Can life intervention reduce the risk of diabetes? Don't take food as medicine

summary

Diabetes is a chronic non communicable disease, closely related to lifestyle. Standardized drug treatment is very important, lifestyle intervention is also important. According to the report of the World Health Organization, the causes of chronic non communicable diseases include lifestyle accounting for 50% - 55%, environmental factors accounting for 20% - 25%, genetic factors accounting for 15% - 20%, and medical life accounting for 10% - 15%. According to the Chinese Diabetes Association, lifestyle intervention for 6 years can reduce the cumulative risk of type 2 diabetes by 43% in the next 14 years. Good life intervention can reduce the risk of diabetes.

Can life intervention reduce the risk of diabetes? Don't take food as medicine

First, don't treat food as medicine - diabetes prevention and control strategy stresses "keep your mouth shut" and "how to eat" is the most concerned problem of sugar friends. Traditional Chinese medicine believes that Huaishan can "invigorate the spleen and dispel dampness", but if you eat it every day, it will be too much. We can't eat medicine as food, and we can't eat food as medicine. The general dietary principles of Tangyou are reasonable diet, a small amount of multiple meals, high fiber diet, light diet, smoking cessation and alcohol restriction, and control of total calories. Diet should be adapted to the situation, eat seasonal fruits and vegetables. For example, eating pears in autumn can moisten us, and vegetables and fruits in season can help us achieve the balance of yin and Yang. Sugar friends eat to calculate the heat. When adults are at rest, they need 25-30 kcal of energy per kilogram of body weight, including 50% - 60% carbohydrate, 10% - 20% protein, 20% - 25% fat and 33 G protein. In terms of eating time, it should be fixed as far as possible and well coordinated with drug time.

Second: sleep well from 22:00 to 2:00 - some sugar friends don't sleep well. Guo Jiao pointed out that sleep is not "the deeper the sleep, the longer the better.". Some people sleep snoring, may be related to foreign bodies in the upper respiratory tract or high blood lipids. Insufficient sleep time will increase the risk of obesity, too long time will increase the risk of diabetes three times. Since the peak of human growth hormone secretion is between 10:00 p.m. and 2:00 a.m., and is synthesized during sleep, sugar friends must strive to sleep well between 10:00 p.m. and 2:00 a.m.

Third, it is best to choose medium intensity - the formula for prevention and treatment of diabetes, which advocates "stepping forward". Don't exercise on an empty stomach to avoid hypoglycemia. At the same time, it is best to choose moderate intensity sports, such as jogging, cycling, etc. Exercise should pay attention to the protection of feet, often check whether there is damage, to prevent the emergence of diabetic foot. It is appropriate to keep the heart rate 50% ~ 70% of the maximum heart rate during exercise. The maximum heart rate is (male) 205 - age; (female) 220 - age.

matters needing attention

Sugar friends often ask: "blood sugar standards do not have to eat so much?" There are also some sugar friends who will stop taking their own drugs, or who will follow suit to buy the antidiabetic drugs they take when they see a doctor. However, this is wrong. The pathogenesis of diabetes is complex, and there are many factors affecting the efficacy, which are related to individual age, gender, weight, complications and so on. Self reduction, withdrawal or imitation of other diabetic patients will lead to a resurgence of hyperglycemia, leading to deterioration of the disease. Sometimes, the blood sugar is up to the standard, but the metabolism in the body has not been improved. The disappearance of symptoms does not mean recovery. Must be under the guidance of doctors for standardized treatment, do not reduce or stop the drug. Treatment of diabetes should begin immediately after diagnosis. When the target HbA1c level cannot be reached, other drugs must be added to the basic treatment. Diabetes treatment emphasizes patients' self-management. As a lifelong disease, the self-management ability of patients is also the key to the success of disease control. According to the "Chinese guidelines for the prevention and treatment of type 2 diabetes", diabetic patients can improve their compliance by about 10% by strengthening the management of self-behavior, which can reduce glycosylated hemoglobin by about 0.1%. The UK Prospective Diabetes Study (UKPDS) showed that after 6 months of diabetes education, the blood glucose of the intervention group decreased significantly, and the decrease of glycosylated hemoglobin was 0.32% more than that of the control group. In order to realize self-management, sugar friends should have a scientific and correct understanding of diabetes, choose the right doctor, follow the doctor's advice, and find the best doctor. It is impossible not to follow the doctor's advice. The short-term goal of Tangyou is to eliminate symptoms and prevent acute metabolic complications, while the long-term goal is to prevent chronic complications, improve the quality of life and prolong life.