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Day-to-day glycemic control solutions

Day-to-day glycemic control solutions

Who has diabetes needs to worry about keeping blood glucose controlled, as this is a great indicator that the disease itself is under control which, in turn, guarantees much more quality of life for the diabetic. Some actions avoid (and much) oscillations of blood glucose. Doctors and nutritionists point out the following:

Maintaining controlled weight

Every diabetic patient, regardless of whether type 1 or type 2, benefits from weight control. "It serves both to maintain stable blood glucose and to avoid the famous comorbidities, which is when the person presents two or more associated diseases, for example diabetes and hypertension ?, explains endocrinologist Mateus Dornelles Severo of the Brazilian Society of Diabetes (SBD) .

It is no wonder that one of the risk factors for type 2 diabetes is overweight and obesity, especially when there is fat deposition in the abdominal region. Fat directly affects the production of insulin, the hormone that regulates the ingress of glucose (sugar) in cells and therefore keeps blood glucose controlled, preventing the body's functions, especially liver, pancreas and kidneys, from breaking down. "On the other hand, patients with type 1 who do not take care of food end up gaining a lot of weight, which increases the need for insulin and predisposes to the onset of hypertension and lipid disorders, such as increased triglycerides," explains Matthew. > Prefer low-glycemic carbohydrates

Low-glycemic carbohydrates are absorbed more slowly by the body. "The correct choice of carbohydrates helps prevent sudden increases in blood glucose after meals, which will also require less insulin in the body," says Matthew.

In general, the more fiber and water make up the carbohydrate group, the lower their glycemic index. "In addition, they are foods that also help in weight loss because they increase the sensation of satiety precisely by avoiding the peaks of insulin in the bloodstream," says endocrinologist Andressa Heimbecher.

This low-glycemic group includes cereals whole grains, whole grains (chia, oats, rice, breads and whole grains), vegetables (sweet potatoes, pumpkin, broccoli, carrot) fruits (pear, strawberry, apple, avocado, banana).

The expert even adds a sure grain tip . According to research, oats have proven properties of increased satiety because it is rich in folic acid and fiber. When we include oats in food, it helps eliminate more fat from the abdominal region, "Andressa adds. This is because when people consume carbohydrates that are not whole, like sugars, white flour and derivatives, the body releases a greater amount of insulin, and the consequence is the stock of fat in the abdomen. Oats, on the other hand, increase the level of insulin in the body gradually.

Respect the meal times

Maintaining a regulated diet routine is one of the keys to avoiding blood sugar fluctuations. It is important that the diabetic patient follow meal times by always considering three large meals (breakfast, lunch and dinner) and small snacks between them with at least 2 hours of rest.

"It is not okay to skip lunch one day and, in the other, to eat a meal, especially for those who use insulin or medicines that can cause hypoglycemia, "says Matthew. In addition, people who spend many hours fasting (4, 5 hours or more) will also overburden the body with insulin production.

Regular monitoring of gycling

The more the patient monitors glucose levels, the easier it is to perceive decompensation and, in turn, to avoid malaise and complications. Performing monitoring with the glucose meter daily will indicate if the sugar is under control or if there are signs of hypo or hyperglycemia. Ideally, measurements should be fasted before and after meals.

Recommended glycemic reference values ​​for adult diabetics are:

Fasting glycemia: greater than 70mg / dl and less than 110mg / dl

Pre-prandial glycemia: greater than 70mg / dl and less than 110 mg / dl

  • Glycemia two hours after eating (postprandial): greater than 70 mg / dl and less than 140 mg / dl
  • "Pre-meal testing helps adjust the dose of the insulin fast or ultrafast, thus allowing correction of the dose whenever necessary, "explains the endocrinologist Matthew.
  • Practice regular physical activities

Physical activities are very important to maintain good glycemic control especially in type 2 diabetic patient However, before beginning the exercise, it is worth talking with the endocrinologist and the physical educator to individualize the training to your needs. "In general, it is important to eat before exercise, and to stay well hydrated. In some cases it is also necessary to consume a source of carbohydrate (fruit) during exercise or to make adjustments in the dose of insulin," suggests Matthew. Talk to your doctor about it. Blood glucose levels should also be checked before and at the end of physical activity.

The American Heart Society recommends exercising for 30 to 60 minutes daily, with a balance of 150 minutes per week. "In addition, a good tip is to include unscheduled physical activities in your daily life, such as walking instead of driving, gardening, climbing stairs, going down one or two bus stops before walking. andressa

Follow your doctor's advice

The best way to prevent blood sugar changes is to invest in healthy eating, regular physical activity, follow the medication correctly and do daily monitoring with the glycometer. "Patients with diabetes who depend on insulin run the risk of using too high a dose and eventually end up with hypoglycemia," explains endocrinologist Mateus Dornelles Severo. Therefore, it is fundamental to follow the medical guidelines for the adjustment of all items: medication, diet and exercise. In fact, being inattentive to the prescription of doctors and making changes to the routine of medicines on their own can cause serious problems. "One of the biggest dangers is self-medication," says endocrinologist Rosa Paula Mello Biscolla of Fleury Medicina e Saúde. "Cortisone, for example, increases blood glucose levels."


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