"Is this gentleman going to the doctor? Oh, consulting weight loss, Dr. Zhou at our clinic is indeed very accomplished in the field of weight loss. Well, let me take your blood pressure and pulse first. Ava brought the instrument and said.

"Okay, okay...... Thank you. Felipe was a little incoherent and didn't dare to make eye contact with Ava. It's because Ava is so beautiful!

Ava smiled slightly, began to operate, and asked, "How often do you usually have health checkups?" ”

Felipe: "...... Haven't done it in years. ”

Ava said: "That's not good, usually we recommend at least once every six months. ”

"Uh-huh, yes."

"How much do you weigh?" …… 403 pounds? Oh my God......" Ava exclaimed, although she knew at a glance that the other party was very heavy, but she didn't expect it to exceed 400 pounds!

"I estimate that your BMI is seriously exceeded, and I will help you do a rapid blood sugar test!" Ava glanced at the other and suggested.

Because she felt that the other party's blood sugar must be excessive.

Felipe and Taylor naturally listened to Ava's arrangement, such a beautiful little angel, Felipe had long lost his assertiveness. And Taylor also felt that it was necessary to make one. She has been worried about her son's health for a long time.

Ava quickly took the rapid blood glucose meter, which is a blood-sucking instrument, the test strip controls the blood sample measurement by itself, and the result will not deviate due to the problem of blood volume, and it is easy to operate, and you can use the test strip to click the blood droplets.

There is also a common blood glucose meter that wipes blood, and the machine that wipes blood generally collects a large amount of blood, and the patient is more painful. If there is too much blood collection, it will also affect the test results, and if the blood volume is insufficient, the operation will fail, and the test strips will be wasted.

Of course, there are also broken blood glucose meters for sale, but they are very expensive! In many ways, the Iris Clinic still retains the traditional virtues of the Chinese nation, focusing on frugality.

"Are you now more than 2 hours after your meal? Or to put it another way, have you eaten in 2 hours? Ava asked, operating the instrument. Because whether you eat or not will affect the results and judgment of blood sugar.

However, whether you eat it or not, a preliminary test is also very valuable for reference.

Felipe sneered, "No...... I had lunch...... Six burgers. ”

Ava couldn't help but shrug her shoulders and said to herself, I can only eat half a burger at a time, and then half for Joe. It was stained with my saliva, and Joe didn't mind, hehe, he could only eat three at most in one meal.

If she knew that Felipe ate six, at most only a quarter full, she would probably be stunned!

Felipe was now a little hungry, palpitating, and tired.

Taylor was very thin, her face was full of folds, the marks left by the stress of life, and she said with a wry smile: "Felipe is already trying to go on a diet." Sometimes, he has to eat more than 30 hamburgers in a meal, and my old mother can't afford to support him! ”

Ava shrugged, smiled politely, and comforted: "It's not a bad thing to eat too much, just exercise more, otherwise you will have a lot of health problems." Yah~, blood sugar levels are so high? ”

She exclaimed softly.

Felipe and Taylor hurriedly took a look!

"How much did it turn out to?" Taylor asked nervously.

Ava said worriedly: "It's already as high as 22 mmol/L, and usually if the blood sugar is greater than 11.1 mmol/L 2 hours after a meal, we think it is exceeded." You...... If my prediction is correct, there is a high probability that your son has developed type II diabetes and needs to be systematically checked. However, this requires Dr. Zhou to prescribe a checklist. ”

Taylor and Felipe's hearts suddenly became heavy, in fact, this result did not seem to be surprising. After all, Felipe is fat like this!

And that's just two hours ago, after eating six burgers. If you eat it openly, more than 30 into your stomach, and a few large cups of Coke, it is estimated that the blood sugar level will be even more terrifying!

"You don't have to worry too much, Dr. Zhou should be available soon, I'll help you take a look!" Ava got up and went to Zhou Qiao's office to take a look.

Zhou Qiao was explaining the test report to a patient with stomach pain, the other party was chronic gastritis, which was estimated to be caused by irregular diet, long-term drinking of spirits, coffee and excessively cold food, Zhou Qiao prescribed him a little drug to protect the gastric mucosa, inhibit gastric acid secretion and promote propulsion, and advised some precautions, and suggested that the other party should follow up and recheck regularly. Because of chronic gastritis, there is a certain chance of cancer.

For this kind of minor illness, he has a solid basic knowledge, and he is also reading and learning every day, so he doesn't need to use the system at all.

Elena and Ava also went to the library to borrow professional books, anyway, the security at night was not good, and they didn't dare to go out, so it was good to charge at home. Sometimes the three of them will do some surgical cooperation drills together, and Elena and Ava will also test the skills and hand speed of infusion needles, etc., which is also quite interesting.

Men and women match, work is not tiring, whether it is Zhou Qiao or twin beauties, they all feel that life is very fulfilling!

"Joe, there is a patient who is seriously overweight and has high blood sugar...... Ava saw that Zhou Qiao was free, so she went over and told him about Felipe's condition.

"Then invite him in." Zhou Qiao smiled slightly and said.

"Okay." Ava turned around and pouted as she walked out, a little resentful, hum, lukewarm to herself. Did you forget what happened last time? When nothing happens?

Soon, Felipe came in, Zhou Qiao began to inquire, and then arranged a health examination, as well as diabetes-related examinations, such as blood glucose, oral glucose tolerance test, urine glucose, urine ketones, glycosylated hemoglobin, glycosylated serum protein, serum insulin and C peptide levels, blood lipids, uric acid, etc.

The indicators of the test are comprehensive, which is helpful for the classification of diabetes, the judgment of the condition and the subsequent guidance of treatment.

In addition, the other party has not had a health check-up for several years, and there are more items that need to be arranged.

The other party also has medical insurance, and the expenses that need to be paid out of pocket are not very many. Zhou Qiao is mainly the wool of the US government and insurance companies.

In addition, there is no conscientious arrangement of unprovoked examinations.

However, the other party is most likely to have type II diabetes, which has no cure for the time being, but it can be controlled by medication. If blood sugar is not controlled for a long time, it can cause serious complications.

Felipe, accompanied by her mother Taylor, went to the testing center with difficulty. Originally, Ava saw them coming and wanted to drive them, but then she found out that it made sense that people didn't drive.

Felipe couldn't get into the clinic's car at all, which made Ava a little embarrassed.

"Thank you, thank you, let's just walk." Taylor expressed his gratitude.

By the time they arrived, Felipe was tired, sweating profusely and out of breath. Then, he said he wanted to go to the bathroom, so Taylor waited for him outside.

After a while, Felipe came out with an embarrassed face.

Taylor asked, "What's wrong?" Is it because you are not feeling well? ”

Felipe sneered, "Mom, I accidentally broke someone's toilet seat!" ”

Taylor: "......"

Fortunately, there is no monitoring in the toilet, so there shouldn't be any need to pay, right?

Taylor hurriedly took him to the check-up and stayed away from the land of right and wrong!

It's a mess......

It seems that the son is right, it makes sense that he doesn't like to go out!

The next day, all the test results were available. Zhou Qiao took a look at it and knew that type II diabetes was gone! He went online last night to make up for this knowledge, charged himself, and didn't use the system.

Zhou Qiao explained the test results to them very carefully, as well as his own diagnosis basis and some precautions.

The two types of diabetes are actually very different. Zhou Qiao can judge without the help of the system, just by his own knowledge.

Usually, type I diabetes is mostly related to innate immune factors or genetics, the absolute lack of insulin in the body, the complete destruction of β cells of its own pancreatic islets, and the complete deficiency of insulin secretion. Type II diabetes is mainly due to the relative insufficiency of insulin caused by obesity and other reasons, and the function of pancreatic islets is gradually reduced.

Then in terms of symptoms, patients with type I diabetes are emaciated, and will experience polydipsia, polyphagia, polyuria, and some patients will have dry mouth, fatigue, etc. Patients with type II diabetes are generally obese and have no obvious symptoms in the early stage, and as the disease progresses, they will gradually develop polydipsia, polyphagia, polyuria, and weight loss.

Fortunately, the other party's condition did not progress to a very serious level, and it can be controlled with medication.

Zhou Qiao prescribed medicine and asked Ava to give an injection, but Ava soon came back for help: "Joe, Felipe has too much flesh on his body, too thick, and the insulin needle can't be pushed in at all!" ”

Zhou Qiao patted his head and said apologetically: "It's my negligence, let's take oral hypoglycemic drugs!" ”

The heart said that if you don't rely on the system, you just rely on your own ability, and you are really easy to make some mistakes. Such negligence in small details, if he had redeemed his diabetes medical skills, including a lot of experience, it is estimated that it would not have appeared.

However, he felt that he couldn't rely on the system for any disease, mainly because it was very difficult to save medical points, and he wanted to save up to 200 points as soon as possible to redeem the attending doctor's license.

With the attending doctor's license, it will be much smoother for the clinic to apply for some specialty specialties in the future.

At present, it is mainly at the level of primary clinics and general practitioners, mainly for minor diseases, health examinations, weight loss consultations, etc., and those major diseases are found through the system in the process of these medical treatment or consultations, rather than people taking the initiative to come to the door because of this disease.

However, if you have a special specialty and make it famous, you will attract more seriously ill customers and earn more.

"Dr. Zhou, my diabetes can be controlled with medication, but what about my weight?"