Control the blood sugar level is important, even if you are healthy. If the indicators exceed the norm and the more diagnosed sugar diabetes, monitor the level of glucose is vital. Of course, you need to adhere to the recommendations of the doctor and take appointed drugs. In addition, you should reconsider your habits in nutrition, preferring those products that contribute to a decrease in blood glucose levels. A competently chosen menu will allow not only to provide the body with the necessary micro and macroelements, but also to suspend the development of the disease, and in some cases, turn it out (we are talking about type 2 diabetes mellitus).
Portal "Healthy People" () gathered the most popular recommendations and consulted with Professor of the Department of Endocrinology of the Belarusian State Medical University, Chairman of Bomo "Endocrinology and Metabolism" Alla Shepelkevich.
According to the recommendations of the International Diabetic Federation (MDF), healthy diet is an important component of treating diabetes. Therefore, it is important to adhere to a variety of and balanced diet to maintain a stable level of blood glucose and strengthen the immune system. MDF specialists recommend choosing products with a low glycemic index (an indicator of how the speed is absorbed by carbohydrates, and the ability of products to increase blood sugar levels).
Simply put, the less carbohydrates are contained in the product, the lower will be a glycemic index:
High Gi products contribute to rapid glucose levels in the blood. Low gi products are absorbed slower, gradually released energy.
When the blood sugar level is disturbed, it is necessary to monitor the amount of carbohydrate consumed. Previously, people with diabetes mellitus were recommended to completely eliminate easily visible carbohydrates. But today experts refuse such categorical wording. Any restriction is a stress for a person and can cause a breakdown, it concerns and nutrition. Especially since easily durable carbohydrates in a number of situations (in children, in conditions of intensive intellectual activity), the body needs and cannot be replaced by proteins or fats.
A large amount of simple carbohydrates contain not only pasta and bakery products, but also fruits, starchy vegetables (for example, potatoes, peas and corn, rice), as well as milk and yogurt.
In any case, preference is better to give to complex carbohydrates. Vegetables, in addition to the source of energy for the body, contain a fiber that regulates digestion. Almost all vegetables can be used without restrictions, the exception is only potatoes, because it contains a large number of starch. His experts recommend to eat two or three times a week.
Another product that contains useful complex carbohydrates, are whole grain porridge (oatmeal, buckwheat, barley).
That I have diabetes, I learned by chance when you passed a dispensary examination at work. I did not have any complaints, I felt completely healthy. In the analysis of blood, an increase in blood sugar was revealed - 6. 8 mmol / l. I was sent to the endocrinologist. The doctor said it was higher than the norm (norm less than 6. 1 mmol / l) and needed an additional examination: a sugar test test. I measured sugar on an empty stomach (he was again above the norm - 6. 9 mmol / l) and gave a glass of very sweet liquid - glucose. When measuring blood sugar after 2 hours, it was also above the norm - 14. 0 mmol / l (should be no more than 7. 8 mmol / l). I also handed over the blood test on the glycated hemoglobin (the "medium" sugar level is 3 months). It was also high - 7% (and no more than 6% is allowed).
And then I heard from the doctor: "You have 2-type sugar diabetes" for me it was a shock. Yes, I heard before diabetes, but it may be someone else, but not for me. At that time I was 55 years old, I held a guiding position, I worked a lot, I felt well and never had a serious one. And in general, to be honest, did not go to doctors. At first I took the diagnosis as a sentence, because diabetes cannot be cured. I remembered everything that I heard about the complications - that something terrible happens with the kidneys and eyes, ulcers appear on the legs and legs amputly that a man who is ill-diabetes will be necessarily disabled. But I could not allow it! I have a family, the children will soon be born granddaughter! I then asked my endocrinologist only one question: "What should I do?" And the doctor answered me: "We will learn to manage the disease. If you keep diabetes under control, complications can be avoided, "and on a piece of paper painted this scheme:
I chose the form of individual classes (there are also group classes - schools "Diabetes"). We were engaged in 5 days at 1 hour. And even this seemed to me little, additionally at home I read the literature issued to me. In class I learned about what diabetes is why it arises which processes occur in the body.
The information was in the form of presentations, everything is extremely available and even interesting. Then, I learned to measure blood sugar with a glucometer (it is not at all difficult, and it does not hurt), keep a diary of self-control. The most important thing that I really understood why it is necessary, first of all I myself.
After all, I did not know that I had an increased sugar, because I did not feel anything. The doctor told me that I was lucky that Diabetes was revealed at an early stage, when blood sugar was not very high. But dry mouth, thirst, frequent urination, weight loss - appear when blood sugar is significantly increased.
The most dangerous thing is that a person does not know about his illness, does not receive treatment, and the fracture in the body occurs and the risk of developing complications is higher than the later diagnosis. Therefore, it is so important to be regularly examined: if you are over 45 years old, blood sugar must be checked every 3 years.
During classes, I learned one very important concept: "The target level of blood sugar" it is different, depends on the age and presence of other diseases. That is, with diabetes, it makes no sense to strive for the norm, but you need to stay in the "my framework" of sugar on an empty stomach, 2 hours after the meal and the level of the glycated hemoglobin. For me, purpose was chosen: less than 7 mmol / l, less than 9 mmol / l and less than 7%, respectively. In this case, the risk of developing complications must be minimal. I was recommended to measure blood sugar 1 time per day at different times and once a week - several measurements, and all the indicators write to the diary. Gliked hemoglobin I hand over every 3 months. All this is necessary to assess the situation by a doctor and timely change in treatment if necessary.
00: 00oksana Mikhailovna Drakkin, Executive Director of the Internet session, Secretary of the Interdepartmental Council on therapy of the RAMS: - Now it is very
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