Breakfast is not conducive to a simple blood glucose control

Health care

Is generally believed that patients with diabetes mellitus, and fasting blood sugar compared to postprandial hyperglycemia larger harm. This is because the human body within 24 hours most of the time in the postprandial state, the real fasting state (after dinner a few hours to early morning before breakfast) shorter. It is not hard to understand, postprandial blood glucose is the key to diagnosis and treatment of diabetes, postprandial blood glucose monitoring and control is even more significant. Many patients found that compared with lunch or dinner meal, blood glucose levels after breakfast, higher, more difficult to control some. Why is this? In addition to blood glucose fluctuations in insulin disorder per se, but also to breakfast with a variety of food to poor.

Traditionally, people eat breakfast are relatively simple, the main food mostly bread, biscuits, bread, steamed rolls, rice, noodles, etc., plus milk, eggs, milk and other simple combinations. The staple food of the common feature is easy to digest and absorb, is the glycemic index (GI) of food higher, so the increase in blood sugar faster and higher level. Healthy people, the use of limited appetite for consumption of these can quickly raise blood sugar, in a timely manner to provide energy for the brain food is a good thing, but glycemic control in diabetic patients is harmful. In addition, compared with the other two meals, most people have a lack of vegetables for breakfast. Vegetables are a major source of dietary fiber, dietary fiber not only in the small intestine can not absorb its own, and interfere with digestion and absorption of carbohydrates. So when mixed vegetables and other food consumption, you can reduce the speed of blood sugar, so that mixed food glycemic index (GI) decreased, thus facilitating the postprandial blood glucose control. Cooking oil used in cooking almost 100% pure fat. With different carbohydrates, fat in the stomach to stay for a long time into the small intestine (empty) slower. Because intestinal absorption of carbohydrates is the main place, so the "water" (high fat) foods, such as cooking, meat, eggs or sugar slower on the glycemic index (GI) lower. Of course, excessive intake of fat should be noted that diabetes is also unfavorable. In addition, the total amount of carbohydrates contained in food is high or low blood sugar level after meal a decisive factor, so the total control of breakfast food, but many are also key.

Based on the above analysis, the control level of blood glucose after breakfast, the measures are:

1. Breakfast food variety not to be too simple to mix a variety of food to eat, especially to with more vegetables, especially the fried vegetables. Note, however, to control the total amount of variety in the diabetic diet plan, no more.

2. Staple food categories to choose glycemic index (GI) lower species, such as coarse grains, mixed beans, whole grains, etc., and is best not to porridge.

3. Konjac, edible fungus, mushrooms and other foods rich in dietary fiber and cereals with food, they help to reduce the mixed diet of postprandial blood glucose levels.

Other measures to reduce energy breakfast accounting for the proportion of days of food; adjust the dosage before breakfast and so on.

Glycosylated hemoglobin blood glucose control Dinglao

FDA (Food and Drug Administration U.S. Food and Drug Administration) has officially announced that there is not any clinical studies confirm that oral antidiabetic drugs can reduce the risk of cardiovascular disease. Experts point out that type 2 diabetes can lead to multiple complications, long-term effective control of blood sugar in type 2 diabetes treatment goals. If you can completely normal blood glucose control in the context of, you can delay or prevent diabetes complications. The glycated hemoglobin (HbA1C) is an internationally recognized diabetes control "gold standard."

More than half of type 2

Diabetes complications

Surveys show the country of type 2 diabetes blood glucose control in patients with less than 30% compliance rate. The glycemic control of chronic non-compliance will cause complications. More than half of patients with type 2 diabetes at least one kind of complications.

According to reports, up to 4 percent of people with diabetes can cause cataracts complicated; and renal microvascular complications of diabetes can lead to uremia; diabetic retinal microvascular complications can lead to blind. More noteworthy is that, cerebrovascular and cardiovascular complications in diabetic patients is the main reason for premature death, while the lower limbs of diabetic patients with vascular disease is caused by the main physical disability.

Experts pointed out that the complications of diabetes is not only a serious threat to the health of patients, patients returned to an enormous financial burden. Survey, there are complications in patients with type 2 diabetes are hospital charges and times the per capita direct medical costs of up to 4 times in patients without complications. In addition, type 2 diabetes per capita direct medical cost of 9115.1 yuan, accounting for the proportion of disposable income in Shanghai was 77.8%, to 177.9 percent in Xi'an. National City type 2 diabetes and its complications in patients with the total cost of 23.38 billion yuan.

Medication on time

Still need regular monitoring of blood glucose

"Some patients with diabetic complications and urgent demand, it is easy to fall into the fog of medication in the treatment without realizing it, have all kinds of medication errors." According to experts, some diabetes symptoms used to determine blood sugar under control is good or bad, feeling symptoms too obvious, stop medication. In fact, to estimate the disease symptoms alone is not reliable. Clinical practice, diet and exercise alone can get good control of blood sugar found only in a small number of less severe cases of type 2 diabetic patients, most patients with type 2 diabetes in the initial diagnosis, the need for medication.

Others believe that treatment of diabetic patients taking hypoglycemic drugs on time as long as there is no problem, this is a misunderstanding. Doctors cited an example: Most patients with hypertension is clear, the use of antihypertensive drugs at the same time, the need for regular monitoring of blood pressure to adjust the medication dosage and time. Diabetes as well. Blood glucose control is a life-long, under normal circumstances, when the guidance of a doctor with diabetes, the blood glucose control to a satisfactory level of after, blood sugar that situations sometimes Hui Yin Chuxianbodong, especially in certain exceptional circumstances (such as a more serious infection, excessive mental pressure and exercise, eating less, etc.), blood glucose too high or too low may occur the phenomenon. Thus, while patients take medication, need regular monitoring of blood glucose changes. "Note lifestyle and drug laws, long-term stability and good blood glucose control in diabetic patients is vital." Expert stressed.

Glycated hemoglobin is a "gold standard"

Some patients think that some oral hypoglycemic drugs can reduce the risk of cardiovascular disease, blindness choice of treatment drugs. The FDA recently announced: Up to now, there is no any clinical study confirmed that oral diabetes drugs can reduce the risk of cardiovascular disease.

Experts also pointed out that with the extension of course, many of the effect of sulfonylureas decreased, medicine called "secondary failure of antidiabetic drugs." Some patients do not pay attention periodic review, that has not stopped their treatment, psychological feeling of safety, but the emergence of drug secondary failure, in fact, tantamount to no treatment. Some patients have been eating the medicine, the result was complications occurred, the reason why.

Experts strongly caution patients: the right to focus on prevention and treatment of diabetic complications. Type 2 diabetes treatment goals are long term control of blood sugar. Patients should insist on testing blood sugar, one can understand the disease control as well as clinical outcomes, as well as the drug of choice and an important basis for dosage adjustment. Such as type 2 diabetes, Avandia is a long-term glycemic control in patients with heart medication.

Many patients in the current treatment of the effect of glycemic control are not satisfied with the urgent need to understand how long-term effective control of blood glucose. In response, experts said, glycated hemoglobin (HbA1C) is a measure of the level of blood sugar control "gold standard." Currently doctors are still monitoring the blood glucose and postprandial blood glucose fasting blood glucose as the main basis for prescription, these two indicators are usually expressed only short-term blood sugar levels; and HbA1C, the average life of up to 120 days, can reflect the fasting and postprandial comprehensive level of blood sugar. Study, HbA1C decreased by 1% each, can decrease the risk of diabetes, 21% of deaths, heart attacks decreased by 14%, 37% reduction in microvascular complications, peripheral vascular disease, 43% reduction. Therefore, long-term control of blood glucose lowering HbA1C is a top priority.

Old blood glucose control standards should be relaxed

Blood glucose control is exquisite ", namely, fasting glucose 5678 "pekoe Moore/litre than 5.6 in two hours after the meal, blood glucose don't exceed 7.8 Moore/litre.

People respond to slow nerve, "unaware of hypoglycemia," which has been very low blood sugar, palpitation, but no sweat wait for a symptom, may directly cause hypoglycemic coma. If the elderly patients with diabetes, a seere hypoglycemia may be offset by his lifetime to control blood sugar. Therefore, at the age of 60-70 for elderly patients, if the body condition is good, no risk of hypoglycaemia, also do not have apparent size ascular complications, should try to be close to normal index, namely to control their hemoglobin a1c less or equal to 6.5 per cent, fasting glucose mmol/l less than or equal to 6.2, postprandial glucose in two hours 8mmol/l. At the age of 70 years old, even if new patients in good health, and no complications, nor should strengthen hypoglycemic. If accompanied by cerebrovascular disease, or frequently hypoglycemia, cannot bear the risk of hypoglycaemia strengthening hypoglycemic cause, the above three indexes 7% to 7.5%, 7 ~ 9 Moore/litre and 8-11 Moore/l. If appear serious cerebrovascular and kidney damage and glycated hemoglobin, fasting blood sugar and blood glucose after two hours, 9 Moore / 9% rise, 15 Moore/litre.

High blood glucose can reduce their own immunity, hyperglycemia directly affect the postoperative wound healing, diabetic patients to accept the emergency surgery in the preoperative blood, must to normal. Illness lighter, through diet or oral medication use that can control the illness, preoperative will limit in fasting glucose, 7 Moore/liter postprandial glucose in 8.3 Moore/litre. The heavier conditions to oral glucose-lowering treatment, or merge visceral injury, should use short-acting before 3 days before fasting glucose, insulin should be in 7.2 ~ 8.9 Moore/litre.