Managing Diabetes: Weight Loss, Cholesterol Levels, and Health Concerns
Regarding issues related to diabetes..? Hello, Director. I would like to ask about my health situation. I was diagnosed with diabetes on April 27. My blood test results on that date showed: fasting blood glucose 204 mg/dL, postprandial blood glucose 250 mg/dL, HbA1c 8.3%, total c...
Dr. Xiao Yongxun Reply:
Dear Mr. Ah-Chiang: 1. Your original weight was 108 kg, height 180 cm, resulting in a body mass index (BMI) of 33.3 kg/m², which classifies you as obese. Due to insulin resistance, you are at an increased risk for type 2 diabetes. Non-pharmacological treatments for weight loss i...[Read More] Managing Diabetes: Weight Loss, Cholesterol Levels, and Health Concerns
Understanding Meal Frequency: Managing Insulin Resistance in Pre-Diabetes
Regarding small frequent meals for diabetes? Hello Doctor, I have been concerned about the term "frequent small meals." In the past, doctors and news reports often mentioned that frequent small meals help control insulin secretion and food intake. However, I have recent...
Dr. Xiao Yongxun Reply:
Dear Mr. Ah Xiang: The term "small frequent meals" is often mentioned in daily life; however, it has never been precisely defined, making it easy to misuse. For instance, what constitutes a small amount? What is the glycemic index (GI) of the food? What is the glycemic ...[Read More] Understanding Meal Frequency: Managing Insulin Resistance in Pre-Diabetes
Understanding Your 75g Glucose Tolerance Test Results: What They Mean
75 grams oral glucose tolerance test? Hello, I recently underwent a 75-gram oral glucose tolerance test after fasting for eight hours, and the results were as follows: Fasting: 75 mg/dL, 1 hour after drinking the glucose solution: 88 mg/dL, and 2 hours after drinking the glucose ...
Dr. Xiao Yongxun Reply:
Dear Ms. Huihui: 1. According to the American Diabetes Association's diagnostic criteria for diabetes: 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 Your 75g Glucose Tolerance Test Results: What They Mean
Understanding Upper Right Abdominal Pain: Causes and Solutions
Regarding sharp pain in the right upper abdomen? Hello, Dr. Hsiao. I have been experiencing a sudden feeling of hunger shortly after meals, which feels somewhat like an empty stomach sensation without the typical stomach growling. If I eat too quickly, I might even feel hungry ha...
Dr. Xiao Yongxun Reply:
Dear Mr. Shi: 1. Regarding your upper right abdominal pain, I believe it may be what is commonly referred to as side stitch, as mentioned in my response on June 27, 2016. Therefore, I recommend that you consult a coach to learn proper breathing techniques while running to avoid ...[Read More] Understanding Upper Right Abdominal Pain: Causes and Solutions
Understanding Persistent Right Upper Abdomen Pain After Exercise
Regarding sharp pain in the upper right abdomen after exercise? Hello Dr. Hsiao, I previously inquired about a problem here (#107015). The symptoms of hunger have not disappeared, and I am currently maintaining a small, frequent meal schedule. I would like to ask another question...
Dr. Xiao Yongxun Reply:
Dear Mr. Steve: 1. First of all, I sincerely apologize for the inconvenience. I am unsure whether it is a system issue or if there was an error in handling my files, but <a href="https://adoctor.tw/article/107015">#107015</a> did not appear in my personal f...[Read More] Understanding Persistent Right Upper Abdomen Pain After Exercise
Understanding Androcur for Acne: Side Effects and Alternatives Explained
Treatment for acne includes taking Androcur? To treat acne, I underwent blood tests that showed elevated testosterone levels and have been taking Androcur for several months. However, my libido has significantly decreased. Previously, I would wake up with an erection every mornin...
Dr. Xiao Yongxun Reply:
Dear Mr. Cong: 1. Androcur® (50mg, generic name: Cyproterone) is indicated for the treatment of prostate tumors, severe hypersexuality, significant masculinization symptoms, hirsutism, acne, and more. Potential side effects may include nausea, vomiting, abdominal pain, slight we...[Read More] Understanding Androcur for Acne: Side Effects and Alternatives Explained
Understanding Diabetes Risk and Weight Loss: Key Insights for Health
Regarding diabetes and weight loss? Hello Dr. Hsiao, Last year's health check report indicated that my fasting blood glucose was elevated (101 > 100) and my hemoglobin A1c was normal (5.7 < 6.7). The year before, my fasting blood glucose was 85 (normal < 100) and m...
Dr. Xiao Yongxun Reply:
Dear Mr. ABC: Please read the following two points: 1. According to the American Diabetes Association's diagnostic criteria for diabetes: a. Fasting plasma glucose level ≥126 mg/dL after fasting for 8 hours or more, b. Plasma glucose level ≥200 mg/dL during a 2-hour oral g...[Read More] Understanding Diabetes Risk and Weight Loss: Key Insights for Health
How to Manage Post-Meal Blood Sugar Levels Effectively
How to improve postprandial blood sugar levels? Dear Dr. Hsiao, I recently had a physical examination, and the results are as follows: a. Fasting plasma glucose level after more than 8 hours is 89 mg/dL, b. Postprandial glucose level after 2 hours is 162 mg/dL, c. HbA1c (glycate...
Dr. Xiao Yongxun Reply:
Dear Mr. Chubby: 1. According to the American Diabetes Association's diagnostic criteria for diabetes: a. Fasting plasma glucose level ≥ 126 mg/dL after fasting for more than 8 hours, b. 2-hour plasma glucose level ≥ 200 mg/dL during an Oral Glucose Tolerance Test (OGTT), c...[Read More] How to Manage Post-Meal Blood Sugar Levels Effectively
Is It Irritable Bowel Syndrome? Understanding Your Digestive Symptoms
Is it irritable bowel syndrome? Hello, Dr. Hsiao! I would like to ask you some questions... For the past few months (over 3 months), I have been experiencing some unusual bowel habits. I have been having bowel movements 4-5 times a day, and about 10 minutes after eating, I feel t...
Dr. Xiao Yongxun Reply:
Dear Ms. Chen: 1. The diagnosis of Irritable Bowel Syndrome (IBS) lacks effective physical examination or biochemical blood markers. It is generally accepted that abdominal pain lasting more than three months, occurring more than three days per month, along with any two of the f...[Read More] Is It Irritable Bowel Syndrome? Understanding Your Digestive Symptoms
Understanding the Gap Between Fasting and Post-Meal Blood Sugar Levels
The difference between fasting blood glucose and postprandial blood glucose after breakfast? Hello Doctor, during my first pregnancy, I had gestational diabetes, and I did not follow up or manage it after giving birth. During the early stages of my second pregnancy, I underwent t...
Dr. Xiao Yongxun Reply:
Dear Ms. Anna: 1. According to the American Diabetes Association's diagnostic criteria for diabetes: 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 (gly...[Read More] Understanding the Gap Between Fasting and Post-Meal Blood Sugar Levels
High Creatinine Levels After Dialysis: Causes and Solutions
After dialysis, creatinine and liver enzyme levels remain elevated? Hello Dr. Wu: I started dialysis in March, and my most recent blood test report showed several values outside the reference range: creatinine was 8.0 before dialysis and 3.1 after; urea was 134 mg/dL before and 4...
Dr. Wu Jiyu Reply:
Hello, regarding your questions, I would like to respond in the following points: 1) The effectiveness of dialysis is commonly referred to by two key indicators: one is the Urea Reduction Ratio (URR, which should be >65%), and the other is Kt/V. Based on the index you provid...[Read More] High Creatinine Levels After Dialysis: Causes and Solutions
Understanding Low CCR Levels: Do You Need a Low-Protein Diet?
Regarding the CCR (Creatinine Clearance Rate) renal function index? Hello, doctor. I would like to ask why my creatinine clearance (CCR) is low, even though my other test results are mostly normal. I have had several tests, and my CCR has consistently been between the low 50s and...
Dr. Wu Jiyu Reply:
Hello: The 24-hour creatinine clearance rate is clinically used as an indirect indicator of glomerular filtration rate. While its accuracy is relatively high, it can still be affected by urine collection methods, medication use, and testing errors, which may influence the results...[Read More] Understanding Low CCR Levels: Do You Need a Low-Protein Diet?
Impact of Kidney Disease on Pregnancy: Risks and Recommendations
The impact of kidney disease on pregnancy? Hello doctor, I would like to ask about my current situation. My creatinine level is 1.4, but my blood pressure, proteinuria, and blood urea nitrogen levels are all normal. I recently underwent a kidney biopsy, which confirmed interstiti...
Dr. Wu Jiyu Reply:
Hello, I will explain your questions in several parts. 1. The impact of a creatinine level of 1.4 mg/dL on pregnancy: Although creatinine is referred to as a kidney function index, its value can be influenced by age, body weight/muscle composition, and gender. When interpreting...[Read More] Impact of Kidney Disease on Pregnancy: Risks and Recommendations
Do You Need a Doctor for Weight Loss? When to Seek Medical Help
Is it necessary to see a doctor for weight loss? Hello, doctor. Do I need to see a doctor for weight loss? Everyone says that simply eating less and exercising more can lead to weight loss. In what situations would I need a doctor's assistance for weight loss? Thank you.
Dr. Li Zhiyao Reply:
Hello: It is best to undergo an evaluation by a specialized physician and a professional team (including doctors, nutritionists, etc.) for weight loss education, to avoid harming your health during the weight loss process and to achieve more sustainable results.[Read More] Do You Need a Doctor for Weight Loss? When to Seek Medical Help
Managing Diabetes Medications for Lean Patients: Key Considerations
Diabetes medication consultation? Hello Doctor, my father is 63 years old and has symptoms of diabetes (pre-meal blood sugar around 120). He is currently taking diabetes medication. My father has a lean body type and is not obese, follows a vegetarian diet, and avoids greasy food...
Dr. Xiao Yongxun Reply:
Dear Mr. Paul Chen: 1. The first-line medication for most patients with type 2 diabetes is Metformin, which you referred to as Asures®. Regarding medication choices for leaner diabetic patients, there can indeed be some controversy in the medical community. It is advisable to in...[Read More] Managing Diabetes Medications for Lean Patients: Key Considerations
Understanding Glomerular Filtration Rate and Proteinuria: A Patient's Concerns
Hello, Dr. Wu. Could you please explain the relationship between glomerular filtration rate and proteinuria? Hello Dr. Wu, in my last hospital check-up report, my glomerular filtration rate (GFR) was highlighted in red at 83 mL/min/1.73 m², with a reference value of greater than ...
Dr. Wu Jiyu Reply:
Hello, the glomerular filtration rate (GFR) used by hospitals is estimated based on formulas derived from past research statistics on patients with chronic kidney disease. Factors such as age, weight, body composition, gender, and ethnicity can all influence the calculation of th...[Read More] Understanding Glomerular Filtration Rate and Proteinuria: A Patient's Concerns
Understanding Foamy Urine: Causes and Concerns After Rapid Weight Loss
My urinary issues? Hello Dr. Wu, I previously experienced rapid weight loss due to taking Forxiga, dropping from 116 kg to 109 kg between March 30 and April 11. I stopped the medication on April 8. I was concerned about potential kidney issues, so I had blood tests done on April ...
Dr. Wu Jiyu Reply:
Hello, 1. First, it is essential to understand the dosage of Forxiga you are using and whether you are combining it with other weight loss medications or treatments. A weight loss of nearly seven kilograms in less than two weeks is considered too rapid and may pose potential ha...[Read More] Understanding Foamy Urine: Causes and Concerns After Rapid Weight Loss
Understanding Hormonal Imbalances: Acne, Hair Growth, and Skin Issues
Endocrine disorder? Doctor, I have acne and pimples on my back and chest, and I also have red bumps and white streaks on my buttocks. Additionally, I have developed body hair on my chest and quite a bit of it, and there are some dark hairs on my cheeks that are not fine hair; the...
Dr. Li Zhiyao Reply:
Hello: It is recommended that you first visit a hospital (not a clinic) to see a dermatologist, and then follow the advice of the dermatologist.[Read More] Understanding Hormonal Imbalances: Acne, Hair Growth, and Skin Issues
Understanding Acne on Chest and Back: Hormonal and Skin Concerns
There are acne and pimples on both the back and chest? I have a lot of acne and pimples on my chest and back. I've seen a dermatologist several times and have used medication, but there hasn't been much improvement. People say that high levels of male hormones can cause...
Dr. Zeng Guosen Reply:
Hello, it seems you have quite a few acne and comedones on your chest and back, as well as some stretch marks on both sides of your abdomen. These are all skin symptoms, and I recommend consulting a dermatologist. Thank you for your question.[Read More] Understanding Acne on Chest and Back: Hormonal and Skin Concerns
Understanding Weight Loss and Side Effects of Forxiga and Olmetec
Rapid weight loss Hello doctor, on March 30th, my physician prescribed me Forxiga 10mg for weight loss. On April 5th, I returned for a check-up due to discomfort near my heart, and an ECG showed normal results, but my blood pressure was 155/101. The doctor asked if I wanted to tr...
Dr. Huang Yaoxuan Reply:
1. Do you know what Forxiga 10mg is (what it does)? Are there any precautions to take when using this medication? It is a new type of antidiabetic medication (approved by the FDA in the United States), which lowers blood sugar levels and can also lead to weight loss. Some physici...[Read More] Understanding Weight Loss and Side Effects of Forxiga and Olmetec