With diabetes, the biggest problem is eating problems-many diabetes educators and clinicians believe that healthy eating is the biggest challenge for sugar lovers to successfully control sugar.
Healthy diet for the metabolic control of diabetes, including the control of blood sugar, blood lipids, blood pressure and weight. This requires sugar friends to make a lot of decisions, such as when to eat, what to eat and how much to eat. The factors that affect these decisions include lifestyle habits, emotions, food preferences, food supply, family and cultural customs and other complex factors.There are always sugar friends who say: I have worked so hard to control sugar, but there will still be complications.
What’s the point? Let’s look at a set of data:
The reduction of glycosylated hemoglobin (A1C) achieved with Diabetes Medical Nutrition Therapy (MNT): reduction of 0.3% to 1% for type 1 diabetic patients and 10.5% to 12% for type 2 diabetes.
Reducing diabetes complications and reducing the use of drugs has led to a reduction in the use of medical services and costs, which shows that MNT is also effective. Strong evidence also shows that interventions such as intensive lifestyle changes based on healthy eating habits and physical exercise can delay or prevent the onset of type 2 diabetes by 58% to 71%.
Given that family history and overweight are important risk factors for type 2 diabetes, a healthy diet is a key factor in preventing diabetes. The results of the Diabetes Prevention Program (DPP) confirm this.In terms of preventing diabetes, lifestyle changes are almost twice as effective as drugs (the relative reduction rates are 58% and 31%, respectively).
The American Diabetes Association (ADA) outlines the goals of diet therapy for patients with prediabetes and those who already have diabetes:
The most important thing in a diabetic diet is to maintain moderation. A diabetic diet plan is not much different from a normal balanced diet. The amount and type of carbohydrates, protein, and fat you consume will affect the results.
Carbohydrates in a diabetes diet plan
Depending on your diabetes type, your goal is to consume at least 45 grams of carbohydrates per meal, but no more than 60 grams. Snacks should contain 15 to 30 grams. The best carbohydrates are sustained release. Slowly released carbohydrates take longer to digest and release energy.
Examples include whole grains, asparagus, cauliflower, kale, spinach, tomatoes and onions. You can use any kind of food to prepare food, or use them as a side dish. Fruits that have a positive effect on blood sugar include berries, pears, apples and melons. Quinoa and steel-cut oats can replace sugary cereals and pair with low-sugar foods such as milk and yogurt.
Protein in a diabetes diet plan
Protein is essential to any diet. However, people with diabetes should monitor their intake, because meat also contains carbohydrates. Although meat and fish provide enough protein, you can also get food from beans, beans, peas, lentils and eggs. It is wise to limit your protein food to your plate.
Fat in Diabetes Diet Plan
You may have heard of good fats and bad fats. Good fats are actually monounsaturated and polyunsaturated fats. Harmful fats refer to trans fats and saturated fats. The former comes from foods such as olive oil, nuts, avocado, peanut butter, fish, soy milk and tofu. Bad fats are the product of processed, packaged, fried, and commercial baked goods, and you will usually find them in stores. Eat healthy and beneficial fats in moderation.
Create your own diabetic diet
Before you start your diet plan, you need to confirm your recommended calorie intake. Use an online calculator or ask your doctor how many calories you need to maintain, lose or gain weight. Because there are restrictions on prescribed foods, use recommended foods to create your own menu. Whether you like to eat avocado salad or whole grains with yogurt, pay attention to the carbohydrate, protein and fat contained in each food. Make sure that each meal contains three food groups sparingly.
Diabetes diet plan, just like a normal healthy diet, contains carbohydrates, protein and healthy fats. Knowing the amount of calories you need and the amount of food contained in these foods is the key to starting the many benefits provided by this plan.
How should people with diabetes eat correctly?
The basic dietary principle of diabetes is to control carbohydrate intake. Because a lot of carbohydrates can increase blood sugar. High-carbohydrate foods include: sweet potatoes, porridge powder, noodles, fruits and all sugar-containing foods. Generally speaking, the following points are worth noting:
1. Reasonably control the total energy, and the caloric energy intake is appropriate to achieve and maintain a normal body weight.
2. Eat a balanced diet and eat different kinds of food.
3. Eat regularly and quantitatively.
4. Drink plenty of water and limit alcohol consumption.
5. Avoid eating high-fat and high-cholesterol foods, such as butter, lard, butter, coconut oil, egg yolks, animal offal, etc.
6. The cooking methods should be steamed, boiled, cold, roasted, braised, braised and stewed.
7. Avoid eating foods with high MSG and high salt content.
8. Increase high-fiber foods, such as: barley, beans, fresh vegetables and fruits.
9. Reduce or avoid eating foods containing monosaccharide’s and disaccharides, such as candies, soda, honey, cakes, jams, etc.
Diabetes is a disease closely related to diet. Therefore, for diabetics, “taboos” are very important.
Avoid sugar :
Some people think that diabetics should not take sugar, because sugar will increase the glucose in the blood. In fact, sugar is just a carbohydrate that affects blood sugar. Different types of carbohydrates have different effects on the speed of blood sugar rise, but the greater impact on blood sugar is the total intake of carbohydrates. Therefore, patients can use a small amount of sugar to replace sugary foods and still maintain blood sugar levels within the programmed range.
The American Diabetes Association (American Diabetes Association) recommends that you make some adjustments to the amount of various foods in your diet plan. If you want to eat more sweets, other sugary foods such as bread, corn tortillas, rice, biscuits, and oatmeal Congee, fruit, juice, milk, yogurt, potatoes, corn, and peas should be reduced accordingly.
Avoid high-fat foods :
Hyperlipidemia is a risk factor for atherosclerosis and coronary heart disease. For people with diabetes, the intake of cholesterol must be strictly restricted. Foods high in cholesterol include animal fat, pig liver, chicken liver, pig kidney, egg yolk, duck egg yolk, and songhua eggs.
Avoid smoking :
During the period of medication for diabetics, it is no different from worse. Because it can inhibit the secretion of drug enzymes and slow down the metabolism of oral hypoglycemic drugs, causing severe hypoglycemia and neuropathy.
Diabetics can aggravate their condition and induce other diseases after using certain foods, which can lead to blood sugar fluctuations. Shrimp and crabs can cause diarrhea and allergies. Uncastrated poultry, such as old roosters, male and female pork, contain more sex hormones, which can act on the human body and cause diseases.
Limit salt and protein :
Too much sodium intake can easily cause high blood pressure, so diabetes, especially those with high blood pressure, should strictly limit excessive salt intake. Too much protein is not good for diabetes. A high-protein diet can cause an increase in the glomerular filtration pressure of the patient, which can easily cause diabetes and nephropathy. In particular, patients with diabetes and kidney disease must appropriately limit their protein intake.
When children know that they should go to the doctor or pediatrician, they can become worried. Regardless of whether they go to see their primary care pediatrician or a specialist and it is a routine visit or a visit for a disease or medical problem, children are usually placed and some may even refuse to attend. But you can help your child express those fears and overcome them.
Many of the most common fears are such as:
Separation: Children fear that their parents leave them alone in the examination room and wait for them in another room of the consultation. The fear of the separation of their parents during a mysterious medical exploration is very frequent in small children, and even in pre-adolescents.
The pain: A child may be concerned about the pain associated with certain parts of the medical examination or some medical procedure. Children are very afraid that they may need an injection.
The pediatrician or the doctor: Some of the child’s fears may be based on the attitude and way of being of the pediatrician. A child may think of actions such as hostility, coldness or rejection.
Unknown Things: Fear of the unknown is something that even adults worry about. It also makes children worry about the possibility that their medical problems are much worse than what their parents tell them. Some children who have minor problems may fear that they will have to operate or be hospitalized and others may fear being killed just because they are sick. Children often have feelings of guilt: they believe that the disease or condition they suffer is a punishment for something they have done wrong or that they have stopped doing. Children who feel this way may also believe that medical tests and procedures are part of that punishment.
Explain the purpose of the visit
If your child’s next visit is going to be a routine checkup, you can try to calm your nerves with simple words, such as: “This is a simple checkup. The pediatrician will only check how you are growing and developing while you He asks questions and checks you to be sure your body is healthy, and you can ask him all the questions you want about your body and your health ( Geoallo dentiste urgence ). ” Also let him know that all healthy children go to the doctor to undergo these types of visits.
If your child has to go to the pediatrician to diagnose and / or treat a disease or other condition, explain, without using words that might scare him that “the pediatrician needs to review you to find out how to solve your health problem and help you get better.”
It is a good idea to prepare the child with some time in advance so that the medical visit does not take you unawares. When explaining to your child the purpose of the visit, talking to the pediatrician in positive terms can also help to create a good relationship between both.
Talk to your child about any feelings of guilt that may have
If your child has to go to the pediatrician because of an illness or other medical condition, he or she may feel bad about it. Talk about the disease or condition using neutral language and reassure them that it is not their fault, for example: “This is not the consequence of something you have done or have forgotten to do. yours.
Explain to your child what to expect during a routine medical visit
Children learn best during recreational activities, as this is a time when they feel free and comfortable to ask questions about their fears. You can use your environment, with a toy, for example, to teach your child how they will weigh him and measure his height. There are many books that illustrate a routine medical visit. Experimental play opportunities can be offered to your child in medical consultations or simulated hospitals, either at home, in your school class or in some children’s museums.
Choose a pediatrician who interacts well with children
Because your child’s pediatrician is your best ally to help you deal with medical check-ups, it is very important that you choose it carefully. Of course, you are interested in finding a pediatrician who is prepared and competent. However, you are also interested in understanding the needs and fears of children, know how to communicate well with them and do not adopt a patronizing or condescending attitude toward them. If your child’s pediatrician seems too critical, uncommunicative, uninterested or even unfriendly, do not be afraid to change pediatricians. Ask for recommendations from other parents in your area or from other doctors whose opinion you trust.
If your child’s illness or medical condition requires consulting a specialist, ask your child’s pediatrician to recommend a professional who is well prepared, experienced in the subject and friendly. After all, adults also look for these characteristics in our doctors, so that you, as a parent, should act as your child’s advocate, procuring the type of medical care you would like to receive.
Contemporary pediatrics really begins with the 19th century, just when perhaps all medicine underwent a great transformation due to technological advances in the different branches of knowledge. This began to organize in a more scientific way the attention to childhood. This was due to a better understanding of the aspects pathophysiology in children, in the detailed study of their diet, in the progress made in preventive medicine with the appearance of asepsis and antisepsis, along with the new horizons offered by Microbiology. In that same century the first dedicated hospitals were created in European cities exclusively to the attention of sick children. The hospital was founded in Paris in 1802, des Enfants Malades, who was the pioneer in his class, in 1830 that of La Charité in Berlin and in 1851 the Children’s Hospital of London. In France, Charles Michel Billard, Ernest Bouchut, stood out as pediatricians. wrote the treaty of diseases of the newborn and of the second childhood, as well as Frederic Rilliet and Charles Ernest Barthez who were the authors of the main text pediatric of the time, known as the Clinical and Practical Treatise of Diseases of the Children and that was not only published in France but also in other European countries.
It was Armand Trousseau who masterfully described diseases such as scarlet fever, tetany, neonatal syphilis and teething disorders. In as much, that Marie-Jules Parrot delved into the problems of child nutrition. But in the transition from the 19th to the 20th century, the most renowned French pediatrician was Bernard Jean Antoine Marfán, whose great work on gastroenteric and nutritional affections should be remembered, as well as one on the syndrome that bears his name and others about congenital dysmorphogenic syndromes. He was a member of the Academy of Medicine and created the position of social worker in hospitals. He described the harmful effects of goat’s milk on children and the use of ultraviolet rays for the prevention and treatment of rickets in the United Kingdom, we must first mention Charles West who studied in France and Germany but practiced his profession in London in His Lectures on the Diseases of Infancy and Childhood embodied its teachings in some hospitals of that city and it is considered as the best treatise in English language of its time. His studies on children’s neurological diseases are of the utmost importance. When a baby is born, professionals make a first assessment at the time to see that everything is going well and that there is no reason to initiate any urgent medical action. After a while, when he has already taken the first shot and is calm, they weigh him, measure him and make a more exhaustive assessment.
While you are in the hospital, if the mother gives birth there, a pediatrician visits you every day, or perhaps less frequently, but always on the last day of admission to discharge you. The day you finally go home with your baby is very variable, since it depends on the policy of each hospital, but around 2-3 days if the delivery is vaginal and 4-6 days if it is by cesarean section. This means that, on most occasions, the fourth and fifth day the baby is already at home, and as a rule, usually those are the days when the problems begin, in general, and especially with breastfeeding. Therefore, and although many parents do not do so and perhaps many health centers either, the baby’s first visit to the pediatrician or nurse should be before a week is over. The first days the babies lose a little weight and, although they start to breastfeed, they seem to sleep more than they eat. The fact is that many babies keep doing this when they are at home and the weight may not be rising enough. It may also happen that the first days are very sleepy, but after they are at home, they are more awake and complain more and parents are full of doubts. Breastfeeding may not be going very well and that is when distrust in the mother appears and the temptation to go buy the first bottle of artificial milk.
In other words, the baby you know from the hospital is not the same one you have at home, and the answers to the questions that that baby was generating, that almost the whole day he slept, are no longer useful, because now he does different things. In addition, neither your mother, nor your father, are the same as there, because at the maternity ward you felt wrapped up by family visits and by that bell that made a nurse appear and solve your doubts. But at home, the only bell there is outside the door and is the one that gives access to those visits that sometimes, rather than clothe, still make you feel more hesitant. The first visit of the pediatrician or the nurse should not be delayed, therefore, as a nurse, it is very clear to me that the first visit to the primary care center, which transfers the medical control of the baby from the professionals of the hospital to the CAP professionals, should be as soon as possible, in the first week of life. if it can be. It is not a question of distrust or a question of removing parents’ ability to care for their baby, because we know they have it all, and if they do not have it, they have the desire and motivation to learn. It is simply a “see that everything is going well” or, if something goes wrong, “see it before a wrong solution appears”. Often, to go when the baby is already 10 days or two weeks, the mother explains that she is giving him a bottle because she cannot stand the cracks anymore, because the baby cried a lot or because he feels he does not have enough milk. Often, by going later than recommended, the parents explain that it eats very well and sleeps great and when taking the baby, we realize that it seems that it has leftover skin, because the weight loss is important, so much, that the baby He sleeps and sleeps because he’s really just eating.
That is why the visit should not be delayed, because if everything goes well, “go ahead, continue as you are going so far”, but if something goes wrong, you can act to prevent solutions that do nothing but bother. A bottle that is not needed is an interference for the baby, who has to eat different from the breast and the nipple and for the mother, whose production is hindered by a milk that comes from outside, that leaves the baby asleep for 3 or 4 hours and that makes him understand, to his brain, that rest is produced with the amount he sucked, deciding to maintain or decrease production a bit, when what is sought is precisely the opposite.