Summer sugar friends how to match the diet
For diabetic patients, summer blood sugar levels are lower than other seasons, but the reporter learned from major hospitals in Guangzhou that affected by the hot weather, the recent increase in blood glucose, the number of newly diagnosed diabetic patients infected with the hospital rapidly increased, only Guangdong An average of more than 100 patients come to the hospital every day, and patients with more severe metabolic problems and even ketoacidosis have an average of two to three daily.
Experts pointed out that the old patient must pay attention to regular and quantitative replenishment during the summer. When the heat is hot, breakfast should be less for porridge. Eat a little fruit between the two meals. The delicious old fire soup is not suitable for drinking. Need to be particularly reminded that patients should be on time to detect blood glucose fluctuations, even if the blood glucose level is reduced, it must not stop or reduce the drug itself, but should be adjusted under the guidance of a doctor medication.
High Blood Sugar "Responsive to Water Deficiency"
“The recent peak of diabetes treatment has a lot to do with hot weather. The most common among patients is blood glucose fluctuations, followed by infection.†Wei Hua, MD, Director of Department of Endocrinology, Guangdong Provincial Hospital of Traditional Chinese Medicine, said that blood sugar fluctuations in patients with diabetes and insulin Secretion related. Insulin secretion in summer is usually higher in winter than in winter. Sensitivity of insulin is relatively strong, and hormone secretion against insulin is also reduced. Therefore, about one-third of diabetics will experience blood glucose lowering. . Due to the hot summer days, people are prone to loss of appetite. Some patients even suffer from hypoglycemia due to inadequate calorie intake.
Patients with hyperglycemia and ketosis account for about two-fifths of the patients, mainly in old patients who have been ill for a long time. "Especially in elderly patients, if they get sick for a long time, their islet function is not good. Therefore, the favorable influence of the season on the condition is not obvious. Coupled with the poor adjustment ability of the body and the intolerable heat, it is easy to have problems." Wei Hua said that the most common problem is dehydration. The patient had a risk of water shortage due to high blood sugar, plus summer sweats, the old disease caused nerve damage due to illness, and her ability to feel decreased. She reacted insensitive to the lack of water in the body and waited until she felt thirsty. "When you drink again, you are already in serious water shortage.
In addition, the risk of various types of infection in patients with diabetes in summer increases. Many patients scratched the skin and caused infection after being bitten by mosquitoes. Patients in Guangdong often have athlete's foot, wet in summer, and more likely to have secondary bacterial infections after skin damage. In addition, the incidence of gastroenteritis, acute urethritis, and pyelonephritis has also increased. Due to the inconvenience of mobility and the lack of love for the elderly, elderly people with diabetes are often unable to tell their families even if they are unwell. As a result, old people are dragged into a coma before being sent to hospital by their family members.
Between the two meals can be eaten in moderation
Wei Hua suggested that people with diabetes should eat as much food as possible that they can absorb and digest relatively slowly. They can not only tolerate hunger, but also delay the absorption of sugar. They can also use the combination of “a small amount of intake + multiple ingredientsâ€. For example, eat one-third of a bowl of porridge with a bun or dumpling, or a cup of milk with soy products or eggs. If you have a poor appetite, you can try a custard or make porridge with coarse grains, but pumpkin starch or sweet potato porridge like starch content High food should not be eaten. Lunch should be appropriately increased. Dinner is mainly light, especially obese, try to eat less calorie foods.
Fruits contain less sugar than other foods. Wei Hua said that diabetic patients should pay attention to several issues:
One is the level of my blood sugar. The fasting glycemic index is greater than 8 millimoles/liter and the postprandial glycemic index is greater than 11; If the fasting glycemic index is 6 mmol/l and the post-prandial glycemic index is 8, the blood sugar control is stable, and scientific fruit eating can be appropriate.
Second, it depends on physical fitness and gastrointestinal function. Patients with cold endurance and gastrointestinal allergies should not eat too much fruit. For example, mangoes are not suitable for people with hot and humid constitutions, and those with cold body constitutions can choose to have peaceful fruits such as apples.
Third, look at the fruit's sugar content and "blood sugar index", the latter is the sugar content contained in the ability to convert to blood sugar, try to choose low sugar or low sugar index fruit, the two should be combined to see. For example, ordinary people who eat large amounts of lychee can cause low blood sugar, but sugar can not be used as a hypoglycemic fruit, because litchi has a high sugar content but only has a low glycemic index, which translates into a lower rate of blood sugar. While watermelon has a good summer, sugar is moderate, but because of the high sugar index, many patients love and fear. Wei Hua said that in fact, as long as you avoid the "heart" part of watermelon with high sugar, 50 grams a day is no problem.
Fourth, it is time to eat fruit. It is best for people with diabetes to eat fruit between two meals or before going to bed. You can eat once or twice a day. If you eat more, reduce the intake of staple foods. Usually eat a pound of watermelon, the staple food should eat half.
Fifth, it is necessary to pay attention to eat less acid, so as not to stimulate the stomach.
Sixth, attention is paid to individual differences. The same fruit has different effects on each person's blood sugar. Blood sugar should be measured immediately after eating.
It is advisable to drink half a glass of water before going to bed
Apart from staple foods and fruits, doctors recommend that when the elderly go out, they should drink water regularly, and do not wait for the throat to smoke before they think of drinking water. Diabetics must develop a good habit of drinking water regularly, not thirsty but also drinking. Diabetic patients should drink about 1,500 to 2,000 milliliters of water per day, with small amounts of drinking water. Ordinary 250 ml cup, drink eight times a day. “It's best to have three cups in the afternoon and two cups in the evening, including half a glass of water before going to sleep.†Drinks are best made with mineral water and sports drinks, and low-sugar drinks can also be consumed in moderation. However, the cold end of the body should not drink herbal tea.
In terms of avoiding skin infections, diabetics should be extra careful. Wei Hua suggested that clothing should be selected from sweat-absorbent and breathable clothes, such as cotton T-shirts, and attention should be paid to keeping the skin clean. Those who are prone to sweating should take a bath and change clothes when they go out to buy food and exercise.
It is best to wear sandals with toes and loose fit. Women do not use cool sandals and high-heeled sandals to reduce the risk of toes being torn and worn. When going out, insect repellents or mosquito repellents should be sprayed on the skin in advance. If you are accidentally bitten by mosquitoes, local itching is obvious, you can apply cool oil, toilet water, etc., do not indiscriminately scratch, so as not to cause infection.
Summer should not drink too much old soup
Dietary conditioning of diabetes is very important. In the summer, patients are prone to loss of appetite. Wei Hua suggested that diabetics should not eat porridge at breakfast. "The porridge is easy to absorb and digest, eat for half an hour to an hour, and soon produce a peak of blood sugar, which is not conducive to controlling blood sugar, and at most eat one-third to half a bowl."
Cantonese people like to drink old fire soup, Wei Hua pointed out that more obese diabetic patients should not drink too much during the summer. "Although the old fire soup is delicious, many soups contain more purines, and obese diabetics have higher blood lipids and uric acid. Drinking more soup will affect the condition." In addition, never eat ice cream.
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