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Diabetes must lose weight! Fat and insulin resistance are cancer risk factors

 

"I went back to the clinic today, and my blood sugar was well controlled! For diabetics, the happiest thing is to see that their blood sugar level is normal, and many people regard blood sugar control as their only goal. Of course, controlling blood sugar is very important, but after controlling blood sugar, many people may find that they are getting fatter and fatter, and the risk of cancer will increase.



Why do you get diabetes and get fat

As we all know, diabetes has a symptom of "rapid weight loss", but as the disease is controlled by medication, it will start to become fat again. It turns out that when the blood sugar is soaring, the body can't convert the blood sugar into the energy it needs through insulin, so it will choose to burn the protein and fat stored originally, resulting in becoming thinner; after the medication is controlled, the body can use the blood sugar smoothly and return to the state of storing fat.



However, there is a problem when fat comes back. The body needs to secrete more insulin to control blood sugar, that is to say, when the body gets fatter and fatter, the problem will continue to circulate. In the end, even the drugs will not be used. The blood sugar value keeps rising, so it is forced to use more drugs, which turns into a vicious circle.



Obese people with diabetes are more likely to get cancer

In addition to the fact that obesity itself is a risk factor for cancer, it is more dangerous for diabetics to have both diabetes and obesity. Both insulin and insulin-like growth factor-1 (IGF-1) produced by insulin can inhibit the metabolism of old cells and make new cells proliferate. Both of them are risk factors for cancer.



As mentioned above, obesity can cause the body's continuous excessive secretion of insulin. If the blood sugar of diabetic patients is not controlled well, or accompanied by obesity, the injured pancreas will make more efforts to secrete insulin. Therefore, if the diabetes patients are overweight, they will create a tumor environment and commit suicide in a chronic way. According to the current epidemiological statistics, liver cancer, pancreatic cancer, endometrial cancer, breast cancer, colorectal cancer and lymphatic cancer are the most easily obtained related cancers in diabetic patients.



Therefore, it is suggested that the waist circumference should be kept below 90 cm for men and 80 cm for women, and the body fat rate should be controlled at 15-25% for men and 20% - 30% for women; the standard weight should be maintained at "male: (height (CM) - 80) × 70%" and "female: (height (CM) - 70) × 60%".



Weight loss is important

However, if it is really difficult to control the weight, you can also discuss with the doctor whether to "change the dressing". Wu Zaozhong, Secretary General of the Taiwan Society of lipid health and education, said metformin, the first-line diabetes drug, is very effective, can also prevent cardiovascular disease and inhibit tumor proliferation, but the effect of some people will not be good. It is suggested that GLP-1 promoter (injection) can be used as the second-line drug.



"Because this drug is similar to GLP-1 in the human body, incretin has three functions. One is that after food enters the intestine, it will remind the body that" you are full "and reduce appetite. In addition, it will slow down gastrointestinal peristalsis and reduce hunger. Finally and most importantly, it can directly protect the heart, because it can inhibit the release of calcium ions and prevent arteriosclerosis. "Wu Zaozhong said.



However, Wu Zaozhong also reminds us that in addition to the help of drugs, taboo is still very important. It is suggested to refer to the book "a bowl of winter noodles is equal to half a bowl of rice! Diabetes friends must not know 7 landmine food ", carefully choose the food you eat every day.



But for diabetics, if you want to lose weight, diet control is not enough. In addition to avoiding high sugar mine food, you should also remember to do exercise. It is recommended to have aerobic exercise at least 5 times a week for 30 minutes each time, and the heart rate should reach 60% of the maximum heart rate. If you have no exercise habit, you can start from 10 minutes of training; in addition, weight training twice a week can prevent muscle atrophy, so that muscles can absorb sugar and transform into energy.

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