As the temperature changes in winter, the blood sugar of diabetic patients will also fluctuate. Therefore, in winter, diabetic patients need to pay special attention to preventing large fluctuations in blood sugar and the occurrence of complications. In this episode, we will talk about this topic.
online great doctor: Liang Jixing
Fujian Provincial Hospital Endocrinology Department
Chief Physician Associate Professor Graduate Supervisor Topics of this issue: How to manage winter health in diabetic patients
Reasons for blood sugar fluctuations in winter
. Cold stimulates Sympathetic nerve excitation , increasing the secretion of sugar-efficient substances in the body, causing blood sugar to rise, especially when suddenly cold, causing blood vessels to contract, and the increase in blood sugar and blood pressure is more obvious. 2. Cold weather stimulates the secretion of adrenaline , accelerating the release of sugar in the liver. At the same time, insulin secretion is inhibited, and blood sugar metabolism slows down, which accelerates the increase of blood sugar.
3. Strong appetite in winter will cause excessive food to eat. In addition, outdoor cold reduces outdoor exercise, causing blood sugar to unknowingly increase.
insist on doing these 6 things
steadily entering the cold winter
1. Pay attention to keeping warm
temp decreases, which makes the human body's sympathetic nerves excited, and adrenaline secretes more due to stimulation. At the same time, the body's intake of glucose decreases, leading to blood sugar rise; on the other hand, the stimulation of cold affects the skin, blood vessels contract, blood flow in the skin decreases, energy loss decreases, and blood sugar increases more easily.
2. Appropriate exercise
The weather turns colder, and most people also reduce the original amount of exercise, which can easily lead to excessive energy storage in the body, increase weight, and insulin resistance becomes more obvious, accelerating the increase of blood sugar.
3. The foot soaking temperature should not be too high
Diabetes should frequently soak their feet in warm water to keep their skin clean. Soak their feet in hot water at around 37℃ for 15 minutes every night, which will help keep warm and improve local blood circulation . You can also apply some moisturizing cream to prevent skin dryness. After soaking your feet, remember to dry your feet with a soft dry towel, especially in the toes, check the condition of your feet in time, and treat them in time if you find a wound.
4. Control diet
Never relax your diet control, do not eat blindly, eat less high-calorie and high-fat foods, eat more vegetables and fruits, it is best to increase the proportion of miscellaneous and coarse grains in the staple food to ensure balanced nutrition.
5. Prevent infectious diseases
diabetics resistance is weaker than ordinary people, so you should pay attention to preventing colds, otherwise it will cause blood sugar to rise due to body stress reactions; in addition, foot damage caused by foot soaking in hot water will easily increase the chance of diabetic foot .
6, monitoring of blood sugar
Blood sugar monitoring is still the focus of sugar control for diabetics. Only by doing this step well can we provide a basis for diet management, exercise, medication adjustment, etc.
doctors introduced
Liang Jixing
Department of Endocrinology, associate professor, master's supervisor, member of the high uric acid group of the endocrinology branch of the Chinese Medical Association, and member of the Fujian Diabetes Society. He won the second prize of the Provincial Medical Science and Technology Award twice and the second prize of the Provincial Science and Technology Award three times.
