Obesity, Internal Medicine FAQ - Page 2

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Managing Fatty Liver and Food Expiration: Expert Advice for Patients

I would like to consult a physician? Hello: (1) I am a psychiatric patient. My blood tests are normal, but the ultrasound examination shows moderate to severe fatty liver! The reason is likely that I don't like to exercise and I enjoy drinking bubble tea and similar beverage...


Dr. Hong Yuanbin Reply:
Hello, managing obesity is indeed a challenging task, but there are many methods available, including dietary changes, exercise, or medication. I believe there is still a chance for success. I recommend consulting with a specialist in obesity medicine. As for expired food, it is ...

[Read More] Managing Fatty Liver and Food Expiration: Expert Advice for Patients


Sudden Weight Gain: Should You Be Concerned About Your Health?

Obesity issues Hello doctor, I have suddenly gained about seven kilograms in the last four months. Am I sick? My diet has been pretty much the same as before, and I occasionally exercise, but I keep gaining weight. What should I do?


Dr. Xie Rongyuan Reply:
Hello: Regarding your question, here is the response: Obesity is a disease caused by the interaction of genetic and environmental factors. It is recommended to seek medical attention at a weight management clinic. Thank you for your message!

[Read More] Sudden Weight Gain: Should You Be Concerned About Your Health?


Managing My Father's Health Crisis: Seeking Medical Advice for Hypertension

Dad is experiencing health issues? About five years ago, my father fainted while playing mahjong after having a little bit of alcohol. We immediately called an ambulance, and when he was given an oxygen mask, his consciousness stabilized. The small hospital we went to later told ...


Dr. Chen Shunfu Reply:
Individuals with hypertension and obesity are at high risk for cardiovascular diseases. It is recommended that you bring your father to the hospital's cardiology department for a thorough examination.

[Read More] Managing My Father's Health Crisis: Seeking Medical Advice for Hypertension


Understanding HbA1c Levels: Can You Reverse Prediabetes?

The glycated hemoglobin (HbA1c) level is 6.2? The hospital measured my hemoglobin A1c at 6.2. After three months of dietary control, my hemoglobin A1c was measured at 5.9. No one in my family has diabetes, but I have gained a lot of weight due to taking medication for bipolar dis...


Dr. Chen Shunfu Reply:
Congratulations! Your hemoglobin A1c has decreased from 6.2% to 5.9% after three months of dietary control. Based on your height of 179 cm and weight of 95 kg, your BMI is calculated to be 29.6, which indicates obesity. The medication Depakine (valproate) that you are taking can ...

[Read More] Understanding HbA1c Levels: Can You Reverse Prediabetes?


Managing Blood Sugar Levels: A Guide for Overweight Individuals

Glycated hemoglobin (HbA1c) Hello, doctor. I am obese and have sleep apnea and high blood pressure. Currently, I am taking half of a 5 mg blood pressure medication, which has been controlling my condition for a while. My morning and evening blood pressure readings are quite stabl...


Dr. Lin Jianliang Reply:
As your physician mentioned: diet and exercise management. Additionally, it is advisable to consult a nutritionist or a diabetes educator for more information on this matter. Thank you for your message.

[Read More] Managing Blood Sugar Levels: A Guide for Overweight Individuals


Managing Blood Sugar Levels: Concerns and Solutions for Anxiety-Driven Results

How to improve blood sugar levels? Last Friday, I suddenly experienced itching all over my body, and I was worried it might be diabetes. I felt very low and anxious for three consecutive days—Friday, Saturday, and Sunday—resulting in insufficient sleep. On Monday, I went to the h...


Dr. Xiao Yongxun Reply:
Dear Mr. Cc: 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 toleranc...

[Read More] Managing Blood Sugar Levels: Concerns and Solutions for Anxiety-Driven Results


Does Drinking Ice-Cold Beverages Lead to Kidney Failure?

Does drinking cold beverages affect the kidneys? Drinking 1000-1500cc of cold beverages every day may not directly cause early kidney failure, but excessive consumption of sugary or caffeinated drinks can lead to other health issues, such as obesity, diabetes, and hypertension, w...


Dr. Wu Jiyu Reply:
Drinking 1000-1500cc of iced beverages daily, does it lead to kidney failure? Currently, there is no medical literature that supports this hypothesis if you are referring to iced plain water. However, if by iced beverages you mean sugary drinks, consuming 1000-1500cc of sugary be...

[Read More] Does Drinking Ice-Cold Beverages Lead to Kidney Failure?


How to Diagnose My Health Issues: Weight Gain and Urinary Concerns

How can I get a diagnosis? Hello Doctor, I have had a question for a long time. My weight suddenly increased by over 20 kilograms in the past few years. During my health check last year, the report showed that my blood sugar was normal, but my urine glucose was ++. At that time, ...


Dr. Xiao Yongxun Reply:
Dear Ms. Gigi: According to medical principles, polycystic ovary syndrome (PCOS) is an endocrine disorder that can lead to irregular menstruation, obesity, masculinization, and even infertility. It is often associated with diabetes or insulin resistance-related glucose intoleranc...

[Read More] How to Diagnose My Health Issues: Weight Gain and Urinary Concerns


Managing High Uric Acid and Cholesterol Levels: Dietary Tips and Concerns

Health check shows elevated uric acid and cholesterol levels? Hello Doctor: I recently had a health check, and my uric acid level is 7.1, which is above the normal range. Isn't the normal value for women supposed to be less than 6.6? I currently do not have any symptoms of g...


Dr. Xiao Yongxun Reply:
Dear Ms. Kiki: 1. Elevated uric acid levels primarily refer to high concentrations of uric acid in the blood. When uric acid precipitates in joint tissues (such as the big toe joint, the back of the foot, or finger joints), it can trigger an inflammatory response, leading to go...

[Read More] Managing High Uric Acid and Cholesterol Levels: Dietary Tips and Concerns


Managing High Uric Acid and Cholesterol Levels: Dietary Tips and Concerns

Health check shows elevated uric acid and cholesterol levels? Hello Doctor: I recently had a health check-up, and my uric acid level is 7.1, which is above the normal range. Isn't the normal value for women supposed to be less than 6.6? I currently do not have any symptoms o...


Dr. Xiao Yongxun Reply:
Dear Ms. KiKi: 1. Elevated uric acid levels primarily refer to high concentrations of uric acid in the blood. If uric acid precipitates in joint tissues (such as the big toe joint, the back of the foot, or finger joints), it can trigger an inflammatory response, leading to gout....

[Read More] Managing High Uric Acid and Cholesterol Levels: Dietary Tips and Concerns


Seeking Medical Help for Unexplained Weight Gain at 40

Abnormal weight gain Hello: I am 40 years old, 170 cm tall, and currently eat one meal a day while walking 10,000 steps. My lifestyle is regular. I have gained 12 kg in the past six months, and my endocrine blood tests have shown no issues. How should I seek medical assistance?


Dr. Xiao Yongxun Reply:
Dear Mr. Aqi: 1. Factors contributing to weight gain include diet, patterns of physical activity, and differences in energy metabolism; very few cases are due to single-gene mutations or specific genetic disorders. 2. Familial obesity may be influenced not only by genetic facto...

[Read More] Seeking Medical Help for Unexplained Weight Gain at 40


Effective Weight Loss Strategies: Overcoming Common Challenges

Struggling to lose weight? Hello, Doctor: My height is 161.5 cm, weight is 70 kg, and my BMI is 26.83. I have read several weight loss books, and the doctor has mentioned to eat less and exercise more, but when I exercise more, I tend to eat more! Just relying on the phrase "...


Dr. Xiao Yongxun Reply:
1. Your height is 161.5 cm, weight is 70 kg, and your BMI is 26.83 kg/m², which classifies you as overweight. In medicine, there are various weight loss methods; however, there is no single method that is universally effective for everyone. Since obesity can lead to insulin resis...

[Read More] Effective Weight Loss Strategies: Overcoming Common Challenges


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


Understanding Creatinine Levels and Kidney Function in Health Checkups

Creatinine, Glomerular Filtration Rate, Health Checkup Issues? Hello, doctor. I apologize for bothering you, but I would like to ask a question. About two months ago, I went to a health check-up at a clinic. The doctor reviewed my report and said that my liver and kidney function...


Dr. Wu Jiyu Reply:
Hello Mr. Yang: "Creatinine 1.10, Glomerular Filtration Rate (GFR) 86.69" is only a single data point, making it difficult to assess the overall kidney function. Changes in kidney function need to be evaluated through multiple blood tests over time to understand the con...

[Read More] Understanding Creatinine Levels and Kidney Function in Health Checkups


Understanding Creatinine Levels and Kidney Function Concerns

Creatinine and Kidney Function Related Issues Hello, Doctor. I apologize for the lengthy description of my issue. Here are the results from my blood and urine tests conducted at the clinic two weeks ago: Fasting blood glucose: 100 mg/dL (reference range: 70-100) Blood urea ni...


Dr. Wu Jiyu Reply:
Based on your description, your creatinine level is 1.34 mg/dL (reference range 0.7-1.5), and your glomerular filtration rate (GFR) is 66.9 (reference value > 60). Given your age, your GFR is slightly low, and the most common risk factors affecting kidney function are hyperten...

[Read More] Understanding Creatinine Levels and Kidney Function Concerns


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?


Understanding Right Kidney Pain: Causes and Concerns for Patients

Kidney problems Hello, Doctor Wu. I would like to ask, around noon today, I experienced pain in my right kidney. It hurts when I squat down and when I get back up. My job involves standing and squatting to pick things up. In mid-February of this year, the clinic conducted blood a...


Dr. Wu Hongjie Reply:
Hello: There are many issues related to lower back pain that can be referenced in the attached document or addressed at a hospital. Wishing you safety from bothersome back pain. In the United States, back pain is the second most common reason for seeking medical attention in inte...

[Read More] Understanding Right Kidney Pain: Causes and Concerns for Patients


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