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The current view is that early application of insulin can not only preserve the remaining insulin secretion function of the patient's own pancreas, but also control blood sugar relatively well, and at the same time delay the occurrence of complications. However, if the history of diabetes is very short and the blood sugar is not very high, there is no need to take insulin as soon as it is detected. Strict control of blood sugar is good for delaying complications.
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For diabetes, long-term, early, comprehensive, and individualized measures are mainly advocated; Different types choose different schemes. Key points:1
dietary control; 2。Motion**; 3.Drugs**; 4。
Monitor your blood sugar regularly. The first two are mainly for mild increases in blood sugar, and some patients can get ** after diet and exercise**; When the first two cannot achieve the first effect, it is necessary to cooperate with the drug; Moreover, it is necessary to adjust the dosage according to the level of blood sugar to avoid *** and complications. The following is mainly for different types of type II diabetes mellitus to choose different drugs, to explain (mainly oral drugs):
1.Sulfonylureas: Commonly used drugs are glibenclamide, glichite, etc.
It is mainly suitable for non-obese type II diabetes. The mechanism is to promote the increase of insulin secretion and improve insulin sensitivity. It's ***:
Can cause hypoglycemia (the main one); reactions of the digestive tract – such as nausea, vomiting, etc.; damage to the liver (check liver function); Decrease in white blood cells (regular blood tests). 2.Biguanides:
Metformin is commonly used. It is mainly indicated for type 2 diabetes mellitus --- obese or overweight preferred. The mechanism is to increase the uptake and utilization of glucose in peripheral tissues, and inhibit gluconeogenesis and glycogen decomposition.
It has no hypoglycemic effect on normal blood sugar patients and does not cause hypoglycemia. Its main ***: promote anaerobic glycolysis, which can produce lactic acid; Gastrointestinal reactions, allergies.
Contraindications: diabetic ketoacidosis, acute infection, heart failure, liver and kidney failure, ischemia and hypoxia heart disease patients and pregnant women. 3.?
Glucosidase inhibitors: commonly used are acarbose, voglibose. It is mainly suitable for patients with normal fasting blood sugar and elevated blood sugar 2 hours after meals.
: gastrointestinal reactions, abdominal pain, diarrhea. 4.
Insulin sensitizers - glitazone: commonly used are rosiglitazone, pioglitazone. It is suitable for type II diabetes mellitus and mainly improves insulin resistance.
: anemia, edema, weight gain. Contraindications:
Same as sulfonylureas, heart failure, liver disease. Diabetes itself can cause fundus arteriosclerosis and retinitis. It is recommended to take such drugs and liver protection drugs at the same time to alleviate ***.
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First of all, it is important to make it clear that diabetes is a metabolic disease of the endocrine system that causes disorders of glucose, protein, and fat metabolism by detecting elevated venous plasma blood glucose, defective insulin secretion, or defective action. Secondly, it is necessary to clarify which type of diabetes it belongs to before considering the ** plan. There are several common types of diabetes:
type diabetes mellitus; type diabetes mellitus; 3. Gestational diabetes; 4.Other specific types of diabetes mellitus with a clear cause. Type I diabetes can occur at any age and is more common in adolescents; There is a tendency to ketoacidosis, often with autoantibodies, and insulin is needed to control metabolic disorders and sustain life.
Type II diabetes can occur at any age, more common in adults, and obese; Also called insulin-independent. Gestational diabetes is the first detection of any degree of glucose intolerance during pregnancy. The above types are mainly manifested by three more and one less
Polydipsia, polyphagia, polyuria, weight loss. A common complication is reactive hypoglycaemia. Diagnostic criteria for diabetes mellitus:
1.Symptoms + Arbitrary Blood Sugar》 2Fasting blood glucose》 3
In the glucose tolerance test, the 2-hour fasting blood glucose》 1+2, or 1+3 can be confirmed. The rest will be replenished in time.
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With the continuous change of consumption level and lifestyle, the incidence of diabetes is constantly increasing! According to professional statistics from 2015 to 2017, the incidence of diabetes has increased by the rate of type 1 diabetes patients, type 2 diabetes patients, special type diabetes patients and gestational diabetes patients. Among them, type 2 diabetes accounts for more than 90%, that is, 1 in 10 people is a type 2 diabetes patient, which can be said to be quite high!
There are many complications of diabetes, and what can be done to control blood sugar?
Control your diet and keep your blood sugar levels level
Patients need to maintain a regular schedule of three meals, following the basic principle of eating smaller, more frequent meals. You can communicate with a senior dietitian to add healthy body fat, protein, whole grains, vegetables and fruits and low-fat healthy drinks, dried fruits, fish, legumes, oat flour, broccoli, sweet potatoes, fruits, etc. to keep your blood sugar stable.
Vaccinations to prevent complications
Diabetic patients are very likely to cause their own immunity to be lower, and other symptoms and feelings are coming! Patients can be injected with chickenpox vaccine, herpes zoster vaccine, pneumococcal vaccine, diphtheria, tetanus, and hepatitis B vaccine.
A variety of fitness exercises to improve blood sugar control
Fitness includes aerobic exercise** and resistance training. Among them, aerobic exercises** include tai chi, table tennis, swimming, running, hiking, badminton, etc. Resistance training incorporates:
Rally with energy workouts, dumbbell exercises, planks, and more! According to the choice of aerobic exercise**, the combination of resistance training can improve blood sugar control, improve capillary epidermal effect, and reduce inflammation. However, it is important to note that fitness should be done according to one's own ability and perseverance!
Self-monitoring of blood sugar to avoid blood sugar too high and too low
Patients can monitor their own blood glucose at home and monitor their blood glucose according to the night when they collect blood from their fingers. If you have physiological pain and psychological burden on blood collection, you can also choose silicon-based cool continuous glucose water monitoring system software, which is key to monitor the blood glucose concentration value of skin tissue fluid according to the glucose water sensor, and give a full range of blood glucose information content, blood sugar fluctuations and high and low blood sugar early warning information. No pain, moisture-proof, immediate and continuous, independent innovation medical equipment independently developed by Shenzhen Silicon-based Bionic Technology, at this stage, 37 patent inventions have been declared for relevant key technologies, of which 12 have been authorized by patent inventions.
For what is said today, everyone has different opinions and ideas, you can leave a message to discuss together, looking forward to your reply! If you liked this article, don't forget to help like, comment, ** and bookmark.
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1.Control your diet. Consume at regular intervals and at every meal each day. 2.Exercising, moderate intensity, is very good for blood sugar control. 3.Improve sleep quality and maintain a happy mood.
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You can take some insulin and take more medicine to control blood sugar, or you can eat less staple foods, don't eat seafood, don't eat foods with high sugar content, and drink more water and exercise more.
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We can drink medicine, we can also control blood sugar by eating, doing exercise, maintaining a calm mood, monitoring blood sugar usually, and people with blood sugar must eat less sugar.
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Eat less foods with high sugar content, pay attention to exercise, don't eat cakes, don't eat chocolate, eat less fruits with high sugar content, and take medications on time.
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First of all, it is clear that hypoglycemic drugs alone cannot effectively prevent the occurrence of complications. It is already considered a consensus among diabetic patients, so how can we effectively avoid complications?
Three suggestions for you:
1. Blood sugar should be stable. Remember that it is not a simple blood sugar reduction, but a real stable blood sugar, and the blood sugar caused by simple blood sugar reduction will be high and low, damaging the blood vessel wall, not only can not prevent complications, but may even aggravate it;
2. Smooth blood flow. At present, more than 100 kinds of diabetes complications are basically caused by poor blood flow caused by vascular lesions, such as cardiovascular and cerebrovascular diseases, microvascular diseases and kidney diseases, etc.;
3. Metabolism should be balanced. Diabetes mellitus is a metabolic imbalance disease, the metabolic imbalance of blood glucose, blood lipids, proteins and other substances, and the failure of the viscera caused by this metabolic imbalance is also an important cause of complications.
If you want to use medicine, it is recommended to use Tang Yikang's metabolic balance plan to strengthen the spleen and invigorate qi, balance and transport, invigorate blood, dispel turbidity, dredge qi and blood, and the most rare thing is that blood sugar is stable.
Dear, diabetes is not terrible, the really terrible complications, prevent complications, and defeat diabetes.
Good luck with a speedy recovery.
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Guang'anmen Hospital, China Academy of Chinese Medical Sciences-Department of Endocrinology-Chief Physician-Zhang Runyun-How to Prevent Diabetes Complications.
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Recommendation: Good blood sugar control can prevent complications, there are no drugs that specifically prevent complications.
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If your blood sugar is well controlled, you are less likely to have complications. A double-A cell repair protocol is also recommended.
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Western medicine is the mainstay, Chinese medicine is the auxiliary!
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The best way for diabetic patients to control blood sugar is to use orthomolecular L arabinose, the effect is relatively pure, there is no bad place, in terms of diet, cereals, such as soba noodles, buckwheat noodles, oatmeal noodles, cornmeal and other staple foods rich in vitamin B, a variety of trace elements and dietary fiber, long-term consumption can reduce blood sugar and blood lipids;
Beans and soy products, soy foods are rich in protein, inorganic salts and vitamins, and soybean oil contains unsaturated fatty acids, which can reduce serum cholesterol and triglycerides;
Bitter gourd, onion, shiitake mushroom, grapefruit, pumpkin can lower blood sugar, is the most ideal food for diabetics, if you can take some propolis for a long time, the effect of lowering blood sugar and preventing complications will be better.
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Diabetics should have a scientific diet, and they can choose a variety of foods when their blood sugar is stable and ideal; On the contrary, try not to eat foods and fruits with a high glycemic index. Food alone cannot control blood sugar, and even some irrational "hypoglycemic foods" are at best slowing down the rate of blood sugar rise.
In addition to variety, the distribution of three meals should also be considered, i.e. 1 5 for breakfast and 2 5 for lunch and dinner is a good choice; Third, we must grasp that the total intake in 24 hours should not exceed the standard; Fourth, we should pay attention to the saturation of seven or eight minutes per meal, and don't eat fast; Fifth, we should pay attention to comprehensive nutrition, coarse and fine grains, and increase the body's immunity.
Take a good diet, open your legs, persevere, anti-sugar and hypoglycemic, and quality life, in order to be healthy, happy and happy!
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Diabetics must eat every meal on time, try to eat less liquid food, such as rice porridge, millet porridge, etc., which is absorbed quickly and blood sugar rises quickly. Eat some steamed bread pasta, absorb slowly, eat more green leafy vegetables, and walk and exercise after meals to control blood sugar. If you are used to drinking porridge, you can cook rice porridge for seven years.
Oatmeal with milk, seaweed egg drop soup, vegetables are not taboo. Don't eat too greasy things, patients should strengthen nutrition from time to time, diabetics are more likely to lose nutrients than ordinary people, and they should also strengthen exercise.
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Eating royal jelly can lower blood sugar and improve immunity.
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For diabetic patients, the stability of blood sugar is very important, and if you want to control blood sugar well, diet is the key, so let me introduce you to 4 foods that can lower blood sugar.
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There is nothing that cannot be eaten for diabetes, how to eat is the key. To put it simply, the basic elements of life are sugar, fat, and protein, all of which are indispensable. Sugars, fats, and proteins can be converted within a certain range, and some special proteins and fats must be obtained from animal and plant foods.
It is difficult for non-medical personnel to understand the mystery, and it is even more difficult to use these knowledge points flexibly, so it is recommended that you understand this basic concept.
In terms of diabetic diet control, listen to the doctor's opinion, in principle, the amount of food is better to be seven points full at each meal, and to maintain weight. Staple food to pasta, corn and other coarse grains as well, of course, this does not include sweet potatoes, potatoes and other high-starch food, supplementary food to soy products, fish, eggs, milk, lean meat, vegetables and fruits, fruits try to eat some low sugar content, such as pomegranate, peaches and the like. In the case of eating more complementary foods, the amount of staple foods should be appropriately reduced.
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Patients should pay attention to controlling the total calories of the diet, eat small and frequent meals, drink more water, supplement more dietary fiber and vitamins, must control cholesterol content, and eat more fresh vegetables. Diabetes generally requires lifelong hypoglycemic drugs, pay close attention to the changes in fasting blood sugar, and consider taking a look at traditional Chinese medicine.
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To control blood sugar, it is recommended to have a positive molecule of arabinose, inhibit the intake of sugar, like to drink porridge cooked, boiled food and watery food is easy to be digested and absorbed, and the blood sugar rises quickly. For example, blood sugar rises quickly after eating porridge, while rice or tortillas digest slowly, and their carbohydrates release glucose slowly, so blood sugar rises slowly. Some people think that drinking porridge is like drinking sugar water, which is an exaggeration.
However, it is true that drinking porridge, especially thick porridge with thick rice that has been cooked for a long time, does rise faster than blood sugar after eating dry rice. Therefore, diabetic patients with poor blood sugar control should change their habit of drinking porridge.
Eating more soy products and eating soy products (soy juice, tofu, etc.) in moderation is indeed good for health. Soy products do not contain sugar, not that it will not be converted to sugar, but the conversion is slower (about 3 hours) and will eventually be converted to glucose, causing blood sugar to rise. Especially for the elderly and those with a long course of disease, if you do not pay attention, eating too much plant protein in large quantities will cause too much nitrogenous waste in the body, increase the burden on the kidneys, and further reduce kidney function.
For those with proteinuria, it is best to try to eat white meat such as fish and poultry.
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