Understanding Diabetes Symptoms: When to Seek Medical Advice
Diabetes Consultation Hello Doctor: On April 30th, my fasting blood glucose was 98, and my hemoglobin A1c was 4.8. On May 15th, my fasting blood glucose was 91, and my hemoglobin A1c was 4.7. However, on August 14th, my fasting blood glucose was 102, and on August 27th, it was 10...
Dr. Li Jian Reply:
The diagnostic criteria for diabetes are a fasting blood glucose level of 126 mg/dL or higher, or a hemoglobin A1c level of 6.5% or higher. Symptoms such as tingling, fatigue, blurred vision, and frequent urination cannot currently be interpreted as indicative of diabetes.[Read More] Understanding Diabetes Symptoms: When to Seek Medical Advice
Understanding Diabetes Symptoms: When to Seek Medical Advice
Diabetes Consultation Hello Doctor: On April 30th, my fasting blood sugar was 98, and my hemoglobin A1c was 4.8. On May 15th, my fasting blood sugar was 91, and my hemoglobin A1c was 4.7. However, on August 14th, my fasting blood sugar was 102, and on August 27th, it was 104, but...
Dr. Li Jian Reply:
The diagnostic criteria for diabetes mellitus include a fasting blood glucose level of 126 mg/dL or higher, or a hemoglobin A1c level of 6.5% or higher. Symptoms such as tingling, fatigue, blurred vision, and frequent urination cannot currently be interpreted as indicative of dia...[Read More] Understanding Diabetes Symptoms: When to Seek Medical Advice
Unexplained Right Side Discomfort: Muscle Strain or Appendicitis?
Strange sensation in the right side of the waist? Doctor, when I try to sit up in bed, I suddenly feel a twitching sensation on my right side of the waist. It doesn't really hurt, but now I have a bit of soreness from the right side of my waist to the back. Could this just b...
Dr. Hong Yuanbin Reply:
Hello, appendicitis typically causes pain in the lower right abdomen, and it can be painful even when lying flat. It is often accompanied by feelings of nausea. Based on your description, it does not seem to be another possibility, which is a urinary tract infection combined with...[Read More] Unexplained Right Side Discomfort: Muscle Strain or Appendicitis?
Understanding Dry Tongue: Possible Links to Stomach Ulcers and Diabetes
Regarding dry tongue? Hello Doctor, let me describe my condition: Two and a half years ago, during a newborn health check, my fasting blood glucose was 75 mg/dL, with no diabetes, and everything else was normal. About one to two years ago, I experienced two episodes of dry mouth ...
Dr. Hong Yuanbin Reply:
Hello, regarding your question about dry mouth, it is likely not caused by other underlying diseases. Typically, a healthy young person should consume around 2000-3000 cc of fluids (including water) per day, especially in hot weather when fluid loss is rapid. It is advisable to m...[Read More] Understanding Dry Tongue: Possible Links to Stomach Ulcers and Diabetes
Concerns About Using Empagliflozin for Type 2 Diabetes Management
Regarding the use of the diabetes medication - Empagliflozin film-coated tablets? Hello Dr. Lin, I have type 2 diabetes and have been taking the extended-release metformin prescribed by my endocrinologist for many years. Earlier this year, my doctor recommended switching to empa...
Dr. Lin Jianliang Reply:
Empagliflozin in Jardiance Duo causes glucose to be excreted in the urine, which is why there is sugar in the urine. When taking this medication, it is important to be aware of potential side effects such as hypoglycemia, ketoacidosis, urinary tract infections, genital fungal inf...[Read More] Concerns About Using Empagliflozin for Type 2 Diabetes Management
Understanding Gonorrhea Risks: Can You Get Infected from Indirect Contact?
Gonococcal infection issues? I'm the person who previously had a small abrasion next to the penile frenulum due to masturbation, and I'm concerned about the possibility of contracting HIV, syphilis, or gonorrhea from touching external surfaces like bathroom doorknobs or...
Dr. Hong Yuanbin Reply:
1. No. 2. Not necessarily; it depends on the actual situation. 3. Can be ruled out. 4. Will not be infected. 5. Will not be infected. 6. Not needed, because there will be no infection. 7. Testing is only required if there is unsafe sexual behavior. 8. None. 9. Not...[Read More] Understanding Gonorrhea Risks: Can You Get Infected from Indirect Contact?
Understanding STD Risks: Can You Get Infected from Indirect Contact?
Questions about sexually transmitted diseases? I'm the person who previously had a small abrasion next to the penile frenulum due to masturbation, and I'm concerned about the possibility of contracting HIV, syphilis, or gonorrhea from touching external surfaces like bat...
Dr. Hong Yuanbin Reply:
1. Symptoms may occur, but they are not guaranteed. 2. There is no need to worry. 3 and 4. Symptoms vary from person to person and cannot be generalized. 5 and 6. It depends on the specific situation. 7. There is no residual effect. 8-10. Symptoms vary from person to person and c...[Read More] Understanding STD Risks: Can You Get Infected from Indirect Contact?
Unexplained Warm Sensation in Urethra and Anus: Possible Causes and Concerns
Unexplained mild warmth at the urethral and anal openings? Hello Dr. Lin, in the past few months, I have been experiencing unusual sensations in the palms of my hands, feeling swollen and warm. When I use the restroom, I also feel a slight warmth around the urethral and anal area...
Dr. Lin Wufu Reply:
Hello Mr. Zhu: It is difficult to determine whether this is related to medication or due to other reasons based solely on this description. However, if the palms of your hands are simply feeling warm without any rash or pain, it is generally advisable to observe the situation fir...[Read More] Unexplained Warm Sensation in Urethra and Anus: Possible Causes and Concerns
Understanding Frequent Urination: Causes and Treatment Options
Frequent urination issues? Since early August, I have noticed an increase in my urination frequency, often feeling the need to urinate again shortly after just finishing. At its worst, I remember urinating three times within about an hour, and experiencing nocturia once. Recently...
Dr. Hong Yuanbin Reply:
Hello: Based on your description, it is indeed highly unlikely that you have benign prostatic hyperplasia due to your young age. The most probable causes for your symptoms are as follows: 1. Abnormalities in the urinary tract structure. However, theoretically, if it were a stru...[Read More] Understanding Frequent Urination: Causes and Treatment Options
Frequent Urination, Dry Throat, and Chills: Understanding Your Symptoms
Frequent urination, dry throat, and feeling cold? Hello: Since last night, I have been experiencing frequent urination (approximately every half hour). Although I feel the urge to urinate, the volume is not significant, and the urine is clear. This morning, I started to feel dryn...
Dr. Hong Yuanbin Reply:
Based on your description, it is likely that you have a urinary tract infection. Given the accompanying lower back pain, there is a high possibility of a urinary tract infection combined with acute pyelonephritis. It is recommended to drink plenty of water, rest, and maintain a r...[Read More] Frequent Urination, Dry Throat, and Chills: Understanding Your Symptoms
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
Understanding Kidney Health: Tests, Concerns, and Dietary Advice
Examination, health, and other related issues concerning having one less kidney? Doctor Wu: Hello, over the past ten years, I have undergone abdominal ultrasounds three times due to gastrointestinal issues, and three different physicians have been unable to locate my right kidney...
Dr. Wu Hongjie Reply:
1. The diagnostic rate of ultrasound has already reached a high level, and computed tomography (CT) can enhance diagnostic accuracy. However, it is recommended that if the results of a non-contrast scan indicate a single kidney, it should be classified as a Class A diagnosis. The...[Read More] Understanding Kidney Health: Tests, Concerns, and Dietary Advice
Understanding Lower Abdominal Pain: When to Seek Medical Attention
Lower abdominal pain? Hello doctor, I recently had sexual intercourse with my husband, and the next day I experienced severe abdominal pain. I couldn't exert myself at all, and walking would suddenly cause pain. I've also noticed an increase in the frequency of urinatio...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it seems that there is a higher likelihood of a urinary tract infection; however, gynecological issues cannot be ruled out, such as a ruptured corpus luteum. It is advisable to consult with an infectious disease specialist, nephrologist, or urolo...[Read More] Understanding Lower Abdominal Pain: When to Seek Medical Attention
Long-Term Use of Sinzac and Mocalm: Risks to Kidney and Liver Health?
Long-term use of Sinzac 20mg (one tablet in the morning) and Mocalm S.C. tablet (one tablet in the morning) may pose risks to kidney or liver health. It is important to monitor liver and kidney function regularly while on these medications. Please consult your healthcare provider...
Dr. Wu Hongjie Reply:
These two types of medications are primarily metabolized by the liver. When combined with other liver-metabolized drugs or in cases of liver dysfunction, dosage adjustments are necessary. The impact on renal function is mostly due to interstitial nephritis, while electrolyte imba...[Read More] Long-Term Use of Sinzac and Mocalm: Risks to Kidney and Liver Health?
Understanding Kidney Issues: Insights on Recovery and Dietary Considerations
Kidney problems Hello, my sister is 29 years old and has a history of refractory epilepsy for 23 years, is a carrier of hepatitis B, and has been diagnosed with schizophrenia for 2 years. She was hospitalized on July 31 due to cellulitis and developed sepsis, requiring intubation...
Dr. Wu Jiyu Reply:
Based on the data you provided, this condition is classified as "acute kidney injury," which may be caused by cellulitis complicated by sepsis. The key point is that as the infection is brought under control, your kidney function will gradually improve. It is recommende...[Read More] Understanding Kidney Issues: Insights on Recovery and Dietary Considerations
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
Understanding Kidney Issues: A Comprehensive Guide for Patients and Families
Kidney problems Hello Doctor, My family member (female, 29 years old) has long-term chronic health issues. She has been diagnosed with refractory epilepsy for 23 years and is currently taking the following medications: Depakote 700mg, Vimpat 100mg, Keppra 1000mg, and Lamictal 30...
Dr. Wu Hongjie Reply:
Hello: Currently, your family member's creatinine levels have returned to normal range. The recent decline in kidney function is likely due to acute kidney injury, but regular monitoring is still necessary. Dietary restrictions are not required at this time. The exact causes...[Read More] Understanding Kidney Issues: A Comprehensive Guide for Patients and Families
Understanding the Discrepancy Between Blood Glucose Meter and Lab Results
Questions about blood glucose meters? Hello Doctor: Recently, a family member noticed that urination attracted ants, so they went to the clinic for a blood test. On the same day, after the nurse drew blood, she used the venous blood to measure fasting blood glucose with a Roche A...
Dr. Xiao Yongxun Reply:
Dear Ms. Wang Su-Chen: 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 tolera...[Read More] Understanding the Discrepancy Between Blood Glucose Meter and Lab Results
Is It Kidney Pain or Lower Back Pain? Understanding Your Symptoms
Is it kidney pain or lower back pain? Hello doctor, this morning when I got up, I noticed pain in my right lower back, specifically in the right posterior area. I don't feel any pain when standing up, but it hurts when I intentionally twist my waist. Could this be related to...
Dr. Hong Yuanbin Reply:
A relatively simple way to differentiate is that if it is kidney inflammation, there will likely be pain regardless of the position, and it may be accompanied by symptoms such as fever and burning during urination. Based on your description, it seems more likely to be muscle sore...[Read More] Is It Kidney Pain or Lower Back Pain? Understanding Your Symptoms
Am I at Risk for HIV After Unprotected Sex? Understanding Symptoms
Is this an HIV infection? On the third day of my period, I had intercourse with my boyfriend (who frequents nightclubs) without using a condom, and there was no ejaculation inside. That night and the next day, my knees were a bit sore, but then it went away. The following day, I ...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the symptoms and incubation period do not strongly resemble HIV. However, it is advisable to consider a urinary tract infection. I recommend increasing your water intake and urinating frequently to alleviate the symptoms. If you continue to feel ...[Read More] Am I at Risk for HIV After Unprotected Sex? Understanding Symptoms