Diabetes mellitus stage 2 diet and treatment. My diet for type II diabetes. Personal experience. Fully or partially limited products


To prevent diseases from occurring, all systems of the human body must work correctly. Under certain conditions, failures occur that lead to deterioration of the condition. Type 2 diabetes mellitus is a disease of the endocrine system that causes a constant increase in glucose. This is due to impaired tissue susceptibility.

Type 2 diabetes - what is it?

The pancreas produces insulin and in the case of type 1 disease, its absolute decrease occurs (it is not produced at all). When type 2 diabetes develops, a relative deficiency of the hormone occurs. At first, the amount of insulin may be increased or normal, and then decrease sharply. The sensitivity of cells to sugar decreases, absorption does not occur in full, which is why excess volumes remain in the plasma.

Excess glucose is not excreted from the body and protein structures (nerve tissue, inner linings of blood vessels) crystallize, which reduces their functioning. This process is called glycation, and it becomes the main cause of further complications in type 2 diabetes. Impaired insulin sensitivity is observed more often in tissues due to genetic defects and obesity.

Next, gradual functional depletion of the pancreas occurs. At this stage, an insulin-requiring subtype develops, in which it is possible to reduce the amount of glucose only by administering insulin with a syringe as a medicine. There are risk factors that can cause the development of the disease:

  1. Passive lifestyle.
  2. Excess weight of the visceral type.
  3. High pressure.
  4. A large amount of refined carbohydrates in the diet (baked goods, chocolate, candies, waffles), a low content of plant foods (cereals, vegetables, fruits).
  5. Ethnicity.
  6. Genetic predisposition (presence of type 2 diabetes in relatives).

Nutrition for diabetes

One of the main stages of treatment for a diabetic is optimizing the diet. Food has a significant impact on the amount of glucose in the human body. Nutrition for diabetes is not associated with fasting; you need to stop eating flour, sweets and eat more vegetables and fruits, which contain the necessary vitamins. Every diabetic should adhere to the following rules regarding nutrition and food:

  • if you are overweight, it should be normalized;
  • there should be 6 proportional meals per day;
  • reducing the amount of alcohol;
  • reduce your intake of saturated fats;
  • per day, the total calorie content should not be more than 1800 kcal;
  • reducing the amount of salt;
  • eat more foods with microelements and vitamins.

What can you eat

If you have to treat excess amounts of glucose in the blood, then you should remember what you can eat if you have diabetes. You will have to fight the disease all your life, for this reason, nutrition for type 2 diabetes becomes your main menu. It is better to stew, boil, steam or eat all dishes fresh. Below is a list of foods that should be included in your daily table:

  • turkey, chicken, rabbit, beef (all low-fat varieties);
  • berries, persimmons, kiwi and other fruits (only bananas and grapes are not allowed) in moderation;
  • dairy products with fat content 0-1%;
  • lean fish;
  • all types of cereals, cereals, pasta can be eaten in moderation;
  • skim cheese;
  • bran, whole grain bread;
  • any fresh vegetables, dark leafy greens are especially useful.

What not to eat

When you create a sample menu for a diet during treatment, you need to rely more on the list of what you cannot eat if you have diabetes. If the product you are looking for is not on the list, it means it can be consumed in moderation. According to the rules, the diet should contain a minimum of glucose or elements that load the liver, kidneys, and pancreas. The menu for type 2 diabetes should not include:

  • fried, hot, salty, spicy, smoked dishes;
  • pasta made from soft flours, rice, semolina;
  • fatty, strong broths;
  • heavy cream, sour cream, feta cheese, cheeses, sweet cheeses;
  • sweet buns and other products that contain a lot of easily digestible carbohydrates;
  • butter, margarine, mayonnaise, meat, cooking fats;
  • sausages, sausages, smoked fish, sausages, fatty fish, poultry and meat.

Diet for type 2 diabetes

The patient will have to constantly monitor the amount of sugar in the blood; treatment implies that the diet for type 2 diabetes will be followed constantly. The most important restriction falls on everything sweet, baked and fried, because they seriously load the pancreas and liver. With proper treatment and nutrition, a person should not have problems with complications from the disease. A diet for type 2 diabetics might look something like this:

  1. Breakfast: whole grain bread, tea, egg, oatmeal.
  2. Second breakfast: berries, natural yogurt (low-fat).
  3. Lunch: salad, stewed chicken breast, vegetable soup, compote, bread.
  4. Afternoon snack: tea, low-fat cottage cheese.
  5. Dinner: vegetable salad, baked hake in sour cream, cocoa, bread.
  6. Before bed: baked apple, natural yogurt.

Treatment of type 2 diabetes mellitus - drugs

In addition to adjusting the diet and diet, the patient is prescribed specific medications for type 2 diabetes mellitus. Their action is aimed at reducing the amount of sugar in the blood and stimulating the production of insulin by cells in the required quantities. Treatment of type 2 diabetes mellitus is individual for each patient; a regimen must be selected and prescribed by a doctor. As a rule, the course of therapy includes such drugs

  1. Glucobay, Miglitol. Medicines are aimed at inhibiting and absorbing oligos and polysaccharides. Due to this, the accumulation of glucose in the plasma slows down.
  2. Metformin. Refers to the drug of first choice for hypoglycemic therapy in the treatment of type 2 diabetes, hyperglycemia, and obesity. Helps with the movement and absorption of sugar in muscle tissue by the body, preventing the liver from releasing it.
  3. Thiazolidinone derivatives. They enhance the activity of insulin receptors, which helps lower glucose levels and normalizes the lipid profile.
  4. Medicines of the 2nd generation sulfonylurea group. They have a stimulating effect on the pancreas to produce insulin and reduce the resistance of peripheral tissues to the hormone.
  5. Starlix, Newnorm. The action is aimed at the pancreas, stimulating insulin production.

Folk remedies

When a person is overtaken by an illness, he tries to use any available methods of therapy. Diabetes mellitus type 2 - diet and treatment can be carried out in conjunction with the use of home recipes. It is imperative to consult a doctor before taking it, because in some cases there may be a conflict with diet or drug therapy. Such folk remedies are often used for type 2 diabetes.

  1. Recipe 1. To create a decoction of aspen bark you will need 1 tablespoon of wood shavings. Add it to 500 ml of water and boil. Let the medicine sit for 2 hours. Follow a diet for type 2 diabetes, take 3 times a day before meals.
  2. Recipe 2. To prepare you need 1 tbsp. l. cinnamon, which needs to be poured with a glass of boiling water. Let the mixture sit for half an hour, then add 2 tablespoons of honey. Place the product in the refrigerator until the morning. Drink half in the morning, the other half before bed.
  3. For a diet to be effective for type 2 diabetes, it is necessary to cleanse the body of toxins and improve metabolism. St. John's wort tincture will help, take 3 tbsp. l. herbs, pour ½ liter of boiling water, let it brew for 2 hours. Take a third of a glass before meals 3 times a day.

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Attention! The information presented in the article is for informational purposes only. The materials in the article do not encourage self-treatment. Only a qualified doctor can make a diagnosis and give treatment recommendations based on the individual characteristics of a particular patient.

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Diabetes mellitus type 2 - diet and treatment: nutrition for the disease

In medicine, there are a number of acquired chronic diseases in which the human body requires constant, diverse support, consisting of specific treatment, dieting, and lifestyle changes in general. One of the most dangerous diseases of this nature is diabetes mellitus, which has several stages of development.

Type 2 diabetes is an unpleasant and rather severe form of the pathological process, however, it can be resisted. To do this, you need to have an understanding of the disease itself; you need a special diet and treatment for type 2 diabetes, which you will have to adhere to throughout your life.

General information about type 2 diabetes

Diabetes mellitus is a group of diseases of the endocrine system, in which a constant pathological process is observed, characterized by an increase in glucose levels.

If we talk about type 1 diabetes, the peculiarity of this is that the pancreas completely stops producing insulin. As for type 2 diabetes, we are talking about a lack of the mentioned hormone to some extent. As a result, the cells gradually become insensitive to the absorption of sugar; glucose is not absorbed in full.

Excessive amounts of glucose do not disappear anywhere, they remain in the body, which is why crystallization of the inner membranes of blood vessels and even nerve tissue occurs, because of this, the development of pathological processes in blood vessels and organs is observed, and various kinds of complications begin.

Subsequently, the pancreas becomes depleted and ceases to perform its functions; in order to reduce the glucose content in the body, special medications and insulin injections are needed.

Symptoms of type 2 diabetes

As practice shows, type 2 diabetes mellitus manifests itself sluggishly, in some cases the symptoms are very difficult to recognize. This type of disease most often develops in people over 40, especially those who suffer from certain forms of obesity, eat poorly, suffer from high blood pressure, or have a hereditary predisposition to the development of diabetic pathologies.

If you do identify characteristic symptoms, they may be as follows:

  • Frequent, excessive urination;
  • Increased feeling of dry mouth, often tormenting thirst;
  • Poor tissue regeneration (even ordinary scratches take a long time to heal);
  • Systematic fatigue, lethargy, weakness;
  • Irritation or itching on the skin.

If you often encounter at least one of these symptoms, it is worth taking a blood test, because this is the only way to accurately determine the presence and development of type 2 diabetes.

It is very important to diagnose the disease as quickly as possible, because type 2 diabetes mellitus develops serious complications, including:

  • Cardiac and vascular pathologies;
  • Diseases of the kidneys and urinary system;
  • Weakening of regenerative abilities;
  • Deterioration of vision;
  • There is even a risk of developing impotence.

Diet for type 2 diabetes

The diet and treatment of type 2 diabetes mellitus may differ slightly depending on the age of the patient, how much the pathological process affects his health, whether there are any concomitant diseases, etc.

But despite this, nutritional adjustments must be carried out without fail, which should be discussed in detail with your doctor. At the same time, the same rule for all diabetics is a low-carbohydrate diet, that is, the diet should include foods containing a minimum of carbohydrates, at the same time it is important to consume as little glucose as possible in order to reduce its concentration in the body.

Of course, there are narrower rules:

When it comes to the initial stages of the disease, a strict diet and proper diet allows you to do without medications at all. Thus, it is possible to keep the development of the pathological process under control and prevent the disease from progressing.

Remembering that in this case we are talking about insufficient production of insulin by the pancreas and excessive glucose in the blood, it is important to adjust your diet. It is also necessary to understand that you will have to adhere to nutritional rules throughout your life, that is, certain dishes and products become not just an integral part of the daily diet, it consists of them entirely.

To better understand which foods are allowed or even preferred for type 2 diabetes, consider a list that provides direction. But first, there is one more recommendation - it is better to steam, bake, boil, stew or eat food in its natural form (the latter applies mainly to vegetables and fruits).

  1. Lean or dietary meats, including chicken, rabbit, turkey, and beef;
  2. Dairy and fermented milk products with low fat content are allowed, that is, milk kefir, yoghurts, cottage cheese and everything else should have no more fat than 1%;
  3. Low-fat varieties of fish, both river and ocean, are good for eating;
  4. Part of the diet should consist of fruits, but in moderation. The only things to avoid are grapes and bananas;
  5. The lion's share of nutrition is based on the consumption of vegetables, literally any kind. They can be cooked or eaten raw, fresh, with particular attention paid to greens;
  6. Many people cannot imagine how they can eat without bread. This question is especially important, since only bran and whole grain types of this flour product are welcome;
  7. Porridge and cereals (rice, wheat, millet, buckwheat, pearl barley, etc.) will also not harm your health. Doctors say that you can also eat pasta, but not often, in moderation.

As you can see, the list of allowed foods for type 2 diabetes is quite extensive, and if you use your imagination, you won’t go hungry or feel dissatisfied. This standard of treatment is irreplaceable and it is necessary to treat nutrition with the utmost seriousness, without giving yourself any relief for a single day.

In addition to instructions on what you can and should eat, you should also mention those foods that you should completely avoid. This way you can more confidently adhere to the rules of nutrition and you will not have the desire to break it or harm yourself out of ignorance.

You should remove the following foods from your menu:

  1. All kinds of sweets top the list, because they contain a huge amount of easily digestible carbohydrates. We are talking about sweets, pastries, cakes, buns, halva and so on, the list goes on for a long time;
  2. Considering what was said earlier, it is logical that fried, smoked, salty, sour and spicy dishes are contraindicated;
  3. It is necessary to exclude the consumption of pork, as well as fatty types of beef and fish, the same applies to all kinds of sausage products;
  4. Fatty dairy products (butter, cream, cheeses, etc.) are prohibited;
  5. Fruit juices (especially unnatural ones), sweet drinks, coffee and tea with sugar, as well as honey are now undesirable.

Daily diet

In order to understand what the daily diet of a person with type 2 diabetes should look like, it is worth considering simple and at the same time healthy recipes for a low-carbohydrate diet, and for a clear example, consider 6 meals in order:

  1. Breakfasts are always distinguished by their lightness, the body is just waking up and after a few hours you will be able to eat again. For this reason, a cup of not too strong coffee, oatmeal (possibly with skim milk) and a slice of bran bread will be enough.
  2. As soon as the feeling of hunger begins to clearly make itself felt, the ideal solution would be to snack on fruit and wash it all down with an unsweetened low-fat herb;
  3. The third meal should be made more saturated; it can consist of a light soup, a second dish of fish or the previously described varieties of meat with porridge, a vegetable salad and a couple of slices of bran bread. You can wash down your meal with tea or unsweetened compote.
  4. The fourth meal may be the same in richness as the second, let it be cottage cheese and a juicy apple.
  5. The evening meal includes a main course (stew, fish, meat, etc.) with bread, salad and weak tea.
  6. If you are full of dinner, but shortly before you want to eat again, prepare a light fruit dessert from berries and low-fat sour cream.

Of course, there can be as many variations as you like, it all depends on your imagination, but the approximate direction should be clear. In addition, it is better to prepare your weekly diet in advance, this will make it easier to adhere to nutritional rules.

Treatment of type 2 diabetes mellitus

In addition to following a diet, it is often necessary to resort to the help of traditional medicine, especially in cases where the disease progresses. First of all, in such situations, it is necessary to consult a doctor and undergo a series of tests, because only on the basis of the diagnostic data obtained can the most correct direction of treatment be developed.

The treatment of type 2 diabetes mellitus itself should be comprehensive:

  • Mandatory diet and nutritional adjustments;
  • Physical activity, because as practice shows, most often type 2 diabetes is found in obese people, and even losing 2-3 kilograms gives tangible results;
  • Drug treatment.

The basis of methods to combat the pathological process under discussion is therapy aimed at reducing blood glucose, as well as normalizing or stimulating the functioning of the pancreas, namely the production of insulin.

Each drug should be prescribed only by the attending endocrinologist; self-medication in such cases is impossible and extremely dangerous. In addition, initially only one specific remedy is used to combat the disease, but in most cases, therapy becomes more and more extensive, and there are more medications.

In 8 out of 10 cases of type 2 diabetes, the doctor prescribes medications in the form of tablets that must be taken orally. Let's look at what kind of tablets these are:

  • Diabetes and its analogues that enhance insulin production. They must be taken in strict accordance with the doctor’s instructions; their abuse affects the functions of the adrenal glands, and allergic reactions may also occur;
  • Metformin lowers blood sugar levels and is also prescribed to patients with certain forms of obesity. Thanks to this remedy, sugar is better absorbed in muscle tissue;
  • Glucobay and others like it allow you to slow down the rise in glucose levels;
  • Thiazolidine and analogues of this medication make insulin receptors more active, which also has a beneficial effect on normalizing glucose levels.

As mentioned earlier, initially only one drug from the list is used, which is prescribed by the doctor. Then the treatment becomes combined, with the addition of one, two or more agents.

There are also cases when it is impossible to do without insulin and the specialist decides to inject this drug intravenously.

Traditional medicine can help as an auxiliary method of combating type 2 diabetes. However, traditional methods are not a replacement for primary therapy; they only improve some indicators and allow you to keep the disease in check.

Let's consider the most common and safe folk methods of providing assistance with folk remedies to elderly and young people:

  • One of the best remedies is considered to be linden (linden blossom). 2-3 pinches of this plant are brewed in a 300-400 milliliter container, after which they are allowed to brew and consumed without adding sugar instead of tea. You can take one cup 1-2 cups daily.
  • To prepare another effective “medicine” you will need garlic and the roots of ordinary garden parsley (300 grams each), 100 grams of lemon zest. The first two ingredients are ground in a meat grinder or blender, then the zest is added to them and everything is thoroughly mixed. The resulting mixture is sent into an opaque glass container and placed in the refrigerator for two weeks, then consumed 5 grams twice a day.
  • Potato juice helps normalize processes in the body. It is recommended to drink 70-100 milliliters of this product daily, to obtain which you need to grate several raw potatoes and squeeze out the resulting pulp; you need to take breaks during this treatment.
  • You can also prepare a decoction of bay leaves. To do this, 10-12 leaves are poured with 300 milliliters of boiling water and infused for 24 hours in a thermos under a closed lid. The resulting product is filtered and drunk 50 ml 20-30 minutes before meals for 20 days.

It is very important to always remember that before using each of the proposed methods, you must consult with your doctor, who can adjust the course of traditional medicine, and, if necessary, make appropriate changes to the basic treatment of type 2 diabetes.

Diabetes mellitus type 2: diet and treatment - all the details on the website

We have already mentioned more than once that diabetes is a chronic disease.

At the moment, there is no cure for it, and all “side” drugs and methods are aimed exclusively at stopping or delaying a number of complications of this disease, which will manifest themselves sooner or later anyway.

“Sugar disease” in its destructive effect is so multifaceted that it is possible to increase the patient’s lifespan only if both the endocrinologist and the patient himself fight together against this disease.

For the most part, the leading role in the treatment process, naturally, should be played by the diabetic himself, because no one but him will be able to respond in time to the slightest signals sent by the body, and the first thing any patient should do is self-control.

We dare to give a little advice to our readers. Keep a personal diary in which you will note your readings daily. Thus, you will be able to timely track all quantitative fluctuations during the day and prevent them in time. Either your doctor or our subsequent advice will tell you how to react to certain changes.

To put it simply, the algorithm for modern treatment of type 2 diabetes is as follows:

  1. Diet
  2. Medicines
  3. Standardized physical activity
  4. Conducting self-control
  5. Prevention of late complications in diabetes mellitus

Let us say right away that we personally do not entirely agree with traditional methods. In this therapy, we are very confused by drug intervention in the treatment process.

We would recommend refraining from taking any medications for as long as possible and, if possible, limiting yourself to diet, self-control, leading an active lifestyle and thereby delaying the further development of diabetes and its complications.

In addition, instilling eating habits is a fairly long-term process, which many diabetics do not cope with immediately.

The main goal of introducing diet and physical activity into therapy is the desire to normalize disturbed metabolic processes in the body (carbohydrate, fat, protein and water-salt) in order to bring the patient’s condition closer to normal. Thus, it is possible not only to normalize all processes, but also to adjust the patient’s weight. When losing weight, special emphasis is placed on low-carbohydrate or balanced diets.

At the same time, it is completely wrong to completely refuse food and such a technique as fasting for diabetes is unacceptable.

We do not exclude the fact that with high-quality fasting (in the process of following all recommendations, total control and supervision of the patient by a real practicing specialist in this field!) you can achieve amazing results.

BUT! At the moment, we cannot say for sure that there are many such specialists in Russia. Moreover, those who simply extract money from unfortunate people also consider themselves to be professional specialists. They manipulate a person’s fear, driving him into a dead end, frightening him with scary stories about unfortunate people who were treated with traditional methods and could not live a “decent” and long life. At the same time, they talk about the incredible healing of people after a 40-day fast, so much so that the unfortunate person begins to completely believe this “doctor,” because the patients are surrounded by supposedly miraculously cured sufferers who tell him about their false destinies.

Let us remind you! The most difficult thing about fasting is starting and finishing the process correctly. With the wrong fasting technique, you can greatly harm the entire body! The consequences of such methods, developed by crooked-handed and sweet-voiced “specialists”, are actually terrible. Therefore, before you entrust your life, health and a fabulous amount of money to someone, check all regulatory documents and their authenticity, because you can print ready-made review forms on any color printer.

And remember that none of them is responsible for your life and health, because you yourself agree to such experiments.

Nobody forced or forced you. At the same time, all checks usually bear the inscription: “Voluntary donation in the amount of ....”

But let's return to our topic.

So, in order to lose excess weight, which significantly interferes with normalizing all metabolic processes, improving your health and almost completely forgetting about diabetes, you need to clearly understand that:

  • Without desire, aspiration and willpower, nothing will come of it
  • It is important to follow all the recommendations of your doctor (but do not swallow pills that are “useful” in the most extreme case, when it is simply impossible to live without their intervention)
  • It is necessary to diversify your life with a love of training (love working out in the gym, because without them it will be more difficult for you to join the ranks of healthy people living a full life)
  • Eat right (watch what and how much you consume)
  • Never be discouraged (despondency is the enemy of any person, which drives him into an even more serious state - depression)
  • Remember that all the diseases that have grabbed hold of us progress against the background of a complex stressful state (do not let negative emotions cloud your consciousness)
  • Any diet should be adjusted depending on the current state (if you have already lost a certain amount of kilograms, usually 10 or more, then you need to reduce the total number of daily calories, etc.)

Diabetics should completely avoid:

  • sugar and sugar syrups (jam, condensed milk)
  • confectionery products (sweets, cookies, pastries, cakes, etc.)
  • white baked goods
  • fruits and dried fruits (you can drink compotes, but without sugar)
  • beer, spirits and sweet wines
  • sweet drinks (including packaged store-bought juices with sugar)

The cooking process is also important! Eating highly fatty, deep-fried foods is dangerous not only for diabetics, but also for healthy people. Try to cook dishes by simmering the ingredients in a small amount of oil and fat. It is better to eat fresh vegetables and herbs; when cooking, try not to cook them a little. It is best to steam or bake foods in their own juices in the oven. Give preference to lean varieties of meat, fish and other seafood. It is also not recommended to rely on salt.

Drink more water! The body must not be dehydrated. In diabetics, all excess sugar and oxidation components after metabolic processes are excreted in an abundance of urine. This is why the process of urination may be difficult and they often urinate more often than others. At the same time, be careful with any tea drinks. Remember that any tea is a diuretic.

When following a diet, you should also remember the vitamin balance. In diabetics, many nutrients that do not have time to be absorbed in time are also washed out of the body in the urine, and if the patient adheres to a diet, the amount of vitamins is sharply reduced, especially in the off-season or winter. To ensure the normal course of redox processes, it is important to consume a sufficient amount of fresh vegetables and herbs, which contain fiber. Sometimes an endocrinologist may prescribe some additional vitamin complex.

Smoking, which increases the already high level of lipid peroxidation in diabetes, is strictly prohibited. You should also not drink alcohol, even in small doses. All this has an extremely detrimental effect on the functions of all organs, the central and peripheral nervous systems.

How to correctly calculate your daily calorie intake

We understand perfectly how doctors work in city and regional hospitals. Such a salary does not at all encourage them to conduct a more thorough analysis and work with each patient who comes to the hospital with this or that question. Therefore, most likely, when working with a patient, the doctor will limit himself to some general recommendations and advice. To get more specific and high-quality advice, you have to contact either a paid clinic or look for answers to your questions yourself.

In both the first and second cases, no one will give you any guarantees, because in a paid clinic you will have to pay literally every breath you take (as long as your finances allow), and if you search for information on your own, you can come across groundless, empty, stupid and even dangerous advice that is far from based on factual information.

Therefore, in this article we will post one method that, thanks to some calculations, will allow you to calculate your individual daily calorie intake. To do this, you only need to have a few knowledge (know: weight, height, age, gender and activity level).

Of course, you can limit yourself to studying the simpler information contained in the table below, but it is much more important to conduct detailed analysis and calculations in order to identify your own criteria.

Daily norm

For men age norm excess norm excess Women
19-24 2600 2080 2200 1780
25-50 2400 1920 2000 1600
51-64 2200 1780 1800 1440
over 64 1900 1520 1600 1280

Why does the total number of calories consumed decrease with age?

The thing is that the older a person is, the slower his metabolism. All metabolic processes slow down and, accordingly, to normalize and supply the body with energy, a smaller amount of “fuel” - food - is required. Therefore, people over the age of 40 who are overweight are at a particular increased risk of developing or.

Calculation of individual criteria

  • activity level

From the table below, select the definition that suits you and write down its coefficient separately.

coefficient definition description
1.2 inactive inactive lifestyle without physical activity (sedentary work - home - work)
1.375 inactive
occasional workouts in the gym (about 2 days a week)
1.55 active more frequent workouts (about 3 - 5 days a week)
1.725 very active
frequent training (every day)
1.9 hyperactive a large amount of physical activity (professional sports, daily long hours of training or physical labor)

When determining your activity level, you need to be as honest as possible. The accuracy of subsequent calculations depends on this.

  • Total metabolism per day

He calculates according to a formula taking into account gender differences.

For men: 66.47+(13.7×weight/kg)+(5×height/cm)-(6.76×age)

For women: 655.1+(9.6×weight/kg)+(1.8×height/cm)-(4.7×age)

For example, the weight of a fifty-six-year-old woman of average height is 115 kg, her daily norm will be: 655.1+(9.6×115)+(1.8×168)-(4.7×65)=1756 kcal/day

However, we should not forget that rapid weight loss is fraught with negative consequences, especially for a diabetic, who, even with his diagnosis, has already experienced a serious disruption in lipid, carbohydrate, purine, and water-salt metabolism.

Normal, healthy weight loss for overweight and diagnosed obesity is only possible by 4 or 5 kg per month!

The indicator obtained at this stage is only a rough, dirty criterion that requires further polishing and cutting, because such a daily norm is very arbitrary!

  • Calorie norm

Calculated according to the formula: total metabolism per day×activity level

It turns out, 1756 × 1.2 (a person is inactive, does not engage in heavy physical labor and leads a predominantly “sedentary” lifestyle) = 2107.2 kcal/day

In other words, a person should consume approximately 2108 calories, but to lose weight he needs to subtract 500 kcal from this amount. We get 1608. The optimal option will be presented to us by calculating the calorie corridor, which will allow us to determine the low and high limits.

Low limit: 1608-250=1358

High limit: 1608+100=1708

This way we will get approximate guidelines in order to vary the calorie content of the daily diet within acceptable limits. In this case, the level and speed that are characteristic of healthy, smooth weight loss are achieved.

Norm of proteins, fats and carbohydrates

But when drawing up a diet, planning appropriate treatment for type 2 diabetes, it is necessary to maintain a balance of various substances and microelements. The daily diet should contain: carbohydrates - 45-60%, fats - 20-35%, proteins - 10-16% of the daily requirement.

How to determine their exact number for a specific person?

In this matter, we will be helped by the previously obtained calorie corridor indicators (low and high limits) in order to calculate the nutrient corridor.

Low level:

  • proteins 1358×0.10÷4=33.95
  • fats 1358×0.20÷9=30.17
  • carbohydrates 1358×0.45÷4=152.77

High level:

  • proteins 1708×0.16÷4=68.32
  • fats 1708×0.35÷9=66.42
  • carbohydrates 1708×0.60÷4=256.2

In addition, when creating your menu, it would be a good idea to classify foods according to their usefulness for a diabetic. Will help with this.

Self-control

The next thing that is used in the treatment of type 2 diabetes mellitus after dietetics and standardized physical activity is self-control!

To do this, you can either print this page with tabular data, or sketch them out yourself in your personal diary.

Self-control (standard from 1993)

Indicators Control
good satisfactory bad
Glucose
on an empty stomach 4.4 - 6.1
6.2 - 7.8
>7.8
after meal 5.5 - 8.0
11.1 - 14.0
>14.0
HbA1C(N<6%) <6.5 6.5 - 7.5
>7.5
HbA1C(N<7.5%) <8.0 8.0 - 9.5
>9.5
Total cholesterol
mmol/liter <5.2 5.2 - 6.5
>6.5
Fasting triglycerides
mmol/liter <1.7 1.7 - 2.2
>2.2
Body mass index (kg/m²)
men <25.0 25.0 - 27.0
>27.0
women <24.0 24.0 - 26.0
>26.0

The European standard, developed in 1993 by the insulin-dependent diabetes group, suggests monitoring the following biochemical parameters:

  • Glucose level

Blood sugar levels vary throughout the day and are directly related to the quality and quantity of foods consumed.

If you consume food rich in fast carbohydrates, then, of course, your blood sugar level will increase greatly. If you eat foods with slow carbohydrates, then the “sugar” level will also rise, but not critically. Gradual normalization will occur within 5 hours after eating food.

More details about carbohydrate-containing products and the process of their interaction with our “inner world” can be found in the article:

Therefore, control must be carried out, as you may have guessed, throughout the day. Usually the first blood draw occurs in the morning on an empty stomach before breakfast. Then after every meal. At home, glucometers can help you measure your glucose levels.

For inpatient or sanatorium treatment, an additional control method is. You can also take a similar test during outpatient treatment if you receive a direct referral from your attending endocrinologist.

Compensation of carbohydrate metabolism

Research time Glucose content (mmol/liter)
perfect compensation satisfactory compensation
before breakfast 3.89 - 5.0 3.87 - 6.11
before any meal 3.89 - 5.83 3.89 - 7.22
After meal
After 1 hour 6.11 - 8.88 6.11 - 9.99
In 2 hours 4.44 - 6.66 4.44 - 8.33
at 2 and 4 pm 3.89 - 5.0 3.89 - 6.66

Looking ahead, we note that more intense self-control in order to stop hypoglycemia is necessary before, during and after training or any physical activity. Very often, patients consult a doctor at a critical moment who do not take this fact into account when working in their garden.

Remember: digging beds for planting, landscaping the area, caring for and harvesting crops - all this refers to increased physical activity. During this time and after work, you need to monitor your health especially often.

If you forget about this, then set an alarm clock that beeps every 30 - 40 minutes!

A portable express blood cholesterol analyzer, which has several test strips, will help you measure your total cholesterol level at home. Similar devices allow you to find out not only the level of “bad cholesterol” (LDL cholesterol, low-density lipoprotein cholesterol) and “good cholesterol” (HDL cholesterol, high-density lipoprotein cholesterol), i.e. show the amount of triglycerides as well as the level of glucose in the blood.

Typically, such a set consists of several items: a lancet (a pen with a needle at the end), the device itself, which measures readings, and a set of test strips, which act like a litmus test when a drop of blood is taken on a strip soaked in a special chemical solution incoming react upon contact with human blood.

It is necessary to draw blood for analysis strictly on an empty stomach! (with a twelve-hour fast)

The strip is inserted into the niche of the device and all that remains is to wait for the information to be made public, which will be reflected on the monitor in the form of symbols, which the attached instructions will allow you to decipher.

It is not necessary to buy an expensive express analyzer. You can take a referral from an endocrinologist and donate blood as part of a laboratory analysis.

  • Body mass index

To calculate BMI (body mass index), you need to know your height and weight.

Formula: BMI=weight/kg÷height/m2

Thus, if a person’s weight is 95 kg with a height of 175 cm, then: 95 ÷ (1.75 × 1.75) = 31

And then we check the diagnostic table, which also reflects the level of risk of developing endocrine diseases in combination with cardiovascular and other types of complications in the presence of overweight and obesity.

BMI (kg/m2) Diagnostics Risk level
<18.5 underweight
low (average risk of developing other diseases)
18.5 - 24.9
normal body weight normal condition without complications
25 - 29.9 overweight elevated can diagnose prediabetes
30.0 - 34.9 obesity I degree high (metabolic syndrome)
35.0 - 39.9 obesity II degree very tall
≥40 III degree obesity extremely high

If the methods described above do not help normalize the patient’s condition, then insulin therapy, which is indicated in the following cases:

  • ketoacidosis, diabetic coma;
  • fast and strong weight loss;
  • the occurrence of intercurrent diseases;
  • surgical intervention in critical condition of the patient;
  • pregnancy and lactation;
  • lack of effect from other treatment methods.

Only a doctor can prescribe this type of treatment for type 2 diabetes!

Drug treatment of type 2 diabetes mellitus

All treatment comes down to normalizing glycemic levels and normalizing carbohydrate metabolism, stimulating insulin secretion and increasing cell sensitivity to insulin, speeding up metabolism.

Sugar-burning drugs are also used in the treatment of type 2 diabetes. There are only two types: sulfonylurea derivatives and biguanides.

Sulfonylureas, depending on their effect (central or peripheral), can act directly on the pancreas when the pancreatic islets are stimulated and insulin is produced, and the sensitivity of β-cells to glycemia is improved. Such drugs can participate in the process of glucose utilization in the liver and muscle tissue, when the process of glycogen formation in them is enhanced. Other relatively positive results are also achieved, allowing the time of development to be delayed.

But! Long-term treatment leads to a strong decrease in sensitivity to them. Further attempts to increase the dosage do not lead to positive results!

Contraindications for sulfonylureas

In addition, if a person experiences the following complications, then the use of these drugs is strictly prohibited:

  • ketoacidosis,
  • precomatose state
  • diabetic coma
  • pregnancy and lactation,
  • the presence of any infectious disease,
  • the need for surgical intervention,
  • development of trophic skin lesions,
  • the appearance of symptoms of developing renal or liver failure,
  • progressive weight loss of the patient.

Side effects

In some cases, taking medications can provoke the development of the following complications and negative consequences:

  • dyspeptic disorders,
  • allergic reactions,
  • leukopenia,
  • thrombocytopenia,
  • agranulocytosis,
  • toxic hepatitis.

In any case, remember that before conducting any experiments on your health, be sure to consult a doctor for timely advice!

The above should not push you towards thoughtless self-medication!

If you find an error, please select a piece of text and press Ctrl+Enter.

Diabetes mellitus (DM) type 2 is a common non-infectious chronic disease. It affects both men and women, most often over the age of 40. The danger of type 2 diabetes is underestimated by many, and some patients, in fact, are simply not informed that they are susceptible to the disease. And those patients who are aware of their pathology often do not know what diabetes mellitus is, what it threatens, and are not aware of its danger. As a result, type 2 diabetes can become severe and lead to life-threatening conditions. Meanwhile, adequate treatment and proper nutrition for type 2 diabetes can stop the development of the disease.

Causes

When a person develops diabetes mellitus, the reasons for this fact can be varied. The second type of disease often results from:

  • improper diet;
  • lack of physical activity;
  • excess weight;
  • heredity;
  • stress;
  • self-medication with medications, for example, glucocorticosteroids.

In fact, there is often not just one prerequisite, but a whole complex of reasons.

If we consider the occurrence of the disease from the point of view of pathogenesis, then type 2 diabetes mellitus is caused by a relative lack of insulin in the blood. This is the name of the condition when the insulin protein produced by the pancreas becomes inaccessible to insulin receptors located on cell membranes. As a result, cells are deprived of the ability to absorb sugar (glucose), which leads to a lack of supply of glucose to the cells, as well as, no less dangerous, to the accumulation of glucose in the blood and its deposition in various tissues. According to this criterion, non-insulin-dependent diabetes mellitus differs from type 1 diabetes, in which the pancreas does not produce enough insulin.

Symptoms

Signs of the disease largely depend on the stage of the disease. In the first stages, the patient may not feel any serious discomfort, with the exception of increased fatigue, dry mouth, increased thirst and appetite. This condition is usually attributed to poor diet, chronic fatigue syndrome, and stress. However, in fact, the cause is a hidden pathology. As the disease progresses, symptoms may include:

  • poor wound healing,
  • weakening of the immune system,
  • pain and swelling in the limbs,
  • headache,
  • dermatitis.

However, patients often do not correctly interpret even a set of such symptoms, and diabetes develops unchecked until it reaches intractable stages or leads to life-threatening conditions.

Diabetes mellitus type 2, treatment

In fact, there are no sufficiently effective methods to increase the uptake of glucose by cells, so the main emphasis in treatment is on reducing the concentration of sugar in the blood. In addition, efforts should be aimed at reducing the patient's excess weight, bringing it back to normal, since the abundance of adipose tissue plays an important role in the pathogenesis of diabetes.

The main factor influencing the likelihood of developing complications in type 2 diabetes is lipid metabolism disorder. An excess amount of cholesterol different from the norm can lead to the development of angiopathy.

Treatment methods

Type 2 diabetes mellitus is a disease that requires long-term and persistent therapy. In fact, all applied methods are divided into three groups:

  • taking medications,
  • diet,
  • lifestyle change.

Effective treatment of type 2 diabetes mellitus involves fighting not only diabetes mellitus itself, but also concomitant diseases, such as:

  • obesity,
  • hypertension,
  • angiopathy,
  • neuropathy,
  • depression.

Type 2 diabetes mellitus is treated on an outpatient basis and at home. Only patients with hyperglycemic and hyperosmolar coma, ketoacidosis, severe forms of neuropathies and angiopathy, and strokes are subject to hospitalization.

Medicines against diabetes mellitus

Essentially, all medications are divided into two main groups - those that affect insulin production and those that do not.

The main drug of the second group is metformin from the biguanide class. This drug is most often prescribed for type 2 diabetes. Without affecting pancreatic cells, it maintains blood glucose at normal levels. The drug does not threaten a critically low decrease in glucose levels. Metformin also burns fat and reduces appetite, which leads to a reduction in the patient’s excess weight. However, an overdose of the drug can be dangerous, as a severe pathological condition with a high mortality rate can occur - lactic acidosis.

Typical representatives of another group of drugs that affect insulin production are sulfonylurea derivatives. They directly stimulate the beta cells of the pancreas, causing them to produce insulin in increased quantities. However, an overdose of these drugs threatens the patient with a hypoglycemic crisis. Sulfonylurea derivatives are usually taken together with metformin.

There are other types of drugs. A class of drugs that enhance glucose-dependent insulin production include incretin mimetics (GLP-1 agonists) and DPP-4 inhibitors. These are new drugs, and so far they are quite expensive. They suppress the synthesis of the sugar-increasing hormone glucagon and enhance the effect of incretins - gastrointestinal hormones that increase insulin production.

There is also a drug that prevents the absorption of glucose in the gastrointestinal tract - acarbose. This remedy does not affect insulin production. Acarbose is often prescribed prophylactically to prevent diabetes.

There are also medications that increase the excretion of glucose in the urine, and drugs that increase the sensitivity of cells to glucose.

Medical insulin is rarely used in the treatment of type 2 diabetes mellitus. Most often it is used when therapy with other drugs is ineffective, in a decompensated form of diabetes mellitus, when the pancreas is depleted and cannot produce enough insulin.

Type 2 diabetes is also often accompanied by concomitant diseases:

  • angiopathy,
  • depression,
  • neuropathies,
  • hypertension,
  • lipid metabolism disorders.

If such diseases are detected, then drugs are prescribed to treat them.

Types of drugs for the treatment of type 2 diabetes mellitus

Type mechanism of action examples
Sulfonylurea derivatives stimulation of insulin secretion glibenclamide, chlorpropamide, tolazamide
Glinids stimulation of insulin secretion repaglinide, nateglinide
Biguanides metformin
Glitazones decreased liver glucose production and tissue resistance to glucose pioglitazone
Alpha-glucosidase inhibitors slower absorption of glucose in the intestines acarbose, miglitol
Glucanagon-like peptide receptor agonists exenatide, liraglutide, lixisenatide
Gliptins (dipeptidyl peptidase-4 inhibitors) glucose-dependent stimulation of insulin secretion and reduction of glucagon secretion sitagliptin, vildagliptin, saxagliptin
Insulins increased glucose utilization Insulin

Diet

The essence of changing the diet for diabetes is the regulation of nutrients entering the gastrointestinal tract. The required nutrition should be determined by the endocrinologist individually for each patient, taking into account the severity of diabetes, concomitant diseases, age, lifestyle, etc.

There are several types of diets used for non-insulin-dependent diabetes (table No. 9, low-carbohydrate diet, etc.). All of them have proven themselves well and differ from each other only in some details. But they agree on the basic principle - the norms of carbohydrate consumption during illness should be strictly limited. First of all, this applies to products containing “fast” carbohydrates, that is, carbohydrates that are very quickly absorbed from the gastrointestinal tract. Fast carbohydrates are found in refined sugar, jams, confectionery, chocolate, ice cream, desserts, and baked goods. In addition to reducing the amount of carbohydrates, it is necessary to strive to reduce body weight, since increased weight is a factor that aggravates the course of the disease.

Other information

It is recommended to increase your water intake to replenish fluid loss due to frequent urination, which often accompanies diabetes. At the same time, it is necessary to completely abandon sweet drinks - cola, lemonade, kvass, juices and tea with sugar. In fact, you can only drink drinks that do not contain sugar - mineral and plain water, unsweetened tea and coffee. It must be remembered that drinking alcohol can also be harmful - due to the fact that alcohol disrupts glucose metabolism.

Meals should be regular - at least 3 times a day, and best of all - 5-6 times a day. You should not sit down at the dinner table immediately after exercise.

How to monitor your blood glucose levels

The essence of diabetes therapy is self-control on the part of the patient. With type 2 diabetes, the sugar level should be within the normal range, or close to it. Therefore, the patient needs to control his sugar level independently in order to avoid critical increases. To do this, it is advisable to keep a diary in which the values ​​of glucose concentration in the blood will be recorded. Glucose measurements can be taken with special portable glucometers equipped with test strips. It is advisable to carry out the measurement procedure every day. The optimal time for measurement is early morning. Before the procedure, you are prohibited from eating any food. If possible, the procedure can be repeated several times a day and determine the sugar level not only in the morning on an empty stomach, but also after meals, before bed, etc. Knowing the schedule of changes in blood glucose, the patient will be able to quickly adjust his diet and lifestyle so that the glucose level is in a normal state.

However, the presence of a glucometer does not relieve the patient of the need to regularly check blood sugar levels in the outpatient clinic, since the values ​​​​obtained in the laboratory are more accurate.

It's not that difficult to control your sugar levels when consuming food - after all, most products bought in the store indicate their energy value and the amount of carbohydrates they contain. There are diabetic analogs of regular foods in which carbohydrates are replaced with low-calorie sweeteners (sorbitol, xylitol, aspartame).

Fasting blood sugar level

Fruits and vegetables

Is it possible to eat fruits and berries with type 2 diabetes? Preference should be given to vegetables that contain large amounts of indigestible, but beneficial for digestion, fiber and less sugar. However, many vegetables, such as potatoes, beets and carrots, contain large amounts of starch, so their consumption should be limited. Fruits can be consumed in moderation, and only those that do not contain very high amounts of carbohydrates. Among fruits, the record holders for carbohydrate content are bananas, followed by grapes and melons. They are not recommended to be consumed as they can increase sugar levels.

Folk remedies

Folk remedies involve taking decoctions of medicinal herbs. Such therapy can not only reduce blood glucose levels, but also reduce appetite and reduce excess weight. However, folk remedies can only be taken in addition to taking medications and in consultation with your doctor.

Physical exercise

An auxiliary method of therapy is physical exercise. When performing moderate-intensity exercise, the body burns large amounts of glucose. Metabolism returns to normal and the cardiovascular system is strengthened. It is necessary to do physical exercise every day. However, the exercises should not be exhausting, since this can only achieve the opposite effect. When you are very tired, your appetite increases, and eating a lot of food can negate all the positive effects of physical activity. Fatigue triggers stress and the release of adrenal hormones, which increases blood glucose levels. Therefore, it is recommended to select the type of physical activity that would suit the patient’s athletic form - simple exercises, exercises with dumbbells or walks, jogging, swimming, cycling.

Energy costs for various types of activities

Forecast

In severe cases, when type 2 diabetes reaches the stage of decompensation, it is, as a rule, impossible to reverse the disease and return glucose levels to normal - due to depletion of the resources of the pancreas and the body as a whole. Therefore, type 2 diabetes mellitus in such a situation is an incurable disease. However, proper treatment of type 2 diabetes can extend the patient's life for many years. At the initial stage of type 2 diabetes mellitus, it is possible to control the concentration of glucose in the blood and maintain it within acceptable limits only by changing the diet and lifestyle, and increasing physical activity. As a result, the patient can live for many decades without experiencing any complications from diabetes.

Type 2 diabetes is the most common form of diabetes. It accounts for about 90% of all cases. The reason is insufficient action of insulin in the cells of the body.

In the last decade, the incidence has increased sharply, especially in industrialized countries.

Non-insulin-dependent diabetes is an endocrine disease. The second type of diabetes is characterized by a constant increase in blood glucose levels. To cure the disease and prevent complications, doctors prescribe medications and recommend some folk remedies.

Most victims with this diagnosis are overweight. But not every patient is obese; this disease has other causes.

First of all, it is considered hereditary. If one of the parents has diabetes, the child has a 50% chance of developing the disease. In 90% of cases, pathology is found in both twins.

Other causes of the disease:

  • high blood pressure;
  • metabolic syndrome is a combination of obesity, elevated blood lipids (dyslipidemia), hypertension and a disorder of glucose metabolism;
  • Stress hormones such as catecholamines stimulate increased glucose production in the liver.

Lack of exercise has a negative impact on energy balance. Active people convert glucose into energy.

The main risk factor is age. The risk group includes individuals who are 30 years of age or older.

Symptomatic manifestations

Many patients suffering from diabetes are unaware of the presence of the disease. It can remain undetected for many years.

The first symptoms, as a rule, are not characteristic of this pathology. These are signs such as fatigue, headache, blurred vision. Often the diagnosis is made completely by accident, despite the fact that the patient came in for another reason, and these turned out to be the first symptoms of non-insulin-dependent diabetes.

There are a number of signs that indicate the presence of diabetes:

As a result of increased amounts of sugar in the blood, irreversible damage to blood vessels and nerves can occur, with serious consequences for various body systems.

Non-insulin-dependent diabetes causes neuropathy, diarrhea or constipation, damage to small blood vessels (microangiopathy), macroangiopathy (damage to large blood vessels).

Which doctor should I contact?

If you suspect such a disease, you should visit your family doctor or a specialist in internal medicine, endocrinology and nutrition.

To confirm the diagnosis, it is necessary to take a blood test to determine the glucose concentration. Further examinations may be performed to identify underlying conditions.

These include:

Another diagnostic test is to detect ketone bodies in the urine. Ketone bodies are substances that are produced when there is a lack of insulin. In diabetes mellitus, their concentration in urine increases.

Basic methods of therapy

Therapy for the disease is aimed at restoring glucose levels. Stabilizing blood sugar levels can prevent serious complications of the disease.

Medicines

The group of oral antidiabetic drugs is constantly changing, with new agents being introduced almost every year.

Treatment begins with the use of one drug (monotherapy), usually Metformin. If this remedy is not enough, it can be combined with other medications.

Additional drugs for the treatment of non-insulin-dependent diabetes
DrugsPrinciple of operationPossible side effects
BiguanideIncreases insulin effectiveness by up to 20%. Reduces fats and cholesterol in the blood. Able to curb appetite, thereby reducing weight.Rare but dangerous side effect: lactic acidosis.
SulfonylureasIncreases the release of insulin from the pancreas.May lead to weight gain. Risk of hypoglycemia.
Glinids
GlitazonesCells become more sensitive to insulin.Slight weight gain is possible.
Alpha-glucosidase inhibitorsInhibition of sugar enzymes.
DPP-IV inhibitorIncreases insulin.
SGLT-2 inhibitorsIncreased urinary glucose excretionFrequent urinary tract infections.

Insulin therapy for patients diagnosed with non-insulin-dependent diabetes is necessary when dietary measures, lifestyle changes, and oral agents have not sufficiently reduced blood sugar levels.

Insulin is injected by the patient into the subcutaneous adipose tissue.

Dr. Myasnikov talks about diabetes, the causes of its development and treatment, watch the video:

Traditional recipes to help patients

Self-therapy of the disease cannot be carried out, even if it is folk remedies. You should always consult a doctor before using a new product.

The goal of traditional medicine is to lower blood glucose levels, reduce excess weight and cleanse the body.

The following recipes are the most popular:

  1. Dry and mix in equal amounts of chopped herbs: blueberry leaves, burdock root, bean leaves. Take 50 grams of herbal mixture, pour a liter of boiling water. After ten hours of infusion, the product is taken 4 times a day, 100 ml warm. Duration of therapy - one month;
  2. Take 10 large bay leaves, pour 0.5 liters. boiling water The medicine is infused for 2 hours, 1 tbsp is taken. l. half an hour before meals. The product should be used 3 times a day for 10 days, followed by a break of 7 days. It is necessary to conduct three such courses;
  3. Beans are an excellent remedy for diabetes. To prepare this folk remedy you will need 20 grams of beans and 1 liter of water. The ingredients are mixed and boiled over low heat for 4 hours. Then the mixture is filtered and taken 100 ml 3 times a day. The course of treatment is 30 days.

Some more useful tips:

  1. Traditional healers for diabetes recommend making decoctions of horsetail, blueberries, rose hips and Jerusalem artichoke;
  2. Remedies made from onions and garlic are excellent in helping to cope with the disease;
  3. With the onset of spring, pick a few lilac flowers and eat them, it also fights the disease well;
  4. Tea brewed from white mulberry roots will help lower blood sugar levels;
  5. The plant - golden mustache - is useful. The prepared tincture of this plant is taken daily.

Lifestyle and regime

The very first therapeutic measure is the right lifestyle.

Physical therapy is one of the most important components of treatment for type 2 diabetes. They activate blood circulation and metabolism. In addition, regular physical activity has a positive effect on the functioning of the cardiovascular system.

It is necessary to exercise every other day or every day, this will be much more beneficial than exhausting the body once a week.

It is very important to quit smoking, walk more in the fresh air and follow the diet prescribed by your doctor.

Medical nutrition

Dietary nutrition is a mandatory measure for type 2 diabetes mellitus. By doing so, you prevent the occurrence of acute hypoglycemia and chronic damage to nerves and blood vessels. This should be taken into account, since the body cannot independently regulate sugar substances; an active lifestyle is necessary.

According to the German Association, in case of diabetes, the choice of foods should be individualized.

The regularity and quantity of food intake is of great importance in dietary nutrition.

The difference between the first and second types of diabetes is that with type 1, insulin production is almost completely stopped. And with type 2, you can increase the release of insulin from the pancreas by following a diet and taking the necessary medications.

Don't forget about physical activity; exercise is as important as diet.

In contact with

Classmates

    2019-10-10T17:46:32+00:00

    Type 2 diabetes requires a special diet and overall control of the body's condition. Plus, it doesn’t hurt to take something from the pharmacy to normalize blood sugar. A specialist recommended the cardioactive taurine to me; it is a very effective thing for diabetics. I order from shop.evalar, I have been drinking it in courses for several months.

    2019-04-02T22:13:48+00:00

    2019-04-01T19:18:50+00:00

    I took half a tablet for 10 days Glucophage Long 1000 ml. Then I took a whole 1000 mg tablet. That's what the doctor prescribed for me. You'd better ask your doctor.

    2019-03-26T22:38:58+00:00

    Hello! Can anyone tell me what dosage is best to start taking glucophage in order to lose excess weight? I have type 2 diabetes, but I have not taken glucophage yet. I need to lose weight, I want to try and start taking it.

    2019-03-20T20:04:31+00:00

    My mother has type 2 diabetes. She has been living with this diagnosis for many years. He constantly follows a diet and drinks glucophage. The drug turned out to be very good and without side effects. Mom has no nausea, no indigestion, and her sugar levels are normal.

    2019-03-09T23:34:29+00:00

    Take Glucophage Long, my endocrinologist recommended it to me. He delivers metformin more slowly, so there is no load on the gastrointestinal tract, as well as side effects. I liked the effect...

    2019-03-08T23:55:26+00:00

    You will lose weight. 2.5-3 kg per month will go away, my aunt started taking these pills a couple of years ago. After just three months, everyone noticed that she had lost a little weight. Now about 20 kg are already gone.

    2019-03-05T23:39:46+00:00

    Agree. But my weight still began to grow slowly. The doctor added Glucophage, I’ve been taking it for a month. The weight gain has stopped. But I still hope that I will lose at least a little weight with these pills.

    2019-02-24T20:07:45+00:00

    I want to support: special nutrition and moderate physical activity are very necessary for diabetes (and the weight is kept more or less under control). Traditional methods of struggle can be used in combination with the main therapy and better under the control of tests.

    2018-12-05T12:56:17+00:00

    I didn’t know that I had diabetes, although I felt bad. My legs were weak. Sores appeared on my legs. I went to the doctor. The tests showed SUGAR 16. I WAS RECOGNIZED DIABETES1 AND THEY WERE PRESENTED OF THE MEDICATIONS. I THROWED OUT THE MEDICATIONS AND BEGAN TO DO MY METHOD. I adjusted my diet according to the advice on the computer and did physical exercises every day without being lazy. Squats 30.50 times bicycle and others Sugar dropped to 5.7 I was taken off the register Advice: don’t rush to go on insulin

    2018-10-01T12:16:59+00:00

    I suffered so much with my diabetes, it took a long time for me to find a sugar-lowering drug. With some sugar levels did not reach the norm, with others it fell below it. We tried several drugs, with different active ingredients, in different dosages. In the end, we found a way out, now I take Diabeton, which by itself does not bring it up to normal, but at least it does not give any side effects. But with it I also take dibicor, thanks to it I get to normal levels and they never fall lower or rise higher. And it has no side effects, it acts gently but effectively.

    2018-07-28T22:32:42+00:00

    I couldn’t even cure prediabetes without medication, but now I have diabetes. I’ve been going to yoga for two years now and trying to stick to a little bit of a diet, but I still had a problem with sugar. I was afraid that it would turn into diabetes, but to my joy this did not happen. and all I did for this was drinking Dibicor for some time. Now I try to check my sugar more often, so that if anything happens I don’t get diabetes.

    2018-05-15T19:58:08+00:00

    That's right, diabetes is not a disease that you can treat on your own. Even the possibility of using folk remedies should be discussed with a doctor so as not to make things worse. Sometimes even medications can’t cope with sugar, let alone folk remedies. and when sugar levels spike, there is no question of feeling normal. My mother had this for a while until Dibicor was added to treatment. Now her sugar is almost always normal and she feels great, there is no shortness of breath or weakness. And she always followed the diet, she just got too nervous one time and developed diabetes.

    2017-02-20T00:11:32+00:00

    Folk remedies don't help. people. If you believe this, you are living in the Middle Ages. The only thing that helps besides drugs is nutrition - coarse fiber in the form of bran will especially help sugar to be absorbed more slowly, without causing a sharp jump in sugar levels, no fast carbohydrates like white rolls or jam - once. And two - physical activity, you will burn sugar. And under no circumstances agree to insulin. its quantity is difficult to regulate, coma can occur (if there is too much or too little), drugs that lower sugar are better. I'm on Galvus, dear, but it helps quickly.

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