"There is no reason to eat before eating and lowering blood sugar"

Izo Imai's team of professors at Osaka Prefecture University in Japan announced recently that they have found that when eating, eating vegetables and eating first, whether or not there are symptoms of diabetes, can help reduce blood sugar levels and reduce the extent of change. Iwai Saeko believes that as long as the food is given a little attention to the order of eating, it can help prevent lifestyle-related diseases. After the above news was issued by the Xinhua News Agency, it caused domestic readers, especially diabetics, to pay attention and attention.

Is there any scientific reason for eating blood sugar after eating first? What results can be caused by differences in dietary patterns between Chinese and North Americans? What kind of diet is most beneficial to diabetics? With these topics of common concern, the author recently interviewed Dr. Hong Zhao, Department of Endocrinology, Daqing Oilfield General Hospital, which is studying in Canada.

“There are more and more people suffering from diseases related to 'sugar' – diabetes and impaired glucose regulation. The cause of diabetes is due to insulin resistance and insufficient insulin secretion, which is closely related to 'eat' "The disease." Zhao Hong pointedly pointed out that in the "five wagons" for diabetes treatment (diabetes education, diet, exercise, medicine, self-monitoring), diet plays a pivotal "role", so what to eat, Problems such as how to eat naturally become the subject that the expert has concentrated on.

Zhao Hong said that the Japanese scholars suggested that the order of patients with diabetes is to eat half of the food, vegetables, mushrooms, seaweed, etc., then eat meat, fish, soybeans, dairy products and other protein-containing dishes, and finally eat rice. , bread, noodles, and yam carbs, as well as some fruits.

Iwai Saeko and others found that in the group of diabetic patients, if they started eating carbohydrates such as rice first, two hours after the meal, their average blood glucose value was 195 milligrams per 100 milliliters; if they first eat vegetables and then eat rice, this The value is 160 milligrams per hundred milliliters. The latter shows that the blood glucose level has been significantly reduced, and the range of change has also been reduced significantly. In the healthy human control group, the research team also found that eating vegetables or eating first had similar effects on blood glucose levels. In response to this, the nutritionists of the Beijing hospital have proposed similar recommendations to their Japanese counterparts regarding the diet of diabetics: vegetable-main food-meat-soup.

Zhao Hong pointed out that the above-mentioned dietary order of diabetic patients is vegetable-main food-meat-soup, or vegetable-meat-main food. Their common denominator is that they should first eat vegetables. The possible principle is that vegetables contain more dietary fiber, which can prolong the decomposition time of carbohydrates, thus delaying the absorption of sugar in the small intestine, and thus delaying the postprandial hyperglycemia. Another possible reason is that people's habits often start to eat more, and then what kind of foods have a higher rate of blood sugar, you should eat or eat more food.

Zhao Hong said that according to the principle of balanced nutrition, if the proportion of carbohydrates, protein, and fat is fixed, it may be inconsistent with the above order of eating. If the vegetables eat too much, it will inevitably affect the total amount of staple foods and other foods. And completely separate all the food to eat, which is obviously different from our current eating habits. Chinese people like cooking. In the process, many raw materials will be mixed together and it is difficult to eat every kind of food. However, Zhao Hong also believes that it is advisable to eat some raw high-fiber vegetables before meals, which is beneficial.

It should be pointed out that patients with different types of diabetes have different body mass index, insulin deficiency, and glucose-dependent insulin elevation, and their blood glucose changes will be very different. Most people with type 2 diabetes have a high body mass index and patients with type 1 diabetes have a low body mass index. For people with diabetes, Zhao Hong does not advocate the leaner the better. To ensure balanced nutrition, we must focus on individualized dietary support. For gestational diabetes patients, nutritional balance is particularly important. Under the premise of ensuring balanced nutrition, eating more vegetables or eating vegetables can control blood sugar naturally will have a lot of benefits.

In addition, compared with people in North American countries, Chinese people have very different dietary patterns. The Chinese mainly eat carbohydrates, so the postprandial blood glucose rises more significantly; in North American countries, people eat meat. Food-based, so fasting blood glucose increased significantly. The Canadian Food Guide has recommended for people of different ages the number of servings of different foods to be eaten each day--that is, measuring the servings of foods. Each diabetic patient has a small cup to measure the number of servings of foods. Weighing starchy foods, meats, vegetables, fruits, liquids, etc., and each person has a food chart, clearly marked, such as eating a few servings of vegetables, eating a few servings of rice, eating a few servings of meat, and eating dairy products. Several copies - this is a simple and easy move, also has reference value and reference significance for individual dietary guidance for diabetic patients in China.

"Of course, whether strict diet control and how to benefit diabetic patients' glycemic control still requires more clinical research to further confirm." Zhao Hong pointed out that some scholars have also proposed to increase the number of chewing during meals so that they can get satiety faster. Sense to reduce the total amount of food intake. These ideas provide some new ideas for the development of specialized, concise and practical dietary rules for people with diabetes.

"'People take food as a day', how to make diabetic patients enjoy the fun of the tongue, but also beneficial to the treatment of the disease, and in the early detection of abnormal blood sugar can quickly and correctly adjust the diet patterns, it is worth the doctors to tackle the problem And exploration." Zhao Hong said.