Diabetes expert Dr. Chen's anti-sugar cheats are online
Anti-sugar cheats? I rarely use such "eye-catching" words as a title.
This is also a popular science courseware I did a few years ago, aiming to sort out the "anti-sugar process".
What other secrets and tricks are there for anti-sugar?
To put it simply, after passing the "psychological barrier", we must have a holistic awareness and build a "health care academic framework" around health itself (not just blood sugar issues), but how to eat? How to take medicine? How to monitor blood sugar and other indicators? And so on, it is only a part of the branches and leaves of this academic framework. The last is execution, which is the question of how to better implement the knowledge that has been learned.
At the beginning, everyone must have a good "psychological level"!
It's easier said than done, but difficult to do. The average person with diabetes will have a period of "grey mentality" after being told that they are ill. Long or short, some people can't jump out for a few years, which is very sad.
After giving birth to a child, you see whether she is ugly or beautiful, where is she! She is your child.
Divorce is 'common' And once diabetes is diagnosed, its loyalty is commendable, and it will not leave it for a lifetime (at least in the current medical state).
To accept her, you must learn to "live in harmony" and "stay together" with her.
As the saying goes, "How can the spoon not touch the edge of the pot", diabetes is a disease after all, how can we live together for a long time and live in peace?
The first is to observe her carefully and understand her. Nose, ears, eyes, hair ... must not "blind people touch the elephant".
A famous saying I often say: "Insulin is the medicine for the wise". Is insulin a medicine or a good medicine? It has a premise that it becomes a good medicine, that is, the "wise man". The United States has investigated all drugs (not just hypoglycemic drugs, but all drugs), and the most problematic drug is insulin.
My article, "A Legendary Old Candy Still Takes Me", the 118 units of insulin before hospitalization, was reduced to 74 units when discharged, the key is that the blood sugar is very good-----it is a question of a certain knowledge point, " The demands of the wise are themselves multifaceted.
Diabetes is a disease, how can it be said to be a "health and longevity disease"?
An article published in the prestigious "Journal of the American Medical Association" (JAMA) showed that in people with type 1 diabetes over the age of 20, the life expectancy of men was reduced by 11.1 years, and the life expectancy of women was reduced by 12.9 years.
I don't take it seriously with these people. "Diabetes is a disease of health and longevity" is not the first thing I said, but I agree. The key is how do you do it?
Because you have diabetes, your diet is no longer "cheap", but a reasonable diet; exercise problems are also in place; weight will improve benignly; see a doctor every month; some metabolic indicators, electrocardiogram, etc. Wait, I will check it from time to time-----this is difficult for "normal people" to insist on. If it is done, how can it not be better?
During the lecture, I said that diabetes may shorten your life by 10 years, but you may change your old bad lifestyle and pay more attention to your health, and this benefit may increase your life by 15 years ( compared to your original life).
15-10=5, this is a positive value!
Yin and Yang transformation, everything is divided into two, it depends on how you look at it and how to do it!
When you have this realization, you will be very happy.
After completing this kind of ideological transformation, how can it not be called a "gorgeous turn"?
I have mentioned my previous article more than once - "Integration of Doctors and Patients".
What kind of doctor and what kind of patient combination will have the best outcome?
Patients are divided into several classes, come to the class every day, and know a lot, but there are not a few sugar friends who do not implement or do not implement in place.
Quit smoking and limit alcohol, have you quit smoking?
Many people begin to pay attention to and quit smoking after the heart is stented.
I told him: I don't quit smoking until I have a myocardial infarction and a stent. It is very likely that there will be no chance to "quit smoking", and it will disappear directly from the "horizon" (a myocardial infarction will kill people)......
What follows is some of the "academic" or "ideas" I tell:
Is it diabetes? 6.9=7.0------What does it mean? A blood sugar of 7.0 is diabetes, is a blood sugar of 6.9?
Don't be serious!
Don't be happy because your blood sugar is 6.9 and don't wear a diabetes hat, and don't be depressed because your blood sugar is 7.0 and you're diagnosed with diabetes!
The same goes for blood sugar self-monitoring. Many people are entangled in blood sugar 1 hour, 2 hours, and 3 hours after meals. Blood sugar is 7.8mmol/L at 1 hour after meal, 8.0 after meal 2 hours, and 8.5 after meal 3. Why hasn't it returned to the baseline? -----What's the tangle? I ask, how many times did you get full marks when you were in school? Why didn't you get into Tsinghua University? Why do you want to bring your blood sugar down to the so-called "normal" state?
The damage to your body caused by your entanglement with this blood sugar has far exceeded the blood sugar itself!
You might say, I want better blood sugar control, right?
Yes, there is nothing wrong with asking for better blood sugar, but you should also have the relief of "I didn't go to college, but I've worked hard."
Excessive entanglement also increases sugar!
Regarding the issue of typing, I reiterate my point of view. For adult weight loss diabetes, it is best to classify it, mainly to exclude LADA (the focus is on the monitoring of diabetes autoimmune antibodies, not islet function), which is type 1. .
When blood sugar is high, LADA does not recommend the use of sulfonylurea secretagogues, and insulin can be the first choice.
Insulin may be the first choice for those who are thin and difficult to distinguish from type 1 diabetes. In the past medication, metformin was the first choice for type 2 diabetes, and 80% of diabetes patients were overweight or obese, thus confirming the "first choice" status of metformin, while for type 2 diabetes with lean body, the use of sulfonylureas was not. relatively improved. ------- The key is not type 2.
I have an article "Type 1 was diagnosed at the beginning, why was another expert diagnosed with type 2 later?".
Every action, of course, must first have a goal or direction.
What are the goals of diabetes treatment?
"How to live longer, live better, and be able to be cured with diabetes"-----this is my ultimate goal for diabetes: to live longer, to live better while alive, and to be able to be cured.
Cardiovascular and cerebrovascular diseases are more related to life expectancy. Among the factors that cause cardiovascular and cerebrovascular diseases, blood pressure, blood lipids, and smoking are far more important than hyperglycemia. On the contrary, hypoglycemia is more dangerous. Acute complications of diabetes can be fatal, but preventable.
More relevant to blood sugar is the question of "living well." Not to mention the "living well" that is related to diabetes, the "triad" of chronic complications more related to blood sugar is eye, kidney, and neuropathy. I can't see my eyes, I have uremia, my neuropathy is numb and painful, how can I say "live well"? To control blood sugar!
But blood sugar is only one part of health management! Just like the subjects studied in high school, it is only part of the total score of the college entrance examination.
What is the blood sugar target?
Dr. Chen's words: In the case of no hypoglycemia, try to make the blood sugar reach or close to normal.
See my article: "Several Levels of Good and Bad Blood Sugar Control";
Seek the root of disease treatment, see my article: "Correspondence between the etiology and treatment of diabetes";
How to control blood sugar, see my article: "The Balance Mode of the Five Horses";
There is so much knowledge in this film!
for example:
If the saccharification is not up to standard, look at the basics first, and then look at the after meals. The goal of postprandial blood sugar should not be at the expense of preprandial hypoglycemia;
Between different days, the blood sugar fluctuates greatly at the same time point, and you should pay attention to your lifestyle. What's the meaning? For example, the blood sugar before dinner is good, and the blood sugar before bed is sometimes 6.7mmol/L, which is very good, and sometimes 13.8mmol/L. This is different on different days. It must be found in life: diet, exercise, mentality, disease (toothache, etc.) difference.
The blood sugar fluctuates greatly at different time points on the same day. It is very good before lunch, and it is very high after lunch and before dinner. If this is not the case at ordinary times, it means that you eat too much at noon today or have little activity in the afternoon, etc., which are related to life; If this is the case at ordinary times, it is not the problem of eating too much at noon, and the drug regimen needs to be adjusted.
These contents are made clearer in my article "Friends with sugar, have you recorded blood glucose monitoring?"
If you are obese or thin, you must read this article of mine, and I suggest reading it in print (please understand if there are typos): "Two triangles that cannot be ignored in the process of sugar control".
Many people attribute the obesity after insulin use to insulin, which may have this effect, but I want to shout: weight gain, more of a response to your lack of insulin control!
You may also want to read: "You'd better stop your insulin".
The ending part of talking about sugar is to cheer up sugar friends!
I quoted some words from this article of mine: "Happiness is a state of mind, for those sugar friends who are in a state of anxiety"
There is also the old sugar that I will never forget: she was 77 years old at the time, and she was Auntie Guo who had danced with sugar for 58 years.
That was the age of using a syringe to inject animal insulin, the age when there was no blood glucose meter and the insulin was adjusted by burning urine sugar, the age when insulin was often interrupted... In comparison, how "lucky" it is to have diabetes now thing!
Burning urine sugar, today's young people may not have heard of it.
Times are advancing, and we already have treatments and monitoring methods that were unimaginable just 30 years ago. With the advent of real-time blood glucose monitoring systems, closed-loop insulin infusion systems, and many epoch-making drugs, there is no reason for sugar lovers in the new era to be "mess."
If it is really "mess", it must be the person's problem.
When there is some "high technology" coming, if it is good for our health, why are you hesitating?
money?
If with some spending we have a better result in 10 years, the day 10 years from now may be even more beautiful.
In class, I said: You are willing to spend money on travel, and you are willing to spend money on the bus to buy health care products. Why do you care so much about money when your life is at stake?
Speaking of travel, it is coming to an end. Of course, I will not forget to make this advertisement for my hometown: Welcome to my second hometown, Funing, China, she is in Qinhuangdao.
Don't just think in your mind that Beidaihe is for watching the sea in summer. There are Beidaihe and Nandaihe, separated by a river. Nandaihe belongs to Funing. In addition, Funing has the most beautiful "Jizhen Great Wall" in China, including "Banchangyu", "Dongjiakou", "Jiumenkou" of the Great Wall, as well as "Tianma Lake" known as Yaochi in the world, and Saijiangnan. "Bingtangyu", "Longtan Gorge"...
I am waiting for you in that beautiful place, see you soon!
After talking for a long time, where are the secrets?
The secret lies in everyone's thinking and actions. After the psychological barrier, you must plan carefully, study systematically, and constantly summarize and improve, but this is not your own business. You need the help of doctors, family members, and social support. progress. However, you are the core, everything is made around the many details of your individuality, and all other efforts will be of no avail if you do nothing.