1. Case sharing

Let's take a look at a diabetic's daily diet:

Breakfast: After insulin injection half an hour before dinner on Saturday morning, eat only 2 eggs and 22 small meat packets

Extra meal: another bag of milk at 10 o 'clock

Lunch: at home to eat a very rich meal, basically meat, fish have

Dinner: I ate a quarter of roast chicken and half of steamed bread at night

This is the adjusted diet of a diabetic with poor blood sugar control. Her previous habit was to eat seven to eight staple foods every day. After dietary adjustment, fasting blood glucose was about 6.0mmol/L, and blood glucose was about 8.0 to 10.0mmol/L two hours after meal

Seemingly nutritious? Reasonable?

Why do you do this?

Because she heard that if you want to control your blood sugar, you can't eat too much staple food. If you increase the proportion of meat, your blood sugar will drop!

Consequences of Adjustment

The blood sugar did drop, but complications followed! She had just celebrated her 50th birthday. When she left the house, she bent down to tie her shoelaces and stood up blurry. She later had laser treatment under her eyes. It turned out that while reducing the intake of staple food, she ate too much high-protein and high-fat food, resulting in a drop in blood sugar and a rise in blood lipids!

Her low density lipoprotein cholesterol was 4.8mmol/L (the normal control target should be less than 2.6mmol/L), which led to the fundus microvascular complications!

2. What's wrong with this adjustment?

Ⅱ- The principles of medical nutritional treatment for patients with type 1 diabetes are: The energy that carbohydrate place provides should account for 50% ~ 60% of total energy, protein accounts for 10% ~ 15%, adipose proportion does not exceed 30%.

Therefore, in order to control blood sugar and refuse staple food, the above adjustment method is not scientific.

The important thing to understand here is that proteins and fats are like the wood for this stove to burn. Carbohydrates are the ignition. Without carbohydrates, the stove cannot burn. Too much protein and fat intake, metabolites are also much, the burden of the kidney is also increased, it is easy to cause hyperlipidemia.

Blindly changing your diet will do more harm than good! Every patient friend must guard against such a mistake to happen!

3. Plate diet

For the patients mentioned above, what is the scientific and reasonable diet method?

At her doctor's advice, the patient followed a plate diet with staples, vegetables and proteins.

Cereal is the staple food of every meal.

More than half of them should be whole grains, with whole grains replacing refined grains (bread, rice, noodles) to increase satiety.

Vegetables 1/2 of your meal should be vegetables.

Eat at least one serving of dark vegetables a day. Dark vegetables such as green leaves, red, yellow, purple and other non-carb vegetables. To reduce the starchy vegetables such as potatoes and lotus root, mushrooms are an important source of dietary fiber. It is suggested to add mushrooms to soups and main dishes.

Protein foods make up about a quarter of each meal.

Eat a variety of sources of protein every week, eat seafood every week instead of livestock or poultry, choose lean meat or poultry, processing is to remove fat, remove chicken skin, etc. Dairy foods are low-glycemic index foods that are low in fat or nonfat (less than 1% fat) and are better for diabetics.

The plate method

To ensure a balanced diet, emphasis on the intake of whole grains, vegetables and other food, reduce unreasonable staple food, protein, fat intake proportion.

The plate method is officially published and recommended to the general residents in the Dietary Guidelines for Chinese Residents (2016) on May 13, 2016. Patients with diabetes should also follow it.

The special thing is that one half of a meal should be vegetables for diabetics, whereas one half of a meal for people with normal blood sugar can be vegetables and fruits.

Pay attention to vegetable proportions

4. Expert Suggestions

1. scientific control of sugar, reasonable diet!

2. Please consult diabetes specialists to see if it is suitable for diabetic patients before trying a possible method to reduce blood sugar.

Source: Friends of Diabetes, delete