What to do about diabetes?
What to do about diabetes?
Diabetes mellitus is a chronic, non-transmissible disease of unknown etiology, but it is preventable and controllable. First of all, it is the first level of prevention and control, that is, try not to get or delay getting diabetes, the main prevention and control measures are to promote a healthy lifestyle in the whole population, that is, rational nutrition, balanced diet. Food diversification, coarse and fine mix, reduce salt, oil and sugar, increase protein intake, have vegetables every meal, eat fruit every day. Quit smoking and limit alcohol. Moderate exercise, according to their own conditions, to determine the mode and amount of exercise. Psychological balance, emotional regulation, reduce mental stress. Second, strengthen the management of high-risk groups of diabetes. This group refers to people ≥ 45 years old, overweight or obese, parents are diabetic, hypertensive and hyperlipidemic, fasting blood glucose ≥ 6.l ≤ 7.0 mmoI / L, metabolic syndrome, is the focus of the primary prevention of the population, regular monitoring of blood glucose, adhere to a healthy lifestyle. The second is the secondary prevention of diabetes, that is, diagnosed with diabetes, exercise plus diet control, while using hypoglycemic drugs to prevent or delay the occurrence of diabetic complications. Take the main measures one is exercise plus diet therapy. Exercise according to their own qualities, choose their favorite way of exercise, step by step, the principle of safety first, to determine the amount of exercise. Diet according to their own physical activity of light weight, determine the main food and protein intake, that can ensure the need for energy, but no excess. Second, use hypoglycemic drugs under the guidance of a specialist. Third, learn to self-monitor blood glucose to keep it stable at a level. The fourth is the simultaneous treatment of hypertension, high blood pressure, high blood cholesterol and other cardiovascular and cerebrovascular diseases. The third is the tertiary prevention and treatment of diabetes, that is, after the occurrence of diabetic complications, take timely and comprehensive measures to reduce the symptoms of complications and improve the quality of life.
First of all, thank you for your question.
The question of what to do about diabetes has become increasingly popular among the people, but here we need to distinguish between two issues. One is how to prevent the occurrence of diabetes as a disease, and the other is how to treat diabetics if they have already been diagnosed.
In fact, diabetes is not terrible, the terrible thing is its complications, on the kidney, cardiovascular, eyes, feet and other organs of the impact, so be sure to put the blood sugar control, generally often say that you must control your own mouth, at the same time to open the legs, exercise more, eat less, greasy things, sweets must be strictly controlled, daily low-salt, low-fat diet. Common clinical symptoms of diabetes are excessive urination and drinking, increased appetite, but the body is getting thinner and thinner, easy to dry mouth and so on.
So what are the risk factors for diabetes? They are categorized as follows:
1. Most of them are genetic factors, the previous generation or the next generation of direct relatives have a history of diabetes, most of them have the potential to get the disease and genes, improper diet or lifestyle habits are very easy to trigger, once it happens it is irreversible.
2. Don't think that if you don't find diabetes now, you have nothing to worry about. Be careful if you have a sweet tooth and do not control it, especially if you drink carbonated drinks, colas, sodas, etc. as water. Many young people find that diabetes is triggered by this.
3. If you are overweight (the normal value of BMI for adults in China is 18.5-23.9, 19-24 is ideal weight, 24-27.9 is overweight, and equal to or greater than 28 is obese), and your living habits, especially your diet, are chronically high-fat and high-calorie, and you have little physical activity, then you are one step closer to diabetes.
4. Elderly people with diabetes, many of which are based on age and the decline of the body's metabolic functions.
So what should you do if you have been diagnosed with diabetes?
1. Diet control: Say goodbye to unhealthy diets high in sugar and fat, put an end to overeating and irregular diets, and eat more vegetables, omnivorous grains and less pasta.
2. Increase the amount of exercise: adhere to the quantitative and regular aerobic exercise, consume excess calories, control body weight, and promote the healthy functioning of the body.
3. Scientific use of drugs: according to the doctor's instructions to use drugs, the correct choice and adhere to the use of drugs, do not judge on their own to reduce or stop the drug.
4. Live a regular life and monitor the indicators: usually regular blood glucose monitoring, quarterly blood routine and liver and kidney function tests, abnormal changes in indicators and timely medical care. Rest on time and ensure sufficient sleep.
Finally, each person's individual differences and life circumstances are different, the medication must be regular medical institutions specialists to help develop a program.
I hope the above answer will help you.
The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.
Diabetes is not an immediately fatal disease, but it is also one of the more troublesome ones, and it is necessary to have a proper understanding of it.
Diabetes is basically a lifelong disease
Basically, there is no such thing as a cure for diabetes, and most people with diabetes will need to monitor their blood sugar for the rest of their lives, if not take medication for the rest of their lives.
Diabetes is a disease that relies only on its own pancreas can not properly control blood sugar, most of the early stage simply do not know, until the discovery has been more serious, when the pancreas may have been impaired, or on other organs have appeared to have an impact.
So, after being diagnosed with diabetes, the thing to do should be to control your blood sugar with medication and diet and not to seek a cure once and for all.
Diabetics need to be on a strict diet
Just like open source and cut back on expenses, sugar lovers to control blood sugar, just with the help of drugs is not enough, because insulin resistance will continue to aggravate, and wait until the end of the blood sugar will be more and more difficult to control, and other organs of the body is more and more damage.
Therefore, the first step for sugar lovers to do is to control blood glucose from the source, which is to control their diet, adjust their diet structure, and reduce the glycemic index of their food, which is a very important cognitive.
Timely medication for diabetes
Don't be afraid to use medication, the sooner you use it the easier it is to control your blood sugar and the easier it is to salvage your pancreatic function.
The worst thing about diabetes is not the high blood sugar itself, but the complications, and controlling your blood sugar as early as possible will also help to slow down the onset of complications.
So, don't fool yourself into thinking that not using medication means that your condition is not serious and that you are dragging your feet.
In short, for diabetics, once you find out that you have diabetes, you should adjust your diet immediately, take your medication in time, and be ready to fight with it for the rest of your life.
Zhao Wei, Registered Dietitian, Member of NutriBulletin
Summer is rainy but still a hot season, many people like to drink some ice cold drinks in the summer, the taste of sweet but also can let their body quickly cool down.
The drinks on the market now have gorgeous packaging and focus on sweet and sour flavor, more and more eye-catching, and even caused the attention of diabetic patients, but diabetic patients can also drink drinks?
Binge drinking leads to acute diabetic attack
Twenty-eight-year-old Xiao Zhao belongs to the moderately obese people, and has been diagnosed with type II diabetes, but Xiao Zhao and very much like to drink, the National Day because of thirst and fierce drink, and finally directly into the hospital, after a detailed examination by the doctor found that Xiao Zhao's blood glucose value has risen to 60 mmol / liter, obviously more than ten times the normal value!
In response to Xiao Zhao's case, Dr. Wei from the Department of Nutrition is not in favor of diabetic patients through the drink to relieve the symptoms of thirst or supplemental water. Dr. Wei believes that sugary drinks into the body of diabetic patients will produce useless energy and sugar, not only can not alleviate the symptoms of dehydration in the body of diabetic patients, but also increase the weight of diabetic patients and lead to uncontrolled blood glucose, and there is also information showing that every intake of 0.5 bottles of sugar-sweetened beverages will increase the risk of diabetes to 14%.
Is it true that diabetics can't drink beverages?
Diabetic patients in fact understand that they are indeed not suitable for drinking beverages, but sometimes it will be difficult to suppress the inner impulse and choose to "take the risk" to a cup of fruit tea, for example, its amount of sugar even more than a hundred and belongs to the sugar over the standard drinks, diabetic patients will undoubtedly lead to out of control of blood sugar after drinking. In fact, beverages are not necessary food, these beverages just stimulate our taste buds and increase the mood of pleasure only.This diabetic patients may "complain" in addition to plain water in the end what else can drink? In fact, four kinds of drinks diabetics can drink。
I. Tea:
China's tea culture has a long history, diabetic patients moderate tea can supplement water and have the effect of lowering blood pressure and fat, such as green tea rich in catechins can slow down the rate of sugar absorption, can prevent the rapid rise in blood sugar after meals, and black tea phenolic substances also have the role of controlling blood sugar.People with diabetes should not drink strong tea and be careful not to drink tea before going to bed。
Two, soy milk:
Soymilk is one of the most suitable daily drinks for diabetic patients, the dietary fiber in soy milk can prevent patients from over-absorption of sugar and is conducive to blood glucose control, and diabetic patients can get the required protein and vitamins from soy milk, but be careful not to add sugar when drinking soy milk.
Three, milk:
Note that it is a natural milk product and not a milk drink. Moderate consumption of milk by diabetic patients can replenish calcium and prevent osteoporosis problems, while milk has sufficient nutrients and is easily absorbed. In the Chinese Nutritional Science Book, it is also mentioned that the daily milk intake of diabetic patients should be controlled at200 ml is appropriate.. Be careful to choose skim or low-fat milk depending on your situation, and be careful not to add sugar.
Want to stabilize your blood sugar? Diabetics need to keep three eating principles in mind
At present, there is no clinical cure for diabetes, so diabetic patients need to take long-term medication to lower sugar, life, in addition to drinking less drinks, daily strict dietary control is also an important step to stabilize blood sugar.
The first is that dry food is preferable to thin food.In daily life, it is recommended that diabetic patients eat steamed buns, rice and other food on the dry side, rather than porridge, noodle soup and other dilute food, because dilute food cooking time is longer and softer, diabetic patients eat will be quickly digested and rapidly increase blood glucose.
Secondly, green is preferred to red.Diabetic patients are sometimes confused by the many foods, and even can not correctly distinguish which can be eaten and which can not be eaten, then this time you can refer to the principle of "green is better than red", for example, green cucumber is rich in chlorophyll and health benefits, while the red tomatoes will be obvious elevation of blood glucose.
Lastly, small, frequent meals are preferable to three meals a day.Many times it is recommended that people with diabetes eat small, frequent meals, which avoids a rapid rise in blood glucose while avoiding the severe hypoglycemic response triggered by glucose-lowering medications.
Diabetic patients need to take or inject long-term hypoglycemic drugs in order to stabilize blood sugar, but in fact, "keep your mouth shut" and "open your legs" in life is the most effective way to control blood sugar.
References:
1. Liu Xiao Cai Chunfeng Yu Liping, "Progress of research on dietary adherence in patients with type 2 diabetes mellitus", Chinese Journal of Health Education, 06, 2019.
2. Zhuang Wenbing, "Analysis of the effect of nutritional health care dietary care intervention in elderly diabetic patients", Cardiovascular Disease Electronic Journal of Integrated Traditional Chinese and Western Medicine , Issue 18, 2019.
Reproduction is prohibited without authorization from the author
Diabetes mellitus is a clinical syndrome characterized by chronically elevated blood glucose levels caused by a variety of etiologies.
Therapeutic principles
1. Education and psychotherapy. Let the patient really know how to treat and deal with
2. Dietary treatment and counseling. Small and frequent meals, more light, high-fiber and vitamin-rich foods, reduce fat intake
3. Exercise therapy, long-term adherence to exercise, weight control to maintain normal blood glucose levels
4. Medication and condition monitoring. Prevention and control of complications.
So what is the clinical significance of the monitoring programs used to diagnose diabetes.
Let's take a look at what types of diabetes there are.
As a commonly used insulin, we need to know briefly about.
That oral hypoglycemic agents are commonly used, it is also important to know their classification and mechanism of action.
The criteria for blood glucose to be controlled after the application of appropriate medications are.
In fact, about diabetes, there are many, many knowledge in it, just for our mass population, first understand the simplest theoretical knowledge, have the most basic medical knowledge, in order to be able to calmly cope with the disease in front of the correct decision.
Diabetes itself is not scary, what is scary is the complications caused by diabetes, such as serious metabolic disorders, coronary heart disease, cardiovascular and cerebral vascular disease, diabetic nephropathy, diabetic foot, diabetic retinopathy and so on. However, the occurrence of these diseases is the premise of unsatisfactory blood glucose control.
Many people check out the blood sugar abnormalities, very unimpressed, thinking that it is not just high blood sugar, no big deal, so that the control of diet, exercise are not cooperating, taking medication is even more rejected, especially with insulin, but the application of insulin can give our pancreas a break and restore restore function. As long as the effective control of blood sugar, in order to kill complications in the cradle, in order to improve our quality of life.
So we have to look at diabetes rationally and actively cooperate with the doctor's treatment.
Hello, I'm Pharmacist Wang and I'm happy to answer this question for you. Diabetes mellitus is an equivocal risk for coronary artery disease, and 60-75% of diabetic deaths are due to cardiovascular disease, and diabetic patients are 2-4 times more at risk for cardiovascular events than non-diabetic patients.
So what can you do about diabetes?
Dietary control is fundamental in the fight against diabetes. By reducing the burden on the pancreas through diet and not consuming too much sugar, you can keep your blood sugar well under control.
What is the key to dietary treatment?
It's the ratio of calories as well as food components. How are calories calculated? Just calculate the standard weight based on your height, subtract 105 from your height, and then calculate the number of calories you need to consume according to your physical labor. Food proportions can be rationed according to the food pyramid. In the standard case, three to five hundred grams of staple food per day, four to five hundred grams of vegetables, one to two hundred grams of fruits, 120 to 200 grams of fish, poultry, eggs, etc., 100 grams of milk, 50 grams of beans, and no more than 25 grams of lipids.
However, as individual circumstances vary, they should also be rationally allocated according to their own circumstances.
Secondly, exercise therapy can improve the sensitivity of tissues to insulin, which is helpful for blood sugar control. Therefore, Pharmacist Wang here suggests that everyone, especially diabetic patients, should carry out appropriate activities every day, whether it is exercise or housework is possible, and the exercise time is controlled in more than half an hour.
It is also more beneficial to be able to engage in longer, moderate-intensity activities as your physical condition allows.
The other is medication, which is by far the most effective and direct form of treatment.
1. Regulating the mind
Nutrition life old age of the first. All generations of health care practitioners to adjust the spirit as the first of life and old age, preventing and curing the disease of the medicine. The Su Wen - on the ancient great true theory of the cloud: "calmness and emptiness, the real gas from the spirit of the spirit of the internal collection, the disease is safe from".
Benevolence, benevolence and virtue, nurturing the heart and establishing virtue are the intrinsic elements of regulating the spirit and nourishing the body. To do everything, we must maintain a spirit of optimism and open-mindedness, be indifferent and open to things, be friendly and tolerant to people, and be able to stand up and let go when things go wrong.
The best interpretation of the way of life - want to live a long life, there is its way: broad-minded, the first of its importance; do not be pessimistic, do not be impatient; light fame and fortune, do not fight; often know enough, haha laugh; family harmony, all things are prosperous; the world is in harmony, the country is prosperous.
2. Scientific diet
Early food is often appropriate early, late food should not be late. "The basis of security must be funded by food, the organism for nutrient demand is multifaceted, dietary allocation should be as comprehensive, rational and complementary."
The Yellow Emperor's Classic of Internal Medicine recorded: "Five grains for nourishment, five fruits for help, five animals for benefit, five vegetables for filling." Xu Yunsheng diet in his spare time pay great attention to the meat and vegetables, meat or vegetarian dishes should not be a lot, the amount of food should not be too full. "
Follow the early food is often appropriate early, late food should not be late, night food against the principle of more damage", and to do the diet chewing and swallowing, avoid tiger swallowing; like to eat light food, on the corruption, greasy, meat, sticky hard hard to eliminate, incense and dry sizzling frying, thick alcohol thick taste of the diet is more appropriate to enter; eating like warm, generally do not eat raw or cold or hard or sinewy tough, half-cooked meat and other indigestible things.
3、Consistently exercise
Walk 6,000 steps a day. Exercise has an important position in health care. Exercise health is not an overnight thing, the value of perseverance, perseverance, the so-called "flowing water does not rot, a door door-hinge not a door-hinge".
Half an hour or so after dinner to go out for a walk, each line of 6000 steps or so, 3 to 5 times a week, often get up and stand up between jobs, moving muscles and bones, the whole body relaxation. Attention to the activities of the muscles and bones, can make the human body Qi Zhida, hundred veins of blood and fluent.
Having diabetes, I wonder if it was tested and then diagnosed through a proper hospital?It is important to note that a diagnosis of diabetes cannot be confirmed by a single blood glucose measurement. Measurement of fasting blood glucose should be measured in the morning at 7-8 o'clock is best, if the fasting time is too long, the measurement of more than 9 o'clock, most of the data measured at this time will be slightly higher than the normal range, because of the fasting time is long, the human body will be converted to glucose to supply energy, to maintain the body's needs, the blood glucose will be slightly elevated. At this time, it is necessary to review the fasting blood glucose, glucose tolerance and glycated hemoglobin.
The diagnostic criteria for diabetes are as follows:
Diabetes mellitus can be diagnosed with typical symptoms of "three more and one less" (eating more, drinking more, urinating more, and losing weight), and fasting blood glucose ≥7.0mmol/L or two-hour postprandial blood glucose ≥11.1mmol/L or random blood glucose ≥11.1mmol/L. The test of glycosylated hemoglobin (HbA1c) can show the blood glucose level in the last three months, and the normal value is 4%-6%. The blood glucose level in the last 3 months can be seen by testing glycated hemoglobin (HbA1c), which has a normal value of 4%-6%. an elevated HbA1c indicates poor blood glucose control in the last 3 months.
When you have diabetes, the first thing to look at is the type of diabetes you have, whether it is type 1 or type 2.People with type 1 diabetes have an absolute shortage of insulin in their bodies and need lifelong insulin injections. people with type 2 diabetes have a relative shortage of insulin in their bodies and can control their blood glucose by improving their lifestyles, taking blood glucose-lowering medications and injecting insulin.
So what's the right way to deal with a diagnosis of diabetes?
I. In the case of type 1 diabetes.While controlling your diet, inject insulin according to the treatment plan set by your physician. Measure your blood glucose regularly and ask your physician to adjust the type and dosage of insulin promptly if your blood glucose is not well controlled.
II. In the case of type 2 diabetes.Physicians will first advise patients to adjust their diet, exercise moderately and lose weight to improve their blood sugar. There are special diabetic recipes for diabetics, which can be followed to organize three meals a day.
If lifestyle improvements are not effective in lowering blood sugar, physicians use hypoglycemic medications such as acarbose and metformin. Different medications are taken at different times, for example, Acarbose should be taken with the first meal. Therefore, it is necessary to insist on taking the hypoglycemic drugs on time and correctly, and if the effect is not good or the adverse effect is hard to tolerate, ask the physician to adjust the treatment plan. If blood glucose rises significantly, and the effect of drugs is not good, it is necessary to use insulin. During the treatment period, blood glucose should be monitored consistently to observe the level of blood glucose control and the effect of treatment.
Third, diabetics cannot control their blood sugar by skipping staple foods.
Dietary treatment for diabetics is based on the following principles:
1. Controlling total energy is the basic principle of diabetic diet.
2. Supply appropriate carbohydrates. Carbohydrates should account for 50%-60% of the total caloric energy, and the daily intake is generally 200g-250g, and 150g-200g for obese people.
3. Supply sufficient food fiber, such as corn, sweet potatoes and other coarse grains, fresh vegetables and fruits.
4. Supply appropriate amount of protein. When renal function is normal, dietary protein in diabetes should be approximated to normal.
5. Control fat intake. Dietary fat should be reduced to 20-25% of calories or less. Fat intake of saturated fatty acids should be limited, and vegetable oils can be used instead of animal oils.
6. Supply adequate vitamins and inorganic salts.
7. Diabetics should not drink alcohol, especially not on an empty stomach.
8. Diabetic patients should eat three meals at two points and eat less frequently. Additional meals may be taken in the morning and afternoon, with food distribution designed according to 2:1:3:1:3, with the total amount of food remaining the same. Additional meals can be based on nuts, fruits, yogurt and whole grain snacks.
9. Learn to master various food exchanges on your own and choose foods with a low glycemic index.
To summarize, when you have diabetes, you should face it positively and treat it actively. It is recommended to control blood glucose in the normal range and prevent diabetic complications through diet regulation, medication and insulin treatment. Adhere to the daily blood glucose test, blood glucose control is not good, timely ask the physician to adjust the treatment program.
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With the improvement of living standards, the high incidence of diabetes is higher and higher, and more and more youthful with the long-term poor lifestyle, overeating, diet and life irregularities have a great relationship.So if once you have diabetes it's best to start with primary prevention to prevent diabetes from occurring, but once you have diabetes, considering secondary prevention is a positive response, and the best way to treat diabetes in general and the best medications to treat diabetes are very individualized. But the vast majority of people with diabetes need lifestyle interventions, including diet and exercise interventions.
There is no cure for diabetes yet, but it can be managed with a variety of treatments that can include:Diabetes patient education, self-testing of blood glucose, diet
1, the education of diabetes patients, is to educate diabetes patients, know the basic knowledge of diabetes, and to establish confidence in overcoming the disease, know how to control diabetes.What are the health benefits of well-controlled diabetes? Depending on the characteristics of each diabetic's condition, an appropriate treatment plan can be developed.
2. Self-monitoring of blood glucose, with the gradual popularization of small and fast blood glucose meters.Patients can adjust the dosage of blood glucose medication at any time according to the blood glucose level. When patients with type 1 diabetes undergo intensive treatment, they should monitor their blood glucose at least four times a day, all of which are preprandial glucose, and eight times when their blood glucose is unstable, before and after three meals, and before going to bed late at night as well as at three o'clock in the morning, and monitor once, and when intensive treatment is underway, the fasting blood glucose should be controlled at less than 7.2 mmol/L, and the two-hour postprandial blood glucose should be less than 10 mmol/L. Blood glucose 2 hours after meals should be less than 10mmol/L. The frequency of self-monitoring of blood glucose in type 2 diabetes can be appropriately reduced.
3, the drug treatment of diabetes mellitus, the drug treatment of diabetes mellitus mainly includes sulfonylureas, biguanide glucose-lowering drugs, alpha glucosidase inhibitors, insulin sensitizers, gliclazide insulin secretion promoter and so on.
Through the above these bad way and diet exercise drug treatment, but also need a very important is to avoid a little how to avoid not diabetes, that this disease is preventable and treatable, it is best to be able to prevent the situation, try not to happen, this is the main thing, so that I have answered before, 'what people are prone to diabetes" We can learn a little.
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