Am I Prediabetic? Understanding Symptoms and Blood Sugar Levels
Is it prediabetes? Hello Dr. Lin, sometimes about two hours after lunch, I feel hungry and experience symptoms similar to hypoglycemia (but this does not happen after dinner). Six months ago, I had a fasting blood glucose test that showed 101 mg/dL, and my blood glucose two hours...
Dr. Lin Jianliang Reply:
A fasting blood glucose level ranging from 100 to 125 mg/dL is classified as impaired fasting glucose (IFG), also known as "early diabetes," latent diabetes, or prediabetes. At this stage, dietary control and increased physical activity can help manage blood glucose lev...[Read More] Am I Prediabetic? Understanding Symptoms and Blood Sugar Levels
Understanding Your Blood Sugar Test Results: Are They Normal?
Blood glucose recheck results? Hello Dr. Lee! A few days ago, I consulted you about my blood sugar issues and followed your advice to do another blood test. I had dinner at 8 PM the night before the test and did not drink any water after midnight. The blood draw was done around 9...
Dr. Li Jian Reply:
The current test results are considered normal; however, if there is an issue with overweight or a family history of diabetes, it may be advisable to consider a follow-up in one year.[Read More] Understanding Your Blood Sugar Test Results: Are They Normal?
Understanding Unexplained Fever: Causes and When to Seek Help
Fever of unknown origin? Hello, doctor. Last October, I was hospitalized for a week due to a fever. At that time, I had no other symptoms, just persistent fever, chills, and muscle weakness in my limbs. My temperature was around 38 degrees Celsius, and despite undergoing rapid te...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it is indeed necessary to conduct a detailed examination regarding the fever. Routine health check-ups may not necessarily identify the cause. I recommend consulting an infectious disease specialist at a major hospital for a fever workup. If no c...[Read More] Understanding Unexplained Fever: Causes and When to Seek Help
Unexplained Fever Episodes: When to Seek Medical Evaluation?
In recent months, there has been an unexplained fever? Hello, doctor. Since December of last year, I have experienced fever in December, March, May, August, and this week. The longest duration of fever was about three days, while the shortest was an afternoon fever that resolved ...
Dr. Hong Yuanbin Reply:
Based on your description, the main symptoms are intermittent fever and throat inflammation, with no other symptoms present. The most likely diagnosis is multiple episodes of the common cold, which is a type of upper respiratory infection. It is advisable to monitor the duration ...[Read More] Unexplained Fever Episodes: When to Seek Medical Evaluation?
Understanding Diabetes Treatment Options: Medication vs. Lifestyle Changes
Diabetes Treatment Guidelines Hello Dr. Lee, My basic information is as follows: I have a family history of diabetes and was diagnosed with diabetes two years ago, with a fasting blood sugar of 113 and an HbA1c of 7.1 at that time. My weight was in the 80s (kg). Since then, I ha...
Dr. Li Jian Reply:
1. Lifestyle modifications combined with medication management yield better results; relying solely on diet and exercise to control blood sugar is more likely to fail. Having medication assistance makes it easier to achieve targets. 2. If significant weight loss can be achieved...[Read More] Understanding Diabetes Treatment Options: Medication vs. Lifestyle Changes
Fasting Blood Tests: Do You Really Need to Avoid Water?
Blood test? Hello, Dr. Hong. I apologize for bothering you. I would like to ask if, when doing a 12-hour fasting blood test that includes cholesterol testing, I should avoid drinking any water at all for the full 12 hours. Previously, there was a nurse who told me that because I ...
Dr. Hong Yuanbin Reply:
Hello, 1. There are two situations regarding fasting. The first situation is when undergoing a CT scan or surgery, where fasting means that no food or even water can be consumed to prevent the risk of vomiting during the procedure. The second situation is for blood tests, such ...[Read More] Fasting Blood Tests: Do You Really Need to Avoid Water?
Daily High Fever and Weight Loss in a 70-Year-Old with Lupus
Persistent high fever every morning accompanied by weight loss? Hello, Doctor. Thank you for taking the time to read this amidst your busy schedule. My father, who is 70 years old, has been diagnosed with systemic lupus erythematosus and chronic obstructive pulmonary disease. He ...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. You can return for a follow-up appointment anytime you feel unwell, especially if you have a fever, without worrying about the physician's opinion. 2. If you have had a persistent fever for over a month, that is...[Read More] Daily High Fever and Weight Loss in a 70-Year-Old with Lupus
Understanding Kidney Function Tests: Symptoms and Specialist Guidance
Kidney function tests Hello Doctor: In the past few months, I have been experiencing discomfort, including chest tightness and pain, occasional shortness of breath, and unexplained nausea, although I haven't actually vomited. My daily routine has not changed, and there has b...
Dr. Huang Yaoxuan Reply:
Hello, "person with questions." 1. In recent months, I have been experiencing discomfort, including chest tightness and pain, occasional shortness of breath, and unexplained nausea. 2. I have noted episodes of tachycardia and mild arrhythmia. 3. My cortisol level is...[Read More] Understanding Kidney Function Tests: Symptoms and Specialist Guidance
Understanding Gallstones and Elevated Blood Sugar in Seniors
Consultation Inquiry Hello, Doctor. I have some questions to ask you. 1. My mother is 65 years old and has been experiencing frequent abdominal pain, so she underwent an ultrasound and a colonoscopy. The results showed some gallstones and that her pancreatic duct is slightly la...
Dr. Wu Jiyu Reply:
Question 1: Please consult a hepatobiliary and gastroenterology specialist to confirm if there is a possibility of having diabetes or if you are already a diabetic patient with poor blood sugar control. It is important to seek medical assistance promptly and manage your diet and ...[Read More] Understanding Gallstones and Elevated Blood Sugar in Seniors
Understanding Weight Loss Challenges: Insights on Mild Obesity and Health Metrics
Obesity issues Hello doctor, I am 160 cm tall and weigh 73-74 kg, which indicates mild obesity according to my BMI. I have been controlling my diet, but my weight hasn't changed much. I drink more than 2000 cc of water daily and have bowel movements 1-2 times a day. I had bl...
Dr. Li Jian Reply:
Obesity is related to both genetic factors and environmental influences. In addition to thyroid hormones, other hormonal abnormalities may also contribute to obesity. Currently, one of the weight loss methods highly endorsed by mainstream medicine is intermittent fasting. For mor...[Read More] Understanding Weight Loss Challenges: Insights on Mild Obesity and Health Metrics
Childhood Obesity and Its Impact on Sexual Development in Adolescents
Regarding overweight and obesity in children and adolescents and their impact on genital development? Hello, doctor. I have had issues with being overweight and obese since childhood. I later learned that fat can convert to estrogen, which affects development. Is there really a c...
Dr. Li Jian Reply:
Excess estrogen in adolescent males may lead to poor penile development, resulting in issues with penile size. It is advisable to discuss this with a urologist.[Read More] Childhood Obesity and Its Impact on Sexual Development in Adolescents
Understanding Fasting Blood Sugar Levels: Causes and Concerns for Pre-Diabetes
Please consult a doctor regarding blood sugar issues. Thank you! This year, at 42 years old, I have a standard build (166 cm / 55 kg) and a history of gallbladder removal surgery as well as kidney stones. My father and grandmother have a history of diabetes. In early January, a b...
Dr. Lin Wuxuan Reply:
Hello: Based on your initial glycated hemoglobin (HbA1c) level of 6.5 and your relevant family history, you can be diagnosed with diabetes according to diabetes management guidelines. However, diabetes patients are not completely unable to metabolize glucose; the body retains var...[Read More] Understanding Fasting Blood Sugar Levels: Causes and Concerns for Pre-Diabetes
Managing Mild Cough and Upper Abdominal Pain: Tips for Relief
Mild cough and upper abdominal pain? There is a feeling of slight discomfort in the middle of the clavicle, which may lead to occasional mild coughing (about one or two coughs). Aside from in the morning upon waking, there is no production of phlegm or dry cough, and there is no ...
Dr. Hong Yuanbin Reply:
Hello, based on the symptoms you described, it is important to confirm whether you have ever experienced any injury to the center of your chest. If there has been an injury, it could be the cause. If there has been no injury, the most likely conditions are esophagitis or gastroes...[Read More] Managing Mild Cough and Upper Abdominal Pain: Tips for Relief
Understanding Persistent Low-Grade Fever and Its Possible Causes
Slightly elevated body temperature over a prolonged period? Hello Doctor, I have been experiencing slightly elevated body temperature since before my vacation, particularly feeling uncomfortable when it reaches around 37.5 to 37.8 degrees Celsius, while my usual temperature is ab...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. If you are experiencing unexplained elevated body temperature or mild fever and have already consulted the specialties mentioned in your message without finding a solution, it would indeed be advisable to visit a Rheumatology and Immunology depa...[Read More] Understanding Persistent Low-Grade Fever and Its Possible Causes
Is My Hormonal Imbalance Causing Skin Issues and Irregular Periods?
Could you please tell me if I am experiencing endocrine dysfunction? Hello Doctor: Since last summer, due to my internship, I have been sitting in the office handling tasks, which led to a uterine fungal infection and abnormal bleeding that took two months to seek treatment. My s...
Dr. Lin Jianliang Reply:
Based on your description, both endocrinology and obstetrics/gynecology should be consulted.[Read More] Is My Hormonal Imbalance Causing Skin Issues and Irregular Periods?
Unexplained Fever, Weight Loss, and Joint Pain: A Medical Mystery
Unexplained fever with low-grade temperature, unintentional weight loss, and joint and muscle pain? Hello, doctor. I have undergone numerous tests in the infectious disease department, and the only abnormal finding was a slightly elevated cancer marker (for reference only) and a ...
Dr. Hong Yuanbin Reply:
Hello, based on your description, it does align with the situation of "fever of unknown origin." We should indeed be cautious about atypical infections or bone marrow issues. Therefore, I agree with your infectious disease physician's recommendation to conduct furt...[Read More] Unexplained Fever, Weight Loss, and Joint Pain: A Medical Mystery
Understanding Proteinuria: Key Insights for Kidney Health Management
Urinary protein issue? Hello, doctor. I was born with one kidney, and recently I noticed bubbles in my urine, so I went to a nearby clinic for blood and urine tests. A few days later, when I reviewed the results, the doctor informed me that I had mild proteinuria (+30 mg/dL), whi...
Dr. Wu Hongjie Reply:
Hello: 1. It is recommended to conduct tests outside of the menstrual period. 2. Microalbuminuria and urinary protein levels are both higher than normal; if this is confirmed again after three months, it is classified as stage one chronic kidney disease. "Chronic" indic...[Read More] Understanding Proteinuria: Key Insights for Kidney Health Management
Managing High Blood Sugar: Tips for Military Physical Exam Success
During the military service physical examination, it was reported that the blood sugar levels were elevated? On November 16, I was informed that I needed to undergo a re-examination due to high blood sugar levels. Prior to that, my weight was 80 kg and my height was 167 cm. After...
Dr. Ke Taiyuan Reply:
Aerobic exercise is the main focus. Light aerobic exercise can be done 30 minutes after a meal, jogging can be done after one hour, and long-distance running can be done after two hours.[Read More] Managing High Blood Sugar: Tips for Military Physical Exam Success
How to Accurately Monitor Blood Sugar After Diabetes Remission
Diabetes issues Hello Dr. Chen: I have been suffering from diabetes for about 5 to 6 years. My highest recorded HbA1c was 11.2, and my highest fasting blood glucose was around 250. Recently, I have been actively losing weight, and my latest test results show an HbA1c of 5.8 and a...
Dr. Chen Jianyu Reply:
Diabetes is currently manageable but not curable. Management methods include diet, exercise, and medication. A hemoglobin A1c of 11.2 indicates poor blood sugar control, while a current blood sugar level of 90 and an A1c of 5.8 indicate good blood sugar control. Therefore, there ...[Read More] How to Accurately Monitor Blood Sugar After Diabetes Remission
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