Pre-diabetes to actively intervene in

Food + Movement + drugs Known as "pre-diabetes" glucose tolerance to reduce the stage of the development of diabetes inevitable path. To the degree of high-risk groups, As in sub-fork on: If left unattended, will inevitably develop into a true diabetes; and if from the diet, exercise, and drug intervention playing the "shot", will be about 50 percent lower incidence of diabetes, there are likely to change Back to normal. Go left or right? To see if they have the perseverance to do scientific intervention in the treatment of pre-diabetes. Pre-diabetes: Medical examination in middle-aged and elderly are common 45-year-old Huang aunt, a year ago when a medical examination found that the morning fasting blood glucose was 5.9 mmol / L, 2 hours postprandial blood glucose was 10.2 mmol / L. The doctor said she belonged to pre-diabetes, need to avoid the further development of prevention and control. A year later, Huang Aunt testing again, the result has promoted the morning fasting blood glucose 7.2 mmol / L, 2 hours postprandial blood glucose was 15.7 mmol / L, has been diagnosed with diabetes. "Over the past year I have the attention of diet control, why or diabetes?" Aunt Huang was very puzzled. "First of all we have to understand what the concept of pre-diabetes, and then in order to enable patients to know how to do therapeutic intervention." Guangdong Provincial TCM Hospital, said Zhu Liqun, director of endocrinology, diabetes, including pre-meal glucose tolerance (IGI) and fasting blood glucose regulation impaired (IFG) are two indicators. Postprandial glucose tolerance means a two-hour postprandial blood glucose in the 7.8 ~ 11.1 mmol / L between the impaired fasting glucose regulation refers to the morning fasting blood glucose in the 5.6 ~ 7.0 mmol / L between the state of abnormal blood glucose. This state more than the normal level, indicating that there is a problem of glucose metabolism, but has not yet reached the diagnostic criteria for diabetes in middle-aged and elderly medical examinations are common. The pre-diabetes intervention in the treatment of diabetes is also a range of secondary prevention. Zhu Liqun emphasized that intervention from the behavioral intervention (including diet therapy and exercise therapy) and drug intervention both at the same time. Huang Aunt only dietotherapy efforts neglected exercise therapy and drug intervention role, did not achieve good control effect, there is no condition to prevent the continuation of progress. Dietotherapy: Quantitative regularly eat rice The role of diet, mainly to control calorie intake, reducing saturated fatty acid content, increase the proportion of sugar and vitamin content. Its principles are: Control of daily food intake to provide the total calories, goal is to achieve and control "standard body weight." With a few centimeters in height after minus 100 multiplied by 0.9, the answer is I come to the standard weight. If a person stands 180 centimeters, the standard weight is (180-100) × 0.9 = 72 kilograms, or less than 10 percent higher than the standard weight are normal. Some people worry that the high-sugar foods, this is not敢吃, that challenge, even the big rice also eat less, this kind of "hunger therapy" the body in a state of malnutrition, physical thin, reducing disease and can not control the results. But they can not open up big, there is no plan to eat at random. Daily consumption of three of the ideal ratio of nutrients are: carbohydrates accounted for 60 ~ 70%, fat accounted for 15 ~ 20%, protein accounted for 10 ~ 15%. In other words, low-fat, moderate protein and high-quality carbohydrates. The volume of specific activities in accordance with daily production rate to carbohydrates, the low volume of activities, such as the Office of the middle class and每顿eat 1 ~ 2 meters or 1.5 surface; Medium activity每顿who eat 1.5 ~ 2 2; heavy manual workers consumed in large quantities, we should eat 3 meals a staple food for more than two. "Some people worry that carbohydrates such as rice and noodle itself is a polysaccharide, not dare to eat, this is a misunderstanding. As long as the master volume, adhering to quantitative eat regularly, there would be no problem." Recommended daily diet of patients with pre-diabetes should choose lean meat, skin and fat of poultry, skim or low-fat milk, the other to avoid deep-fried food, Western-style fast food. Exercise therapy: 3 times per week for at least 30 minutes Exercise can lower blood sugar, the general movement of moderate hypoglycemic effect can last about 12 hours. Studies have shown that sport can improve insulin resistance and other metabolic markers, but also can make insulin receptor affinity and increased sensitivity to enhance and reduce blood fat, can help prevent diabetic vascular disease emergencies. Exercise therapy for most patients with pre-diabetes, it is best to ensure that at least 3 times a week, each at least 20 ~ 30 minutes of moderate-intensity sports, such as jogging, stair climbing, hiking, swimming, cycling and so on. But to avoid violent and confrontational activities, should be taken with mild to moderate physical exercise and physical activity. The amount of how to grasp it? To mind the brain are able to tolerate the situation to persist for some time, and maintain a certain degree of strength, specifically the amount of exercise each time to sweat a little far, and gradually increase. Physical pre-diabetes patients are generally weak to begin exercise therapy should be preceded by a short period of light physical activity, along with enhanced physique, and then a gradual increase in physical activity and exercise time. The early morning when the air can be a good morning exercises, but attention should be paid to avoid the cold, preventing the occurrence of hypoglycemia. Inappropriate exercise or too much tension or excitement of the sport not only fail to have effect, and sometimes anti-so hyperglycemia. Yet it must be noted, there is serious heart, liver, brain, kidney disease, not exercise. To be in stable condition before they can do moderate activities such as walking and so on. Drug how to intervene At home and abroad in recent years, many studies confirm that diet and exercise therapy, based on the use of drug intervention methods to deal more effectively with pre-diabetes. Especially for the part of impaired glucose tolerance, through lifestyle changes can not effectively reduce blood sugar, or hard to change the lifestyle for many years, not long-term healthy lifestyle, it is necessary to consider the drug intervention. Appropriate use of drugs双胍类drugs such as α-Glucosidase inhibitors, such as acarbose, each 50mg, 3 times a day. Acarbose can delay in the intestinal carbohydrate digestion and absorption, reducing postprandial blood glucose and fasting blood glucose, side effects, only a small number of people have the stomach after taking diarrhea, but does not affect the treatment. Yiqi Yangyin Huoxue some other traditional Chinese medicine, not only can delay pre-diabetes into diabetes, patients with pre-diabetes can also increase the conversion rate to normal. Zhu Liqun said that the above-mentioned three kinds of drugs can improve the patient's insulin resistance and reduce or alleviate the insulin β-cell load, it can reverse the condition or better. But he also stressed that even in patients with pre-diabetes has been temporarily lifted the "warning", but if we do not adhere to the original treatment measures, but also the possibility of recurrence, so impaired glucose tolerance must be "sound the alarm bell," insist on the treatment of non-intervention slack, Diabetes can say "no."
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