Understanding Diabetes Diagnosis Standards and Insurance Implications
Diabetes Diagnosis Criteria Hello, doctor. I would like to ask about my situation. Recently, when I applied for insurance, I was denied coverage because I truthfully disclosed that I had a HbA1c level as high as 9.0. However, since then, I have maintained my HbA1c between 6.0 and...
Dr. Cai Zonglin Reply:
In general, diabetes is diagnosed with a fasting blood glucose level of 126 mg/dL or higher, a hemoglobin A1c level of 6.5% or higher, or a 2-hour oral glucose tolerance test result of 200 mg/dL or higher. Early-stage diabetes can achieve good blood glucose control through dietar...[Read More] Understanding Diabetes Diagnosis Standards and Insurance Implications
Understanding Weight Loss and Appetite Issues in Diabetic Patients
Diabetes-related issues? The doctor would like to ask, my dad has diabetes and is on medication for control. Recently, he has been losing weight and says he has no appetite; he can't eat the food on the table. Is this related to the medication or could it be a sign of anothe...
Dr. Cai Zonglin Reply:
Some oral medications for diabetes may cause side effects such as abdominal bloating and may also lead to slight weight loss. If the weight loss is significant, it is important to consider whether high blood sugar levels are causing dehydration; however, other conditions may also...[Read More] Understanding Weight Loss and Appetite Issues in Diabetic Patients
Is It Normal to Fluctuate Between 71.5 and 73.5 kg in Weight?
Weight issues Recently, I might have overeaten a bit, and my weight reached 73-73.5 kg. However, over the next week, my diet has been more regular while at work, and in the past few days, my weight has dropped to less than 72 kg, around 71.5-72 kg. Is this normal?
Dr. Gao Jiankai Reply:
Hello, A-Zhe. Thank you for your question. Generally speaking, if there is a weight loss of more than 10% of your original body weight in a short period of time, we would investigate to see if there are any underlying causes for the weight loss. Therefore, based on this standard,...[Read More] Is It Normal to Fluctuate Between 71.5 and 73.5 kg in Weight?
Understanding Diabetes: Kidney Atrophy and Uremia Symptoms Explained
Diabetes concerns? Hello, Dr. Lee. 1. Why does diabetes cause renal atrophy and uremia? 2. What are the symptoms of uremia?
Dr. Li Zhiyao Reply:
Hello: In response to your two questions: 1. Metabolic factors and hemodynamic changes are the primary causes affecting diabetic nephropathy. The effects of hyperglycemia alter the feedback control of the glomeruli and renal tubules, leading to abnormal glucose metabolic path...[Read More] Understanding Diabetes: Kidney Atrophy and Uremia Symptoms Explained
Understanding Low Triglycerides: Health Impacts and Solutions
Low triglycerides? During our recent health check-up, it was pointed out that our triglyceride levels are low. Could you please explain what effects low triglyceride levels may have on the body? Additionally, how can we address this issue to bring the levels back to normal? Thank...
Dr. Chen Qingbin Reply:
Gloria: Low triglyceride levels may be caused by dietary restrictions or malnutrition. Are you currently on a diet for weight loss? It is advisable to consult a physician for treatment if there are any concerns.[Read More] Understanding Low Triglycerides: Health Impacts and Solutions
Understanding Left Lower Back Pain: Causes and When to Seek Help
Hello doctor, I am experiencing pain in my left lower back? Hello, Doctor Hsiao. Recently, I have been actively trying to lose weight and visited a traditional Chinese medicine clinic where I was prescribed herbal medicine for weight loss, reducing excessive heat in the body, and...
Dr. Xiao Yongxun Reply:
There are many factors related to the content you mentioned. If you are already committed to a weight loss program at a traditional Chinese medicine clinic, please follow the advice and treatment of your TCM practitioner. If you suspect there may be an underlying medical issue an...[Read More] Understanding Left Lower Back Pain: Causes and When to Seek Help
Can Oral Sex Transmit Chlamydia? Weight Loss Concerns Explained
Sexually transmitted infections (STIs) Hello Dr. Liao, 1. Can chlamydia be transmitted through oral sex? 2. What tests should be conducted if there is a sudden and significant weight loss?
Dr. Liao Zhongxin Reply:
Dear readers: 1. There is a wide variety of sexually transmitted infections (STIs), with syphilis and HIV being the most notable. 2. The method of sexual activity can lead to STIs in different areas; typically, these infections are located in the perineal region (both anterior a...[Read More] Can Oral Sex Transmit Chlamydia? Weight Loss Concerns Explained
Why Can't I Gain Weight? Understanding Unexplained Weight Loss
It's strange, I can't gain weight? No matter how I eat, it seems like I can't gain weight. My height is 173 cm and my weight is 52 kg.
Dr. Cai Zonglin Reply:
There are many reasons for weight loss, including hyperthyroidism, diabetes, tuberculosis, and cancer. Patients should seek consultation at a specialty clinic or general internal medicine or family medicine outpatient department.[Read More] Why Can't I Gain Weight? Understanding Unexplained Weight Loss
Understanding Weight Loss in Diabetes: Causes and Insights
Diabetes mellitus Hello, Dr. Lee. What is the reason for significant weight loss in patients with diabetes?
Dr. Li Zhiyao Reply:
Hello Mr. Chen: The typical symptoms of diabetes usually present as the "three polys" (polyphagia, polydipsia, polyuria) and "one decrease" (weight loss), but not every patient will exhibit these classic symptoms. When a patient's blood glucose concentrat...[Read More] Understanding Weight Loss in Diabetes: Causes and Insights
Managing Proteinuria: Dietary and Exercise Tips for Better Health
Proteinuria issues? This year during my health check-up, my proteinuria results were abnormal. What dietary and exercise adjustments should I make in my daily life?
Dr. Huang Yaoxuan Reply:
In daily life, avoid smoking and drinking alcohol, and do not stay up late. In terms of diet, limit salt intake, avoid excessive protein consumption, and refrain from binge eating (if there are conditions such as diabetes, hyperlipidemia, hyperuricemia, or chronic kidney disease,...[Read More] Managing Proteinuria: Dietary and Exercise Tips for Better Health
Why Can't I Gain Weight? Understanding Metabolism and Health Issues
No matter how much I eat, I can't gain weight! Hello, doctor! I am 174 cm tall and weigh 49 kg. I previously visited a gastroenterologist and had blood tests done, which indicated mild Mediterranean type A anemia (hereditary). A friend suggested I see a metabolic specialist,...
Dr. Yang Hongzhi Reply:
Mild Mediterranean anemia should not be related to low body weight. If the low body weight has been present for a long time and there are no other symptoms, it is mostly not indicative of a disease. However, if there has been a significant recent weight loss, it is necessary to u...[Read More] Why Can't I Gain Weight? Understanding Metabolism and Health Issues
Unexplained Weight Loss in Middle-Aged Women: Causes and Concerns
Unexplained weight loss? My mother is 50 years old this year and is a homemaker. She has a balanced diet without significant deviations in the quantity and variety of food. She frequently takes pain relievers or receives pain injections. Over the past month, her weight has decrea...
Dr. Xiao Yongxun Reply:
Hello, in response to your question: 1. Weight loss is a symptom rather than a disease, and there is no definitive definition. Generally, unintentional weight loss is considered to be a decrease of more than 5% of body weight (or 4.5 kg) within six months, without any specific i...[Read More] Unexplained Weight Loss in Middle-Aged Women: Causes and Concerns
Managing Kidney Disease: Dietary Tips for Optimal Health
Diet for Kidney Disease Hello Dr. Yang: A year ago, I inquired about dietary issues related to kidney disease. At that time, I was advised to follow a low-protein diet, but the doctor recommended a normal diet, so I increased my protein and caloric intake. However, my muscle mass...
Dr. Yang Zhongwei Reply:
Hello: Currently, the formulas used worldwide to estimate kidney function utilize four variables: serum creatinine levels, age, gender, and race. Therefore, kidney function tends to decline with age. However, the symptoms you described do not seem to be closely related to kidney ...[Read More] Managing Kidney Disease: Dietary Tips for Optimal Health
Effective Strategies for Healthy Weight Gain and Muscle Building
Methods for Gaining Weight Doctor, I am 170 cm tall and weigh 55 kg. I want to gain weight and build muscle, but I find it difficult to put on weight. Do you have any recommendations for gaining weight?
Dr. Li Zhiyao Reply:
Hello: Your Body Mass Index (BMI) is 19.0, which falls within the standard weight range and is not considered underweight. Additionally, you are in a young age group, where metabolic rates are high and activity levels are significant, making slow weight gain a common phenomenon. ...[Read More] Effective Strategies for Healthy Weight Gain and Muscle Building
Managing Prediabetes: Key Tips for Blood Sugar Control
Precautions for Prediabetes Dear Dr. Hsiao, I had a fasting blood glucose level of 127 mg/dL at the health examination center. After two weeks of paying special attention to my diet and recording it daily, along with maintaining a routine of walking 10,000 steps three times a we...
Dr. Xiao Yongxun Reply:
Hello: Here are the responses to your questions: 1. According to the diagnostic criteria for diabetes published by the American Diabetes Association in 2010, the following criteria are used: (1) Fasting plasma glucose level >= 126 mg/dL after at least 8 hours; (2) 2-hour plas...[Read More] Managing Prediabetes: Key Tips for Blood Sugar Control
Understanding Low White Blood Cell Count: Causes and Concerns
Leukopenia Hello Doctor, my health check report on September 10 showed that my white blood cell count was 4.76 (the normal range at that hospital is 5-10). I inexplicably lost 5 kg within two weeks, and one morning in October, I had a nosebleed. On November 27, I went to another ...
Dr. Xiao Yongxun Reply:
Hello: In response to your questions. 1. The reasons for weight loss must consider many diseases, particularly diabetes, hyperthyroidism, tumors, and other rare conditions or diseases. 2. There are also many causes for low white blood cell counts, including viral infections, immu...[Read More] Understanding Low White Blood Cell Count: Causes and Concerns
Understanding Metabolic Syndrome: Causes, Risks, and Weight Loss Benefits
What is metabolic syndrome? What is metabolic syndrome? Is it caused by a disease or is it a result of metabolic abnormalities? Is obesity related to this condition? Can weight loss improve it? Thank you!
Dr. Qiu Zhengbin Reply:
Hello: Metabolic syndrome refers to a cluster of metabolic abnormalities that result in elevated blood glucose, blood pressure, triglycerides, and abdominal obesity. It is primarily caused by poor lifestyle habits such as overeating and lack of physical activity, and it is closel...[Read More] Understanding Metabolic Syndrome: Causes, Risks, and Weight Loss Benefits
Understanding Thyroid Issues: Concerns About Nodules and Treatment Options
Thyroid issues? Hello Dr. Yang, I have a hard lump in my neck. I had it checked two years ago (the doctor inserted a needle into my neck to extract material from the lump), and the doctor said I only need to follow up every six months. However, I am still worried because my gran...
Dr. Yang Hongzhi Reply:
Most patients with thyroid nodules have normal thyroid function. Weight loss is one of the manifestations of hyperthyroidism, and it occurs in only a small number of patients with thyroid nodules. Blood tests are necessary to confirm this. Generally, the effectiveness of medicati...[Read More] Understanding Thyroid Issues: Concerns About Nodules and Treatment Options
Understanding Diabetes: Symptoms, Causes, and Eye Health Concerns
Symptoms of diabetes? Is high cholesterol and high blood sugar a primary cause of diabetes? If I have blurred vision, could it be related to diabetes? Isn't diabetes associated with weight loss? Can overweight individuals also have diabetes? Should I see an ophthalmologist f...
Dr. Qiu Zhengbin Reply:
Hello: The symptoms of diabetes include increased appetite, increased thirst, frequent urination, and weight loss; however, a significant portion of patients may be asymptomatic. Diabetes can lead to retinopathy and increase the incidence of various eye diseases. If you experienc...[Read More] Understanding Diabetes: Symptoms, Causes, and Eye Health Concerns
Understanding Lipid Nutritional Deficiency: Diagnosis and Treatment Options
Lipid malnutrition syndrome Lipid Nutritional Deficiency (272.6) - which specialty should I consult for examination and treatment, and how can I obtain a catastrophic illness card? Ms. Lin, phone number 0932658379. Onset date: Late March 2007. Course of illness: After a car...
Dr. Chen Qingbin Reply:
Hello Miss Lin: In clinical practice, lipid malnutrition is very rare, and it is best to go to a medical center for a detailed examination and treatment.[Read More] Understanding Lipid Nutritional Deficiency: Diagnosis and Treatment Options