Meal arrangements for patients with diabetes mellitus during the treatment is an important element. "Eat" the basic knowledge of the patient to grasp, because patients are eating their own arrangements for accommodation, only in case of severe disease only in the hospital.
Some patients to eat food that will increase blood sugar, eat food will be able to control diabetes, this understanding is not correct. Food is essential, the diet of diabetic patients should still have enough heat in a balanced diet, according to the patient's weight and labor intensity, and the development of their total daily calorie requirements. The total heat of 50% -55% should come from carbohydrates, mainly to provide food; 15% -20% of the calories provided by protein; the remaining 25% -30% of the calories provided by fat, fat, including cooking oil . If you do not eat or eat very little food, the heat supply of protein and fat on the long run, patients with arteriosclerosis, cerebral thrombosis, cerebral infarction, myocardial infarction and lower extremity vascular stenosis or occlusion of a much greater chance of having an accident. Do not eat food, but also prone to ketosis.
Currently on the market a "sugar-free" food, generally refers to these foods do not add sugar, instead of using the sweetener made from sweeteners and flour to eat a variety of food production, such as flour or rice flour Food should be the staple food in the amount of provisions, but also can not eat, and eat after the blood sugar is elevated.
Since not dare to eat sweets, eat more meat, etc. Can it? Eating too much meat, there will be patients with elevated blood lipids and increase the incidence of coronary heart disease the opportunity to heat meat to provide high patient easily fat. Therefore, intake of meat products should be included in the distribution of protein and fat volume.
In addition, diabetic patients should be low-salt diet, low fat, eat more fresh vegetables. Patients with diabetes control diet is a balanced diet of total calories. Calories based on food, we have developed an exchange of food, each of 90 kcal. For example, 25 grams of rice is 1, 200 grams of apples is 1. If a patient required to heat 1,800 kcal per day is 20. Food accounted for 10, ate 1 apple 25 grams of rice to eat. Eat fruits should also be included in the total calories, and they should not eat meals at the same time, but as snacks between meals, so that more appropriate arrangements. Way exchange of food, patients need to know. The relationship between diabetes mellitus and coronary heart disease is a systemic metabolic disorders will lead to the fact that coronary heart disease has been recognized by scholars at home and abroad. Another survey showed that the age of 36 ~ 62-year-old in 5209 who carried out the 20-year observation study showed that in diabetic patients, both men and women, different age groups, the incidence of cardiovascular disease are diabetic group was higher than non-diabetic group.
Diabetic patients with coronary heart disease causes of increased morbidity is not very clear, but easily lead to diabetes atherosclerosis has been recognized. Most scholars believe that obesity, hypertension, hyperlipoproteinemia, high blood sugar, hyperfibrinogenemia (that is, insulin resistance syndrome), these elements are inseparable. Fat so that the biological role of insulin in some people being undermined, that is, these people have the body to insulin resistance, in order to ensure normal blood glucose level, pancreatic β-cell secretion than normal must be high several times, and even a few times of insulin , the formation of hyperinsulinemia, but also resulted in elevated blood sugar, blood triglyceride levels, HDL C lowering elevated plasma fibrinogen, which are all atherosclerosis risk factors. At the same time, insulin itself also has to promote atherosclerosis and, accordingly, oral hypoglycemic agent methyl urine or category, such as injecting insulin through different channels so that blood insulin levels, which may further aggravate the pathological changes of vascular sclerosis.
In addition, when diabetic patients with coronary heart disease, coronary heart disease in some of the clinical symptoms appear late or to conceal, but also should be of great importance to clinicians. Because of diabetic neuropathy can affect any part of the nervous system, especially the ending, when the patient's damaged nerve endings, the pain threshold increased, even if there were serious myocardial ischemia, pain is also not a typical minor, or even no angina symptoms, painless high incidence of myocardial infarction and shock, heart failure, sudden death is also more complications, more serious prognosis. Therefore, diabetic patients should be under the guidance of doctors, scientific control of blood sugar, and regularly to the hospital to check the heart, to be a reasonable diet and physical activity to reduce the incidence of coronary heart disease and improve quality of life of patients.
