Do Low Glycemic Foods Affect Hemoglobin A1c Levels?
Do low glycemic index foods affect glycated hemoglobin levels? Hello doctor, I had a hemoglobin A1c test in November that showed 5.3, and in December, it was 5.6. This past month, aside from meat and fats, I increased my intake of avocados, nuts, and 100% chocolate. I added appro...
Dr. Li Jian Reply:
If the nuts are unsweetened and the chocolate is completely sugar-free, they should have little impact on blood sugar levels. Thank you for your inquiry.[Read More] Do Low Glycemic Foods Affect Hemoglobin A1c Levels?
Understanding Fasting Blood Sugar Levels: What Does 97 Mean?
Fasting blood glucose issues Hello Doctor, I recently received my health check report, which shows that my fasting blood glucose level is 97, which is close to the maximum reference value of 100. The night before the test, I was too busy and only ate two tea eggs for dinner, and ...
Dr. Li Jian Reply:
Currently, it is considered normal. If there is a family history of diabetes or if you are overweight, you may consider testing for hemoglobin A1c. Thank you for your inquiry.[Read More] Understanding Fasting Blood Sugar Levels: What Does 97 Mean?
Can Stage 3a Chronic Kidney Disease Be Reversed? Medications and Tests Explained
Can stage 3a chronic kidney disease be reversed? What medications are available? The patient has diabetes with a glycated hemoglobin (HbA1c) level maintained at 6.5%. Triglycerides are at 110 mg/dL, uric acid at 4.6 mg/dL, low-density lipoprotein (LDL) cholesterol at 88.2 mg/dL, ...
Dr. Huang Yaoxuan Reply:
Hello Ms. Paul, your creatinine level is 135 mg/dL, and the glomerular filtration rate (GFR) is listed as 1.35 mg/dL, which seems to be incorrect. Please provide the correct values, thank you! (The unit for glomerular filtration rate is ml/min/1.73 m², not mg/dL.) Additionally, a...[Read More] Can Stage 3a Chronic Kidney Disease Be Reversed? Medications and Tests Explained
Understanding Fluctuations in Glycated Hemoglobin Over One Month
Fluctuations in glycated hemoglobin (HbA1c) levels within one month? Hello Doctor: Thank you for taking the time to answer my questions despite your busy schedule. In my family, besides my parents, my aunts, uncles, and both sets of grandparents have diabetes, so I am particularl...
Dr. Li Jian Reply:
Weight loss can also be evaluated by testing thyroid function. Currently, there are no significant abnormalities in blood glucose levels, so testing once every 1-2 years is sufficient. Thank you for your inquiry.[Read More] Understanding Fluctuations in Glycated Hemoglobin Over One Month
Understanding Your Blood Test Results: A Guide to Key Metrics
Examination Report Hello Dr. Lee, please help me interpret this blood test report. Thank you. Triglycerides (TG): 52 mg/dL Free Thyroxine (FT4): 1.44 ng/mL Thyroid Stimulating Hormone (TSH): 1.0742 µIU/mL Low-Density Lipoprotein (LDL): 89 mg/dL Total Cholesterol: 172 mg/...
Dr. Li Jian Reply:
The blood test report shows no significant abnormalities. Thank you for your inquiry.[Read More] Understanding Your Blood Test Results: A Guide to Key Metrics
Post-COVID Joint Pain: Understanding Symptoms and Seeking Early Diagnosis
Joint pain after a confirmed COVID-19 infection? Hello Doctor, I apologize for the lengthy message. I started feeling unwell on November 11th (muscle aches, fever, fatigue, red rashes on limbs, dry eyes, dry mouth). I was diagnosed with COVID-19 on November 13th. On November 16th...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. Since the joint discomfort clearly occurred after the blood draw, could it be that the inflammatory markers, ANA, and other indices had not yet shown abnormal trends at that time, and only now can we detect abnormaliti...[Read More] Post-COVID Joint Pain: Understanding Symptoms and Seeking Early Diagnosis
Understanding Pre-meal Blood Sugar and HbA1c Levels: A Patient's Inquiry
Questions about pre-meal blood glucose and glycated hemoglobin? Hello Doctor, during my health check in 2018, my fasting blood sugar was 105, and in 2022, it was 113, with other results normal. After undergoing an endoscopy on September 1st this year, I noticed my previous blood ...
Dr. Li Jian Reply:
Elevated fasting blood glucose is also a risk factor for diabetes. It is recommended that you lose weight and continue to follow up at the metabolic clinic. Thank you for your inquiry.[Read More] Understanding Pre-meal Blood Sugar and HbA1c Levels: A Patient's Inquiry
Understanding Blood Sugar Levels: Insights for Diabetic Concerns
Diabetes-related issues Hello doctor, I have a family history of diabetes, and recently I've been feeling some unusual symptoms. Sometimes I urinate a lot, and after fasting for eight hours, my blood glucose level was 118 mg/dL. My HbA1c was 4.4%, and the doctor said the hem...
Dr. Li Jian Reply:
You may also consider visiting a metabolic clinic for an oral glucose tolerance test. Thank you for your inquiry.[Read More] Understanding Blood Sugar Levels: Insights for Diabetic Concerns
Understanding Urine Ketones: What Does a 3+ Result Mean for Your Health?
The medical examination report indicates urine ketones at 3+? Hello doctor, in April of this year, I experienced redness, swelling, and pain in my left foot, and a doctor at a clinic diagnosed it as gout (without blood tests). I have a history of gout and usually manage my diet, ...
Dr. Li Jian Reply:
The production of urine ketones is usually related to prolonged fasting. Please consult a metabolic specialist. Thank you for your inquiry.[Read More] Understanding Urine Ketones: What Does a 3+ Result Mean for Your Health?
Understanding Blood Sugar Levels: Should You Worry About 100 mg/dL?
Blood sugar issues? Doctor, I apologize for bothering you. I would like to ask about my recent concerns regarding my blood sugar levels. The last time I measured my blood sugar was about three to four hours after a meal (the dinner consisted of two packs of Korean instant noodles...
Dr. Lin Wufu Reply:
Hello, a postprandial blood sugar level of 100 mg/dL is quite standard! If you're concerned, you can have your hemoglobin A1c tested, which reflects the average blood glucose levels over the past three months and can provide a more accurate assessment of whether you have pre...[Read More] Understanding Blood Sugar Levels: Should You Worry About 100 mg/dL?
Understanding Diabetes Diagnosis: Is There Room for Reassessment?
Is there still room for maneuver regarding the diagnosis of diabetes? The company's health check showed a fasting blood glucose level of 131 mg/dL (with a hemoglobin A1c of 6.7% from late September). Last week, I had a separate lipid panel test with a triglyceride level of 1...
Dr. Li Jian Reply:
Since the blood glucose levels were tested separately on two occasions, they meet the criteria for diabetes. It is advisable to control it as soon as possible.[Read More] Understanding Diabetes Diagnosis: Is There Room for Reassessment?
Understanding High Insulin Resistance and Blood Insulin Levels: A Guide
High blood insulin levels and high insulin resistance? Hello, doctor. I would like to ask about my recent self-paid blood tests. My insulin resistance index is 7.1 (normal range: 1.4-2.0), and my blood insulin concentration is 28.65 uU/mL (normal range: 2.6-24.9), which is higher...
Dr. Lin Jianliang Reply:
Hello, a fasting blood glucose level of 100 mg/dL is classified as impaired fasting glucose (IFG), which is a form of prediabetes. The diagnosis of prediabetes does not rely on the insulin resistance index or blood insulin levels. There are many reasons for a high insulin resista...[Read More] Understanding High Insulin Resistance and Blood Insulin Levels: A Guide
Exploring Additional Tests for Persistent Low Hemoglobin in Diabetic Patients
Are there any other recommended tests to be done? Hello, my grandfather is a diabetes patient and was previously diagnosed with rectal cancer. Over the past two years, his regular diabetes monitoring tests have shown that his hemoglobin (Hb) levels have consistently been low (aro...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I recommend arranging a hematology outpatient appointment for the elderly gentleman to discuss with the physician the management of iron supplementation that has not been effective. Autoimmunity, bone marrow hematopoietic function, and tumors ma...[Read More] Exploring Additional Tests for Persistent Low Hemoglobin in Diabetic Patients
Understanding Red Flags on Your Health Check Report: Expert Advice
Inquiry about the red text on the health check-up report? Hello Dr. Lin: I just received my health check report and noticed some red flags that are causing me a lot of concern. I would like to ask if there are any of these red flags that can be improved through daily habits, such...
Dr. Lin Wufu Reply:
Hello, the MCH value is primarily for reference; any issues related to anemia should be assessed based on hemoglobin (Hb) levels. Urinary ketones may test positive after prolonged fasting, and the presence of leukocyte esterase in urine suggests a possible urinary tract inflammat...[Read More] Understanding Red Flags on Your Health Check Report: Expert Advice
Is a Fasting Blood Sugar of 90 mg/dL Considered High?
A fasting blood glucose level of 90 mg/dL is generally considered to be within the normal range. However, it is important to interpret this value in the context of individual health conditions and risk factors for diabetes? Hello doctor, is a fasting blood sugar level of 90 consi...
Dr. Li Jian Reply:
A level below 100 is considered normal. If there is a family history of diabetes or issues with being overweight, it is advisable to test for glycated hemoglobin (HbA1c). Thank you for your inquiry.[Read More] Is a Fasting Blood Sugar of 90 mg/dL Considered High?
Understanding Prediabetes: Key Questions and Concerns Explained
Hello doctor, I would like to ask some questions about diabetes? I had a health check-up two weeks ago. My fasting blood sugar was 116 mg/dL and my hemoglobin A1c was 5.7%. Does this mean I am in the prediabetic stage or have I already developed diabetes? In the morning, my fasti...
Dr. Lin Jianliang Reply:
Hello Mr. Kuo: Your fasting blood glucose is 116, and your hemoglobin A1c is 5.7, which indicates impaired fasting glucose, but it is not diabetes yet. Your blood glucose before lunch is also abnormal, ranging from 117 to 12X. It is recommended that you consult a metabolic specia...[Read More] Understanding Prediabetes: Key Questions and Concerns Explained
Understanding Elevated Creatinine and Triglycerides: Key Insights for Patients
Both creatinine and triglycerides are elevated? Question: I visited my family medicine doctor on Sunday because I previously had high cholesterol issues (last year it was 236). The doctor asked if I could have blood drawn to track my levels today. I replied that I had just gone h...
Dr. Lin Jianliang Reply:
Hello, Xiaohua: To measure triglycerides, you should fast for 8-10 hours. The values can be affected by diet, so it is recommended to fast for 8-10 hours and avoid vigorous exercise before the test.[Read More] Understanding Elevated Creatinine and Triglycerides: Key Insights for Patients
Understanding Blood Sugar Levels: When to Seek Further Testing
Blood sugar issues? Hello doctor, I recently had a health check-up, and the report indicated "generally normal, regular check-ups recommended." However, I noticed that my blood sugar levels are nearing the normal range limit; my fasting blood glucose (AC) is 95 mg/dL. I...
Dr. Li Jian Reply:
If there is a family history of diabetes or issues with being overweight, you can also go to a major hospital for further examinations, such as checking your hemoglobin A1c. Thank you for your inquiry.[Read More] Understanding Blood Sugar Levels: When to Seek Further Testing
Understanding HIV Risks from Finger Pricks During Blood Donation
Finger puncture? Hello, doctor. 1. When donating blood, they first test hemoglobin, which involves a finger prick. Is there a risk of HIV infection if the puncture wound comes into contact with blood? 2. If I shake hands with someone who is also donating blood and both of us h...
Dr. Liao Zhongxin Reply:
According to the data from the Centers for Disease Control (CDC) in Taiwan, there are three main transmission routes for the Human Immunodeficiency Virus (HIV): A. Sexual transmission: There is a risk of infection when engaging in oral, anal, or vaginal intercourse or other excha...[Read More] Understanding HIV Risks from Finger Pricks During Blood Donation
Understanding HIV Risks: Common Questions and Concerns Addressed
I'm sorry, but I need more context or content to provide a translation? 1. I understand that the HIV virus dies quickly outside the human body. However, as a cashier, if I touched a customer's wound and then rubbed my eyes, would there still be a risk of HIV infection d...
Dr. Lin Wufu Reply:
1. The risk can only be described as negligible; if I say it's less than one in ten thousand, you might think that's quite high. 2. Blood on the surface is indeed considered external; the virus dies quickly. 3. There is a risk of transmitting infectious diseases whe...[Read More] Understanding HIV Risks: Common Questions and Concerns Addressed