This article expert
Chen Yao Chief physician of Department of Endocrinology, Fujian Provincial Second People's Hospital
A lot of sugar friends are very doubtful about this problem: The staple food is eaten less. Why is my blood sugar still high? Doctors, nurses, family members, etc. clearly tell themselves that controlling the staple food will lower blood sugar! !
In fact, eating less staple foods will actually reduce blood sugar, but you have overlooked 4 cases of elevated blood sugar.
1, less staple food, but eat too much non-staple food
With the continuous improvement of the economic level and the westernization of life, the share of staple foods in our three meals a day has also declined year by year. The proportion of fish, meat, sweets and other non-staple foods, such as peanuts, soybeans, potatoes, and taro, is increasing.
The calories of these above-mentioned non-staple foods are generally higher or the same as those of the staple foods. If sugary friends do not eat staple foods and use these non-staple foods for a long period of time, and if they have a large quantity, blood sugar levels will naturally increase.
Recommendation: Sugar Friends eat correctly, using the same number of non-staple foods to replace white rice flour and other staple foods, it is best to eat less than the total amount has been reduced.
For example, 250 grams of rice (two bowls of half-white rice) were eaten on a daily basis and are now changed to 200 grams or even 150 grams of potatoes. Because of the higher satiety of grains, even reductions can reduce hunger and avoid hypoglycemia.
2, the amount of drugs did not eat enough
Although staple foods are eaten or eaten, the dose of hypoglycemic agents is reduced or not eaten, and blood sugar naturally rises. Suggestion: adjust the dosage according to the meal situation. People who take blood sugar after meals (such as Nuohe Long, Tang Li, and glycosidase inhibitors, such as Besam, Baixin, etc.) occasionally encounter dinners and delicious meals. They are estimated to eat more than usual. , It is possible to increase half tablet or one drug as appropriate to cope with the postprandial hyperglycemia of the meal, but this is only an emergency move and cannot be used as a normal choice.
3. There are complications and concomitant diseases
For example, if there are diseases such as infection, pain, insomnia, heart, brain, liver and kidney, the insulin resistance in the body will increase, the sensitivity of insulin will decrease, and the hypoglycemic effect will decrease. Although the staple food eats or eats less, the blood sugar will certainly rise. .
Recommendation: In patients with complications and concomitant symptoms, regular monitoring of fasting blood glucose, two-hour postprandial blood glucose, and glycosylated hemoglobin should be maintained during medication. Hepatic and renal function monitoring is performed twice a year to observe changes and to check the condition of the heart, liver and kidneys. In daily life, pay attention to adjust the balance of hypoglycemic agents and diet and exercise.
4, medication and eating habits are not
As diabetes is a chronic disease, there are many complications and many influencing factors, so it is necessary to choose a suitable combination therapy for hypoglycemic agents. It is not only a medical technique, but also a way of life and wisdom. It is even more so with the use of insulin. How to choose a drug or several drugs to be used in combination to achieve the best therapeutic effect requires a high degree of individualization.
If the staple food eats less, and the fish eats more, and you have not fully communicated with the doctor, and you have chosen to treat with sugar cane or Beixin, then your postprandial blood glucose level will certainly rise. Because glycosaminoglycan and gemini are inhibitors of glycosidase, they only inhibit the degradation of carbohydrates, but they have no effect on sugar-based foods.
Recommendation: Diabetes patients in Europe and the United States and other countries do not choose the above two drugs. In China and Japan, diabetic patients with rice as the staple food can choose more than two drugs.
In short, dietary therapy is the most important basic treatment. Dietary therapy is not to eat the staple food, but rather to make a reasonable diet control. It is appropriate to formulate a variety of staple foods and non-staple foods, including total calories, carbohydrates, fats, and proteins, according to different needs, proportions, and standards. Recipes.
The purpose is to maintain the patient's normal life, normal weight, reduce the burden of the islets, more effective control of blood glucose, blood lipids, blood pressure, prevent the occurrence and development of complications such as cardiovascular disease. (Source: Health Times)
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