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Dieting and overeating are the foundation of diabetes**. Effective dietary control is not only good for blood sugar control, but also for weight control. However, diet does not equal hunger.
If sugar friends over-diet or picky eating, it can lead to malnutrition, anemia, calorie deficit, hunger ketosis, etc. And it will significantly reduce the body's resistance. For diabetic patients, the correct diet** is to appropriately limit the total calories of daily food while maintaining nutritional balance while meeting the needs of physiological activities.
Diet** should never be one-size-fits-all. For diabetic patients who are significantly emaciated or pregnant, dietary control standards should be appropriately relaxed. Hyperglycemia is common in diabetics who have an excessive hypoglycemic effect, so some sugar friends just want to lower their blood sugar, thinking that the lower the blood sugar, the better, which is obviously wrong.
High blood sugar is not ideal for people with diabetes, and low blood sugar is just as dangerous. Mild hypoglycemia manifests as palpitations, sweating, dizziness, and claudication, while severe hypoglycemia can lead directly to impaired consciousness, coma, and even death. In addition, long-term hypoglycemia can also lead to mental retardation and even dementia.
Therefore, it is necessary to pay attention to a certain extent when lowering blood sugar. Long-term blood sugar control is within the standard range. And obesity is one of the important causes of diabetes, which can help people with diabetes improve insulin resistance.
However, diabetic patients should also pay attention to a certain degree of weight loss, and it is best to control the weight within the standard range. If sugar friends are too thin, it will lead to a deterioration in nutritional status and a significant decrease in the body's resistance. In addition, due to the decrease in glycogen stores in the liver, the ability of emaciated diabetic patients to self-regulate blood sugar is reduced, which greatly increases the probability of hypoglycemic symptoms.
Concurrent gastrointestinal and digestive disorders. Due to the influence of hyperglycemia, neuropathy, gastrointestinal hormonal changes, etc., diabetic patients have gastrointestinal digestive system diseases. Gastrointestinal disorders often cause diarrhea or slow gastrointestinal motility, causing food nutrients to be excreted before they are absorbed by the stomach.
Over time, people with diabetes can become malnourished. Diabetes itself has a poor ability to absorb nutrients. Diabetes is characterized by insufficient insulin secretion.
Insufficient insulin secretion leads to insufficient absorption of glucose by cells. On the other hand, insulin resistance and insensitivity to insulin make it impossible for cells to absorb glucose in the blood. Over time, people with diabetes can become malnourished.
The principle of dietary control for diabetic patients is to control the total intake, reasonably match three meals a day, and ensure the intake of high dietary fiber and high-quality protein. However, many diabetic patients do not have a good understanding of the existence of a diabetic diet, resulting in overkill or unreasonable menus. For example, doctors often recommend diabetic patients to eat more coarse grains, which are rich in dietary fiber, which can enhance intestinal peristalsis, delay intestinal absorption of sugar, increase satiety, and help patients control blood sugar.
However, some patients eat only whole grains. Although whole grains are rich in dietary fiber, they lack the energy and other nutrients that the body needs, leading to malnutrition.
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There are two common causes of diabetic malnutrition: 1. Diabetic patients have too strict dietary control and insufficient nutrient intake, which can lead to nourishing malnutrition. 2. Diabetic patients with diabetic nephropathy have increased protein loss in urine and increased loss of nutrients, which can lead to hypoproteinemia.
Patients often have insufficient intake, which can aggravate the deficiency of nutrients, which can lead to malnutrition, hypoproteinemia, and anemia. For the clinical manifestations of diabetic malnutrition, it is necessary to treat the patient's **. If malnutrition due to dietary control is present, the diet needs to be modified to increase protein intake and return the patient's weight to the standard weight.
For patients with diabetic nephropathy, it is necessary to give standardized proteinuria lowering and kidney-preserving ** as soon as possible to avoid the occurrence of severe malnutrition.
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You can eat some eggs and milk, which will make the body replenish a lot of protein, and you can also eat some calcium tablets to relieve your high blood sugar, which can also improve malnutrition.
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Don't eat some high-fat foods, you can eat some dairy products, egg products, soy products, fish and lean meat foods, and don't eat some fruits with high sugar content.
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Diabetic patients should strengthen nutritional support when malnutrition**, on the one hand, to ensure that malnutrition is improved, on the other hand, it has little impact on blood sugar, it is generally recommended to eat more foods with high protein content, such as lean meat, eggs, milk, etc., which are helpful for body recovery, and have little impact on blood sugar.
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Malnourished patients with diabetes mellitus not only need to improve their malnutrition, but also control their blood sugar, so it is recommended that patients eat more foods that are high in protein.
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To improve the nutritional status of diabetic patients, the main thing is to give a balanced diet, also known as a weighing diet, the types of balanced diet include: cereals and potatoes, fruits, vegetables, fish, poultry, eggs, as well as milk, soybeans, nuts, etc., but the amount of them should be controlled, according to the patient's age, disease, physical condition, blood sugar, height, weight whether there are complications and the amount of activity to calculate the energy required.
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Malnutrition in diabetic patients is common for three reasons.
1. Concurrent gastrointestinal and digestive diseases.
Because of the influence of high blood sugar, neuropathy, changes in gastrointestinal hormones, and other reasons, it leads to gastrointestinal and digestive diseases in diabetic patients. Gastrointestinal diseases, such as frequent diarrhea or slowing down of gastrointestinal peristalsis, lead to the excretion of food nutrients before they are absorbed by the stomach and intestines. Over time, diabetics can become malnourished.
2. Diabetes itself has a poor ability to absorb nutrients.
Diabetes mellitus is caused by defective insulin secretion. Insulin secretion is insufficient, resulting in the body's ingestion of glucose not being adequately absorbed by cells. On the other hand, insulin resistance occurs and the cells are insensitive to insulin, so that the cells are also unable to absorb glucose in the blood.
Over time, diabetics become malnourished.
3. Unreasonable diet control
The dietary principle of diabetic patients is to control the total intake, reasonably match three meals a day, and ensure the intake of high dietary fiber and high-quality protein.
However, many diabetic patients have insufficient awareness of the existence of a diabetic diet, which leads to overcorrection or unreasonable meal combinations. For example, doctors often recommend diabetic patients to eat more coarse grains, which are rich in dietary fiber, which can enhance intestinal peristalsis, delay the absorption of sugar in the intestines, and increase satiety, which is conducive to blood sugar control.
However, some patients become a malnourished person who eats only whole grains, which are rich in dietary fiber, but lack the energy and other nutrients needed by the human body.
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Because diabetics are unable to absorb the nutrients they are ingested. So there will be malnutrition.
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Because diabetics can't eat a lot of things because of their illness.
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Because they can't eat sugar, but a lot of foods contain sugar, so they can't eat this kind of food either.
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Because they can't consume too much sugar, they become malnourished.
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According toGuidelines for Medical Nutrition for Diabetes, diabetics face severe malnutrition. The main causes of malnutrition in diabetic patients are as follows.
1. Limited food options
From the perspective of the personal behavior of sugar friends, due to the impact of diet on blood sugar, many sugar friends will deliberately diet to control blood sugar, which will lead to a decrease in nutrient intake. For example, many fruits are not suitable for consumption due to their high sugar content or high sugar content.
From a food perspective, a growing number of studies have found that the nutrients in food are gradually decreasing. Whether in developed countries or in China, comparing the data of food ingredient determination over the years, we can see that the nutrient content of many common food ingredients seems to be getting lower and lower. Eat the same amount of food, but get less and less nutrients!
2. The best of various hypoglycemic drugs
Some oral hypoglycemic drugs may affect nutrient absorption and utilization. For example, long-term use of metformin may lead to malabsorption of vitamin B12. After 1 year of metformin**, serum B12 levels decreased in 7% of patients.
Glucosidase inhibitors can cause gastrointestinal adverse effects and even reduce iron absorption and anemia.
3. Intestinal damage affects absorption
Digestive complications of diabetes are one of the common complications. The incidence is about 50%. The most common type is diabetic gastroparesis, which can cause dysphagia, upper abdominal distention, hiccups.
In severe cases, it can lead to gastric retention and stubborn vomiting, leading to digestive disorders. Intestinal dysfunction can also cause chronic diarrhea, especially in the second half of the night, commonly known as "five liver diarrhea"; There are also people who alternate with diarrhea and constipation, leading to digestive and absorption disorders.
4. Excessive urination
Polyuria is one of the typical symptoms of diabetes. An increase in urine output can also lead to the excretion of trace elements such as minerals in the urine. In kidney disease, the inherent cells of the kidneys are damaged, the permeability of the glomerular filtration membrane increases, and the loss of protein in the blood increases.
When the protein synthesized into the body and liver is not enough to compensate for the loss, the protein in the blood decreases, resulting in hypoproteinemia.
What to do if sugar friends are malnourished?
Even with the same diet, people with diabetes are at greater risk of malnutrition. In the daily diet, in addition to considering the impact of diet on blood sugar, we should also pay attention to adequate nutrition to ensure the normal functioning of the body's metabolism. This leads to a conflict in diet.
If you eat too much, you will be afraid of the sugar rising. If you eat less, you will be afraid of malnutrition. Reasonable nutritional choices can be a good solution to the contradictory problem.
Fangtejian Nutrition Bar is a nutritious alternative food for Tang oil. Its main ingredients are oats, quinoa, whey protein isolate, large fruit, pomegranate seeds, cashew nuts, almonds, etc., rich in high-quality dietary fiber and fatty acids, which can stabilize postprandial blood sugar, regulate blood lipid levels, long-term satiety, and solve the problem of stomach hunger.
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The pathogenesis of diabetes is very complex, affecting the secretion and function of a variety of hormones in the body. The hormones that regulate blood sugar concentrations in the body are glucagon and insulin, which regulate each other and keep the body's blood sugar within the normal range. However, the relevant hormones in the body of diabetic patients are often out of control, which affects the normal physiological activities of the human body.
Among them, the digestion and absorption of the gastrointestinal tract also depends on the normal internal environment of the body, when the internal environment is out of balance, gastrointestinal malabsorption disorders will lead to malnutrition.
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In fact, the main reason for malnutrition is that diabetes has a lot of things that cannot be eaten, so it will cause complications after eating, so if it continues like this for a long time, it will cause malnutrition.
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Because diabetic patients do not have enough insulin secretion in their bodies, after ingesting food, the excess sugar in the body is not processed in time, and it will be excreted with the urine, and other nutrients in the body will also flow out with the urine. Causes malnutrition.
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Because diabetic patients have increased loss of protein in the urine, the loss of nutrients increases. There are also diabetic patients who have too strict dietary control and insufficient nutrient intake, which can lead to nourishing malnutrition.
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The main reason why diabetic patients are malnourished is that they actually have a lot of taboos in their diet, which may lead to incomplete nutrient intake.
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How can you avoid malnutrition?
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Diabetes should be seen in an endocrinology department. If you have diabetes, you must pay attention to your diet, the diet should be light, eat more fresh vegetables and fruits, reduce sugar intake, exercise appropriately, maintain a good attitude, don't be too nervous, relax your mind, exercise appropriately, go to bed early and get up early, and maintain adequate sleep.
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