Understanding Iron Deficiency Anemia: Causes, Treatment, and Concerns
Iron deficiency anemia Hello, doctor! I have a question. I have iron deficiency anemia, and my hemoglobin was initially only 8. The doctor recommended intravenous iron therapy, and after more than a year of treatment, my levels are approaching normal. However, my ferritin remains...
Dr. Hong Yuanbin Reply:
Hello, women tend to lose a significant amount of iron due to menstruation. When combined with irregular daily routines, imbalanced diets, high stress, and lack of exercise, it can lead to long-term iron deficiency. It is advisable to first test for occult blood in the stool. If ...[Read More] Understanding Iron Deficiency Anemia: Causes, Treatment, and Concerns
Is an HbA1c of 8 and Random Blood Sugar of 146 a Diabetes Diagnosis?
Glycated hemoglobin This year, the company checked the hemoglobin A1c level, which was as high as 8, and the random blood glucose was 146. Does this confirm a diagnosis of diabetes?
Dr. Li Jian Reply:
A hemoglobin A1c level of 6.5% or higher, or a fasting blood glucose level of 126 mg/dL or higher, is considered indicative of diabetes.[Read More] Is an HbA1c of 8 and Random Blood Sugar of 146 a Diabetes Diagnosis?
Understanding Your Urine Test Results: Key Insights for Diabetics
Examination Report Doctor, my urine screening report shows a microalbumin level of 30.4 and a urine creatinine level of 270.8. I have diabetes with a hemoglobin A1c of 10.1. Should I be concerned about this? Should I exercise more and control my diet? Thank you.
Dr. Li Jian Reply:
Currently, there is no microalbuminuria; however, it is still important to manage blood sugar levels effectively, aiming to keep the hemoglobin A1c below seven to reduce the risk of complications in the future.[Read More] Understanding Your Urine Test Results: Key Insights for Diabetics
Understanding Elevated Blood Test Results During Oocyte Freezing Process
Blood test values Hello doctor, I would like to ask about my blood test results on the second day of my menstrual period due to my egg freezing treatment. My hemoglobin (HB) is 13.5, with a reference range of [10.1][12.7]. My mean corpuscular hemoglobin (MCH) is 31, with a refere...
Dr. Hong Yuanbin Reply:
Hello, usually a decrease in these values can be concerning. For example, an increase in anemia is often due to blood becoming too concentrated, which can happen if you have been drinking very little water or losing too much water through sweating, among other rare conditions. Ce...[Read More] Understanding Elevated Blood Test Results During Oocyte Freezing Process
Understanding Glycated Hemoglobin: Why My Levels Increased Despite Healthy Eating
Issues related to glycated hemoglobin? Hello, Doctor. I am currently 35 years old, 168 cm tall, and weigh 56 kg. I usually exercise regularly. In the past, my meal times were irregular, and my portion sizes varied greatly. Last year, during a health check, I found out that my fas...
Dr. Li Jian Reply:
When it comes to carbohydrates, try to choose those with a low glycemic index, such as whole grain rice or brown rice. Additionally, fruit intake should not be excessive. You may also consider the 16:8 intermittent fasting method, and then monitor for any changes afterward.[Read More] Understanding Glycated Hemoglobin: Why My Levels Increased Despite Healthy Eating
Understanding Elevated Fasting Blood Sugar with Normal HbA1c Levels
Elevated fasting blood glucose with normal glycated hemoglobin (HbA1c)? Hello, doctor. I usually have a blood test every month to check my fasting blood glucose levels. In the past few tests, my levels were around 80 to 90, but in the last two months, they were 101 and 124. I als...
Dr. Hong Yuanbin Reply:
Hello, fasting blood sugar reflects the current blood sugar level, while glycated hemoglobin (HbA1c) indicates the average blood sugar over the past three months. Based on your values, it suggests that your average blood sugar is good; however, there may be occasional spikes in b...[Read More] Understanding Elevated Fasting Blood Sugar with Normal HbA1c Levels
Is Low Hemoglobin Linked to Chronic Mouth Ulcers? Insights and Solutions
Is there a relationship between low hemoglobin levels and oral ulcers? Hello Doctor: I have been suffering from chronic oral ulcers for 28 years (since elementary school), with almost daily occurrences of 3 to 6 ulcers at a time. I previously consulted a rheumatologist, and blood...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. If you have multiple oral ulcers that are recurrent and have persisted for a long time, I recommend that you consult a rheumatologist nearby, as there are methods to address this issue. The underlying causes of oral ulcers, depending on their s...[Read More] Is Low Hemoglobin Linked to Chronic Mouth Ulcers? Insights and Solutions
Understanding Bone Marrow Suppression and Its Complications After Azathioprine
Subsequent Issues Following Bone Marrow Suppression Induced by Azacitidine Hello, Doctor Gao. In February of this year, I visited the rheumatology and immunology department due to mild vitiligo and alopecia areata. I was prescribed Yasmin for a month, which resulted in significan...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. I don't believe it's purpura. The likelihood of lymphoma is very low because your lymph nodes are small. It may be more likely that the side effects of the medication have not completely resolved. Although your platelet count is somew...[Read More] Understanding Bone Marrow Suppression and Its Complications After Azathioprine
Understanding Acanthosis Nigricans and Blood Sugar Levels: A Guide
Blood sugar exceeds? Hello, doctor. I am currently 176 cm tall and at my heaviest, I weighed 103 kg. I have now reduced my weight to 89 kg and am continuing to lose weight. My body fat percentage is 23% (down from 32% at my heaviest) and my visceral fat is 12 (down from 16 at my ...
Dr. Li Jian Reply:
Hello: If you have acanthosis nigricans, it is recommended to test for hemoglobin A1c. If the result is between 5.7 and 6.4, it indicates prediabetes.[Read More] Understanding Acanthosis Nigricans and Blood Sugar Levels: A Guide
Managing Diarrhea in Diabetic Patients: Causes and Solutions
Diarrhea in diabetic patients My father has been a diabetic patient for 30 years and is now 77 years old. He controls his blood sugar with insulin injections. His hemoglobin A1c levels have been normal during his quarterly check-ups. However, since the beginning of March, he has ...
Dr. Li Jian Reply:
If diarrhea persists, please visit the gastroenterology department at a medical center. Thank you.[Read More] Managing Diarrhea in Diabetic Patients: Causes and Solutions
Managing Diarrhea in Long-Term Diabetes Patients: A Guide for Caregivers
Diarrhea in diabetic patients? My father has been a diabetes patient for 30 years and is now 77 years old. He controls his blood sugar with insulin injections, and his hemoglobin A1c levels have been normal during his quarterly check-ups. However, since the beginning of March, he...
Dr. Li Jian Reply:
The blood sugar medications that are more likely to cause diarrhea are metformin and acarbose. If the diarrhea is not caused by these medications, further follow-up with a gastroenterologist is still necessary.[Read More] Managing Diarrhea in Long-Term Diabetes Patients: A Guide for Caregivers
Understanding Cholesterol and Blood Sugar Levels: Your Health Questions Answered
Inquire about blood lipid and blood glucose issues? Hello: I have a lipid issue and have been taking traditional Chinese medicine and Lipitor for about six months. My last blood test results on February 21 showed: LDL: 185, HDL: 60, total cholesterol: 249, triglycerides: 67, bloo...
Dr. Lin Jianliang Reply:
Hello: Your blood glucose is currently within the fasting range of 70-100 mg/dL, and your hemoglobin A1c is between 4-6%. Whether there are issues with your blood vessels can be determined based on your symptoms or through examinations. Generally, these conditions require long-te...[Read More] Understanding Cholesterol and Blood Sugar Levels: Your Health Questions Answered
Understanding Glucose Tolerance Test Results and Diabetes Risk
Glucose tolerance test Dear Doctor, I recently underwent a glucose tolerance test at the hospital, and the results are as follows: Hemoglobin A1c 5.5%, OGTT: Fasting—96 mg/dL; 30 minutes—167 mg/dL; 60 minutes—212 mg/dL; 90 minutes—174 mg/dL; 120 minutes—132 mg/dL. The outpatient...
Dr. Xie Rongyuan Reply:
Hello: Impaired glucose tolerance (IGT) is more closely associated with early and late insulin secretion deficiencies. If there are abnormalities in the oral glucose tolerance test (OGTT), it can be confirmed again the next day. The diagnostic criteria for diabetes are: (1) sympt...[Read More] Understanding Glucose Tolerance Test Results and Diabetes Risk
Understanding Blood Sugar, HbA1c, and Their Impact on Thalassemia
Blood glucose, glycated hemoglobin, and Mediterranean anemia? Hello, I had a company health check before the New Year, and my hemoglobin A1c was 5.6 and my blood glucose was 86. At the end of March, due to feeling unwell, I tested my postprandial blood glucose and it was 155. The...
Dr. Li Jian Reply:
If there are concerns that hemoglobin A1c levels may be affected by anemia, glycated albumin can be tested; the impact of anemia on hemoglobin A1c levels is difficult to estimate.[Read More] Understanding Blood Sugar, HbA1c, and Their Impact on Thalassemia
Understanding Rising Urine Protein Levels: What You Need to Know
The urinary protein index has surged? Hello, Doctor. Below are the results from my visit to Hospital B on the evening of March 14 this year. The random urine test results were as follows: Urine Creatinine: 93.4 mg/dL; Micro Albumin: 25.7 * mg/dL (Random Urine < 1.9 mg/dL); Uri...
Dr. Wu Hongjie Reply:
The presence of bubbles in urine does not necessarily indicate proteinuria; factors such as fever, excessive exercise, consumption of high animal protein, hormonal influences, or other diseases causing abnormal protein production can also be responsible. Even if tests do not show...[Read More] Understanding Rising Urine Protein Levels: What You Need to Know
Understanding Elevated White Blood Cell Count: Causes and Next Steps
A white blood cell count of 12.7 is considered elevated. It is important to consult with a healthcare professional to determine the underlying cause of the increased white blood cell count. Possible causes may include infections, inflammation, stress Hello Doctor, I have iron def...
Dr. Hong Yuanbin Reply:
Hello, the gingival inflammation you mentioned can lead to an increase in white blood cell count. If the teeth have already been extracted, the white blood cell count should decrease. Regarding the DC you mentioned, it refers to the differential count of white blood cells, which ...[Read More] Understanding Elevated White Blood Cell Count: Causes and Next Steps
Should Stable Type 2 Diabetes Patients Continue Visiting Medical Centers?
Do patients with stable type 2 diabetes still need to continue follow-up visits at a medical center? Hello Doctor, I apologize for the interruption! I would like to ask you a question. I have been living with type 2 diabetes for over seven years. After discovering this issue duri...
Dr. Li Jian Reply:
If blood sugar levels can be consistently controlled, it is recommended that you transfer to a primary care medical facility for management. It is best to choose a facility that has a physician specializing in metabolic disorders or one that is part of a diabetes collaborative ca...[Read More] Should Stable Type 2 Diabetes Patients Continue Visiting Medical Centers?
Understanding Low Red Blood Cell Count and Hemoglobin Levels: Causes and Treatment
Low levels of red blood cells, hemoglobin, and hematocrit? Hello Doctor: I recently had a health check-up, and the report showed the following blood results: W.B.C: 7.13, R.B.C: 4 (below normal), Hemoglobin: 12, Hematocrit: 36.6 (both below normal), MCV, MCH, MCHC, and platelets ...
Dr. Xie Rongyuan Reply:
Hello: The above blood routine test results are generally within the normal range, and treatment is not necessary. As for the TG36 being slightly low, it may be due to insufficient nutrition, so follow-up testing is recommended. It could also be due to a congenital deficiency of ...[Read More] Understanding Low Red Blood Cell Count and Hemoglobin Levels: Causes and Treatment
Managing High Fasting Blood Sugar and Cholesterol Levels: A Guide
Health check-up shows elevated fasting blood glucose levels? Hello Doctor, I had a health check-up in 2021 with a fasting blood glucose level of 100 mg/dL and low-density lipoprotein (LDL) cholesterol of 139 mg/dL. On January 15, 2022, my fasting blood glucose was 112 mg/dL and t...
Dr. Lin Jianliang Reply:
Hello: It is recommended to avoid foods and beverages that contain alcohol. Fruits and carbohydrate-rich foods, such as desserts, can also lead to issues with blood sugar and blood lipids. It is advised to have a controlled diet for breakfast, and to exercise regularly and consis...[Read More] Managing High Fasting Blood Sugar and Cholesterol Levels: A Guide
Understanding Blood Abnormalities: Treatment Options and Guidance
Blood disorders Dear Doctor, regarding the following lab results, there are multiple abnormalities in the blood. How should they be treated? Thank you! WBC (White Blood Cell Count): 8590 /μL RBC (Red Blood Cell Count): 5.32 x 10^6 /μL Hgb (Hemoglobin): 10.5 g/dL Hct (Hemat...
Dr. Lin Jianliang Reply:
Hello, please refer to the Hematology department. Thank you.[Read More] Understanding Blood Abnormalities: Treatment Options and Guidance