Understanding Blood Sugar Levels: When to Test for Diabetes
Blood sugar issues Hello, doctor. Here are my fasting, pre-meal, and post-meal blood glucose readings from my glucose meter for September 9 and 10. On September 9: - Morning blood glucose: 77 (fasting, 10:00 AM), 85 (12:00 PM) - Afternoon blood glucose: 105 (1:00 PM), 108 (3:00...
Dr. Xiao Yongxun Reply:
1. Generally, a normal fasting blood glucose level is <100 mg/dL. 2. A fasting blood glucose level between 100 mg/dL and 126 mg/dL indicates an increased risk for diabetes. 3. A fasting blood glucose level ≥126 mg/dL suggests possible diabetes. 4. A hemoglobin A1c (HbA1c) l...[Read More] Understanding Blood Sugar Levels: When to Test for Diabetes
Understanding Blood Sugar Levels: Signs of Potential Diabetes
Unsure if diabetes has already developed? Hello, Doctor. Recently, I measured my fasting blood glucose at home using a glucometer, and it was 91 mg/dL (after fasting for about 10-12 hours). After eating curry rice (starting the timer from the first bite), my blood glucose one hou...
Dr. Xiao Yongxun Reply:
1. If your weight is 92 kg and your height is 160 cm, your Body Mass Index (BMI) is 35.9 kg/m². According to the classification by Taiwan's Ministry of Health and Welfare, since it exceeds 27 kg/m² and is over 35 kg/m², it falls into the category of severe obesity. Additiona...[Read More] Understanding Blood Sugar Levels: Signs of Potential Diabetes
Understanding Unexplained Fever: Next Steps for Diagnosis and Treatment
Fever of unknown origin (FUO) - please advise on the next steps for medical evaluation? Hello, Doctor. Last winter, I occasionally experienced low-grade fever, chills, and muscle aches in the evenings (after 10 PM, with an ear temperature of 37.4 to 38°C). I had these symptoms ab...
Dr. Liao Zhongxin Reply:
Dear readers, 1. The significance of a CRP level of 2.3: An elevated CRP may indicate infection (bacterial/viral/fungal) or inflammation; both conditions can potentially cause fever. The former requires antibiotic treatment for bacterial infections, while the latter can be impr...[Read More] Understanding Unexplained Fever: Next Steps for Diagnosis and Treatment
Understanding Diabetes: Concerns and Management for Young Adults
Diabetes issues Hello, Doctor: Today I am going to the hospital to have my blood drawn, and they will test my hemoglobin A1c! I'm really afraid that the report will show elevated levels and that I might have diabetes. I am currently overweight, and my grandmother also has di...
Dr. Zeng Guosen Reply:
Hello, dear user: Please try not to worry until you receive your report. Moreover, early-stage diabetes can be improved with diet and exercise. Medical advancements are rapid, and managing diabetes is not difficult. You might be overthinking it. Wishing you good health. Thank you...[Read More] Understanding Diabetes: Concerns and Management for Young Adults
Understanding Blood Sugar Levels: Interpreting Your Test Results
Inquiry about blood sugar issues? Hello, Doctor: I would like to ask you a question. During my company's health check-up this year, the HR department informed me that fasting was not required. Therefore, I had breakfast on the day of the check-up and had my blood drawn about...
Dr. Zeng Guosen Reply:
Hello, if any of the following three criteria are met (at least twice), a diagnosis of diabetes can be made: a. Fasting plasma glucose level equal to or greater than 126 mg/dL. b. Presence of classic diabetes symptoms (such as excessive thirst, frequent urination, increased h...[Read More] Understanding Blood Sugar Levels: Interpreting Your Test Results
Understanding Symptoms: Breathing Issues, Weight Loss, and Diabetes Concerns
Could you please provide more details about the symptoms? I would like to ask the doctor a few questions. 1. I have experienced occasional shortness of breath and difficulty breathing since middle school. Sometimes these symptoms disappear for a while, but recently they have be...
Dr. Chen Qingbin Reply:
Hello: It is recommended that you visit a hospital for further examination of hyperthyroidism and other related conditions, which require blood tests. Additionally, issues related to sexual dysfunction should be evaluated by a urologist for proper diagnosis. Thank you.[Read More] Understanding Symptoms: Breathing Issues, Weight Loss, and Diabetes Concerns
How to Effectively Manage Blood Sugar Levels: Tips and Insights
How to control blood sugar levels? Hello Dr. Hsiao, On July 9, 2015, I had a blood test that showed a blood sugar level of 124. Additionally, my triglycerides and LDL cholesterol were elevated. At that time, my weight was 91 kg, and I currently weigh 84 kg. I measure my fasting ...
Dr. Xiao Yongxun Reply:
1. On July 9, 2015, your fasting blood glucose level was found to be 124 mg/dL; your lipid levels and low-density lipoprotein (LDL) cholesterol were elevated. At that time, your weight was 91 kg, and it is now 84 kg. Currently, your average fasting blood glucose levels after 8 ho...[Read More] How to Effectively Manage Blood Sugar Levels: Tips and Insights
Managing Rheumatoid Arthritis in Seniors: Activity vs. Rest and Diet Impact
Rheumatoid Arthritis Hello, doctor. My elderly relative (aged 80) has been suffering from rheumatoid arthritis for 8-10 years. Recently, the frequency of pain in their buttocks has increased, and they experience significant discomfort while lying in bed. Walking, bending over, an...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. We need to investigate the cause of the elder's hip pain while lying down to check for pressure ulcers or wounds, and if necessary, a follow-up examination at the hospital is advised. Additionally, walking with a bent posture may be related...[Read More] Managing Rheumatoid Arthritis in Seniors: Activity vs. Rest and Diet Impact
Which Medical Specialist Should You See for Your Father's Symptoms?
Not sure which specialty to consult? I would like to ask, my father's complexion has not been good lately, and his speech sounds a bit weak. He has also lost some weight recently. He mentioned that he has been feeling dizzy and has a dry mouth, craving water. My father has a...
Dr. Chen Qingbin Reply:
Hello, regarding your father's issue, if he is regularly taking antihypertensive medication, it is recommended that he consult the prescribing physician for a detailed examination. Thank you.[Read More] Which Medical Specialist Should You See for Your Father's Symptoms?
Can Taking Enzymes Cause Blood in Stool? Understanding Your Symptoms
Can taking enzymes cause rectal bleeding? Hello, I have been taking enzymes for about 4 to 5 years. Recently, I started experiencing blood in my stool, with the first occurrence being a large amount of bright red blood at the end of April this year. I underwent a colonoscopy, and...
Dr. Xie Rongyuan Reply:
Hello: The presence of bright red blood in the stool definitely indicates a problem. It is recommended to visit a hospital for a thorough examination. Thank you for your message![Read More] Can Taking Enzymes Cause Blood in Stool? Understanding Your Symptoms
Feeling Weighed Down: Managing Fatigue and Weight Concerns
Feeling very heavy? I weigh 103 kilograms and have recently been feeling fatigued or a bit tired when brushing my teeth or taking a shower. Currently, I walk for 30 minutes every day. I would like to hear a doctor's advice.
Dr. Chen Qingbin Reply:
If you haven't already, I recommend visiting a hospital for a physical examination or related tests. The physician should provide you with advice on aspects such as exercise and diet. Thank you.[Read More] Feeling Weighed Down: Managing Fatigue and Weight Concerns
Understanding Biologics for Ankylosing Spondylitis: Weight Gain and Edema Concerns
Ankylosing Spondylitis (Biologics) Hello, Doctor: I have ankylosing spondylitis, and since the medication treatment has not been very effective, my physician evaluated my condition and started me on biologic therapy. It has been four months since the treatment began, and I have r...
Dr. Gao Jiankai Reply:
Hello, thank you for your message. Currently, there is no clear evidence indicating that the administration of biologic agents causes edema or weight gain as side effects; in fact, the likelihood of side effects is higher with other medications, particularly anti-inflammatory pai...[Read More] Understanding Biologics for Ankylosing Spondylitis: Weight Gain and Edema Concerns
Understanding Glycated Hemoglobin: Key Questions for Your Doctor
Questions related to glycated hemoglobin? (Revised, seeking Dr. Lee's opinion, thank you.) Hello Dr. Lee! I initially consulted another physician, but there are several questions I need to ask my primary physician. Unfortunately, I am currently unable to make an appointment....
Dr. Li Zhiyao Reply:
Dear Pikachu, Please forgive my frankness, and I hope I do not offend you! You have two major issues: one is "obsession," and the other is "losing sight of the main issue." Allow me to explain. "Obsession" refers to your fixation on numbers; please ...[Read More] Understanding Glycated Hemoglobin: Key Questions for Your Doctor
Should You Seek Medical Attention for Chronic Low Cholesterol?
Long-term low cholesterol levels? Is it necessary to seek medical attention for long-term low cholesterol levels? Since middle school through college, my cholesterol has continuously decreased with age, and my total cholesterol is now only 88. I have poor physical strength, easil...
Dr. Zeng Guosen Reply:
Hello, internet user: A certain level of cholesterol must be present in the body to maintain normal structure and function. Individuals with trauma, surgery, cancer, or infections, as well as those with liver, gallbladder, or gastrointestinal diseases, may have a reduced ability ...[Read More] Should You Seek Medical Attention for Chronic Low Cholesterol?
Understanding Fasting Blood Sugar Testing: Common Questions Answered
Please ask again about the timing for blood glucose testing and any other related questions? Hello, Dr. Hsiao! I have read your previous response regarding my question about blood sugar testing times and other related issues, but I still have some confusion. I would like to ask a...
Dr. Xiao Yongxun Reply:
Question 1: The diagnostic criteria for diabetes published by the American Diabetes Association in 2010 are as follows: a. Fasting plasma glucose level ≥ 126 mg/dl after at least 8 hours of fasting. b. Plasma glucose level ≥ 200 mg/dl during a 2-hour oral glucose tolerance test. ...[Read More] Understanding Fasting Blood Sugar Testing: Common Questions Answered
Managing Diabetes: Key Questions on Blood Sugar and Diet
Revisiting Diabetes Mellitus? Hello Dr. Hsiao, First of all, thank you for your response last time. Yesterday, I visited the cardiology department to review my blood test results. My fasting blood glucose was 96 mg/dL and my HbA1c was 5.5% (three months ago, my fasting blood glu...
Dr. Xiao Yongxun Reply:
Question 1: Should I still strictly control my intake of starches and sugars? Answer: Strictly controlling the intake of starches and sugars can indeed lower blood glucose and glycated hemoglobin levels, thereby improving conditions such as diabetes or glucose intolerance. In f...[Read More] Managing Diabetes: Key Questions on Blood Sugar and Diet
Understanding Blood Sugar Fluctuations in Diabetes Management
About diabetes? Hello Director Hsiao, Over two months ago, I had a blood test at the hospital, and my fasting blood glucose was 130 mg/dL, with a hemoglobin A1c of 6.4%. The doctor did not prescribe medication and advised dietary control instead. I purchased a blood glucose mete...
Dr. Xiao Yongxun Reply:
1. Generally, a fasting blood glucose level of 126 mg/dL corresponds to a glycated hemoglobin (HbA1c) level of approximately 6.5%. Therefore, the test results from two months ago should be reliable. 2. In the classification of diabetes, type 2 diabetes accounts for about 92-95%...[Read More] Understanding Blood Sugar Fluctuations in Diabetes Management
Understanding Frequent Urination: Causes and Concerns for Teens
Urinary problems Hello doctor, I am a high school senior weighing 66 kg and standing 174 cm tall. I often feel the need to urinate at school, about once every hour. I drink a normal amount of water, and my urine output is neither too much nor too little. After exercising (working...
Dr. Wu Jiyu Reply:
Based on your inquiry, urinating 6-10 times a day with each instance being over 200cc should not be a concern. As for experiencing frequent urination at school, it may be related to stress. If you are still worried, it is advisable to consult a urologist for further evaluation to...[Read More] Understanding Frequent Urination: Causes and Concerns for Teens
Understanding HbA1c Results: Do You Have Diabetes?
Revisiting the second question - Dr. Hsiang-Yung Hsiao? Hello, Doctor! I recently had my hemoglobin A1c tested, and the result was 6.5% (I did not test fasting and postprandial blood glucose). I would like to ask if I have officially been diagnosed with diabetes. My previous hemo...
Dr. Xiao Yongxun Reply:
It is advisable to discuss your concerns with your physician; an HbA1c of 6.5% is already close to diabetes. Therefore, it is essential to pay attention to dietary control and avoid excessive intake; regular exercise is also important.[Read More] Understanding HbA1c Results: Do You Have Diabetes?
Understanding HbA1c Results: Do I Have Diabetes?
What are the issues related to diabetes? Hello, Doctor! I recently had my hemoglobin A1c tested, and the report showed 6.5% (I did not test fasting and postprandial blood glucose). I would like to ask if I have officially been diagnosed with diabetes. Previously, my hemoglobin A1...
Dr. Xiao Yongxun Reply:
1. Generally, the onset of type 2 diabetes is gradual and is associated with factors such as genetics, weight, lack of exercise, overeating, alcohol abuse, and medication. Your weight of 113 kilograms is indeed a risk factor for developing the disease; moreover, the longer one is...[Read More] Understanding HbA1c Results: Do I Have Diabetes?