Everyone knows that diabetes has an early symptom, which is "inexplicable rapid weight loss." But in fact, 80% of patients diagnosed with diabetes have mild overweight or even obesity problems. Obesity also causes many additional complications. Many people think that if you control your blood sugar, your body will be fine, but in fact, weight control is also very important for diabetes control, and there is even a chance to stop the drug.
Diabetes
Diabesity (diabesity or diobesity), the word is composed of diabetes (diabetes) and obesity (obesity), refers to those who have both obesity (BMI>27) and diabetes. There is no detailed statistics on the rate of diabetes for obesity, but Taiwan has more than half of the obese population and more than 2.2 million people with diabetes. The rate of obese people getting diabetes is as high as 20%. It is estimated that almost all diabetic patients are obese problem.
Although diabetes has a symptom of "rapid weight loss", it is because when insulin is resisted, the body cannot smoothly convert blood sugar into energy required by insulin, so it will choose to burn the protein and fat originally stored, leading to weight loss; After starting to control diabetes, because blood sugar can be smoothly converted into energy, the body will naturally not consume stored energy. If you do not change your diet, you will get fat again.
When obesity occurs, fat cells will reduce the sensitivity of insulin, thereby reducing appetite and reducing food intake, but if you continue to eat, insulin will continue to secrete, and overwork of the pancreas will cause insulin resistance and eventually diabetes.
What happens if you become diabetic?
Diabetic obesity means that there is too much fat accumulation in the body. The above-mentioned "fat causes insulin resistance and insulin resistance leads to diabetes" will continue to reincarnate. Although you have been taking blood sugar lowering drugs to control your blood sugar, your blood sugar may still get worse. . But this does not mean that blood sugar lowering drugs cannot be taken, because high blood sugar can easily cause blood clots and cause cardiovascular disease, so the fundamental problem is still obesity.
If diabetic patients do not lose weight, although the blood sugar level may be well controlled, the sugar they eat will be converted into triglycerides, so cholesterol is usually high, but high-density cholesterol (good cholesterol) is low , Not only cardiovascular disease and kidney disease, but also thrombosis, stroke, pulmonary embolism, pancreas inflammation, fatty liver, etc.
However, usually these patients with diabetic obesity are accustomed to eating and not taboos. They love to eat sweets and fatty foods. In fact, they all know that excessive obesity can lead to cardiovascular disease and kidney disease, but they choose Sexual ignorance. Zhou Mingwen, the chief physician of the Shutian Clinic's home medical department, gave an example, such as diabetic patients in the outpatient clinic. Although he has been admonishing them to lose weight, only 10% are willing to do so.
How to solve diabetic obesity?
However, only relying on diet control does not have much effect on weight loss, because after the age of 30, the human body will start to lose muscles and fat accumulation will become easier. Controlling the speed of muscle loss is as important as controlling the calorie intake; and Zhou Mingwen also Said that in fact, as long as you lose 5-10% of your body weight, you may not need to take medication or stop a drug, so you can target a 5% weight loss. For example, a 100 kg patient should lose at least 5 kg.
Diabetes diet control
- Avoid sweets: fruit sugar is easy to be overlooked, eat a lot and get fat faster.
- Avoid fried
- Avoid alcohol
- Change the type of food: eat less cakes and bread, eat more steamed bread, or avoid white rice and eat brown rice.
- Reduce the amount of food: you can start with a 10% discount, and each time, every month, the 10% discount is compared to the last time.
- Regularly monitor blood glucose values: don’t wait until the doctor is concerned before starting the measurement
Diabetes exercise
- 5 times a week, 30 minutes of aerobic exercise: It is recommended that the heartbeat reach 60% of the maximum heart rate. If you have no exercise habits, you can start with 10 minutes of training.
- 2 weight training a week: Prevent muscle atrophy, so that muscles can absorb sugar and convert it into energy.
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