Mr. Tang is a diabetic patient. His daily diet has always strictly followed the doctor's instructions, but one day suddenly there was a big difference in blood sugar after lunch and after dinner. His wife told him that it was because of the different eating orders, but Mr. Tang thought this had an impact. Not big.
So does the order of eating really affect blood sugar?
How does diet affect blood sugar?
Japanese diabetes expert Kajiyama Shizuo and famous American scholar Alpana P.Shukla and others have conducted dietary intervention studies on patients with diabetes based on the order of food intake. The results of the studies have shown that the order of food intake can affect the blood sugar levels of diabetic patients.
So which one should eat vegetables first or staple food first? Experimental research has found that because vegetables are rich in dietary fiber, putting vegetables first in the order of intake can lead to less insulin secretion and lower post-meal blood sugar.
and A study by Shanxi Medical University showed that the blood sugar of diabetic patients will change significantly in different eating orders.
found through experimental research that one hour after the meal, the patient's blood sugar was 8.72±0.64 if the patient adopted the eating sequence of "eating the staple food and the vegetables together" one hour after the meal. The blood glucose 1 hour after the meal was 7.23±0.54.
This shows that the blood sugar of patients who "eat vegetables first and then staple food" 1 hour after eating is lower than the blood sugar value of "mixed food".
From this we know that the order of food intake during meals does have obvious significance for the blood sugar levels of diabetic patients. In the past, most people did not pay attention to this point and chose the order of food intake based on preference or randomness during meals.
Eating rice first and eating it with stir-fried vegetables is the eating habit of most people. Under the long-term influence, many people with diabetes find that they have clearly not eaten anything they shouldn’t, but they still experience large changes in blood sugar. .
So now I start to pay attention to my daily diet, change my past eating habits, put vegetables and meat first, and eat staple food last, which will help maintain blood sugar stability.
As we all know, fruits are not only rich in vitamins, but also can promote digestion. Many people are also accustomed to eating fruits after meals.
However, eating incorrect fruits may also cause harm to diabetic patients. Using fruits with high sugar content as a formal meal will not only easily cause blood sugar to rise, but also lead to insufficient protein intake and decreased immune function.
And for diabetic patients, the large amount of fructose contained in fruits has far more calories than vegetables. Therefore, patients with diabetes and obesity should strictly control their fruit intake.
So in life, what common foods raise sugar?
What foods can cause high blood sugar?
There are many foods in life that can lower blood sugar, such as cauliflower among cruciferous vegetables and pumpkin, which is rich in fiber and antioxidants.
Choosing food correctly and consuming it in moderation can indeed control or even lower blood sugar. Here we use corn as an example.
Corn is divided into waxy corn and sweet corn. Most people always subconsciously think that sweet corn must be the cause of increased blood sugar compared to waxy corn, but in fact it is just the opposite.
The starch content in waxy corn is much higher than that of sweet corn. Starch will be converted into glucose in the human body, so the blood sugar response of waxy corn is higher than that of sweet corn.
So if corn is regarded as a kind of dinner, how to determine its order? In fact, corn is a staple food, so if you include corn in a meal, eat it at the end.
In addition, foods such as glutinous rice products and gruel are also the culprits of elevated blood sugar. This is mainly because the starch contained in such foods will produce an gelatinization reaction, which will break down into glucose and be quickly absorbed by the body. Many elderly people prefer soft and rotten food due to dental reasons. However, cooked soft food will speed up the body's absorption rate due to its rapid absorption, which in turn will increase the rate of blood sugar rise.
And the way food is cooked can also cause blood sugar to rise.You should also stay away from greasy food. It will increase the fatty acids in the blood and cause , dyslipidemia, and other problems. It is harmful to people with diabetes but not beneficial. Choose the right way to cook your food so you can better control your blood sugar.
Of course, food selection and cooking are only one of the factors that affect blood sugar. You should also pay attention to other aspects.
Exercise can promote metabolism, lower blood sugar, blood lipids , and increase the body's sensitivity to insulin, which is very beneficial to diabetes.
How does exercise improve blood sugar?
The latest expert consensus from the American College of Sports Medicine shows that exercise is related to the health benefits of diabetes. It states that “a weight loss of ≥5% is necessary for beneficial effects on metabolic markers”.
can maintain regular aerobic exercise, such as jogging, cycling, dancing, etc. After 7 days of high-intensity aerobic exercise, it can inhibit liver glucose production, thereby reducing glycosylated hemoglobin . In addition, high-intensity resistance exercise, such as some equipment exercises, can improve blood sugar and lower insulin levels.
Comparatively speaking, exercising after a meal can lower blood sugar more than exercising before a meal. Therefore, when exercising, you should do it in small amounts, multiple times, and regularly, and you should also try to minimize the time you spend sitting for a long time.
For patients with diabetes, they need to perform at least 150-300 minutes of moderate-intensity aerobic exercise, or 75-150 minutes of high-intensity aerobic exercise, or a combination of the two. Resistance exercise at least two days a week. At the same time, high-intensity interval exercise can effectively reduce postprandial hyperglycemia.
In summary, for diabetic patients, the above methods can effectively improve blood sugar. So does this mean that hypoglycemic drugs can be discarded?
Can I stop taking anti-diabetic drugs?
Now that we can improve blood sugar through diet and exercise, can we get rid of hypoglycemic drugs?
This issue cannot be generalized. For those patients who are seriously ill and have poor blood sugar control and need to take combined medications, anti-diabetic drugs are essential. If treatment needs to be adjusted, it must be done under the guidance of a physician and cannot be stopped on your own.
When taking medicine, you must pay attention to the following types of medicines, which can easily cause blood sugar to rise.
1. Levothyroxine sodium tablets , liothyronine sodium and other thyroid hormone drugs . These drugs cause the body to increase its absorption of glucose, thereby raising blood sugar.
2. Diuretics, used to treat heart failure , also inhibit the release of insulin and thereby increase blood sugar.
3. prednisone , hydrocortisone , etc. adrenocortical hormone . Generally, these drugs are used to treat rheumatoid arthritis , frequent asthma and other diseases. They will reduce the sensitivity of insulin and thereby Raise blood sugar.
4. Clozapine , Olanzapine and other antipsychotic drugs can cause abnormal glucose regulation and increase blood sugar.
After taking medication correctly, you still cannot take it completely lightly. In the process of treating diabetes, self-monitoring is very important.
And the use of the instrument is also one of the factors that affects the accuracy of blood glucose monitoring. Before using the blood glucose meter , it must be calibrated and cleaned. This is because dust will contaminate the blood glucose meter during daily storage, and errors will occur if it is not calibrated.
The next step is to collect blood. Before this step, you need to clean your hands and hang them down for tens of seconds to allow the blood to flow back to your fingers. Remember to replace the disposable needle and disinfect it every time you collect blood.
Finally, remember to store the test strips in a cool, dry place away from direct sunlight, and they must be sealed after use.
Summary:
At present, diabetes can be maintained stable through diet, exercise, medication, and regular self-monitoring, reducing the occurrence of diabetes complications , and some patients can achieve clinical remission.
Eat vegetables rich in dietary fiber first, then eat meat, and finally eat staple foods. This eating sequence can help improve blood sugar, glycated hemoglobin and body mass index of diabetic patients, and can better stabilize the condition.
Reference:
[1] Research on the impact of different dietary orders on pre-diabetic patients·Shanxi Medical University.2019-06-20
[2] Nutritional fruits·Chinese Food Network.2015-12-24
[3] Causes of out-of-control blood sugar Seven major culprits·Medical community.2022-03-19
[4] Remember four words about diabetes diet, it is difficult to raise blood sugar·Medical community.2022-01-02
[5]Be careful! These 14 types of drugs can easily lead to elevated blood sugar in diabetic patients·Medical Circle.2022-03-02
[6] Only in this way can self-testing of blood sugar be accurate! ·Yimaitong.2016-08-20
[7] Exercise is good medicine! The full text of the U.S. "Expert Consensus on Exercise for Diabetics" is released! ·Yimaitong.2022-02-22
Note: The above pictures are from the Internet, and
has been deleted.
