Managing Blood Sugar Levels in Children: Concerns and Guidelines
Blood sugar issues Hello Doctor, due to the Lunar New Year holiday, my child has been indulging in a lot of sweets and has had irregular meal times. Last night, while he was asleep, I checked his blood sugar levels. Two hours after eating, it was 127 mg/dL (at 1 AM), five hours a...
Dr. Xiao Yongxun Reply:
Dear Mr. Wang: 1. Normal fasting plasma glucose levels range from 70 to 100 mg/dL, while normal postprandial glucose levels two hours after eating range from 80 to 140 mg/dL. Therefore, your child, being young with normal pancreatic function, may have normal glucose levels despi...[Read More] Managing Blood Sugar Levels in Children: Concerns and Guidelines
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
Understanding Sarcoidosis: Symptoms, Diagnosis, and Treatment Options
Chest pain associated with sarcoma? Hello Doctor: Last October, I experienced prolonged unexplained fever (38 degrees Celsius) and visited the infectious disease department multiple times for examinations. During this period, I also had night sweats, weight loss (3 kg in one mont...
Dr. Zeng Guosen Reply:
1. Sarcomatoid carcinoma is not a common disease, and it is recommended to seek medical attention at a medical center. 2. Bringing all relevant medical records can help the physician quickly understand your condition. Thank you for your inquiry.[Read More] Understanding Sarcoidosis: Symptoms, Diagnosis, and Treatment Options
Understanding Elevated CEA Levels: Should You Be Concerned?
The CEA level is 17.78? Hello Doctor, five years ago I was hospitalized due to duodenal obstruction and was found to have a 4.5 cm benign cyst in the tail of the pancreas. I underwent surgery to remove the affected part of the pancreas that same year, and I was hospitalized for 3...
Dr. Xie Rongyuan Reply:
Hello: An elevated CEA (Carcinoembryonic Antigen) level can occur in various malignancies such as colorectal cancer, lung adenocarcinoma, breast cancer, cervical cancer, ovarian cancer, gastric cancer, and pancreatic cancer. Additionally, other non-malignant conditions like chron...[Read More] Understanding Elevated CEA Levels: Should You Be Concerned?
Managing Diet for Stage 3 Chronic Kidney Disease: What You Need to Know
Diet for Chronic Kidney Disease Dear Doctor: For a patient with stage 3 chronic kidney disease and an eGFR of 55, how strict should dietary control be? Will occasional indulgences harm the kidneys? For instance, if I occasionally go out with friends for hot pot or barbecue, or if...
Dr. Wu Hongjie Reply:
Hello: According to the guidelines from the National Kidney Foundation, a low-protein diet should be limited to 0.6 grams of protein per kilogram of body weight, with at least two-thirds being high biological value protein. However, achieving this can be challenging, and some rec...[Read More] Managing Diet for Stage 3 Chronic Kidney Disease: What You Need to Know
Understanding Chest Pain and Fatigue: A Guide for Patients with Diabetes and Hypertension
There is a persistent dull pain in the chest near the heart, in the upper back close to the heart, and in the left shoulder? Hello Dr. Hsiao: I am 163 cm tall and weigh 130 kg. For a long time, I have been experiencing persistent dull pain in my chest near the heart, in my back n...
Dr. Xiao Yongxun Reply:
Dear Mr. Anong: 1. Your height is 163 cm, weight is 103 kg, and your body mass index (BMI) is 48.9 kg/m², which classifies you as severely obese. Consequently, your risk of developing the following conditions is increased: hypertension, dyslipidemia, metabolic syndrome, type 2 d...[Read More] Understanding Chest Pain and Fatigue: A Guide for Patients with Diabetes and Hypertension
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...[Read More] Understanding Blood Sugar Levels: Are You at Risk for Diabetes?
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...[Read More] Does Severe Illness Affect Blood Sugar Levels? Insights and Answers
Are Starchy Liquid Foods Suitable for Diabetics?
Are starchy liquid foods suitable for individuals with diabetes? Hello, my mother has type 2 diabetes (non-insulin dependent), bile duct cancer, and dementia, and she has insufficient chewing ability due to missing teeth. Currently, she is being fed three cans of nutritional supp...
Dr. Xiao Yongxun Reply:
Dear Mr. Wan Hsiu-Ming: 1. Regarding your questions about dietary management for diabetes, it is best to consult with a nutritionist at your mother's hospital. Designing a diet suitable for an elderly person with diabetes, bile duct cancer, and dementia is quite complex. 2...[Read More] Are Starchy Liquid Foods Suitable for Diabetics?
Understanding Endocrine Issues and PCOS in Young Women: A Case Study
Regarding Endocrinology and Polycystic Ovary Syndrome (PCOS) Hello, Doctor: I am currently 19 years old, with a height of 151 cm, weight of 45.4 kg, body fat percentage of 20.3%, and a waist circumference of 58 cm. Description of my condition: In March of this year, my weight sud...
Dr. Xiao Yongxun Reply:
Dear Miss Nini: 1. The formula for Basal Metabolic Rate (BMR) is often estimated using various regression equations; it represents the energy required to maintain basic physiological functions daily. It can be used as a reference, but there is no need to be overly concerned, as ...[Read More] Understanding Endocrine Issues and PCOS in Young Women: A Case Study
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
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...[Read More] Understanding Postprandial Blood Sugar Levels: Concerns and Insights
Understanding Facial Edema: Causes and When to Seek Medical Help
Facial edema Hello, doctor. I am 169 cm tall and weigh 52 kg, which is not considered overweight, but I have facial edema. There is no swelling in my eyelids, limbs, or other areas. My face swells every day, and it feels even more swollen after eating. I wonder if this is related...
Dr. Li Zhiyao Reply:
Hello: It is recommended that you first consult with a "Family Medicine" physician, who can then refer you to the appropriate specialist if necessary, or provide treatment themselves.[Read More] Understanding Facial Edema: Causes and When to Seek Medical Help
Understanding Weight Gain During Adolescence: A Medical Perspective
Body changes Hello, doctor. I am currently a ninth-grade student, with a height of 156 cm and a weight of 65 kg. Since I started junior high school, my weight has been continuously increasing, but my height hasn't changed much. When I graduated from elementary school, I was ...
Dr. Hong Yuanbin Reply:
Hello, weight gain is primarily related to two issues: diet and exercise. Regarding diet, it is common to unconsciously eat too much or consume overly fatty foods during vacation periods, which increases caloric intake. In terms of exercise, typically, both daily activities a...[Read More] Understanding Weight Gain During Adolescence: A Medical Perspective
Understanding Sudden Weight Gain: Causes and Concerns
Short-term rapid weight gain issues? Hello Doctor: This week, I suddenly noticed that my weight has increased significantly in just a few days (from 55 kg to 63 kg). My diet has remained the same as before, but my records indicate an increase in body fat percentage, a drastic dec...
Dr. Xiao Yongxun Reply:
Dear Ms. JMF: 1. If there is an increase from 55 kg to 63 kg within a week, that amounts to an approximate daily increase of 1 kg; and various extensive examinations have shown no issues. Such a rate of weight gain is extremely rare in medicine and even contradicts common sense....[Read More] Understanding Sudden Weight Gain: Causes and Concerns
Understanding Chest Pain: Causes and Solutions for Discomfort
Chest issues I have pain in my left arm when I exert force, swing it, or when my shoulder retracts towards my ribcage and sternum. I have had an X-ray, and the doctor said my bones are normal, and there are no shadows in my lungs. What could be the issue? This has been ongoing fo...
Dr. Hong Yuanbin Reply:
Hello, regarding the symptoms you described, they are likely due to a muscle strain near the shoulder. The causes, as you mentioned, could be related to weight training or poor posture. It is recommended to allow the affected area to rest and apply heat to help alleviate the symp...[Read More] Understanding Chest Pain: Causes and Solutions for Discomfort
Understanding Diabetes: Key Questions on Blood Sugar Levels and Genetics
Regarding diabetes and the genetic aspects of diabetes? Director Li, I have a few questions: 1. My bedtime blood sugar levels are between 90 and 100. Is this considered low? In the morning, my levels are around 110 to 120. What should I be aware of? 2. Why do my post-meal blo...
Dr. Li Zhiyao Reply:
Hello: 1.a. There is no hypoglycemia. b. Please manage your diet and weight, and engage in regular exercise. 2. It may be an issue with the technique; you can consult a diabetes educator for the correct method. 3. I am unaware of your treatment plan, so I cannot answer; please di...[Read More] Understanding Diabetes: Key Questions on Blood Sugar Levels and Genetics
Understanding Dizziness, Chest Tightness, and Nausea: Possible Causes
I've been feeling dizzy these past few days, with nausea and tightness in my chest? Last night, I suddenly felt very dizzy and weak in my limbs, so I immediately lay down to rest. While lying down, I felt much better, but my limbs still felt weak. I rested like this until th...
Dr. Hong Yuanbin Reply:
Hello: Based on the symptoms you described, since you have already undergone cardiac and thoracic examinations, it is suspected that the issue may be related to the esophagus or stomach. The most common condition is gastroesophageal reflux disease (GERD), characterized by a burni...[Read More] Understanding Dizziness, Chest Tightness, and Nausea: Possible Causes
Managing Acid Reflux: Symptoms, Treatment, and Diabetes Concerns
Excess stomach acid Hello, doctor. I previously underwent an endoscopy which showed that my gastrointestinal tract is generally fine, but I have gastroesophageal reflux disease (GERD). I have been taking Pantoprazole for a month, but I occasionally experience acid reflux, a burni...
Dr. Xiao Yongxun Reply:
Dear Mr. Ellis: 1. Nexium® (generic name: Esomeprazole) is indicated for gastroesophageal reflux disease (GERD). Possible side effects include abdominal pain, constipation, diarrhea, bloating, nausea, dry mouth, headache, drowsiness, allergic reactions, fever, and others. Genera...[Read More] Managing Acid Reflux: Symptoms, Treatment, and Diabetes Concerns