Subscribe
15
Li Lang Bo
Endocrinology
About me
Li Langbo, Associate Chief Physician of the Endocrinology Department at Hunan Provincial People's Hospital, Master's degree holder. She is also the Executive Member and Secretary of the Hunan Provincial Women Physicians Association's Women's Endocrine Disease Prevention and Treatment Professional Committee, as well as a member of the Second Enzyme Disease Professional Committee of the Hunan Provincial Association of Traditional Chinese Medicine. She has hosted one provincial-level research project and has published several articles as the first author in domestic core journals.
Proficient in diseases
Specializes in the diagnosis and treatment of diabetes, thyroid diseases, and other endocrine disorders, with particular expertise in insulin intensification therapy for diabetes.
Voices
Can people with hypoglycemia eat beef?
Whether or not patients with hypoglycemia can eat beef really depends on the specific situation. Hypoglycemia varies in severity from mild, moderate, to severe. If you're just experiencing slight low blood sugar with some hunger and mild sweating, without any mental or physical impairments, then eating some beef shouldn't be a problem and it can indeed help raise your blood sugar. However, if you are experiencing moderate or severe hypoglycemia, characterized by heavy sweating, dizziness, and especially changes in consciousness, then it is not recommended to eat beef because its digestion and absorption are slow. In such cases, it is advised to quickly drink sugary water, and if necessary, administer sugar water intravenously to swiftly increase the blood sugar levels and alleviate symptoms of hypoglycemia. Since beef is a protein, it digests slowly and therefore causes a slower rise in blood sugar.
Can people with obesity run?
The treatment of obesity mainly involves controlling diet and increasing exercise, which means "watch your mouth and move your legs." Therefore, running is definitely an option. However, for those who are severely obese, with a BMI over 30, excessive running might be too much for the knee joints to handle. For obese patients, brisk walking is primarily recommended. Another good form of exercise is swimming, which can protect the joints under the pressure of water while also burning calories. Therefore, people with obesity can run, but it depends on the situation and should not be rushed. For those who are severely obese, swimming is recommended as a way to help reduce weight.
How to self-test for gestational diabetes
Gestational diabetes refers to conditions where there was no diabetes before pregnancy, and during the course of the pregnancy, specifically between the 24th to 28th weeks, a standard glucose tolerance test is conducted to screen for glucose metabolism. The specific procedure involves not eating after 8 p.m. the night before, though drinking water is allowed, followed by fasting for more than ten hours. The first blood sample is taken on an empty stomach. Then, 75 grams of anhydrous glucose, as prescribed by the doctor, is dissolved in 250 to 350 milliliters of water and consumed within 3 to 5 minutes. Starting from the first sip of this glucose solution, blood samples are taken again one hour and two hours later. The results from these three blood samples are used to determine the possibility of gestational diabetes.
What department does obesity hang?
First, I recommend visiting the Department of Endocrinology and Metabolic Science, because obesity itself is a metabolic disease, and now obesity is divided into simple obesity and secondary obesity. Simple obesity refers to weight gain caused solely by factors such as irregular eating habits, unscientific diet, and lack of exercise, without other underlying causes. There is also a type called secondary obesity, which is attributable to identifiable causes. For example, a common disorder in endocrinology known as Cushing's syndrome is caused by problems in the pituitary or adrenal glands, leading to an excessive secretion of cortisol in the blood. This results in the redistribution of fat and subsequent weight gain. Another example is hypothyroidism, which also causes weight gain. Therefore, it is essential to see an endocrinologist, who can determine based on clinical manifestations and actual conditions whether the obesity is simple or secondary, and then provide appropriate treatment.
What should I do if pheochromocytoma causes excessive sweating?
Patients with pheochromocytoma generally exhibit profuse sweating, which is a manifestation of sympathetic excitement. This occurs because the capillary beds throughout the body of a person with pheochromocytoma are constricted, including the sweat glands. Thus, it is easy to exhibit these symptoms of sympathetic excitement, characterized by nervousness, heavy sweating, and weight loss. So, how should this be treated? The key is to treat the cause. In the clinic, after collecting some blood history, conducting various blood tests, and performing adrenal CT scans among other imaging studies, a clear diagnosis of pheochromocytoma is made. Then, we will use some alpha receptor blockers, one to lower the blood pressure to a normal range and another to dilate the capillary beds throughout the body. After this, we proceed with the related surgical treatment. Following the surgical removal of the tumor, symptoms such as sweating will gradually be relieved.
Which department should I go to for a thyroid cyst?
It is generally recommended to see a general surgeon, or an endocrinologist, as thyroid cysts are usually benign tumors that essentially remain stable in nature. Surgery is only considered when the cyst becomes very large and causes compressive symptoms, such as compressing the trachea leading to breathing difficulties, or compressing the esophagus causing difficulty swallowing. In such cases, you should consult a general surgeon. For a typical thyroid cyst, it is necessary to check thyroid function to ensure it is normal and to regularly review with ultrasound to monitor any changes in the cyst. If there is a sudden increase in size or significant compressive symptoms, it is advisable to seek surgical treatment from a surgeon.
Can people with hypoglycemia eat mutton?
The definition of hypoglycemia is when the blood glucose level is monitored to be less than 2.8 mmol/L, or less than 3.9 mmol/L for diabetics, accompanied by symptoms such as palpitations, cold sweats, hunger, and dizziness. These symptoms can be alleviated after eating, especially after consuming sugar water, and this condition is then referred to as hypoglycemia. Hypoglycemia is classified into mild, moderate, and severe degrees. For mild hypoglycemia, with only mild symptoms, it is acceptable to eat lamb, beef, pork, or consume sugar. However, in cases of more severe hypoglycemia, where there are changes in consciousness or symptoms like somnolence, eating meat may not be quick enough. The most recommended treatment is to drink sugar water directly or to administer glucose intravenously to correct the blood sugar rapidly. This is because eating lamb, which is protein, requires digestion and absorption, and raises blood sugar levels more slowly. In cases of severe hypoglycemia, the most direct treatments are drinking sugar water or administering it intravenously.
Causes of Obesity
In the medical field, obesity is categorized into two types: primary (simple) obesity and secondary obesity. Primary obesity occurs without any other physical diseases and is solely due to irregular lifestyle, unscientific eating habits, and lack of exercise, leading to weight gain. This type can be managed with lifestyle adjustments and proper dietary guidance to reduce weight. Secondary obesity, which is less common, often involves endocrine disorders such as Cushing's syndrome. This condition can arise from issues with the pituitary or adrenal glands, or other parts of the body such as tumors, leading to excessive secretion of cortisol. This in turn causes redistribution of body fat, leading to characteristic signs like moon face, buffalo hump, and accumulation of subcutaneous fat which are manifestations of obesity. Additionally, conditions like hypothyroidism can lead to myxedema, contributing to obesity, as well as drug-induced obesity. Examples include patients with nephrotic syndrome or lupus who experience weight gain from prolonged use of corticosteroids. Therefore, the causes are diverse and require differential diagnosis by a specialist based on the individual's condition.
What medicine is taken for obesity?
Regarding obesity, first and foremost, one should not eat arbitrarily, meaning one should not randomly choose the so-called weight loss drugs available on the market. For obesity, we identify two types: primary obesity and secondary obesity. Primary obesity occurs without any specific reason, merely due to an irregular lifestyle, unhealthy diet, lack of exercise, etc., leading to weight gain. Secondary obesity has identifiable medical causes; for example, weight gain caused by taking large amounts of exogenous hormones; or hypothyroidism leading to myxedema, which causes weight gain; or issues with the pituitary or adrenal glands leading to excessive secretion of cortisol in the blood, causing a redistribution of fat that results in Cushing's syndrome, among others. For these types of secondary obesity, it is important to identify the underlying causes and treat them accordingly. For primary obesity, it is not advisable to recommend weight loss drugs commonly found on the market. The first recommendation is to control the diet scientifically, combined with a certain intensity of aerobic exercise to reduce weight. Caution is advised with those weight loss drugs sold by online marketers; one should not consume them carelessly.
Can people with hyperuricemia eat eggs?
In the case of hyperuricemia, we primarily recommend a low-purine diet to prevent the onset of gouty arthritis. As for the nutritional content of eggs, they are considered a food with a moderate level of purines. Therefore, when uric acid levels are relatively high, it is still possible to consume them in moderation. Aside from diet, it is also necessary to drink plenty of water or to alkalize the urine using baking soda tablets even if there is a transient increase in blood uric acid levels. If sufficient water is consumed, it is less likely for deposits to form in the joints. If deposits do not easily form, it also relatively reduces the possibility of triggering inflammatory responses, thus preventing the occurrence of gouty arthritis. Therefore, it is possible to consume an appropriate amount of eggs, but it is also important to drink plenty of water and appropriately alkalize the urine.