randomani/MedicalQnA-llama2 huggingface dataset:
This is a medical question of type : information 
 What is (are) Prevent diabetes problems: Keep your diabetes under control ? 
 The A1C test, also called the hemoglobin A1C test, HbA1C, or glycohemoglobin test, is a blood test that reflects the average level of glucose in your blood during the past 3 months. Your A1C test result is given in percents. Your doctor might use the A1C test to help diagnose your diabetes. Your doctor will draw a sample of your blood in the office or send you to a lab to have a sample of your blood drawn for the test. After being diagnosed with diabetes, you should have the A1C test at least twice a year.
                
Your A1C result plus your record of blood glucose numbers show whether your blood glucose is under control.
                
- If your A1C result is too high, you may need to change your diabetes care plan. Your health care team can help you decide what part of your plan to change. For instance, you might need to change your meal plan, your diabetes medicines, or your physical activity plan.  - If your A1C result is on target, then your diabetes treatment plan is working. The lower your A1C is, the lower your chance of having diabetes problems.
                
This chart shows the A1C goals for different types of people with diabetes.
                
Types of People    A1C Goals          Most people with diabetes    below 7%        Women with diabetes who want to get pregnant or who are pregnant    below 6%
                
A1C goals can also depend on
                
- how long you have had diabetes  - whether or not you have other health problems
                
Ask your doctor what goal is right for you.
                

                
This chart shows how your A1C result may match up to your average blood glucose number.
                
What Your A1C Result Means          My A1C Result    My Average Blood Glucose Number        6%    135        7%    170        8%    205        9%    240        10%    275        11%    310        12%    345
This is a medical question of type : considerations 
 What to do for Prevent diabetes problems: Keep your diabetes under control ? 
 Following a healthy eating plan is a key step in living with diabetes and preventing diabetes problems. Your health care team will help you make a healthy eating plan.
                
More information is provided in the NIDDK health topic, What I need to know about Eating and Diabetes or call 18008608747.
This is a medical question of type : prevention 
 How to prevent Prevent diabetes problems: Keep your diabetes under control ? 
 You can take steps each day to prevent diabetes problems.
                
Steps          Healthy Eating                     - Follow the healthy eating plan that you and your doctor or dietitian have made.      - Learn what to eat to keep your blood glucose levels under control.      - Make wise food choices to help you feel good every day and to lose weight if needed.            Blood Glucose                     - Check your blood glucose every day.      - Each time you check your blood glucose, write the number in a record book to share with your health care team.      - Treat low blood glucose quickly.            Physical Activity                     - Even small amounts of physical activity help manage diabetes. Aim for 30 to 60 minutes of physical activity most days of the week. Children and adolescents with type 2 diabetes who are 10 to 17 years old should aim for 60 minutes of activity every day.      - Not all physical activity has to take place at the same time.      - Do aerobic activities, such as brisk walking, which use your large muscles to make your heart beat faster. The large muscles are those of the upper and lower arms and legs and those that control head, shoulder, and hip movements.      - Do activities to strengthen muscles and bone, such as lifting weights or sit-ups. Aim for two times a week.      - Stretch to increase your flexibility, lower stress, and help prevent muscle soreness after physical activity.      - Increase daily activity by decreasing time spent watching TV or at the computer. Children and adolescents should limit screen time not related to school to less than 2 hours per day. Limiting screen time can help you meet your physical activity goal.      - Always talk with your doctor before you start a new physical activity program.            Medicines                     - Take your medicines as directed, including insulin if ordered by your doctor.            Feet                     - Check your feet every day for cuts, blisters, sores, swelling, redness, or sore toenails.            Mouth                     - Brush and floss your teeth every day.            Blood Pressure                     - Control your blood pressure and cholesterol.            Smoking                     - Dont smoke.
This is a medical question of type : exams and tests 
 How to diagnose Prevent diabetes problems: Keep your diabetes under control ? 
 This chart lists important tests, exams, and vaccines to get at least once or twice a year.
                
Tests, Exams, and Vaccines to Get at Least Once or Twice a Year    Make Sure to          A1C test             - Have this blood test at least twice a year. Your result will tell you what your average blood glucose level was for the past 3 months.            Cholesterol test             - Get a blood test to check your              - total cholesterol        - LDL        - HDL        - triglycerides                  Kidney tests             - Once a year, get a urine test to check for protein.      - At least once a year, get a blood test to check for creatinine, a waste product healthy kidneys remove from the body.            Eye exam             - See an eye doctor once a year for a complete eye exam that includes using drops in your eyes to dilate your pupils.      - If you are pregnant, have a complete eye exam in your first 3 months of pregnancy. Have another complete eye exam 1 year after your baby is born.            Dental exam             - See your dentist twice a year for a cleaning and checkup.            Flu vaccine             - Get a flu vaccine each year.            Pneumonia vaccine             - Get this vaccine if you are younger than 64.      - If youre older than 64 and your vaccine was more than 5 years ago, get another one.            Hepatitis B vaccine             - Get this vaccine if youre younger than 60 and you have not already had the vaccine.      - Prevent exposure to Hepatitis B by not sharing blood glucose monitors or other diabetes equipment.
This is a medical question of type : information 
 What is (are) Hepatitis B: What Asian and Pacific Islander Americans Need to Know ? 
 Hepatitis B is a liver disease spread through contact with blood, semen, or other body fluids from a person infected with the hepatitis B virus. The disease is most commonly spread from an infected mother to her infant at birth. Hepatitis B is also spread through sex, wound-to-wound contact, and contact with items that may have blood on them, such as shaving razors, toothbrushes, syringes, and tattoo and body piercing needles.
                
Hepatitis B is not spread through casual contact such as shaking hands or hugging; nor is it spread by sharing food or beverages, by sneezing and coughing, or through breastfeeding.
This is a medical question of type : information 
 What is (are) Hepatitis B: What Asian and Pacific Islander Americans Need to Know ? 
 Hepatitis B may start as a brief, flu-like illness. Most healthy adults and children older than 5 completely recover after the bodys immune system gets rid of the virus.
                
Hepatitis B becomes chronic when the bodys immune system cant get rid of the virus. Over time, having the virus can lead to inflammation of the liver; scar tissue in the liver, called cirrhosis; or liver cancer. Inflammation is the painful red swelling that results when tissues of the body become infected. Young children and people with weakened immune systems are especially at risk. People who were infected as infants have a 90 percent chance of developing chronic hepatitis B.1
This is a medical question of type : susceptibility 
 Who is at risk for Hepatitis B: What Asian and Pacific Islander Americans Need to Know? ? 
 Since 1986, a hepatitis B vaccine has been available and should be given to newborns and children in the United States. The vaccine, however, is unavailableor has only recently become availablein many parts of the world. You are at higher risk for hepatitis B if you or your mother was born in a region of the world where hepatitis B is common, meaning 2 percent or more of the population is chronically infected with the hepatitis B virus.1 In most Asian and Pacific Island nations, 8 to 16 percent of the population is chronically infected.2
This is a medical question of type : symptoms 
 What are the symptoms of Hepatitis B: What Asian and Pacific Islander Americans Need to Know ? 
 Hepatitis B is called a silent killer because many people have no symptoms, so the disease often progresses unnoticed for years. Unfortunately, many people first learn they have chronic hepatitis B when they develop symptoms of severe liver damage, which include
                
- yellowish eyes and skin, called jaundice  - a swollen stomach or ankles  - tiredness  - nausea  - weakness  - loss of appetite  - weight loss  - spiderlike blood vessels, called spider angiomas, that develop on the skin
This is a medical question of type : susceptibility 
 Who is at risk for Hepatitis B: What Asian and Pacific Islander Americans Need to Know? ? 
 Anyone can get hepatitis B, but some people are at higher risk, including
                
- people who were born to a mother with hepatitis B  - people who have close household contact with someone infected with the hepatitis B virus  - people who have lived in parts of the world where hepatitis B is common, including most Asian and Pacific Island nations  - people who are exposed to blood or body fluids at work  - people on hemodialysis  - people whose sex partner(s) has hepatitis B  - people who have had more than one sex partner in the last 6 months or have a history of sexually transmitted disease  - injection drug users  - men who have sex with men
This is a medical question of type : information 
 What is (are) Acquired Cystic Kidney Disease ? 
 Acquired cystic kidney disease happens when a person's kidneys develop fluid-filled sacs, called cysts, over time. Acquired cystic kidney disease is not the same as polycystic kidney disease (PKD), another disease that causes the kidneys to develop multiple cysts.
                
Acquired cystic kidney disease occurs in children and adults who have
                
- chronic kidney disease (CKD)a condition that develops over many years and may lead to end-stage kidney disease, or ESRD. The kidneys of people with CKD gradually lose their ability to filter wastes, extra salt, and fluid from the blood properly.  - end-stage kidney diseasetotal and permanent kidney failure that requires a kidney transplant or blood-filtering treatments called dialysis.
                
The cysts are more likely to develop in people who are on kidney dialysis. The chance of developing acquired cystic kidney disease increases with the number of years a person is on dialysis. However, the cysts are caused by CKD or kidney failure, not dialysis treatments.
                
More information is provided in the NIDDK health topics, kidney failureand dialysis.
This is a medical question of type : information 
 What is (are) Acquired Cystic Kidney Disease ? 
 Acquired cystic kidney disease differs from PKD in several ways. Unlike acquired cystic kidney disease, PKD is a genetic, or inherited, disorder that can cause complications such as high blood pressure and problems with blood vessels in the brain and heart.
                
The following chart lists the differences:
                
People with Polycystic Kidney Disease   - are born with a gene that causes the disease   - have enlarged kidneys   - develop cysts in the liver and other parts of the body   People with Acquired Cystic Kidney Disease   - do not have a disease-causing gene   - have kidneys that are normal-sized or smaller   - do not form cysts in other parts of the body
                
In addition, for people with PKD, the presence of cysts marks the onset of their disease, while people with acquired cystic kidney disease already have CKD when they develop cysts.
                
More information is provided in the NIDDK health topic, Polycystic Kidney Disease.
This is a medical question of type : frequency 
 How many people are affected by Acquired Cystic Kidney Disease ? 
 Acquired cystic kidney disease becomes more common the longer a person has CKD.
                
- About 7 to 22 percent of people with CKD already have acquired cystic kidney disease before starting dialysis treatments.  - Almost 60 percent of people on dialysis for 2 to 4 years develop acquired cystic kidney disease.1  - About 90 percent of people on dialysis for 8 years develop acquired cystic kidney disease.1
This is a medical question of type : causes 
 What causes Acquired Cystic Kidney Disease ? 
 Researchers do not fully understand what causes cysts to grow in the kidneys of people with CKD. The fact that these cysts occur only in the kidneys and not in other parts of the body, as in PKD, indicates that the processes that lead to cyst formation take place primarily inside the kidneys.2
This is a medical question of type : symptoms 
 What are the symptoms of Acquired Cystic Kidney Disease ? 
 A person with acquired cystic kidney disease often has no symptoms. However, the complications of acquired cystic kidney disease can have signs and symptoms.
This is a medical question of type : complications 
 What are the complications of Acquired Cystic Kidney Disease ? 
 People with acquired cystic kidney disease may develop the following complications:
                
- an infected cyst, which can cause fever and back pain.  - blood in the urine, which can signal that a cyst in the kidney is bleeding.  - tumors in the kidneys. People with acquired cystic kidney disease are more likely than people in the general population to have cancerous kidney tumors. However, the chance of cancer spreading is lower in people with acquired cystic kidney disease than that of other kidney cancers not associated with acquired cystic kidney disease, and the long-term outlook is better.1
This is a medical question of type : exams and tests 
 How to diagnose Acquired Cystic Kidney Disease ? 
 A health care provider may diagnose a person with acquired cystic kidney disease based on
                
- medical history  - imaging tests
                
Medical History
                
Taking a medical history may help a health care provider diagnose acquired cystic kidney disease. A health care provider may suspect acquired cystic kidney disease if a person who has been on dialysis for several years develops symptoms such as fever, back pain, or blood in the urine.
                
Imaging Tests
                
To confirm the diagnosis, the health care provider may order one or more imaging tests. A radiologista doctor who specializes in medical imaginginterprets the images from these tests, and the patient does not need anesthesia.
                
- Ultrasound uses a device, called a transducer, that bounces safe, painless sound waves off organs to create an image of their structure. A specially trained technician performs the procedure in a health care provider's office, an outpatient center, or a hospital. The images can show cysts in the kidneys as well as the kidneys' size and shape.  - Computerized tomography (CT) scans use a combination of x rays and computer technology to create images. For a CT scan, a nurse or technician may give the patient a solution to drink and an injection of a special dye, called contrast medium. CT scans require the patient to lie on a table that slides into a tunnel-shaped device where an x-ray technician takes the x-rays. An x-ray technician performs the procedure in an outpatient center or a hospital. CT scans can show cysts and tumors in the kidneys.  - Magnetic resonance imaging (MRI) is a test that takes pictures of the body's internal organs and soft tissues without using x-rays. A specially trained technician performs the procedure in an outpatient center or a hospital. Although the patient does not need anesthesia, a health care provider may give people with a fear of confined spaces light sedation, taken by mouth. An MRI may include the injection of contrast medium. With most MRI machines, the patient will lie on a table that slides into a tunnel-shaped device that may be open-ended or closed at one end. Some machines allow the patient to lie in a more open space. During an MRI, the patient, although usually awake, must remain perfectly still while the technician takes the images, which usually takes only a few minutes. The technician will take a sequence of images from different angles to create a detailed picture of the kidneys. During the test, the patient will hear loud mechanical knocking and humming noises from the machine.
                
Sometimes a health care provider may discover acquired cystic kidney disease during an imaging exam for another condition. Images of the kidneys may help the health care provider distinguish acquired cystic kidney disease from PKD.
This is a medical question of type : treatment 
 What are the treatments for Acquired Cystic Kidney Disease ? 
 If acquired cystic kidney disease is not causing complications, a person does not need treatment. A health care provider will treat infections with antibioticsmedications that kill bacteria. If large cysts are causing pain, a health care provider may drain the cyst using a long needle inserted into the cyst through the skin.
                
When a surgeon transplants a new kidney into a patient's body to treat kidney failure, acquired cystic kidney disease in the damaged kidneys, which usually remain in place after a transplant, often disappears.
                
A surgeon may perform an operation to remove tumors or suspected tumors. In rare cases, a surgeon performs an operation to stop cysts from bleeding.
                
Have Regular Screenings to Look for Cyst or Tumor Growth   Some health care providers recommend all people with end-stage kidney disease get screened for kidney cancer using CT scans or MRIs after 3 years of dialysis. People with acquired cystic kidney disease should talk with their health care provider about when to begin screening.
This is a medical question of type : considerations 
 What to do for Acquired Cystic Kidney Disease ? 
 No specific diet will prevent or delay acquired cystic kidney disease. In general, a diet designed for people on hemodialysis or peritoneal dialysis reduces the amount of wastes that accumulate in the body between dialysis sessions.
                
More information is provided in the NIDDK health topics, Eat Right to Feel Right on Hemodialysis and Nutrition for Advanced Chronic Kidney Disease in Adults.
This is a medical question of type : considerations 
 What to do for Acquired Cystic Kidney Disease ? 
 - Acquired cystic kidney disease happens when a person's kidneys develop fluid-filled sacs, called cysts, over time.  - Acquired cystic kidney disease occurs in children and adults who have      - chronic kidney disease (CKD)    - end-stage kidney disease (ESRD)    - People with acquired cystic kidney disease may develop the following complications:      - an infected cyst, which can cause fever and back pain    - blood in the urine, which can signal that a cyst in the kidney is bleeding    - tumors in the kidneys    - To confirm the diagnosis, the health care provider may order one or more imaging tests:      - Ultrasound    - Computerized tomography (CT) scan    - Magnetic resonance imaging (MRI)    - If acquired cystic kidney disease is not causing complications, a person does not need treatment.  - A health care provider will treat infections with antibioticsmedications that kill bacteria.  - If large cysts are causing pain, a health care provider may drain the cyst using a long needle inserted into the cyst through the skin.  - A surgeon may perform an operation to remove tumors or suspected tumors. In rare cases, a surgeon performs an operation to stop cysts from bleeding.
This is a medical question of type : information 
 What is (are) Prostate Enlargement: Benign Prostatic Hyperplasia ? 
 Benign prostatic hyperplasiaalso called BPHis a condition in men in which the prostate gland is enlarged and not cancerous. Benign prostatic hyperplasia is also called benign prostatic hypertrophy or benign prostatic obstruction.
                
The prostate goes through two main growth periods as a man ages. The first occurs early in puberty, when the prostate doubles in size. The second phase of growth begins around age 25 and continues during most of a mans life. Benign prostatic hyperplasia often occurs with the second growth phase.
                
As the prostate enlarges, the gland presses against and pinches the urethra. The bladder wall becomes thicker. Eventually, the bladder may weaken and lose the ability to empty completely, leaving some urine in the bladder. The narrowing of the urethra and urinary retentionthe inability to empty the bladder completelycause many of the problems associated with benign prostatic hyperplasia.
This is a medical question of type : information 
 What is (are) Prostate Enlargement: Benign Prostatic Hyperplasia ? 
 The prostate is a walnut-shaped gland that is part of the male reproductive system. The main function of the prostate is to make a fluid that goes into semen. Prostate fluid is essential for a mans fertility. The gland surrounds the urethra at the neck of the bladder. The bladder neck is the area where the urethra joins the bladder. The bladder and urethra are parts of the lower urinary tract. The prostate has two or more lobes, or sections, enclosed by an outer layer of tissue, and it is in front of the rectum, just below the bladder. The urethra is the tube that carries urine from the bladder to the outside of the body. In men, the urethra also carries semen out through the penis.
This is a medical question of type : causes 
 What causes Prostate Enlargement: Benign Prostatic Hyperplasia ? 
 The cause of benign prostatic hyperplasia is not well understood; however, it occurs mainly in older men. Benign prostatic hyperplasia does not develop in men whose testicles were removed before puberty. For this reason, some researchers believe factors related to aging and the testicles may cause benign prostatic hyperplasia.
                
Throughout their lives, men produce testosterone, a male hormone, and small amounts of estrogen, a female hormone. As men age, the amount of active testosterone in their blood decreases, which leaves a higher proportion of estrogen. Scientific studies have suggested that benign prostatic hyperplasia may occur because the higher proportion of estrogen within the prostate increases the activity of substances that promote prostate cell growth.
                
Another theory focuses on dihydrotestosterone (DHT), a male hormone that plays a role in prostate development and growth. Some research has indicated that even with a drop in blood testosterone levels, older men continue to produce and accumulate high levels of DHT in the prostate. This accumulation of DHT may encourage prostate cells to continue to grow. Scientists have noted that men who do not produce DHT do not develop benign prostatic hyperplasia.
This is a medical question of type : frequency 
 How many people are affected by Prostate Enlargement: Benign Prostatic Hyperplasia ? 
 Benign prostatic hyperplasia is the most common prostate problem for men older than age 50. In 2010, as many as 14 million men in the United States had lower urinary tract symptoms suggestive of benign prostatic hyperplasia.1 Although benign prostatic hyperplasia rarely causes symptoms before age 40, the occurrence and symptoms increase with age. Benign prostatic hyperplasia affects about 50 percent of men between the ages of 51 and 60 and up to 90 percent of men older than 80.2