Unexplained Weight Loss with Normal Thyroid Levels: Possible Causes
Significant weight loss with normal thyroid function tests? Hello Dr. Lee, In early November last year, during my health check-up, my height and weight were 181 cm and 58.7 kg, respectively. Aside from being underweight, all other indices were normal (including CEA and fecal occ...
Dr. Li Jian Reply:
If thyroid function is normal, it may be advisable to consult a gastroenterologist to investigate whether the weight loss is related to chronic diarrhea.[Read More] Unexplained Weight Loss with Normal Thyroid Levels: Possible Causes
Managing Anxiety and Health Issues: A Guide for Chronic Symptoms
Years of anxiety and restlessness? Unexplained weight loss (notable thinning of the waist, abdomen, thighs, and calves), frequent dry throat and pain during sleep, muscle soreness, recurrent oral ulcers affecting the tongue and gums that persist, healing only to break out again a...
Dr. Zeng Guosen Reply:
The user is experiencing muscle soreness, recurrent ulcers in the mouth, tongue, and gums, and sometimes has a low-grade fever ranging from 37.0 to 37.5 degrees Celsius, indicating a chronic inflammation issue. It is recommended to consult with an immunologist for a thorough eval...[Read More] Managing Anxiety and Health Issues: A Guide for Chronic Symptoms
Unexplained Weight Loss: Understanding the Causes and Concerns
Unexplained weight loss? Hello doctor, I am 163 cm tall and my weight fluctuates between 85-86 kg. I have been controlling my diet, consuming about 1200-1500 calories per day, but I only drink around 1500 cc of water daily, so my weight hasn't changed much. Recently, I notic...
Dr. Hong Yuanbin Reply:
Hello, based on your description, if you do not have any specific physical discomfort, this weight change should be within the physiological range. For example, your weight will typically be lower in the morning after fasting overnight, and it will naturally be higher in the afte...[Read More] Unexplained Weight Loss: Understanding the Causes and Concerns
Could These Symptoms Indicate Diabetes? Expert Insights on Testing
Is it possible that this could be diabetes? Hello Dr. Lee! Recently, I have been experiencing the following conditions: 1. Frequent urination (I often wake up in the middle of the night to urinate, about 1-2 times per night). 2. Weight loss from 63.5 kg to 60.5 kg (over about one...
Dr. Li Zhiyao Reply:
Hello, regarding your inquiries: 1. The measurements of glycated hemoglobin (HbA1c) before and after meals are the same. 2. According to your routine health check data from June, there are no signs of diabetes. If you are still concerned, you can have your fasting blood glucose a...[Read More] Could These Symptoms Indicate Diabetes? Expert Insights on Testing
Does Drinking Sugary Beverage Before Fasting Blood Test Affect Results?
Drank a sip of sugary beverage before blood draw? Fasting for 8 hours before a blood draw is typically required for accurate results, especially for tests related to blood glucose levels. Drinking a small amount of sugary beverage at 7 AM before a 9 AM blood draw may affect the r...
Dr. Xiao Yongxun Reply:
Dear Mr. Lee: 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 at least 8 hours. b. Plasma glucose level ≥ 200 mg/dL during a 2-hour oral glucose tolerance test. c. HbA1c ...[Read More] Does Drinking Sugary Beverage Before Fasting Blood Test Affect Results?
Could My Symptoms Indicate Diabetes? Understanding Blood Sugar Levels and Weight Loss
Could this indicate the possibility of diabetes? Hello, Doctor. In mid-May of this year, I had a blood test that showed a hemoglobin A1c of 5.0 and a fasting blood glucose level of 86. From the end of May until today, my height and weight changed from 160 cm/55 kg to 160 cm/52 kg...
Dr. Xiao Yongxun Reply:
Dear Ms. NN: 1. Zoloft® (Sertraline) is classified as a selective serotonin reuptake inhibitor (SSRI) because it specifically inhibits the reuptake of serotonin, exhibiting a selectivity for serotonin transporters that is 300 to 3000 times greater compared to norepinephrine tran...[Read More] Could My Symptoms Indicate Diabetes? Understanding Blood Sugar Levels and Weight Loss
Understanding Diabetes Diagnosis: Key Blood Test Criteria Explained
Diagnosis of Diabetes Mellitus Hello, Dr. Hsiao. I would like to ask about a recent blood test where the fasting blood glucose and HbA1c levels were 140 mg/dL and 7.3%, respectively. I saw Dr. Hsiao's response regarding the diabetes diagnostic criteria published by the Ameri...
Dr. Xiao Yongxun Reply:
Dear Mr. Kiwi: 1. In clinical medicine, diagnostic standards or treatment guidelines often serve as references when research is uncertain or controversial. In practice, clinicians must make diagnoses or interventions based on the patient's own complaints, symptoms, or chan...[Read More] Understanding Diabetes Diagnosis: Key Blood Test Criteria Explained
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
Am I Diabetic? Understanding Blood Sugar and Cholesterol Levels
Could you please tell me if I have diabetes? Hello, last year my tests were normal, but this year I received my health check results showing abnormal blood sugar and lipid levels. Am I diabetic? After fasting for over 12 hours, my weight is 49 kg and my height is 155.7 cm. My cho...
Dr. Xiao Yongxun Reply:
Dear Ms. Vivi: 1. Your fasting blood glucose level is 102 mg/dL, your body mass index (BMI) is 20.4 kg/m², and you do not exhibit any obvious symptoms of diabetes. 2. According to the diagnostic criteria for diabetes set by the American Diabetes Association: a. A fasting ...[Read More] Am I Diabetic? Understanding Blood Sugar and Cholesterol Levels
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
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...[Read More] Managing Blood Sugar Levels After Gestational Diabetes: Key Insights
How Long Does It Take for Onglyza to Start Working?
Could you please provide more context or details regarding the specific medication or topic related to drug efficacy that you would like Hello Doctor: The endocrinologist prescribed Onglyza (saxagliptin) at a dosage of half a tablet daily. I would like to know how long it typical...
Dr. Xiao Yongxun Reply:
Dear Ms. Coffee Sugar: 1. Eltroxin® (50 mcg or 100 mcg; generic name Levothyroxine) is commonly used to treat hypothyroidism. Due to the longer half-life of Levothyroxine (T4), it is typically taken once daily. The onset of action may take 1 to 2 weeks, and it usually takes 6 t...[Read More] How Long Does It Take for Onglyza to Start Working?
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...[Read More] Understanding Normal Blood Sugar Levels for Gestational Diabetes
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...[Read More] When Should You Start Medication for Diabetes Management?
Understanding Dietary Sensitivities: Dizziness and Nausea After Sweet Foods
Dietary Issues Hello doctor, I would like to ask you something. Since elementary school, I have noticed that whenever I consume sweet foods or drinks, I start to feel dizzy and nauseous. This is very obvious, for example, when I drink beverages or eat chocolate. Even fruits that ...
Dr. Xiao Yongxun Reply:
Dear Ms. Tsai: 1. According to the diagnostic criteria for diabetes set by the American Diabetes Association, the following are summarized: a. Fasting plasma glucose level ≥ 126 mg/dl after at least 8 hours of fasting, b. Plasma glucose level ≥ 200 mg/dl during a 2-hour ...[Read More] Understanding Dietary Sensitivities: Dizziness and Nausea After Sweet Foods
Understanding OGTT Results: Can Normal Glycation Indicate Diabetes?
OGTT test and glycation? Hello doctor, if the glycosylated hemoglobin (HbA1c) is normal at 5.1%, but the oral glucose tolerance test (OGTT) exceeds 200 mg/dL, would that be classified as diabetes? Is this a possibility? Thank you.
Dr. Xiao Yongxun Reply:
According to the diagnostic criteria for diabetes set by the American Diabetes Association: 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 (OGTT), c. HbA1c ≥ 6.5% (thi...[Read More] Understanding OGTT Results: Can Normal Glycation Indicate Diabetes?
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...[Read More] Understanding Elevated Fasting Blood Sugar: Causes and Follow-Up
Understanding Fasting Blood Sugar Testing: Common Questions Answered
Please ask again about the timing for blood glucose testing and any other related questions? Hello, Dr. Hsiao! I have read your previous response regarding my question about blood sugar testing times and other related issues, but I still have some confusion. I would like to ask a...
Dr. Xiao Yongxun Reply:
Question 1: The diagnostic criteria for diabetes published by the American Diabetes Association in 2010 are as follows: a. Fasting plasma glucose level ≥ 126 mg/dl after at least 8 hours of fasting. b. Plasma glucose level ≥ 200 mg/dl during a 2-hour oral glucose tolerance test. ...[Read More] Understanding Fasting Blood Sugar Testing: Common Questions Answered
Understanding Unexplained Weight Loss: A Case Study in Mental Health and Lifestyle
Weight loss Hello Doctor: Since April of this year, I have been working full-time collecting scrap metal. I am a person with a mental disability, and finding a job is not easy; therefore, I resorted to recycling. Initially, it was just a hobby, and I would only collect occasional...
Dr. Xiao Yongxun Reply:
1. Generally, the most common causes of weight loss include diabetes, hyperthyroidism, chronic illnesses, cancer, and others; it also encompasses physical exertion, depression, anorexia, and so on. Since you have already been evaluated by a physician who ruled out the possibility...[Read More] Understanding Unexplained Weight Loss: A Case Study in Mental Health and Lifestyle
Understanding Unexplained Weight Loss and Digestive Issues
Annoying physical discomfort? Hello Doctor: Since the end of September last year, my weight has dropped from 68 kg to 52 kg. My height is 172 cm, and my condition includes a sudden decrease in appetite, lack of desire to eat, discomfort, nausea, and dizziness. I often experience ...
Dr. Xie Rongyuan Reply:
Hello: It is recommended that you visit the Department of Metabolism and the Department of Gastroenterology at a medical center to determine the cause of your condition. Thank you for your message![Read More] Understanding Unexplained Weight Loss and Digestive Issues