Doctor's Tip: With these performances, most of them are diabetic upper body, go to the hospital as soon as possible to confirm the diagnosis.

Many people in modern society are familiar with diabetes. Many people have heard the phrase "diabetes is a rich disease that is eaten." However, by our side, it is often seen that some people, although eating a lot, do not necessarily have diabetes.

So, is diabetes eating?

The Department of Endocrinology of the Guangdong Provincial Hospital of Traditional Chinese Medicine holds a lecture on science of diabetes in the first week of each month. In each lecture, the health concerns of many “sugar friends” are about diet health. Luo Lulu, deputy chief physician of the Department of Endocrinology, Guangdong Provincial Hospital of Traditional Chinese Medicine , introduced 39 Health Network. Diabetes is closely related to “eat”. If you want to prevent diabetes, you should say goodbye to unhealthy lifestyle and eating habits. Diabetic patients need more reasonable diet and standardized nutritional treatment to improve various metabolic treatments and prevent complications from developing and developing.

These risk factors make diabetes "find the door"

Clinically, diabetes is defined as "metabolic disease caused by multiple causes". Chronic hyperglycemia with carbohydrate, fat, and protein metabolism disorders due to defects in insulin secretion and function. Among diabetic patients, type 2 diabetes (T2DM) is the most common. The main type of T2DM is insulin resistance mainly associated with insulin secretion defects, accounting for 90%-95% of diabetic patients. T2DM is a polygenic genetic disease, and the extent of its involvement in the disease and its impact on the disease has not been fully defined.

Luo Lulu believes that the causes of diabetes are complex, and the factors that affect it more clearly include genetic factors, socio-economic factors, and aging population. Unhealthy lifestyles and eating habits are one of the main reasons. At present, the correlation between diabetes and diet still needs to be further clarified.

The risk factors for diabetes are mainly the following:

1. Inheritance: with family focus characteristics;

2. Age: People over 45 years old are at high risk for type 2 diabetes;

3. Unreasonable diet: The high fat and cholesterol diet in the diet destroys the production of insulin and is one of the important risk factors for diabetes;

4. Obesity or overweight: Obesity is an independent risk factor for type 2 diabetes;

5. Pregnancy: gestational diabetes or excessive production;

6. Less exercise: lack of activity, sedentary and less movement is likely to cause extreme decline in insulin sensitivity.

Luo Lulu reminded that people who smoke for a long time are also at high risk of diabetes. Hypertension is also an important risk factor for the development of diabetes. Unreasonable medication can also cause type 2 diabetes. Commonly used drugs that cause type 2 diabetes include thiazide diuretics and steroids.

In addition, people with long-term mental stress are also at higher risk of diabetes. This is because the spirit is highly stressed for a long time, which will cause excessive secretion of adrenaline, which will cause blood sugar and blood pressure to continue to increase, affecting islet function and increasing the risk of diabetes.

In general, the onset of diabetes is not just because of “eat”, but it is closely related to “eat”. The causes of increased prevalence of diabetes are related to genetic factors, socioeconomic development, an aging society and unhealthy lifestyles and eating habits.

"If you don't want diabetes to find a door, you should immediately improve your bad eating habits." Luo Lulu pointed out that we may not be able to change the risk factors of diabetes, such as heredity, social environment and age, but for unhealthy lifestyles and unreasonable eating habits, we are It can be corrected to keep yourself away from the risk of diabetes.

Be alert to these early symptoms of diabetes

Common symptoms of diabetes are polyuria, polydipsia, polyphagia, and weight loss without cause. Luo Lulu said that in addition to the above symptoms, early diabetes will have other symptoms that are easily overlooked. Many people often fail to notice these early symptoms, and miss the opportunity to treat and control blood sugar early.

In general, common early symptoms of diabetes have these aspects:

1. More urine, thirst and polydipsia;

2. Weight loss, weight loss;

3. Easy to be hungry and eat more;

4. Blurred vision;

5. Weak and easy to get tired;

Note: Children may suffer from growth and development; women are accompanied by genital itching.

Is there any of the above symptoms, is there diabetes? Luo Lulu said that in the outpatient clinic, whether a person has diabetes or not, in addition to referring to the above symptoms, further blood sugar test is needed. When the test results are consistent with the clinical diagnostic criteria of diabetes, it can be judged whether or not diabetes is present. The following three indicators can be used for the initial diagnosis of diabetes, but no matter which one is used, venous blood should be used on another day to repeat the diagnosis with any of the three indicators.

The clinical diagnostic criteria for diabetes are:

1. Diabetes symptoms + random venous plasma glucose ≥ 11.1mmol / L (200mg / dl)

2. Fasting venous plasma glucose (FGP) ≥7.0mmol/L (126mg/dl)

3. OGTT test, 2h intravenous plasma glucose ≥ 11.1mmol / L (200mg / dl)

"Eat" disease - diabetes is closely related to diet

Nutrition is the foundation of diabetes management. Nutritional therapy is an indispensable measure for prevention and control in the development of diabetes. According to the 2013 China Guidelines for Type 2 Diabetes Prevention, the nutritional treatment of diabetes includes controlling total calories, reasonable rations, light taste, high-fiber diet, small meals, and no-smoking.

The goal of diabetes nutrition therapy is to balance the nutrition and health; to control the calories reasonably, to maintain the standard weight of adult patients, to engage in normal activities; to improve blood sugar, urine sugar, blood lipids, reduce the burden of islets and correct metabolic disorders; prevent complications The occurrence and development.

According to the requirements of the 2009 Guidelines for the Prevention and Treatment of Type 2 Diabetes in China, the nutritional mix of diabetic patients should be rationalized. The daily energy supply ratio of the three major nutrients should be ≤30% fat, 15%-20% protein, and 50%-60% carbohydrate.

What should I do? Luo Lulu said that in daily life, we can give priority to healthy foods as a daily diet, and replace some foods in daily diet with healthy foods to make the nutrition mix healthier. For example , coarse grains such as oatmeal and wheat can replace some of the fine grains . When you usually eat rice as a staple food, you can add oatmeal to the rice to make oatmeal, or occasionally use multigrain porridge and oatmeal coarse grain bread as the staple food. Soy and soy products can replace some animal foods. Don't ignore vegetables in every meal, vegetables can provide rich dietary fiber, delaying blood sugar after meals.

Unsuitable foods are sugary foods, animal fats rich in saturated fatty acids, and visceral foods such as liver, kidney, and sputum rich in cholesterol.