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Luo Juan
Endocrinology
About me
Associate Chief Physician, Department of Endocrinology, Hunan People's Hospital, Master's degree. Youth Committee Member of the Hunan Diabetes Professional Committee. Member of the Women's Endocrine Disease Prevention and Treatment Professional Committee of the Hunan Female Physician Association.
Proficient in diseases
Diagnosis and treatment of diabetes, thyroid disease, and adrenal gland diseases.
Voices
The causes of obesity
Obesity can be classified into primary and secondary obesity according to its causes. Primary obesity, also known as simple obesity, is the most common type among various forms of obesity. It is mainly caused by poor dietary habits such as overeating, especially excessive intake of fatty foods, and a sedentary lifestyle, rather than being secondary to other diseases. Secondary obesity, on the other hand, is often due to diseases of the hypothalamic-pituitary axis, hypercortisolism, hypofunction of the thyroid or gonads, insulinomas, and other diseases. Secondary obesity is mainly due to diseases, and it can show some symptoms of the underlying disease.
Does hyperlipidemia cause dizziness?
Hyperlipidemia can cause dizziness. Hyperlipidemia involves the deposition of lipids on the endothelial lining of blood vessels, which is a primary consequence of abnormal blood lipids. This can lead to the onset and progression of atherosclerosis. For instance, low-density lipoproteins tend to deposit on arterial walls and are ingested by mononuclear giant cells. This situation can lead to arteriosclerosis, such as atherosclerosis of the cervical and intracranial arteries. This condition can result in insufficient blood supply to the brain, thereby causing dizziness. Therefore, hyperlipidemia can indeed cause dizziness.
Hyperuricemia treatment agent
Currently, the main treatments for hyperuricemia in clinical practice include the following types. One category is drugs that inhibit uric acid synthesis, primarily allopurinol and febuxostat. Allopurinol is a xanthine oxidase inhibitor, which mainly works by preventing the conversion of hypoxanthine and xanthine into uric acid through the inhibition of xanthine oxidase. Febuxostat, on the other hand, is a newer xanthine oxidase inhibitor and may be more effective than allopurinol in lowering blood uric acid levels. Another category includes drugs that promote the excretion of uric acid, suitable for patients with normal renal function and hyperuricemia. These mainly include probenecid, benzbromarone, and some use of thiazide diuretics, though their effectiveness for hyperuricemia is somewhat controversial. (Specific medications should be taken under the guidance of a physician.)
What fruits to eat for hyperuricemia?
For patients with hyperuricemia, we generally need to limit the intake of high-purine foods, such as crab and animal offal. Moderate consumption of medium-purine foods, such as meats and fish, is acceptable. Low-purine foods like vegetables, fruits, milk, and eggs can be safely consumed. For example, fruits like grapes, pears, grapefruits, kiwis, and dragon fruits are all acceptable to eat. However, many patients with hyperuricemia also have other metabolic abnormalities, such as high blood sugar. In such cases, it is important to monitor the quantity of fruit intake because excessive consumption can lead to fluctuations in blood sugar levels. Therefore, fruits can be safely consumed by those with hyperuricemia, but attention must be paid to any additional metabolic abnormalities that may be present.
Can people with hyperlipidemia eat peanuts?
People with high blood lipids can eat peanuts. Peanuts contain a rich amount of unsaturated fatty acids, which are beneficial to the human body in proper amounts. Firstly, they can regulate blood lipids, reduce some harmful cholesterol and triglycerides in the blood, effectively control the concentration of blood lipids, and can increase the content of beneficial high-density lipoproteins. Secondly, they can help clear blood clots, remove or alleviate the harm caused by animal fats from food, especially visceral fats, and prevent these lipid components from depositing on the walls of blood vessels to combat the formation and development of arteriosclerosis. Additionally, studies have shown that supplementing with DHA (an unsaturated fatty acid) can also enhance some of the body's immunity and improve self-immune function. Furthermore, it has some effects on improving arthritis or alleviating pain. Therefore, consuming peanuts in moderation is beneficial to the human body. However, peanuts are also high in calories, and excessive intake can lead to overweight or obesity, so they should not be consumed in excess and should be eaten in moderation.
Are thyroid cysts dangerous?
Generally speaking, thyroid cysts are benign lesions and are not dangerous. First, let's understand what thyroid cysts are. A thyroid cyst is a fluid-containing cystic formation found in the thyroid gland. Typically, the lump is round, smooth, painless, or may cause slight pain, and can move up and down with swallowing. Most cysts are solitary nodules, and it is less common to find multiple nodules. Additionally, if the cyst is large or if there is bleeding within the cyst, it can cause symptoms of compression such as pain, difficulty swallowing, difficulty breathing, and hoarseness. We know that about 10% of cystic nodules are malignant, hence, it is important to understand the nature of a thyroid cyst. If it is malignant, surgical removal is necessary. Furthermore, if the nodular cyst is large and causes compression symptoms, surgery is also required. However, most are benign lesions, and thyroid function is within the normal range, so no special treatment is needed, just follow-up observation. Therefore, whether thyroid cysts are dangerous depends on the circumstances.
Can people with hyperlipidemia eat sunflower seeds?
People with hyperlipidemia can eat sunflower seeds. We know that sunflower seeds contain some unsaturated fatty acids, which are beneficial for the human body. For example, they can regulate blood lipids, lower harmful cholesterol and triglycerides, and effectively control the concentration of blood lipids. Secondly, they can help clear blood clots, reduce and clear visceral fat from food, especially the harm of visceral fat to the human body, and prevent these fats from depositing on the walls of blood vessels, thereby combating atherosclerosis. Some believe that an appropriate supplement of DHA can properly adjust the body's immunity. However, because unsaturated fatty acids are relatively high in calories, excessive intake can also lead to overweight or obesity, so unsaturated fatty acids in the diet should not be excessive. Thus, people with hyperlipidemia can eat sunflower seeds, but should not consume them excessively.
Does Hashimoto's thyroiditis require treatment?
Treatment depends on the case. Currently, there is no cure for Hashimoto's thyroiditis, and the main goal of treatment is to correct secondary thyroid dysfunction and reduce significantly enlarged thyroids. Generally, for patients with mild diffuse goiter without obvious compression symptoms and no thyroid dysfunction, no special treatment is needed; follow-up observation is sufficient. For patients with significant thyroid enlargement and compression symptoms, treatment with levothyroxine may be used to reduce thyroid swelling. If the patient has hypothyroidism, thyroid hormone replacement therapy can be administered. (Medication should be administered under the guidance of a doctor.)
How long does it take to recover from gestational diabetes after childbirth?
For the vast majority of pregnant women with gestational diabetes, their fasting blood glucose or glucose tolerance test can return to normal within six weeks after delivery. However, the recurrence rate of gestational diabetes during subsequent pregnancies is 50%, and about 25% to 70% of those with gestational diabetes may develop diabetes again within 16 to 25 years after giving birth. For those whose blood sugar levels return to normal after childbirth, it is also advisable to check their blood sugar every three years. For patients with abnormal fasting blood glucose or reduced glucose tolerance after childbirth, an annual check should be conducted to screen for diabetes, and they should receive strict dietary treatment and individualized exercise therapy. Therefore, the recovery time for postpartum gestational diabetes depends on the circumstances.
Can people with hyperuricemia eat wood ear mushrooms?
People with hyperuricemia can eat wood ear mushrooms. As wood ear mushrooms are considered a low-purine food, containing approximately 8.8mg of purines per 100 grams, they can be consumed during hyperuricemia. For hyperuricemia, it is necessary to restrict some high-purine foods, such as animal offal, clams, crabs, oysters, and sardines. Some meats, seafood, peas, and spinach, which also contain a certain amount of purines, can be consumed in moderation. Wood ear mushrooms are a low-purine food and are generally not restricted. Thus, people with hyperuricemia can eat wood ear mushrooms.