blood sugar

The Wrong Concepts of Diabetes

Most people think that diabetes is due to taking sugar and carbohydrate. They have completely wrong concept of diabetes

Thin people don’t get diabetes?
Wrong! There is no absolute relationship between weight and diabetes. Type 1 diabetes is mostly caused by genetics, and the body is not necessarily fat. Although type 2 diabetes is closely related to obesity, even if you are not overweight, you may still get type 2 diabetes if you eat abnormally. .
Mercedes Carnethon, a professor of preventive medicine at Northwestern University in the United States, said that one in eight people with type 2 diabetes is normal weight, and this group is likely to be the first patients with type 1.5 diabetes mellitus. Diabetes patients with standards body mass are usually related to genetics and lifestyle.

You can control your diabetes without taking medicines by cutting out sweets and carbs?
Wrong! The purpose of taking medicine is to correct abnormal blood sugar metabolism and improve the function of insulin. It is a helper, not an enemy. However, even with medication, diabetic patients should pay attention to their diet and control their blood sugar. The principle for diabetics to control blood sugar is to “eat at a fixed time and eat a fixed amount”. Overeating or unbalanced diet will cause blood pressure fluctuations. If you are still pre-diabetic, it is possible to avoid deterioration by developing good habits in all aspects of life, especially diet, exercise, etc. If you have already been diagnosed with diabetes, it is impossible to control your diabetes simply by avoiding sweets or starchy foods.

Should you abstain all the sweet if you have diabetes?
Wrong! It’s not that people with diabetes can’t eat sweets, the key is how to eat them so that their blood sugar will not spike or become too high after eating. In addition to sweets, such as delicate cakes or packaged snacks, you must also be careful with natural fruits. Many fruits are high in sugar, such as chakra and longan. Not all fruits can’t be eaten by diabetic patients, but they should choose fruits with low glycemic index (GI), such as guava, tomato, avocado, passion fruit, etc [1]. Don’t think that the GI value is low and the sugar content is also low and you do not have portion control. Whether it’s fruit high or low in sugar, the effect is the same as long as you eat the same amount of carbohydrates.

Diabetes medication will eventually lead to dialysis?
Wrong! Most of the diabetic patients who need kidney dialysis do not follow the doctor’s instructions to take the medicine, the long-term poor blood sugar control, and finally need insulin treatment. In this case, the kidneys are usually irreversibly damaged, and kidney dialysis is required. This is also the main reason for the myth that insulin administration requires dialysis. According to statistics, 30% of dialysis patients are caused by diabetic nephropathy. About 40% of new dialysis patients are caused by diabetic nephropathy. In fact, many large studies have confirmed that long-term stable medication prevents or slows down nephropathy. Physicians will also be sure to regularly track the patient’s kidney function and adjust the dose accordingly. Importantly, patients need to develop good living and medication habits to control the development of nephropathy. From controlling blood sugar, regular urine tests, and strict management of blood pressure and blood sugar, the deterioration and development of diabetic nephropathy can be slowed down. Once the problem of kidney disease occurs, it is necessary to adjust the way of diet and drug treatment.

Does Increased Insulin Dose Mean Worse Diabetes?
Wrong! Complications only get worse? Usually, there are two reasons why a patient will need to increase insulin use. First is that the patient has insulin resistance, that is, the patient is not sensitive to insulin, so the dosage needs to be increased. Secondly is because of weight gain, not because of worsening diabetes. Because insulin itself promotes fat synthesis, people who use insulin gain weight over time. However, the more body fat you have, the more insulin resistance you may have. According to research, increased visceral adipose tissue increases the chance of insulin resistance, so the original insulin dose will become insufficient, and the insulin that needs to be injected will increase.

[1] Calculate Your Fructose Intake

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