Diabetic people have poor blood glucose control. There are seven common causes. The last one is most easily overlooked!
I. Irrational diet
1, many patients have diabetes, do not know the taboo, do not know what to eat, should not eat.
2, using non-staple food instead of staple food: pasta, rice and other staple foods is the main component of the medical “sugar”, many patients do not dare to eat, but use meat and other non-staple food instead of staple food. Carbohydrates are the most economical source of calories. If you rely on meat for calories, you will consume a lot of calories, and the metabolic waste of proteins will also burden the kidneys.
The diet of diabetics should be dominated by staple foods, and staple foods should account for 50-60% of the total dietary calories. Crude rice, whole wheat flour, and whole grains (buckwheat noodles, oatmeal, corn, potatoes, etc.) should be promoted. Not only will not make a sharp increase in blood sugar, but also high dietary fiber content, strong sense of fullness, is conducive to controlling food intake. Avoid monosaccharides (glucose, fructose), disaccharides (sucrose, lactose) and their products, including candies, snacks, biscuits, beverages, ice cream, chocolate, etc. These foods can make blood sugar fast and significantly increase.
Do not limit drinking water, moderate drinking water is beneficial to the excretion of metabolites in the body and dilution of blood glucose.
Obesity not only increases the burden on the pancreas, heart, and kidneys, but also causes insulin receptors to become insensitive. The body must produce large amounts of insulin to achieve its original effects and it will deplete the pancreas over time. Some obese people may have impaired pancreas function before developing diabetes.
Should gradually lose weight, the body mass index (BMI) controlled between 18.5 ~ 23.9 kg/m2.
III. No exercise or exercise is not reasonable
1, many patients do not exercise, eat a lie is their biggest hobby.
2, exercise is irrational, replace the aerobic exercise with anaerobic exercise: aerobic exercise refers to the body in the case of full supply of oxygen under the exercise, that is, during the exercise process, the body’s inhaled oxygen and demand equal.
Aerobic exercise includes swimming, jogging, brisk walking, cycling, ice skating, fitness dancing, table tennis, badminton, etc. It is characterized by low intensity, rhythm, and long duration.
Anaerobic exercise refers to the high-speed and intense movement of muscles under hypoxic conditions. Most of them are high-intensity and instantaneous strong movements, so it is difficult to continue for a long time, including sprinting, weight lifting, throwing, high jump, long jump, push-ups, Diving, muscle training and more. Anaerobic exercise has little benefit in enhancing and improving cardiopulmonary function, and its effect on blood glucose control is not obvious.
Exercise can reduce weight, can consume blood glucose and increase insulin sensitivity. Exercise is a treatment for diabetes. Aerobic exercise should be actively carried out and form a habit.
IV. Unreasonable use of drugs
Some patients use so-called hypoglycemic foods instead of drugs. Some patients have single medications, incorrect drug selections, unreasonable drug combinations, insufficient dosages, incorrect insulin injection sites, and injection methods that can lead to poor blood glucose control. How to use drugs in diabetic patients is a professional problem. They should follow the opinions of specialists. We will not repeat them here.
V. persistent negative emotions (mental stress)
Mental stress, anxiety, depression, anger, fear and other undesirable emotions will increase sympathetic nerve activity, increase the secretion of adrenaline and glucocorticoids, and these hormones will inhibit the secretion of insulin and promote the secretion of glucagon, leading to blood sugar Increased. Sustained negative emotions can lead to poor blood glucose control in diabetics.
You should look at problems with a positive attitude and learn to regulate emotions. Those with poor emotional control may consult a psychiatrist and use medication if necessary.
VI. Simultaneous merger of major physical diseases (somatic stress)
When the human body is subjected to a sudden blow or a strong harmful stimulus, such as a serious infection, severe trauma, cerebrovascular accident, acute myocardial infarction, large area burns, surgery, large blood loss, etc., the body will respond quickly, causing adrenaline through the hypothalamus. And the concentration of glucocorticoids rises rapidly, which in turn promotes the massive secretion of glucagon and inhibits the secretion of insulin, resulting in elevated blood glucose.
This stress hyperglycemia is transient, and the control of the primary disease can control blood sugar.
Seven, chronic infection
This factor is often overlooked.
There are chronic infections in the body, and the body’s immune system continues to be in a state of stress. Through the above-mentioned hormonal effects, there are also CRP (C-reactive protein) and IL-6 (interleukin 6) effects that cause high blood sugar levels or are difficult to achieve. control.
These chronic infections include tuberculosis, chronic bronchitis, chronic tonsillitis, chronic sinusitis, active hepatitis B, chronic cholecystitis, chronic gastritis, chronic enteritis, chronic glomerulonephritis, chronic pyelonephritis, and even hemorrhoids and gums. Inflammation and other unobtrusive infections.
Eliminating chronic infections can help control blood sugar. Those with poor blood sugar control should be screened for the presence of infection.