2023-12-15 02:01:37
[Reported by Wu Wenzhe]Diabetes is not only among the top ten causes of death in Taiwan, but the number of people continues to increase. To improve the risk of diabetes and complications, “weight loss” is also a common recommendation. However, not all weight loss methods are suitable for diabetics. South Korean physician Lee Jin-bok (이진복, transliteration) once held an online poll to collect statistics on “which weight loss method is most suitable for diabetics”, including the popular “intermittent” method in recent years. Fasting” and “low-carb high-fat diet” are both on the list, but they are not suitable for diabetic patients to lose weight!
How do diabetics lose weight?Don’t try these two mainstream methods.
“Most patients with type 2 diabetes are usually accompanied by obesity, or obesity itself is the main cause of diabetes.” Dr. Li said that when diabetes is accompanied by obesity, the chance of suffering from myocardial infarction and stroke will also increase by four times. above. On the other hand, Chen Aihua, director of Dongji Diabetes Care Network and physician of endocrinology and metabolism, pointed out that too much fat in the body can easily cause chronic inflammation throughout the body, thereby reducing insulin sensitivity and making blood sugar more likely to be imbalanced; on the contrary, if you lose weight, 7-15% can slow down or reverse diabetes.
“According to research from the American Diabetes Association, obese patients are 6 to 12 times more likely to develop diabetes than the general population.” Dr. Li Jinfu added: “Even if you have not yet developed diabetes, prediabetes (prediabetes) means that blood sugar is higher than normal. , but it has not yet reached the standard of type 2 diabetes) and people with a family history of diabetes should also control their weight to prevent the occurrence of diabetes.” In addition, some people have sarcopenic obesity with thin limbs and fat belly. , Dr. Li said that these people should reduce visceral fat accumulation by losing weight.
But how to lose weight correctly and healthily? There are hundreds of opinions, but Dr. Li Jinfu reminds that the popular “intermittent fasting” and “low-carb high-fat diet” are not only not suitable for diabetic patients with out-of-control blood sugar, but should even be avoided!
Increases the risk of blood sugar fluctuations and intermittent fasting is not suitable for diabetic weight loss
“Intermittent fasting is a popular weight loss diet in recent years. For ordinary people, I actively recommend trying it. However, if you are a diabetic patient, it may increase the risk of hypoglycemia and make blood sugar control more difficult.” Dr. Li explained Although it is important to avoid blood sugar spikes, diabetic patients should also reduce blood sugar fluctuations. Intermittent fasting requires fasting for a long time and the food intake time is too concentrated. The blood sugar fluctuations themselves are relatively large. If you can’t help but overeat. Overeating will greatly increase the risk of high or low blood sugar levels.
Dr. Li reminded that patients who must inject insulin injections or take sulfonyl urea hypoglycemic drugs will have a higher risk of hypoglycemia caused by intermittent fasting. If you are pre-diabetic or have a family history of diabetes and want to control your weight, you are not subject to the restriction. If you only take metformin (Metformin) or other new drugs that are less likely to cause hypoglycemia, you can also discuss it with your attending physician. Discuss, try lower intensity intermittent fasting.
A low-carb, high-fat diet that increases the burden on the kidneys is also NG
As for the low-carb high-fat diet, weight loss is achieved by consuming small amounts of carbohydrates and eating more fats. However, Dr. Li Jinfu explained that although reducing carbohydrate intake can reduce insulin and blood sugar fluctuations, large amounts of fat are related to hyperlipidemia. When diabetes and hyperlipidemia coexist, the harm to cardiovascular health is greater. Moreover, high-fat menus are often accompanied by high protein content, but severe diabetes can affect kidney function, and excessive protein intake can also increase the burden on the kidneys.
In addition, especially for Easterners who are accustomed to rice, the low-carb and high-fat diet is usually too greasy and cannot last for long. “Weight loss is a long-term battle, and we must choose a method that is sustainable and feasible.” Dr. Li explained that only by being sustainable can we achieve the goals of weight maintenance and health.
Carbohydrate intake must be controlled and diabetes and weight loss are key.
So what is the most suitable weight loss method for diabetics? Jang Hyo-doo (장효두, transliteration), a Korean doctor of traditional Chinese medicine specializing in diabetes, compiled data from Canada, the United States and other countries, and compared the dietary status of Koreans and suggested that patients with diabetes should adjust the proportion of carbohydrate intake to regarding 45 to 60%, and the rest should be from Supplement protein and fat. However, each patient’s blood sugar control situation is different, and they still need to consult a doctor or nutritionist to find their best dietary ratio.
“Compared with weight, diabetic patients should focus more on visceral fat.” South Korean endocrinologist Kwon Hyuk-sang (권혁상, transliteration) added that visceral fat will not only increase insulin resistance, but also increase the risk of complications such as high blood pressure. : “In addition to measuring with instruments, you can also measure your waist at home. If it exceeds 90 centimeters for boys and 85 centimeters for girls, it is considered obese.” In addition to a balanced diet, he also suggested that it can be combined with aerobic exercise to help achieve weight loss. At the same time, it controls blood sugar.
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