Tell me about obesity in diabetic patients

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It is recommended to supplement with L-arabinose**.

Obesity is closely related to diabetes. It has been recognized that obesity is an important predisposing factor for diabetes. Between 70% and 80% of people with type 2 diabetes were significantly overweight before they developed diabetes, and the incidence of diabetes increases with obesity.

Insulin is the only hypoglycemic hormone in the body. Absolute or insufficient insulin is the main cause of diabetes. In the test of plasma insulin in obese patients, it was found that the plasma insulin level of obese diabetic patients was significantly higher than that of obese patients of normal weight, and the plasma insulin level was higher, about 4 times that of normal people.

<> So, why do obese patients develop diabetes with elevated plasma insulin levels? The function of insulin is divided into two steps. First, insulin binds to a special receptor on the surface of cells, the insulin receptor.

The binding of insulin and the insulin receptor triggers a cascade of post-binding effects in the cell, thereby exerting its hypoglycemic effect. Pathological examination proved that the pancreatic islet cells (insulin-secreting cells) in obese patients were hypertrophied and proliferated, and the role of insulin in patients with split fat was reduced, and there was insulin resistance.

Further studies have found that the main reason for the decrease in insulin action is the increase in fat cells in obese patients, which significantly reduces the number of receptors receiving insulin on the cell surface, or decreases the ability to bind to insulin, resulting in insensitivity to insulin or insulin resistance, leading to diabetes. This is now the generally accepted explanation. Now in many developing countries, with the growth of the economy and the change of dietary structure, the lifestyle is becoming more and more westernized, coupled with the reduction of physical activity, obesity is increasing, and the incidence of diabetes is also rising, so there is a new concept, the richer you are, the fatter you are, the more diabetes.

Therefore, it is recommended that everyone should have moderation, eat reasonably, exercise appropriately, and be a healthy and happy person when living in a prosperous life.

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Diabetes is a rare metabolic disease, obese people get diabetes mainly because the body's metabolism is affected by a large amount of fat, at this time insulin resistance also appears, and a large amount of sugar will be in the blood, can not be absorbed, will gradually increase blood sugar for a long time, if you do not get **, it will develop into diabetes.

Because obese patients eat a lot, many diabetes is caused by unhealthy diet, so the more you eat, the greater the fluctuation of blood sugar, and the more abnormal the islets will be, which is the factor that obese patients are more likely to suffer from diabetes.

Because insulin mainly breaks down and digests sugar, because obese people have more abdominal fat, insulin needs to process abdominal fat, resulting in insufficient insulin, and excess sugar is excreted with urine and body fluids.

Obese people get diabetes mainly because the body's metabolic ability is affected by a large amount of fat, and insulin resistance occurs. Insulin resistance will inhibit the body's uptake and use of glucose, so that a large amount of sugar in the blood can not be absorbed normally, that is, blood sugar gradually rises, and people who have not received ** for a long time will also damage the pancreatic islets and develop diabetes.

1. Diabetes.

Genetic factors: Diabetes has a familial genetic predisposition. However, this hereditary nature still needs the role of external factors, which mainly include obesity, reduced physical activity, unreasonable diet, viral infection, etc.

Obesity: Obesity is an important cause of diabetes. It is especially likely to cause type 2 diabetes.

Especially for people with abdominal obesity. The main mechanism lies in the obvious hyperinsulinemia of obese patients, and hyperinsulinemia can reduce the affinity between insulin and its receptors, resulting in insulin action blockage and insulin resistance. Oxidative Stress:

A growing number of basic and clinical studies have shown that oxidative stress is closely related to the pathological changes of diabetes mellitus.

2. Diabetes mellitus.

Diabetes mellitus has a high incidence, great harm, and complications, which greatly causes personal pain and economic burden to patients. Diabetes is scary, but it can be prevented and controlled, and it is not a disease that cannot be helped. Therefore, the main causes of diabetes include:

Basic**: Doctors need to strengthen the ideological education of patients and clarify the hazards of diseases. Patients should cooperate with the doctor to correct bad lifestyle habits, such as smoking, drinking, etc.

At the same time, control the patient's diet, urge the patient to enhance exercise, and lay the foundation for the later stage; Medications**: Drugs should be selected according to the patient's condition, and the patient should follow the individual**. Diabetes** is relatively complex, and patients should follow their doctor's guidance, monitor closely, and have regular follow-up visits.

3. Precautions for diabetes.

Lifestyle modifications are required. At the same time, change bad habits, such as quitting smoking and drinking, eating a light diet, and having a regular work and rest. Patients can also exercise appropriately; When patients take medication, they need to consult their doctor about how to take the drug to avoid improper medication;

Obese people are more likely to develop diabetes. First of all, because obese patients have too much caloric intake, too little consumption, obesity, and increased fat cells in the body, and then the sensitivity to insulin decreases, and hyperinsulinemia occurs in the body, which is the basis of diabetes; Obesity is often combined with some metabolic diseases such as fatty liver, hyperlipidemia, and hypertension, which is also a high-risk factor for the onset of diabetes.

Because obese patients are very fond of eating foods with high sugar content, foods with high oil content, fried foods, cold foods and seafood products. Moreover, the physical fitness of obese patients is very poor, so there will be this situation.

Because obese patients have a very greasy diet and a very high sugar intake, they are prone to diabetes.

The metabolism is very slow, and in life there will always be some sweet and some particularly greasy, so it will make a person very prone to diabetes.

1. Obese and diabetic patients can be treated with medications**. The principle of many drugs is to control the body's hunger, and the symptoms of diabetic patients will be overeating, so the drugs that control hunger can help diabetic and obese patients consume less calories and fat, so as to help lose weight. Some ** drugs can reduce the absorption rate of body calories and fats in the gastrointestinal digestive system.

These ** drugs can be used for weight loss in diabetic and obese patients.

2. Obese and diabetic patients can lose weight through diet. Normal obese people often use dieting, but dieting is not suitable for diabetic patients, because if the blood sugar of diabetic patients is too low, it will cause a very dangerous situation, so diabetic obese patients should not go through dieting when they are obese, and the diet of obese diabetic patients to lose weight through dietary adjustment should first consider eating full, and then you can take high-fiber green leafy vegetables and low-calorie whole grains as the main dietary structure.

3. Obese and diabetic patients can lose weight through exercise. Obese and diabetic patients should pay attention not to exercise too much when exercising to lose weight, if the patient exercises too much and exerts too much, hypoglycemia may occur, and diabetic and obese patients should choose to do it after meals, and the activity time is controlled within one hour.

Climb the hill and walk briskly. It can burn 320 calories in 30 minutes and 650 calories in 1 hour.

Jogging. It burns 295 calories in 30 minutes and 590 calories in 1 hour.

Freestyle. Freestyle, for example, burns 255 calories in 30 minutes and 510 calories in 1 hour.

Hiking. A 30-minute cross-country hike burns 185 calories, compared to 370 calories for 1 hour.

Ride a bike. Riding at a speed of no more than 16 km/h for 30 minutes can burn 145 calories and 290 calories for 1 hour.

Dance. It burns 165 calories in 30 minutes and 330 calories in 1 hour.

Housework. 30 minutes of housework, such as planting flowers and weeding, can burn 165 calories, and 1 hour is 330 calories.

There are many precautions in the diet of diabetic patients, and a little carelessness may lead to poor blood sugar control, so what foods can diabetics eat to better control blood sugar? The specific types of food are as follows:

1. Vegetable foods are generally not restricted, and vegetables rich in dietary fiber are very friendly to diabetics, such as spinach, lettuce, bok choy, celery, rape, chrysanthemum, lettuce and other green leafy vegetables, in addition to bitter gourd, winter melon, tomatoes, cucumbers and other small calories and will not raise blood sugar.

2. Selection of staple food: For diabetic patients, it is generally recommended that the amount of staple food at each meal should not exceed 2 taels, which refers to the weight of raw rice, raw noodles, etc.; In addition, potatoes, vermicelli, and lotus root with high starch content are also considered staple foods. It is best to mix coarse and fine grains to enrich the variety of staple foods, such as adding oats, corn, beans, potatoes, etc. to rice to make multigrain rice.

3. The choice of non-staple food, first of all, the intake of non-staple food can not exceed the staple food, but in the choice of lean meat, dairy products, and egg products, but the daily intake of fresh milk should not exceed 250ml, try to choose pure milk, homemade sugar-free yogurt (purchased yogurt should be used with caution), and at the same time, for patients with diabetic nephropathy, it is forbidden to consume vegetable protein (such as soy milk, tofu, tofu skin and other soy products), and limit animal protein (for example, don't drink milk if you eat eggs today, don't eat eggs if you drink milk).

Diabetics also need to know what foods they can't eat, such as foods with high sugar content, porridge and pastes made of rice and flour, candies, honey, desserts, tropical fruits, etc. High-cholesterol and high-fat foods, such as fatty meats, organ meats, fried foods, etc. Alcohol, no matter what kind of alcohol it is, should not be consumed.

In short, diabetic patients should not only control blood sugar from diet, but also supplemented by appropriate intensity of exercise, such as swimming, running, etc., diabetic diet and exercise are the most important and basic for blood sugar control.

Type 1 diabetes is more likely to be wasting, while type 2 diabetes is more likely to be overweight and obese.

Obesity is only the first state of diabetes, as long as the sugar friend's blood sugar control is not good, the weight will become lighter and lighter, and the person will become thinner and thinner. It is not good for diabetics to be too fat or too thin, too fat is not conducive to the overall control of blood sugar, too thin is the body's resistance is reduced, and it is more likely to be invaded by complications.

People with type 2 diabetes are mostly obeseDue to previous obesity, or suffering from three highs, chronic diseases in life, resulting in low insulin sensitivity and low work efficiency, thus inducing type 2 diabetes**The purpose is to give up the previous high-oil, high-fat, high-sugar and high-salt life, eat a light diet, stay away from fried foods, sweet drinks, desserts, and snacks, so as to naturally regulate the symptoms of the three highs, so as to discharge the factors that affect insulin secretion and protect the health of insulin secretion.

It is recommended that friends with obesity problems should regularly monitor their blood sugar levels and do not wait until they are diagnosed with diabetes to think of ** and control blood sugar, and should pay attention to weight control, healthy weight and waist circumference are not only beautiful, but also very important for all aspects of health, especially blood sugar control.

Through a reasonable diet and enhanced exercise, the daily energy intake and consumption are well controlledIn the process of long-term diet and exercise to regulate blood sugar, you can often lose fat and lose weight, the problem of obesity is controlled, and in many cases, blood sugar is also controlled.

It is easy to lead to impaired pancreatic islet function, and due to obesity, the workload of insulin to transport blood sugar is also increased. What ordinary people can solve with 5 units of insulin in a meal, when it comes to fat people, they may need 10 units of insulin. In this way, due to the prolonged overload of pancreatic B cellsIt is easy to lead to impaired pancreatic islet function and permanent hyperglycemia, that is, type 2 diabetes.

If the course of the disease is long or the blood sugar control is not good, the islet function is severely lost, and the blood sugar will still not be lowered if the insulin secretion is insufficient. Therefore, such patients should achieve the goal of lowering blood sugar as soon as possible, and in the short term, there will be more problems after a long time.

Conclusion: Be sure to pay attention to the intake of sugar and oil, which is fundamental. In addition, you can also eat more vegetables and fruits, mainly low in sugar. Slowly the insulin function will recover a little, and the person will also**.

When the weight is not in the normal range, the body will have a decrease in immunity and be susceptible to some diseases, therefore, if the diabetic is too low, we must find the reason and adjust it in time to avoid new problems due to the decline in resistance.