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Li Hui Zhi
Endocrinology
About me
Graduated from Guangzhou University of Chinese Medicine with a major in Endocrinology, holding a Master's degree in Medicine. Have been engaged in clinical medicine and related scientific research work since graduation. Proficient in the diagnosis and treatment of various endocrine diseases, especially skilled in the treatment of diabetes and its complications, thyroid diseases, blood lipid disorders, gout, and osteoporosis.
Proficient in diseases
Familiar with the diagnosis and treatment of various endocrine diseases, especially skilled in the diagnosis and treatment of diabetes and its various complications, thyroid diseases, blood lipid abnormalities, gout, and osteoporosis.
Voices
What foods to eat for hyperuricemia?
Dietary requirements for hyperuricemia primarily include a low-purine diet, avoiding foods high in purines. It's important to recognize which foods are high in purines, such as seafood and certain fish, which should be avoided. Secondly, some mushrooms and soy products also have higher levels of purines and should be consumed less frequently. Thirdly, alcohol, especially spirits and beer, must be avoided. Fourthly, one should avoid consuming rich, slow-cooked broths as they also contain high levels of purines. Lastly, it is recommended to drink more water, typically between 1500ml to 2000ml daily.
What are the harms of hyperuricemia?
What are the dangers of hyperuricemia? First, it primarily causes gouty arthritis, characterized by redness, swelling, heat, and pain in certain joints, along with limited movement. For some people, the pain can be extremely unbearable. Second, long-term high levels of uric acid can damage the kidneys, leading to impaired kidney function. Third, these purines deposit in the joints forming gout stones, further affecting the function of these joints and reducing the quality of life. Therefore, it is important to treat hyperuricemia early to prevent complications.
Hashimoto's thyroiditis should be seen in which department?
Hashimoto's thyroiditis, also known as chronic lymphocytic thyroiditis, should be seen by an endocrinologist as it is an autoimmune disease. How do we know if it's Hashimoto's thyroiditis? It is typically identified during routine physical examinations that include a thyroid function test. Hashimoto's thyroiditis is characterized by a specific antibody, the anti-thyroperoxidase antibody, also known as Tpoab. Many people may have elevated levels of this antibody, yet their thyroid function, such as free T3, T4, and TSH levels, remains normal. In such cases, it is advisable to initially observe the condition dynamically and to regularly recheck thyroid function, as some individuals may gradually develop reduced thyroid function. Thus, regular monitoring of thyroid function is very important.
Hyperuricemia and Its Complications
Hyperuricemia mainly refers to the elevation of uric acid levels in the blood, with levels exceeding 420 umol/l in males and 360 umol/l in females being diagnostic criteria. Some patients with hyperuricemia may not show symptoms, but if not controlled, complications can arise such as gouty arthritis, which manifests as local joint redness, swelling, heat, and pain, and even limited mobility. If it affects the kidneys, it leads to gouty kidney, which is characterized by abnormal kidney function and elevated creatinine levels. Therefore, if diagnosed with hyperuricemia, it is advisable to control diet, drink plenty of water, and seek timely medical treatment.
Can you get pregnant with Hashimoto's thyroiditis?
Hashimoto's thyroiditis can lead to pregnancy, but the prerequisite is that you must visit an endocrinology specialist before pregnancy to check your thyroid function, ensuring that the TSH (thyroid-stimulating hormone) is controlled below 2.5. This situation is suitable for pregnancy because if TSH is greater than 2.5, it is likely to have a certain impact on the fetus's intelligence. Therefore, if you have Hashimoto's thyroiditis and are planning to conceive, you first need to check the thyroid function. If this indicator is normal, then you can consider pregnancy.
What should be noted for hyperlipidemia?
High blood lipids primarily refer to elevated levels of cholesterol, triglycerides, and low-density lipoproteins in the blood. Some patients also show reduced levels of high-density lipoproteins. As for precautions for high blood lipids, the first is diet: it is essential to adopt a light diet and to avoid greasy foods, such as braised or fried items as much as possible. Secondly, control the amount of cooking oil used, and try to avoid animal fats, opting instead for vegetable oils. Additionally, it is advisable for those with high blood lipids to consult a specialist at a hospital promptly to determine if medication is required for treatment.
What are the dangers of hyperlipidemia?
If hyperlipidemia is present, it primarily refers to elevated levels of cholesterol, triglycerides, and low-density lipoprotein, though some patients may also have reduced high-density lipoprotein. The main risk of hyperlipidemia is the arterial sclerosis it can cause in blood vessels, which in severe cases can lead to plaque formation. Prolonged arterial sclerosis can cause acute cerebrovascular accidents, cerebral infarction, cerebral hemorrhage, or coronary artery disease of the heart, with severe cases leading to myocardial infarction. Significantly elevated triglycerides may also trigger acute pancreatitis. Therefore, it is essential to control lipid levels and maintain a light diet in cases of hyperlipidemia.
How to alleviate hypoglycemia
In general, for hypoglycemia, if a diabetic's blood sugar falls below 3.9 or a non-diabetic's blood sugar falls below 2.8, it is considered hypoglycemia. In terms of treatment, if the patient is conscious and experiences symptoms such as dizziness, palpitations, cold sweat, and hunger, it is recommended to measure blood sugar immediately and then eat foods that quickly increase blood sugar levels, such as chocolate or candy. If hypoglycemia in a patient is not corrected in time, it can lead to coma. If the patient is comatose, it is advised to call emergency services immediately and administer a 50% glucose intravenous injection to correct the hypoglycemia.
What are the symptoms of thyroiditis?
The symptoms of thyroiditis, if in the early stages, include fever, particularly in the afternoon and evening, with some individuals' temperatures reaching 39 degrees Celsius. Secondly, there is neck pain, which is tender to touch. Thirdly, there may be mild symptoms of hyperthyroidism, such as palpitations, insomnia, irritability, weight loss, and increased frequency of bowel movements. If these symptoms are present, it is important to seek medical attention promptly and undergo diagnosis and treatment under the guidance of a doctor.
What to eat for diabetic foot
For patients with diabetic foot ulcers, first, their diet should control blood sugar. Foods with a high glycemic index like porridge, glutinous rice, and rice noodle rolls should be avoided. Additionally, sweet foods are also off-limits; it's important for meals to be regular and measured. Second, as patients with diabetic foot ulcers need nutrients for wound healing, they can eat foods high in protein such as eggs, fish, fish soup, and lean meats to promote wound healing. Third, if the patient also has high blood lipids, it's advisable to maintain a light diet and avoid greasy foods.