(Special author: Doctor Jia, Institute of Infectious Diseases, Tianjin Medical University, Cerebral Infarction)
Many patients with diabetes , in order to control sugar and control their diet, often hungry at night after reducing their dinner intake Can't sleep. In fact, not only at night, the common symptoms of "three more and one less" in diabetic patients: eating more, drinking more, urinating, and losing weight, often leading to obvious hunger even during the day. In the evening, because dinner is too long from breakfast the next day, hunger is particularly noticeable and may affect sleep quality. Since this situation is very common, how can hunger be relieved at night?
Because the appearance of hunger is one of the symptoms of diabetes, the first thing we must do is to actively carry out scientific hypoglycemic treatment to stabilize the blood sugar level, and the frequent hunger will gradually decrease. Without scientific intervention, just relying on self-control of diet and simply reducing the amount of food consumed will obviously aggravate the symptoms and lead to a vicious circle.
Next, I have to analyze the causes of hunger at night. Is it because you only eat two meals a day? Or is it too early for dinner? Or is there insufficient energy for the food for dinner? Or can't adapt to dietary regulation at the beginning?
If it is due to unhealthy eating habits (such as eating barbecue and snacks when staying up late) at the beginning, we suggest to correct it gradually instead of one size fits all. Start by choosing healthy ingredients to replace unhealthy foods, and then step by step to reduce food intake and adjust to a healthy lifestyle.
If it is caused by too little daily food intake or night hunger caused by too early dinner time, we suggest that patients can eat less and more meals instead of suddenly subtracting a meal or excessively fasting the staple food. Patients can have some extra meals two hours after meals or two hours before going to bed. The content can be boiled eggs, custards, milk-like high-protein foods, or light vegetable salads (mixed cabbage, cucumber, steamed pumpkin_ Span7span, steamed eggplant puree, etc.) and a small amount of coarse grain porridge, soba, plain stuffed buns or crude fiber biscuit cakes without sucrose.Avoid eating beer barbecue, meat or thick porridge, snacks and snacks, and do not go to bed immediately after eating, to prevent sharp fluctuations in blood sugar and burden on the heart.
If it is due to insufficient energy supply for dinner, for example, if you do not eat the staple food and only eat vegetable salad for dinner, and the extra meal is also vegetables, it is very likely that you will still feel hungry at night. In more serious cases, especially the elderly with poor appetite, the risk of hypoglycemia at night may occur due to too little carbohydrate intake during the day. Therefore, if in addition to feeling hungry at night, there are also convulsions, night sweats, weakness of the limbs, shaking hands and feet, you should take sugar water or eat some sugar cubes immediately to correct hypoglycemia. Such patients who are unwilling to eat staple foods are advised to drink some coarse grain porridge during dinner, or drink milk, soy milk, and eat eggs, lean meats, and fish to avoid high sugar content in foods and ensure energy intake , Can also effectively increase satiety.
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