Sugar friends eating patterns should not be “advertent”

  Ms. Lin Lixiu (pseudonym), who lives in Gulou District, Fuzhou, has been suffering from diabetes for more than ten years. Usually, the many diabetes diet guidance on WeChat Moments made her confused. When prescribing medicine in the clinic, Ms. Lin often asks the doctor, what should I eat more? What should I eat less? What is the most suitable recipe for sugar lovers?
  ”The most suitable’all-purpose recipe’ for diabetics does not exist. It is not recommended for sugar lovers to easily change their eating habits and pursue a certain model.” Lin Yiyang, Deputy Chief Physician, Diabetes Clinic, 90th Hospital of the People’s Liberation Army Joint Service Support Force The introduction said. The American Diabetes Association (ADA) guidelines are basically updated once a year, and have the most extensive influence on the global diabetes community. A few days ago, the American Diabetes Association’s latest understanding of diabetes medical nutrition treatment in 2020 clearly pointed out that the current diabetes recipes (diet patterns) are diverse, such as Mediterranean diet, vegetarian diet, low-carbohydrate diet, low-fat diet, etc., but there is no diet The model can be applied to all diabetic patients.
  ”The country is easy to change, but the nature is hard to change.” Various studies have shown that forcibly changing their eating patterns drastically is not sustainable, and most sugar lovers will eventually return to their eating habits. The guidelines suggest that the most suitable recipes for sugar lovers should be a personalized diet, that is, the physician and sugar friends should negotiate together and meet the needs of sugar lovers according to their eating habits, culture, family background, religious beliefs, health pursuits, and economic abilities. Sustainable eating patterns. Deputy Chief Physician Lin Yiyang emphasized that the dietary habits of sugar friends should be improved, but he opposes drastically reforming the dietary patterns of sugar friends. Usually eat more starch-free green leafy vegetables, minimize sugary foods and polished rice white noodles, and choose whole foods rather than highly processed foods to the greatest extent.
  ”How much should be eaten every day and every meal is the most important issue of diabetic diet.” Deputy Chief Physician Lin Yiyang said, “how much” here does not refer to the weight of the food, but the amount of calories in the food. . Each sugar friend has a different ability to digest and absorb food, and has a different basal metabolic rate. Therefore, you cannot simply calculate the daily calorie intake according to the formula in the book. How do you know if you eat too much or less? According to Deputy Chief Physician Lin Yiyang, body mass index is mainly determined, and it is generally believed that the best range of body mass index is 21-24. If the BMI exceeds 24, you need to reduce your calorie intake; if your BMI is below 21, it is recommended to appropriately increase your calorie intake. Two-thirds of diabetic patients in my country are overweight or obese, so for most sugar lovers, it is necessary to reduce calorie intake.
  The three major nutrients needed by the human body are carbohydrates, protein, and fat. Among them, carbohydrates have the greatest impact on blood sugar, so some sugar friends will say “I don’t eat rice or noodles.” In life, the optimal carbohydrate intake ratio for sugar friends is still inconclusive, and it is recommended to account for about 45% of the total calories. Therefore, emphasize the intake of “good” carbohydrates (rich in dietary fiber, less processed), such as buckwheat, oats, black rice, etc.; less intake of “bad” carbohydrates (lack of dietary fiber, more processed) , Such as polished rice, white flour, bread, cakes, etc. Appropriately reducing the intake of carbohydrates will help blood sugar control. It is recommended to eat a prescribed weight of carbohydrates at a prescribed time each day. However, don’t let more and more and less, restrict the staple food for a while, and eat a variety of snacks and cakes for a while, which can easily cause blood sugar fluctuations, leading to repeated hypoglycemia or high blood sugar.