Hemoglobin, Internal Medicine FAQ

Understanding Diabetes: Key Symptoms, HbA1c, and Future Treatments

The three polys of diabetes refer to polyuria (excessive urination), polydipsia (excessive thirst), and polyphagia (excessive hunger). Glycated hemoglobin, also known as HbA1c, is a form of hemoglobin that is chemically linked to glucose. It is used as a marker to Hello Dr. Hsiao...

Dr. Xiao Yongxun Reply:
Hello, in response to your questions: 1. The normal fasting plasma glucose level for healthy individuals ranges from 70 to 110 mg/dL, while the postprandial glucose level two hours after a meal should be between 80 and 140 mg/dL. Clinically, one of the criteria for diagnosing d...

Choosing Between Hemodialysis and Peritoneal Dialysis for Kidney Failure

What are the dialysis methods for renal failure? For patients with high blood pressure and low hematocrit and hemoglobin levels, which method is better: hemodialysis or peritoneal dialysis? (Assuming that the schedule, family support, and home environment can accommodate both met...

Dr. Yang Jun Reply:
Hello: In response to your question, there are two types of dialysis: hemodialysis and peritoneal dialysis. Peritoneal dialysis is performed continuously over 24 hours for the removal of uremic toxins, resulting in less fluctuation in body fluid status, and patients typically hav...

Can Women with Diabetes Safely Get Pregnant?

Can a person with diabetes become pregnant? Dear Dr. Huang, In April of this year, I was admitted to Tunghai University Hospital Wuchi Branch due to gallstones complicated by acute pancreatitis. Following the doctor's advice, I underwent a cholecystectomy and was discharged...

Dr. Huang Maosen Reply:
Hello! It is possible to become pregnant with diabetes; however, special attention must be paid to blood sugar control during pregnancy. According to the information you provided, your blood sugar control is not ideal. Hemoglobin A1c should be maintained below 7, fasting blood su...

Understanding Low Hemoglobin: Causes, Concerns, and Solutions

Hemoglobin Hello, doctor. During the company's health check-up, my hemoglobin level was found to be low, and they requested a retest. The report mentioned suspected thalassemia. What does that mean? However, I have donated blood several times, so I shouldn't have thalas...

Dr. Wang Fangli Reply:
Having donated blood does not necessarily mean one does not have thalassemia (formerly known as Mediterranean anemia). In cases of mild thalassemia, hemoglobin levels may fall within the normal range, but the red blood cells may be smaller in size. A low hemoglobin level observed...

Could I Have Diabetes? Understanding Symptoms and Concerns

Do I have diabetes? Hello Doctor: Sometimes I forget to flush the toilet after urinating, and after a few hours, I find that the toilet is crawling with ants. Occasionally, I also notice ants crawling on me while I sleep (even after showering). I went to the hospital for blood te...

Dr. Shi Guangzhong Reply:
Dear Yu-Feng: 1. The presence of ants in the toilet does not necessarily indicate diabetes, especially considering your fasting blood glucose level is 101 mg/dL. According to standard criteria, your current situation does not classify as diabetes. Further testing of your postpra...

Essential Dietary Tips for Diabetes Prevention and Management

Dietary Considerations for Diabetes Management Please provide prevention strategies and dietary considerations related to diabetes.

Dr. He Niaotong Reply:
Dear Lee, Primary prevention of diabetes starts from the community-based healthcare system, providing necessary regular screenings for high-risk groups (as shown in Table 1-1). The goal of primary prevention is to implement preventive interventions for populations with a high su...

Understanding Blood Sugar Levels in Diabetes: Nighttime Drinking Effects

Blood Sugar Issues Related to Diabetes Symptoms: Blood sugar before sleep is 105, but fasting blood sugar is 121, which is higher. Duration: Daily. Additional information: I asked for my father, who is a diabetes patient. Does drinking water at night affect fasting blood sugar le...

Dr. Chen Jingwen Reply:
Your blood sugar levels are 105 before bedtime and 121 when fasting. In the ideal range for diabetics, which is 90-120, this indicates good control. It would be even better if you could monitor your HbA1c (glycated hemoglobin) every 3 to 4 months to maintain it below 6.5%. Drinki...

Understanding Chronic Back Pain: Key Medical Insights and Tests Explained

Unresolved issues? Hello Doctor: I have been experiencing chronic lower back pain and have a history of injury. Recent test results show the following (urinalysis): hematuria reaction is +/- (normal reference is negative), urinary tract inflammation indicator is 1+ (normal refere...

Dr. Tang Jieru Reply:
Hello Ah-Gui: A urine test must be conducted using midstream urine for the results to be of reference value. The determination of whether it is midstream urine is based on the number of epithelial cells present. Your report shows a count of 10-15, which is considered too high, in...

Unexplained Pain: Understanding Symptoms and Seeking the Right Diagnosis

Unexplained pain? The area near the spine on the back (close to the shoulder blade), the lower edge of the ribs on the front chest, the thoracic cavity near the armpit, as well as the arms and fingers (especially the ring and little fingers) have been experiencing unexplained pai...

Dr. Zhao Chongliang Reply:
Due to pain near the lower rib cage and around the temples, it does not seem to originate from the spine or joints. If this has been persistent and there is no fever, it may be indicative of myofascial pain syndrome. A common condition is myofascial rheumatism (also known as fibr...

Improving Anemia and Managing Gout in Peritoneal Dialysis Patients

Peritoneal dialysis Hello Doctor: I am a patient undergoing peritoneal dialysis, but my hemoglobin level is only between 7 and 8, and my hematocrit is only 25. I often feel dizzy, and once my hematocrit dropped to 19, causing me to faint at work! However, there hasn't been m...

Dr. Jiang Wenzhi Reply:
There are many causes of anemia in dialysis patients, including nutritional deficiencies, insufficient iron stores, issues related to dialysis and erythropoietin (EPO) dosage, and secondary hyperparathyroidism. A comprehensive understanding requires integrating clinical data. Add...

Understanding Blood in Urine After Fever: Causes and Concerns

Hematuria after fever? Dear Dr. Yang, I have recently experienced a fever accompanied by decreased urine output and dark brown urine. This situation also occurred once last year. I am wondering if it is related to medication. Can "line virus" also cause hematuria, and i...

Dr. Yang Jun Reply:
Hello: In response to your question, it is mentioned that decreased urine output after a fever may be due to increased fluid loss through sweating or reduced fluid intake, leading to a lower volume of fluid excreted by the kidneys and consequently decreased urine output. As for t...

Managing Diabetes: Risks of Poor Diet and Alcohol Consumption

Diabetes mellitus Hello Dr. Ke: I hope it's not too presumptuous to ask you a few questions. Question 1: My father has been suffering from diabetes for about a year and takes diabetes medication daily, but he hasn't been very careful with his diet and has a habit of dri...

Dr. Ke Zhengchang Reply:
The treatment for diabetes includes diet, medication, exercise, and a healthy lifestyle, along with monitoring blood glucose and other metabolic parameters. Simply taking medication is not sufficient; if dietary habits are not considered, blood glucose levels may remain poorly co...

Understanding Mediterranean Anemia: Symptoms, Treatments, and Dietary Tips

Mediterranean anemia (also known as thalassemia) Hello. I would like to ask if patients with thalassemia take a certain medication when they experience dizziness. This medication makes them feel a bit dazed, but I am not sure what it is. However, it was prescribed by a doctor. Is...

Dr. Zhao Chongliang Reply:
Mediterranean anemia and iron deficiency anemia present similarly in routine blood tests, and further inquiry into family history and hemoglobin electrophoresis testing is necessary to differentiate between the two. Mediterranean anemia is caused by a genetic defect, and traditio...

Understanding Your Health Check Results: Insights from Dr. Yang

Please consult a physician regarding some health examination data? Last year, at the beginning of the school year, our school conducted a health check-up, and some related medical data indicated that my kidney function might not be good. However, I would like to ask Dr. Yang for ...

Dr. Yang Jun Reply:
Hello: In response to your inquiry about participating in a health check-up, it is commendable to be concerned about your health, as bodily diseases often begin with subtle changes. The data mentioned in your correspondence regarding blood and kidney function are within normal ra...

Seeking Medical Advice for Unexplained Weakness and Dizziness

I have a medical condition I would like to inquire about? I have a medical condition that I would like to inquire about. Since March, I have noticed that whenever I stand and do anything, my calves and feet feel unsteady and weak as they touch the ground. If I am sleep-deprived, ...

Dr. Wang Fangli Reply:
Hello Mr. Lin: Based on the symptoms you described, it is possible that you have anemia. I would like to know if your blood tests included red blood cells and hemoglobin levels. I recommend that you visit a major hospital's internal medicine department and inform the physici...

Understanding Hemoglobin Deficiency: Causes and Solutions

Hemoglobin deficiency Hello, I have been donating platelets for a long time, and it has been going smoothly every two weeks. However, in the last three attempts over the past two months, I have had to reschedule due to insufficient hemoglobin (less than 12 g/dL). Additionally, I ...

Dr. Xu Qingxiao Reply:
Dear Ms. Rina, I apologize for the delay in my response. Due to limited opportunities to access the hospital's computer recently, I am writing to you directly now. Regarding the relationship between acne and decreased hemoglobin levels, we first need to review your previous...

Can People with Allergies Donate Blood? Understanding the Guidelines

General knowledge Can people with allergies donate blood?

Dr. Yang Jun Reply:
Hello, Miss Pink: The general blood donation process involves screening for infectious diseases (such as hepatitis and AIDS) and ensuring that the donor's physical condition and hemoglobin levels are not too low (to avoid anemia), in order to prevent discomfort for the donor...

Understanding Low Hemoglobin Levels: Causes and Specialist Guidance

Abnormally low hemoglobin levels? The health check report from my first year of high school indicates that my hemoglobin level is abnormally low. What effects could this have? If I need to see a doctor, which department should I visit?

Dr. Ke Zhengchang Reply:
Dear Ms. Ruoye: There are many reasons for low hemoglobin levels, such as iron deficiency anemia, thalassemia, hemolytic anemia, and aplastic anemia, among others. It is recommended to visit a hospital and consult with a hematologist or oncologist for a detailed examination and t...

Understanding the Classification of Anemia: Mediterranean, Hemolytic, and More

Classification of Anemia Mediterranean anemia = Thalassemia = Hemolytic anemia = Favism?

Dr. Li Huixiong Reply:
1. Mediterranean anemia = Thalassemia = Hemolytic anemia, primarily caused by abnormal hemoglobin structure. 2. Favism = Hemolytic anemia, mainly due to a deficiency of G-6-PD enzyme. Therefore, 1 and 2 are both classified as hereditary hemolytic anemias.

Essential Health Check Insights: Anemia, Low Blood Pressure, and Urinary Issues

Health check-up After a health check-up, the following symptoms were found. What should I pay attention to? Thank you! 1. There is anemia, with both hematocrit and hemoglobin levels being inadequate, and his blood pressure is 110/60 (which is considered low blood pressure). Wha...

Dr. Hong Hongchang Reply:
Anemia may be due to excessive loss or bone marrow disorders, requiring further diagnosis. Hematuria combined with elevated uric acid levels can lead to kidney damage and chronic renal failure. It is recommended to follow up with a nephrology outpatient clinic.

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