Obesity, Internal Medicine FAQ

Does Skipping Lunch Increase My Risk of Diabetes?

Dietary issues Hello Doctor, since diabetes runs in my family—my uncle and my dad both have diabetes—I believe my chances of developing it are not low. Sometimes, due to my busy schedule, I might skip lunch for 1 or 2 days a week, but I always have a normal breakfast. Does this l...

Dr. Xiao Yongxun Reply:
Dear Mr. Zhang: 1. The risk factors for type 2 diabetes include obesity, having a first-degree relative with diabetes, physical inactivity, high-risk ethnic groups (such as African Americans, Asian Americans, Native Americans, and Pacific Islanders), a history of gestational dia...

Understanding Hemoglobin A1c: Can Weight Loss Reverse Type 2 Diabetes?

Glycated hemoglobin Doctor, I would like to ask you about my situation. In September, my hemoglobin A1c was 6.1, and in January of this year, it was 6.5. Am I diabetic? When I went to the hospital to review my report, the doctor advised me to lose weight. Is this to manage my dia...

Dr. Xiao Yongxun Reply:
Dear Ms. Anonymous: 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....

Managing Elevated Blood Sugar: Tips for Diet and Health Monitoring

Blood sugar issues? Hello Doctor, my fasting blood sugar is 110 mg/dL, glycated hemoglobin is 5.7%, blood urea nitrogen is 10 mg/dL, creatinine is 0.72 mg/dL, and liver function tests show alanine aminotransferase (ALT) at 8 U/L. I understand that my fasting blood sugar is elevat...

Dr. Xiao Yongxun Reply:
Dear Ms. Wu: 1. After undergoing these tests, your physician should have explained the results to you. Please make sure to consider the recommendations of the physician who has personally examined you. 2. Your fasting plasma glucose level is 110 mg/dL, which indeed exceeds the ...

Managing Blood Sugar Levels After Gestational Diabetes: Key Insights

Gestational diabetes mellitus (GDM) Hello Doctor: I had gestational diabetes during my second pregnancy. I have no family history of diabetes and am not overweight. I managed my condition through dietary control and daily self-monitoring of blood glucose. Now that I have given bi...

Dr. Xiao Yongxun Reply:
(1) According to the American Diabetes Association's diagnostic criteria for diabetes: 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. c. HbA1c (glycated hemoglobin...

Understanding Blood Sugar Levels: Are You at Risk for Diabetes?

Blood sugar issues? Hello Doctor, I am 168 cm tall and weigh 57 kg. I had a health check-up at a major hospital in early October this year, where my fasting blood glucose level was 95 mg/dL. Since this value is close to the upper limit of the normal range, I was quite worried abo...

Dr. Xiao Yongxun Reply:
Dear Mr. Alex: 1. A fasting blood glucose level of 95 mg/dL or 96 mg/dL shows no significant change clinically; in other words, it lacks significant meaning. Based solely on this value, no physician would suggest that it will soon exceed 100 mg/dL. Generally, blood glucose level...

Does Severe Illness Affect Blood Sugar Levels? Insights and Answers

Does serious illness affect blood sugar fluctuations? Hello Dr. Hsiao, Due to acute renal failure that occurred in the middle of this year, accompanied by severe edema and fluid accumulation in the body, various kidney indicators were significantly elevated, leading to my hospi...

Dr. Xiao Yongxun Reply:
Dear Mr. Anonymous: 1. Conditions such as illness, infection, stress, pregnancy, irregular lifestyle, and the use of certain medications can lead to elevated blood glucose levels or significant fluctuations. 2. If anxiety is severe, it can indeed cause an increase in blood gluco...

Understanding Diabetes Genetics: Can You Prevent It with Diet?

Genetic Issues in Diabetes Hello Doctor: My father has a genetic predisposition to diabetes, and he is currently managing it quite well at the age of 50. I would like to ask if I am at risk of developing diabetes as well. Should I be able to prevent it by paying attention to my d...

Dr. Hong Yuanbin Reply:
Hello, diabetes is usually caused by multiple factors, with genetics being just one part of the equation. Additionally, diabetes often coexists with other metabolic syndromes such as hypertension and hyperlipidemia. It is recommended that you or your father regularly monitor bloo...

Understanding Normal Blood Sugar Levels for Gestational Diabetes

Reference values for gestational diabetes mellitus? Hello, Director Hsiao: Could you please tell me what the reference values for "fasting" and "postprandial 2 hours" blood glucose levels are for gestational diabetes? I would like to monitor my blood sugar lev...

Dr. Xiao Yongxun Reply:
Dear Ms. JJ: 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 (g...

Understanding Postprandial Blood Sugar Levels: Concerns and Insights

Blood sugar issues Hello Doctor: My height is 165 cm and my weight is 58 kg (my weight has been about the same for the past six months). Last year, my fasting blood glucose (glucose AC) was 92 mg/dL. I tested my fasting blood glucose again in early August, and it was 96 mg/dL. La...

Dr. Xiao Yongxun Reply:
Dear Mr. Jacky: 1. Your weight is 58 kg, height is 165 cm, and your body mass index (BMI) is 21.3 kg/m², which falls within the normal range. 2. In 2015, your fasting blood glucose level was 92 mg/dL, and in August 2016, it was 96 mg/dL. Last week, your hemoglobin A1c (HbA1c) wa...

Managing Diabetes: Weight Loss, Cholesterol Levels, and Health Concerns

Regarding issues related to diabetes..? Hello, Director. I would like to ask about my health situation. I was diagnosed with diabetes on April 27. My blood test results on that date showed: fasting blood glucose 204 mg/dL, postprandial blood glucose 250 mg/dL, HbA1c 8.3%, total c...

Dr. Xiao Yongxun Reply:
Dear Mr. Ah-Chiang: 1. Your original weight was 108 kg, height 180 cm, resulting in a body mass index (BMI) of 33.3 kg/m², which classifies you as obese. Due to insulin resistance, you are at an increased risk for type 2 diabetes. Non-pharmacological treatments for weight loss i...

Understanding Your 75g Glucose Tolerance Test Results: What They Mean

75 grams oral glucose tolerance test? Hello, I recently underwent a 75-gram oral glucose tolerance test after fasting for eight hours, and the results were as follows: Fasting: 75 mg/dL, 1 hour after drinking the glucose solution: 88 mg/dL, and 2 hours after drinking the glucose ...

Dr. Xiao Yongxun Reply:
Dear Ms. Huihui: 1. According to the American Diabetes Association's diagnostic criteria for diabetes: 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 (g...

Understanding Upper Right Abdominal Pain: Causes and Solutions

Regarding sharp pain in the right upper abdomen? Hello, Dr. Hsiao. I have been experiencing a sudden feeling of hunger shortly after meals, which feels somewhat like an empty stomach sensation without the typical stomach growling. If I eat too quickly, I might even feel hungry ha...

Dr. Xiao Yongxun Reply:
Dear Mr. Shi: 1. Regarding your upper right abdominal pain, I believe it may be what is commonly referred to as side stitch, as mentioned in my response on June 27, 2016. Therefore, I recommend that you consult a coach to learn proper breathing techniques while running to avoid ...

Understanding Persistent Right Upper Abdomen Pain After Exercise

Regarding sharp pain in the upper right abdomen after exercise? Hello Dr. Hsiao, I previously inquired about a problem here (#107015). The symptoms of hunger have not disappeared, and I am currently maintaining a small, frequent meal schedule. I would like to ask another question...

Dr. Xiao Yongxun Reply:
Dear Mr. Steve: 1. First of all, I sincerely apologize for the inconvenience. I am unsure whether it is a system issue or if there was an error in handling my files, but <a href="https://adoctor.tw/article/107015">#107015</a> did not appear in my personal f...

Understanding Gynecomastia: Why Liver Function Tests Matter

Gynecomastia I went to see a doctor for gynecomastia, and I have stretch marks on my abdomen that resemble those associated with obesity. The doctor mentioned that it might be influenced by steroids. The blood tests I need to undergo include ALT, ALK, and alpha-fetoprotein. I loo...

Dr. Xiao Yongxun Reply:
Dear Sir, 1. The causes of gynecomastia in males are numerous; the fundamental pathological mechanism is due to an increase in the action of female hormones. In fact, female hormones, male hormones, adrenal corticosteroids, aldosterone, and others can interconvert within the end...

When Should You Start Medication for Diabetes Management?

When should medication treatment for diabetes begin? I just received my blood test report, and my hemoglobin A1c is 7.1, and my fasting blood glucose is 118. I have hypertension and high cholesterol, both of which are controlled with medication. My hemoglobin A1c has been around ...

Dr. Xiao Yongxun Reply:
Dear Patient, 1. According to the American Diabetes Association's diagnostic criteria for diabetes: 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, c. HbA1c (glyca...

Balancing Sweet Treats and Health: Tips for Pastry Chefs

Sweets and Body Composition Hello Doctor, I am a chef working as a pastry chef in a French dessert shop. I pay great attention to health, but due to my job, I have to taste every dessert. Of course, I know that sugar should be avoided as much as possible. Could you please advise ...

Dr. Xiao Yongxun Reply:
Dear Ms. Chen: 1. Generally speaking, one gram of starch produces four kilocalories, one gram of protein also produces four kilocalories, while one gram of fat produces nine kilocalories. Given that you are aware of the ingredients used in the French pastry shop, you should be a...

Understanding OGTT Results: What Your Glucose Levels Mean

OGTT test and results Hello Doctor, I went to the laboratory for an OGTT, and they gave me a glucose solution with 50g of glucose powder. The results are as follows: HbA1c 5.0%, Fasting 87 mg/dL (70-110 mg/dL), 30 minutes post-ingestion 138 mg/dL (80-170 mg/dL), 1 hour post-inges...

Dr. Xiao Yongxun Reply:
1. In clinical medicine, regarding the glucose tolerance test for diabetes, various dosages and reference values for test results have been developed over the past 60 years. In fact, endocrinologists may not remember every testing method and dosage. The commonly used testing meth...

Understanding Upper Chest Discomfort: Causes and Solutions

Chest tightness in the upper part? This morning, shortly after arriving at the office, I suddenly felt a tightness in the upper part of my chest, accompanied by a slight numbness. After taking a deep breath and relaxing for about 10 minutes, it improved significantly. Since this ...

Dr. Xiao Yongxun Reply:
Your weight is 110 kilograms, and your height is 185 centimeters. Your body mass index (BMI) is 32.1 kg/m². According to the standards published by the Ministry of Health and Welfare, this falls into the category of obesity (BMI ≥ 27 kg/m²). Additionally, if your waist circumfere...

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...

Understanding Blood Sugar Levels: Signs of Potential Diabetes

Unsure if diabetes has already developed? Hello, Doctor. Recently, I measured my fasting blood glucose at home using a glucometer, and it was 91 mg/dL (after fasting for about 10-12 hours). After eating curry rice (starting the timer from the first bite), my blood glucose one hou...

Dr. Xiao Yongxun Reply:
1. If your weight is 92 kg and your height is 160 cm, your Body Mass Index (BMI) is 35.9 kg/m². According to the classification by Taiwan's Ministry of Health and Welfare, since it exceeds 27 kg/m² and is over 35 kg/m², it falls into the category of severe obesity. Additiona...

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