Text/Yangcheng Evening News all-media reporter Yu Yanhong Correspondent Nie Guoqin
Photo/Visual China
According to the latest statistics, the prevalence of diabetes among adults in China is as high as 11.6%, which means that less than one out of ten people is a diabetic, and the data is still showing a rapid growth trend. Not only that, diabetes, which used to be called "elderly disease", has gradually become younger. In this regard, Professor Li Huilin, vice president of Shenzhen Municipal Hospital of Traditional Chinese Medicine, guangdong famous traditional Chinese medicine, and leader of the department of endocrinology, a key specialty of national traditional Chinese medicine, specially reminded that diabetes can be prevented and controlled, and the most important thing is early prevention and long-term self-management of patients.

Eating sugar is easy to get diabetes is a misunderstanding
Obese people with abdominal type are more likely to be recruited
Many people think that the predisposition factor of diabetes is related to sugar intake. For this statement, Professor Li Huilin believes that the onset of diabetes is a very complex problem and cannot be simply classified as the reason for "eating more sugar". Genetic factors, eating less and more active, and consuming too many calories are all causes of diabetes.
Professor Li Huilin introduced that the diagnostic criteria for diabetes are fasting blood glucose greater than 7.0mmol/L, and blood glucose is greater than 11.1mmol/L two hours after meals, while fasting blood glucose is 6.1-7.0mmol/L, and blood glucose is 7.0-11.1mmol/L two hours after meals, which is "prediabetes".
Most people in pre-diabetes have overweight and obese characteristics, of which "abdominal obesity" is a high risk factor. He mentioned that according to the standard of Chinese, when the waist circumference of men exceeds 90 cm and the waist circumference of women exceeds 85 cm, it is abdominal obesity. Such groups are at high risk of diabetes, and diet should be adjusted in time, regular exercise and weight control should be adjusted to reduce blood sugar.
So how do you control your weight and prevent it from developing into diabetes? Professor Li Huilin said that the first thing is to control the intake of total calories. Specifically, it is necessary to control the proportion of meals and nutritional collocation, eat more vegetables and fiber foods, and eat less fried and fatty foods; second, rationally arrange life and rest. Including regular exercise, smoking and alcohol cessation, avoid staying up late, and maintaining a good mood; third, regular physical examination.
For the pre-diabetic population, most of them can be reversed through lifestyle management, if the control effect is not ideal, this part of the people can also add some drug interventions under the guidance of doctors on the basis of controlling the diet, and can also more effectively prevent it from prediabetes to diabetes.
Take your medication as directed by your doctor
Strict daily control diet
Diabetes is a chronic disease that requires lifelong attention and lifelong management once diagnosed. "It can't be cured, but it's completely controllable." Professor Li Huilin said, "This is inseparable from the patient's active cooperation with the doctor's treatment. ”
Clinically, many patients see that the blood sugar is normal after taking the drug, so they stop the drug or eat and stop. He said that patients must not change the dosage or even stop the drug according to their own experience and feelings. Because this will lead to dizziness, weakness, sweating, hand shaking, and even coma caused by severe blood sugar fluctuations, and serious damage to the nervous system, cardiovascular and cerebrovascular systems. To use an analogy, diabetes is to soak all organs and tissues of the human body in a state of high blood sugar, which will cause various complications in the long run, such as diabetic eye disease, diabetic foot, furunculosis nephropathy, etc.
Having diabetes is not terrible, it is completely controllable. "It is necessary to manage personal diet and exercise on a daily basis, as well as to do a good job in emotional management, tobacco and alcohol control, etc." Professor Li Huilin said, "In addition to doing a good job in lifestyle management, it is also necessary to standardize medication and see doctors regularly. Under the guidance of a doctor, standardized medication can reverse blood glucose. At the same time, it can be combined with traditional Chinese medicine conditioning, and strengthening the spleen and kidney will make the whole body state better. ”
He finally suggested that patients can buy a portable blood glucose meter at home, self-test fasting blood glucose and postprandial blood glucose once every half a month or a month, and go to the hospital once every three months or half a year to check glycosylated hemoglobin, so as to better control blood sugar. At the same time, strict long-term self-management is also an important means for diabetic patients to control their condition. Professor Li suggested that diabetics should not eat enough at each meal, generally as long as they do not feel hungry; they can insist on doing soothing aerobic exercises every day, such as swimming, brisk walking, and tai chi.
Source | Yangcheng Evening News Yangcheng Pie
Editor-in-charge | Sun Wei