At present, there are about1.65,438+39 million adult diabetic patients in China, 65% of whom are overweight or obese. Obesity has become the main risk factor of diabetes.
According to a study in the authoritative magazine The Lancet, the subjects in the diet intervention group were divided into four groups: 0-5kg, 5- 10kg, 10- 15kg and 15kg for analysis. The more weight loss, the greater the proportion of patients with improved blood sugar. Among them, 74% people got rid of drugs to control diabetes, and 46% people achieved a reversal.
However, losing weight is not an easy task. Most people end in failure. At the scene, a special patient, Mr. Ao, lost nearly 100 kg a year and successfully reversed diabetes. What method was used?
Early times
Weight: 230 kg
Height: 170cm
Waist circumference: 120cm
Meal size: 5 kg of beef, 2 cakes, 2 liters of coke.
Fasting blood glucose was measured for the first time:18.5 mmol/L.
at present
Weight: 135kg
Waist circumference: 83cm
Field test blood sugar: 5.4 mmol/L.
What specific weight loss and sugar control methods Mr. Ao uses will be announced later. Let's first look at why obesity is closely related to diabetes.
Obese diabetics also have the same characteristics.
Why obesity can lead to diabetes?
0 1 The organ that regulates blood sugar is heavily burdened.
The pancreas secretes insulin and glucagon to regulate blood sugar. When body fat increases and blood sugar control is disordered, islets will secrete insulin desperately in order to maintain normal blood sugar level, and over time, islets will "fail".
Gastrointestinal tract is also an endocrine organ. Eating too much food will lead to disorder. Hormones secreted by the greater curvature side and the first small intestine will interfere with insulin secretion and aggravate diabetes.
Beware of dangerous bacteria hidden in diabetes.
The intestinal surface is covered with a layer of bacterial membrane, which is beneficial bacteria. Obese people eat too much, which leads to the imbalance of intestinal microecology, the increase of harmful bacteria, the decrease of beneficial bacteria and the inability to protect the bacterial membrane. Toxins and harmful bacteria in the intestine will enter the body through intestinal mucosal cells and produce inflammatory factors.
These inflammatory factors will lead to insufficient insulin secretion, insulin resistance, and blood sugar is difficult to control.
Today, experts have brought us two ways to lose weight and help reverse diabetes, killing two birds with one stone.
Blood sugar is difficult to control, because the body is smart and it has a memory of your weight. For example, if a thin person thinks that the normal weight is 50KG, then the thin person will suddenly gain a lot of weight, and the body will automatically adjust, such as increasing the basal metabolic rate, exercising more, and returning to the original weight. For fat people, the body remembers a lot of weight. If losing weight leads to weight loss, the body will try to return to its original weight.
Because of the existence of the weight adjustment point, short-term weight gain or loss will be automatically compensated, and the weight tends to return to the adjustment point level.
However, the weight adjustment point will change, which can be lowered by the right method to achieve the effect of reducing fat and blood sugar. It was in this way that Mr. O controlled his weight and reversed his blood sugar.
Effective method: manufacturing thermal gap.
① Be a vegetarian first.
A kilo of vegetables has only 80-90 kilocalories, and10g of oil has the same calories, but the volume is different. Being vegetarian first can occupy most of the stomach space, so it is easy to eat.
In addition, vegetables can provide us with a lot of beneficial micronutrients and soluble dietary fiber. Soluble dietary fiber can enter the digestive tract first, and form a sticky substance with digestive juice, blocking the time for the food behind to interact with digestive enzymes, so that blood sugar rises slowly.
② High protein is indispensable.
Many people don't eat meat at all in order to lose weight and control sugar, but protein is very important to our health and must not be eaten. However, protein intake of fat people is generally excessive, so it is very important to control the amount. Experts suggest that it is appropriate to eat palm-sized meat every day.
Moreover, after protein enters the stomach, the gastric emptying speed will be very slow, which can cause a strong satiety.
High protein food: beef, fish, beans, chicken breast, etc.
③ Choose high-quality carbohydrates.
To lose weight and control sugar, you must not eat carbohydrates completely, but choose high-quality carbohydrates to create a calorie gap.
Experts argue that more than 50% of diabetic patients should be whole grains a day, because the substances with high starch content in nature also contain some anti-nutritional substances, such as α -amylase inhibitors and α -glucosidase inhibitors, which can inhibit the hydrolysis of disaccharide into monosaccharide and inhibit the absorption of sugar.
Whole grains are also rich in dietary fiber, which can increase satiety.
High-quality carbohydrates: oats, kidney beans, quinoa, millet, etc.
The fastest way: weight loss surgery
The fastest way to reduce the weight set point is actually a treatment called bariatric surgery. Through surgery, the weight set point is rapidly reduced, and the hormones that regulate blood sugar in the body will also change at the same time, thus controlling blood sugar. However, this kind of operation has indications and is suitable for people in the following situations to receive surgical treatment.
Body mass index 27.5kg/
Male waist circumference > 90cm, female waist circumference > 80cm.
The course of type 2 diabetes is 15 years.
Islets of Langerhans still have certain insulin secretion function.
Experts stressed that there is no way to operate, because for these obese patients, losing weight is not a day or two, but the already rising blood sugar in the body hurts their bodies every day, so they have to undergo weight loss surgery. However, this method is used by special people to save lives. For most people, we should still lose weight healthily through healthy weight management.