Question 1

I'm 40 years old and I did a blood sugar test last week. My fasting was 124 and my postprandial (pp) was 97. I'm trying to understand why my fasting level is high since I'm not on any diabetes medication. I ran for 40 minutes just before doing this check for my fasting sugar, and I was sweating by the time I reached the lab. Could this have affected my sugar reading?

Accepted Answer

decrease in kidney size can be a good sign, but it's essential to understand the context.

_Interpretation_

1. _Variation in measurement_: The 0.9cm difference in kidney size might be due to variations in measurement techniques or equipment between the two diagnostic centers.
2. _Spontaneous improvement_: In some cases, a decrease in kidney size can indicate spontaneous improvement or resolution of an underlying condition, such as a cyst or inflammation.
3. _No cause for concern_: Since all other parameters are normal, and you're not experiencing any symptoms, this decrease in kidney size might not be a cause for concern.

_Recommendations_

1. _Consult your doctor_: Discuss the ultrasound reports with your doctor to determine the best course of action.
2. _Monitor kidney function_: Regularly monitor your kidney function through blood tests (e.g., serum creatinine, eGFR) to ensure there are no underlying issues.
3. _Follow-up ultrasound_: Schedule a follow-up ultrasound in 6-12 months to monitor any changes in kidney size or function.

_When to Seek Immediate Attention_

1. _Severe symptoms_: If you experience severe symptoms, such as flank pain, hematuria, or fever.
2. _Abnormal kidney function_: If your kidney function tests reveal abnormal results.
3. _Rapid changes in kidney size_: If you notice rapid changes in kidney size or function.

Question 2

I'm just a bit concerned about my vitamin D levels. I checked them last month and they were really low. I'm curious, can I improve my vitamin D levels if I get some sunlight in the evening? Or is it only effective in the morning?

Accepted Answer

Elevated SGOT (AST) and SGPT (ALT) Levels

_Interpretation_

1. _Mild elevation_: Your SGOT (53) and SGPT (67) levels are mildly elevated.
2. _Possible causes_: Elevated liver enzymes can be caused by various factors, including:
    - Fatty liver disease
    - Viral hepatitis (A, B, C, or E)
    - Medication side effects
    - Muscle damage or exercise
    - Other medical conditions (e.g., thyroid disorders, celiac disease)

_Next Steps_

1. _Consult a doctor_: Schedule an appointment with your primary care physician or a gastroenterologist to discuss your elevated liver enzymes.
2. _Additional tests_: Your doctor may order further tests, such as:
    - Liver function tests (LFTs) to monitor enzyme levels
    - Hepatitis A, B, and C screenings
    - Ultrasound or other imaging tests to evaluate liver health
    - Blood tests to rule out other medical conditions
3. _Lifestyle modifications_: Maintain a healthy lifestyle, including:
    - A balanced diet
    - Regular exercise
    - Adequate sleep
    - Stress management

_Reassurance_

1. _Hepatitis and cirrhosis are unlikely_: Given your age, lifestyle, and absence of symptoms, hepatitis and cirrhosis are less likely.
2. _Further evaluation is necessary_: A thorough medical evaluation will help determine the cause of your elevated liver enzymes.

Question 3

How does baking soda help a type 2 diabetic?

Accepted Answer

Effects of baking soda in terms of Diabetes are restricted to it's usage in an emergency called Diabetic ketoacidosis and fungal infection called Mucormycosis in Diabetic patients. Both of which are to be studied in more detailed pattern to ascertain the effect.

What are the side effects of insulin injection for diabetics?

Redness, swelling, and itching at the injection site,changes in the feel of your skin, skin thickening (fat build-up), or a little depression in the skin (fat breakdown) weight gain are possible side effects

More Endocrinology Health Queries

I'm just a bit concerned about my vitamin D levels. I checked them last month and they were really low. I'm curious, can I improve my vitamin D levels if I get some sunlight in the evening? Or is it only effective in the morning?

How does baking soda help a type 2 diabetic?

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