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Xinhua News Agency, Beijing, November 13 Question: More than 100 million diabetic patients in China need to drive the “five carriages” to reduce the “sweet burden”
Xinhua News Agency reporters Lu Nuo and Chen Cong
There are more than 100 million adult diabetic patients in China and 172 million prediabetic populations. November 14, 2020 is the 14th United Nations Diabetes Day. Experts call for increased attention to diabetes management in the context of standardized epidemic prevention and control, and reducing the “sweet load” requires nutritional therapy, exercise therapy, drug therapy, blood glucose monitoring, and education for health. Five carriages “.
Diet: high-fat and high-calorie foods to blame
The new corona pneumonia epidemic has reduced the number of diabetic patients leaving. Guo Lixin, director of the Department of Endocrinology at Beijing Hospital National Geriatrics Center, suggested that patients should pay attention to limiting calories during meals at home and avoiding excessive intake of high-calorie fried, fried and sweet foods. .
“Many people mistakenly think that the cause of diabetes is excess sugar or staple foods. In fact, we should pay more attention to foods high in fat and calories,” said Xiao Xinhua, chief physician of the Department of Endocrinology at the Hospital of the Peking Union Medical College. Too much will lead to excessive intake of total calories.
Xiao Xinhua recalled that blindly cutting down or not eating staple foods will lead to insufficient carbohydrate intake and lead to nutritional imbalance. Attention should be paid to a balanced intake of carbohydrates, lipids and proteins.
Sports: the “disease of wealth” is actually a “lazy disease”
Zhang Bo, director of the Department of Endocrinology at the China-Japan Friendship Hospital in Beijing, said that lifestyle interventions can reduce the incidence of diabetes. To prevent diabetes, one should pay attention to “nutritional balance” and not to commit “lazy diseases”. “.
Data provided by the Office of Disease Prevention and Control of the National Health Commission shows that diet and exercise control can cause overweight and obese people to have a body mass index of 24 or close to 24, or a weight loss of at least 7%, which can reduce the risk of diabetes in prediabetics by 35% -58%.
Zhang Bo recalled that exercise to lose weight should be done slowly and it is advisable to reduce it by about 400 grams per week. However, patients with type 1 diabetes who have severely insufficient insulin secretion, as well as those with extremely unstable blood sugar levels, high blood pressure, high blood sugar levels, severe heart disease, frequent brain failure, complications kidney and acute infections, should stop exercising.
Medications: hypoglycemic medications are not the same as safes
Some diabetics mistakenly believe that after taking hypoglycemic medications, they can eat and drink without worry. Xiao Xinhua said that taking hypoglycemic drugs does not mean entering the safe. With the rapid development of medical technology, the mechanism and mechanism of action of drugs also progress with the times, it is necessary to follow up the review, assess the condition and adjust the medication.
He said the main criteria for judging the quality of hypoglycemic drugs are efficacy (individualization), safety (low toxicity and side effects), high quality, low price, and ease of use. Expensive drugs are not necessarily suitable. It is necessary to listen to the opinions of the doctors, rationally use the drugs in combination with the condition, evaluate the medication according to the fluctuation of the condition, and adjust accordingly.
Follow-up: Be the First Responsible for Your Own Health
The CDC of the National Commission on Health and Medicine recalls that healthy people should have fasting blood glucose tests once a year starting at age 40, and people with prediabetes are recommended to have glucose tests in fasting blood once every six months or two hours after a meal.
Ji Linong, director of the Department of Endocrinology at Peking University People’s Hospital, said diabetic patients are at increased risk of dying from new coronary pneumonia, and good blood sugar control and management is essential to reduce mortality. of patients and infections. During the epidemic, patients must strengthen their own control of blood sugar and metabolism to avoid an unreasonable interruption of treatment.
“Within the framework of standardized epidemic prevention and control, the establishment of mechanisms for the prevention and control of diabetes must be strengthened, through early diagnosis and treatment, to control the onset and development of diabetes and its complications” Ji Linong said.
Education: Raise awareness about scientific prevention
Diabetes has become the third chronic disease that seriously threatens human health after tumors and cardiovascular diseases. Wang Wenjuan, director of the Office of Prevention and Control of Metabolic Diseases and Obesity of the Chronic Diseases Center of the China Centers for Disease Control and Prevention, said that the prevalence of diabetes in China increased less than 1% in 1980 to 10.4% in 2013, and the prevalence of diabetes in the workforce aged 18 to 59 years was 7.8%. However, diabetes awareness, treatment and control rates among residents 18 years of age and older are not ideal, at 38.6%, 35.6% and 33.0% respectively. The standardized management rate of diabetic patients is lower, only 16.7%. At the same time, the prevalence of risk factors for diabetes is severe and the prevalence of overweight and obesity is 46.5%. There is an urgent need to strengthen health education for diabetes.
The theme for this year’s United Nations Diabetes Day is “Nurses and diabetes”. The Office of Disease Control and Prevention of the National Health Commission issued a notice a few days ago, requesting all localities to take advantage of the United Nations Diabetes Day themed publicity event to widely disseminate knowledge about prevention and treating diabetes, and raising awareness of the importance of diabetes prevention and treatment among residents.
