1. The status of drinking water for diabetic patients
Many diabetic patients have excessive drinking and urination. They will feel that I will urinate as much as I drink, and feel that I drink water for nothing, and often go to the toilet. Pee. In addition, many diabetics mistakenly believe that the symptoms of polydipsia and polyuria are completely caused by drinking too much water. In this way, they will think that as long as they drink less water in their daily lives, they will not have symptoms of polyuria.
But what they don’t know is that if a diabetic has a thirsty reaction, but you don’t replenish water in time, it will be harmful to your health. It is not just the problem of high blood sugar, and there is not enough supplementation. Water will increase blood viscosity, which will further increase blood sugar, aggravate diabetes, and even cause other serious complications. According to relevant data analysis, 10%-20% of diabetic patients have aggravated diabetes due to improper drinking. Therefore, we must clearly know how to drink water scientifically for diabetic patients, whether they should drink more or less water.
2. So, why should diabetics drink more water?
This is about osmotic diuresis. Under normal circumstances, the osmotic pressure between our body fluids is generally isotonic (you can look at the picture below, plasma plasma, interstitial fluid, and intracellular fluid are all in an isotonic state). Only in this case, will the cells not be edema or even ruptured in the hypotonic solution, or the cells may shrink due to dehydration and under the action of high permeability.
But diabetic patients because the glucose content in the blood is relatively high, which causes the solute concentration in the plasma to increase, so when the blood sugar and most of the water in the blood are metabolized by the kidney, because the solute concentration in the tubule fluid increases (The content of glucose is too high), which causes the osmotic pressure of the tubule fluid to increase, and the kidneys will reduce the reabsorption of water and NaCI, which will cause high osmotic diuresis. And when the glucose content in blood plasma further increases, that is, when the blood sugar of diabetic patients is not well controlled, the blood sugar level is very high and very good, then hyperosmotic dehydration may occur, and part of the intracellular and interstitial fluid water will enter In the plasma, it causes cell dehydration. For example, patients with diabetic coma are prone to hyper-osmotic dehydration. Therefore, if a diabetic patient drinks less water, it will actually increase the glucose concentration in the blood (more water can dilute the blood concentration and indirectly reduce the blood sugar), then it is more likely to cause hyperosmotic diuresis, and even hyperosmolality. Dehydrated.
In addition, due to insufficient insulin, a large amount of glucose in the blood is not fully utilized by diabetic patients, and our human body consumes a large amount of energy at all times. If there is not enough energy in glucose, then The body will decompose and consume fat and protein to obtain more energy. In this process, a large number of metabolic breakdown products ketone bodies will appear in the blood, resulting in high ketemia , and even diabetic ketosis. Acidosis. If you drink less water, it will undoubtedly increase the concentration of ketone bodies in the blood, and you will not be able to excrete more ketone bodies in the urine in time.
Finally, if a diabetic patient does not supplement enough water, it will easily cause symptoms such as dry skin, chapped , etc., especially if the blood sugar has been at a high value, the tiny blood vessels in the original place will have to be due to the thick blood. When the blood is nourished, microvascular disease is prone to occur, which is prone to diabetic foot .
Therefore, for diabetic patients, we cannot be afraid ofIn the case of urine, reduce drinking water if you don't want to go to the toilet too often, this will only cause physical harm. The correct way is to drink plenty of water. Only drinking plenty of water can benefit a lot. It can not only effectively promote blood circulation and avoid excessive blood viscosity, but also help enhance metabolism, reduce or even eliminate ketones, and lower blood sugar. Prevent diabetic patients' skin from being too dry and chapped, and it can also effectively prevent the occurrence of diabetic feet.
3. So, how should diabetics drink water scientifically?
In fact, for diabetic patients, the amount of drinking water must at least reach the amount of water that a normal person drinks per day, that is, 1600 to 2000 ml of water per day. Of course, it can also drink more water. After all, diabetic patients are different from normal people. The body absorbs water worse than normal people, and the excretion of water is faster than normal people, so you should drink more water.
In addition, diabetic patients should pay attention to the following points when drinking water:
First, diabetic patients should avoid drinking some sugary beverages, which will increase the blood sugar level. They should choose to drink boiled water, milk, soy milk, and light. Tea, mineral water, etc. Especially milk and soy milk, which contain more high-quality protein, are more suitable for diabetics.
Second, when you drink water, you should drink more in small amounts. This is like the diet of diabetic patients. In order to avoid high blood sugar after eating too much or low blood sugar after eating too little, follow the " The “smaller meals” approach is beneficial to health. Similarly, it is the same for diabetic patients to drink water, to ensure the balance of body water. Especially in the summer when the weather is hot, water is more likely to be lost. At this time, more attention should be paid to replenishing water.
Third, when you drink water, you should drink slowly, not violently. Especially when you sweat a lot and need to be hydrated, do not drink water all at once. If a large amount of water is replenished in a short period of time, the blood will be diluted, and part of the water will be easily converted into sweat to be excreted, which not only loses water, but also causes excessive loss of salt in the body, which may cause "water intoxication" occur.
Generally speaking, for diabetic patients, it is better for the body to drink more water, and it should also be supplemented by the method of "drinking small amounts and more". Do not want to drink because of excessive drinking and polyuria. Water, this is bad for the body.
