past month, I have noticed persistent bubbles in my urine and have experienced increased urinary frequency, especially 2 to 3 hours after consuming sugary drinks, along with nocturia. I am concerned about kidney disease or diabetes. Last w...
Dr. Li Zhiyao Reply:
Hello: It is recommended that you consult an endocrinologist for further examination to determine your current condition. As for the causes of diabetes, there are many factors beyond diet, including genetic factors, lifestyle, lack of exercise, and more. The endocrinologist will ...[Read More] Understanding Diabetes: Symptoms, Testing, and Risk Factors Explained
Understanding OGTT Results: Can Normal Glycation Indicate Diabetes?
OGTT test and glycation? Hello doctor, if the glycosylated hemoglobin (HbA1c) is normal at 5.1%, but the oral glucose tolerance test (OGTT) exceeds 200 mg/dL, would that be classified as diabetes? Is this a possibility? Thank you.
Dr. Xiao Yongxun Reply:
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 (OGTT), c. HbA1c ≥ 6.5% (thi...[Read More] Understanding OGTT Results: Can Normal Glycation Indicate Diabetes?
Managing Postprandial Blood Sugar: Can Metformin Restore Normal Levels?
Medications for treating postprandial hyperglycemia? Hello, doctor. I heard that Metformin can be used to treat abnormal postprandial blood sugar levels. Can this medication really help the body return to normal? Once normal levels are achieved, can I stop taking it, or will I ne...
Dr. Xiao Yongxun Reply:
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. 2-hour plasma glucose level ≥200 mg/dL during an Oral Glucose Tolerance Test (OGTT), c. HbA1c ≥6.5% (m...[Read More] Managing Postprandial Blood Sugar: Can Metformin Restore Normal Levels?
Understanding Low Hemoglobin: Symptoms, Causes, and When to Seek Help
Low hemoglobin levels? Hello doctor, I would like to ask if my health check report shows only low hemoglobin and a fast heart rate, while everything else is normal, does that indicate anemia? I have been experiencing frequent dizziness and severe headaches when I get up in the mo...
Dr. Li Zhiyao Reply:
Hello: It is recommended that you consult with a "Hematology" (Hematology-Oncology) specialist to determine if further examination and treatment are necessary.[Read More] Understanding Low Hemoglobin: Symptoms, Causes, and When to Seek Help
Managing Hunger and Diabetes: Understanding Blood Sugar Control and Weight Loss
Annoying hunger pangs Hello Doctor, in November 2014, during my health check-up, the doctor diagnosed me with diabetes (fasting blood sugar of 136 after 8 hours, HbA1c of 6.9). The doctor did not prescribe any medication but advised me to buy a blood glucose monitor for self-moni...
Dr. Li Zhiyao Reply:
Hello: 1. Your blood sugar is under control, but this does not mean that diabetes has been cured. 2. Regarding hunger, it is initially recommended to consume foods that are filling yet low in calories. For detailed advice, it is suggested that you consult a nutritionist at a hosp...[Read More] Managing Hunger and Diabetes: Understanding Blood Sugar Control and Weight Loss
Understanding Diabetes Risk: Interpreting Your Blood Test Results
What is the likelihood of developing diabetes? Hello Doctor, Happy New Year! I would like to ask about my fasting blood test results after 12 hours: Mean Corpuscular Volume (MCV) 78.5, Hemoglobin 24.6, High-Sensitivity C-Reactive Protein (hs-CRP) 10.58, Glycated Hemoglobin (HbA1c...
Dr. Xiao Yongxun Reply:
1. Your fasting blood test report shows an average red blood cell volume of 78.5, hemoglobin of 24.6, high-sensitivity C-reactive protein of 10.58, glycated hemoglobin (HbA1c) of 7.7, GOT (AST) of 86, GPT (ALT) of 172, alkaline phosphatase of 110, total iron binding capacity of 5...[Read More] Understanding Diabetes Risk: Interpreting Your Blood Test Results
Understanding Blood Sugar Levels and Their Impact on Sexual Health
Blood sugar issues Doctor, I had a blood sugar test at the end of August, and my fasting level was around 80 mg/dL. I have been worried about various issues related to sexual function this past year and have sought medical attention for it. I read online that diabetes can affect ...
Dr. Li Zhiyao Reply:
Hello: A fasting blood glucose level of 80 is within the normal range. If there are concerns, you may consider additional testing for postprandial blood glucose at 2 hours and glycated hemoglobin (HbA1c). For issues related to sexual function, it is recommended to consult a urolo...[Read More] Understanding Blood Sugar Levels and Their Impact on Sexual Health
Understanding Elevated Fasting Blood Sugar: Causes and Follow-Up
Elevated blood sugar levels in health checkup? The fasting blood glucose level from the health check was measured at 107 mg/dL, and the glycated hemoglobin (HbA1c) is normal. I recently consumed more sweets than usual over the past two weeks. Could this have an impact, or is it u...
Dr. Xiao Yongxun Reply:
1. Generally, a normal fasting plasma glucose level is less than 100 mg/dL. If it falls between 100 mg/dL and 126 mg/dL, it can be considered as prediabetes or impaired fasting glucose. Of course, if the postprandial blood glucose is greater than or equal to 126 mg/dL, diabetes s...[Read More] Understanding Elevated Fasting Blood Sugar: Causes and Follow-Up
Managing Diabetes: Medication and the Role of B Vitamins
Diabetes medications and B vitamins? Hello Doctor, my father is 57 years old and has been diagnosed with diabetes for over two years. He is currently taking the following three medications: 1. Glucophage 500mg (twice daily, one tablet with breakfast and one with dinner) 2. Glybur...
Dr. Xiao Yongxun Reply:
The medications your father is taking are as follows: a. Galvus® (Vidagliptin, typically 50 mg). b. Glimet® (containing Glimepiride 2 mg/Metformin 500 mg). c. Lipitor® (available in Atorvastatin 10, 20, and 40 mg dosages). His hemoglobin A1c is 7.6%. 1. I believe the medication...[Read More] Managing Diabetes: Medication and the Role of B Vitamins
Should You Seek Medical Attention for Blood Sugar Concerns?
Should I seek medical attention for blood sugar issues? Doctor, I had a hemoglobin A1c test two days ago, and it was 5.1. My fasting blood sugar is around 80, but it spikes to about 170 two hours after eating (I only had half a bowl of white rice and some vegetables). If I eat ev...
Dr. Li Zhiyao Reply:
Hello: It is recommended that you continue with dietary control and regular exercise, and follow up with a medical check-up in 3 to 6 months.[Read More] Should You Seek Medical Attention for Blood Sugar Concerns?
Understanding Your Glycated Hemoglobin Levels: A Guide for Patients
Glycated hemoglobin (HbA1c) Hello Doctor, could you please tell me if my report includes a measurement of glycated hemoglobin? R.B.C 4.36 10^6/ul W.B.C 7.94 10^3/ul Hemoglobin (Hb) 13.2 g/dl Hematocrit (Hct) 38.0 % Platelet count 379 10^3/ul MCV 82.7 fl MCH 30.3 pg MCHC 34.7 g/dl...
Dr. Li Zhiyao Reply:
Hello: Glycated hemoglobin was not detected.[Read More] Understanding Your Glycated Hemoglobin Levels: A Guide for Patients
Understanding Blood Sugar Levels: Are You at Risk for Diabetes?
Abnormal blood sugar levels? Doctor, I had a boiled egg for breakfast at 11 AM. Two hours later, my blood sugar level was 92. After lunch (which was a small hot pot and a bowl of white rice), my blood sugar level was 165 two hours later. For dinner, after eating half a bowl of fr...
Dr. Li Zhiyao Reply:
Hello: It is recommended that you have your check-up at the hospital when your diet is normal (including timing and portion size) for better assessment. The blood glucose data you provided clearly correlates with your food intake. It would be more accurate to maintain a consisten...[Read More] Understanding Blood Sugar Levels: Are You at Risk for Diabetes?
Understanding Diabetes: Can Pancreatitis Cause High Blood Sugar?
Diabetes Consultation Doctor, there are many causes of diabetes. I heard that pancreatitis can also lead to diabetes. If blood glucose and hemoglobin A1c levels are both very high, can we directly conclude that it is type 2 diabetes? Does this mean it cannot be caused by pancreat...
Dr. Li Zhiyao Reply:
Hello: Diabetes caused by pancreatitis is mostly due to chronic pancreatitis resulting from alcohol abuse, which then leads to diabetes. If you do not have this condition, the likelihood of having type 2 diabetes is the highest. If you have any questions, please consult a special...[Read More] Understanding Diabetes: Can Pancreatitis Cause High Blood Sugar?
Understanding Morning Blood Sugar Spikes: Causes and Solutions
Every morning around 11 AM, my blood sugar spikes abnormally high? Hello, Doctor. Currently, my fasting blood sugar in the morning is between 110 and 120. Two years ago, my hemoglobin A1c was 5.6. Over the past two years, I've noticed that every morning after 10 AM, before l...
Dr. Lin Shunfa Reply:
TO: yikun It seems that you are concerned about prediabetes. 1. It is often said that in the early stages of diabetes or in patients with prediabetes, there can be an overproduction of insulin in the body before blood glucose levels rise to a point where diabetes can be diagnosed...[Read More] Understanding Morning Blood Sugar Spikes: Causes and Solutions
High Neutrophil and Low Lymphocyte Counts: What Do They Mean?
Elevated neutrophil percentage and decreased lymphocyte percentage? Hello Doctor: During my recent health check-up, the results of my complete blood count (CBC) are as follows: - White Blood Cell Count (WBC): 8.25 x 10^3/µL - Neutrophil Count (W-LCC): 6.12 x 10^3/µL - Lymphocyt...
Dr. Li Zhiyao Reply:
Hello Mr. Chang: Mild infections or inflammation can lead to examination results like yours, but since the symptoms are mild, you may not feel discomfort. It is recommended that you visit a family medicine physician, as the doctor may be able to identify the cause.[Read More] High Neutrophil and Low Lymphocyte Counts: What Do They Mean?
Understanding Fasting Blood Sugar Levels: Are You at Risk for Diabetes?
Fasting blood glucose level Dear Doctor: I measured my fasting blood glucose levels at the end of September, early October, and yesterday, with values of 120, 103, and 129, respectively, all after fasting for 8 hours. Additionally, I had my hemoglobin A1c tested yesterday, which ...
Dr. Li Zhiyao Reply:
Hello: 1. Based on your blood glucose levels, you are currently classified as "prediabetic." It is recommended that you control your diet, engage in regular exercise, and maintain a healthy weight. 2. Blood glucose levels can fluctuate at any time, and the situations yo...[Read More] Understanding Fasting Blood Sugar Levels: Are You at Risk for Diabetes?
Understanding Mediterranean Anemia: Blood Test Insights and Next Steps
Mediterranean anemia Hello, based on my blood test report, is it possible that I have Mediterranean anemia? What is the likelihood? Or what additional tests should I undergo? Thank you. RBC: 5.28 (Male: 4.2-6.2; Female: 3.7-5.5) MIL/cumm Hemoglobin: 13.2 (Male: 12.3-18.3; Fem...
Dr. Xiao Yongxun Reply:
1. The complete blood count and hemoglobin electrophoresis tests you provided should ideally be ordered by a physician, who should also provide a thorough discussion and explanation of the results. If you have any further questions, please be sure to discuss them with your physic...[Read More] Understanding Mediterranean Anemia: Blood Test Insights and Next Steps
Understanding Blood Sugar Levels: When to Test for Diabetes
Blood sugar issues Hello, doctor. Here are my fasting, pre-meal, and post-meal blood glucose readings from my glucose meter for September 9 and 10. On September 9: - Morning blood glucose: 77 (fasting, 10:00 AM), 85 (12:00 PM) - Afternoon blood glucose: 105 (1:00 PM), 108 (3:00...
Dr. Xiao Yongxun Reply:
1. Generally, a normal fasting blood glucose level is <100 mg/dL. 2. A fasting blood glucose level between 100 mg/dL and 126 mg/dL indicates an increased risk for diabetes. 3. A fasting blood glucose level ≥126 mg/dL suggests possible diabetes. 4. A hemoglobin A1c (HbA1c) l...[Read More] Understanding Blood Sugar Levels: When to Test for Diabetes
Understanding Mediterranean Anemia: Diagnosis and Concerns
Diagnosis of Mediterranean Anemia Hello Doctor, during my annual health check, I always have a lot of abnormal results in my complete blood count. This year's data is as follows: RBC 567 (high), HB 11.6 (low), MCV 66.1 (low), MCH 20.5 (low), MCHC 30.9 (low), with the rest be...
Dr. Chen Jianyu Reply:
Please follow up with the hematology outpatient clinic. Thanks.[Read More] Understanding Mediterranean Anemia: Diagnosis and Concerns