No food can replace hypoglycemic drugs
January 18, 2017 Source: China Medical Information Network
Window._bd_share_config={ "common":{ "bdSnsKey":{ },"bdText":"","bdMini":"2","bdMiniList":false,"bdPic":"","bdStyle":" 0","bdSize":"16"},"share":{ }};with(document)0[(getElementsByTagName('head')[0]||body).appendChild(createElement('script')) .src='http://bdimg.share.baidu.com/static/api/js/share.js?v=89860593.js?cdnversion='+~(-new Date()/36e5)];Referring to the word "blood sugar", many people with diabetes are both nervous and distressed. On the one hand, if you want to control your blood sugar, you must manage your diet, exercise, medicine, etc., and this requires a high degree of self-discipline. Many people think that it can't be done. On the other hand, blood sugar control is not good. Coming into the complications of diabetes, patients are worried, fear and crisis affect mood. Based on this understanding and mentality, many rumors that "it can easily lower blood sugar by eating certain foods" spread among diabetic patients, and black tea, bitter gourd, and okra are on the list. However, in the opinion of experts, although certain foods can control the rise of blood sugar in some individuals, it is still impossible to say that there is a "hypoglycemic" effect.
Food "hypoglycemic" pit patients
A few days ago, Ms. Zhang from Beijing got up and looked in the mirror and was shocked. Her left eye half of the white eyeball turned red. The doctor told her that this was a conjunctival hemorrhage. The examination showed that there were many bleeding points in the fundus; the fundus hemorrhage had a great relationship with diabetes. Fortunately, it was found early and did not have a greater impact on vision. The doctor asked if he took the medicine to control the blood sugar on time. Ms. Zhang was swallowing and vomiting. I don't know how to answer it. The daughter standing next to me couldn’t help it. She said to the doctor: “My mother has been diagnosed with diabetes for more than ten years. She has been taking medicines in the past few years, but she has suddenly stopped eating in the past two years.â€
The doctor followed up and Ms. Zhang finally told the truth. Originally, she met a boss who opened a black tea store under the introduction of a colleague. The boss claimed that he was also a sugar friend. After drinking black tea for a while, the blood sugar naturally fell down. Now even the medicine is not used. "While eating western medicine hurts the liver and hurts the kidney, why not drink sugar by drinking natural tea?" Ms. Zhang’s brain was hot, and immediately joined the member, and immediately bought 20,000 yuan of black tea, drinking a lot every day. Abandoned oral hypoglycemic agents. In the past two years, Ms. Zhang has not done a blood glucose monitoring, but she is convinced of the hypoglycemic effect of black tea. She also distributes tea to her elders, friends, etc., so that everyone can drink together.
After listening to Ms. Zhang’s story, the doctor said with helplessness: “You are being fooled! Even if you drink tea, you can’t lose the hypoglycemic drugs. The bleeding in the fundus may be caused by the long-term control of hyperglycemia, which leads to microvascular disease. "Ms. Zhang regrets not being at the beginning. She told reporters that in fact, in addition to black tea, she has seen many "food hypoglycemic" claims over the years, such as bitter gourd. When it is summer, she will buy a lot to eat, drink water, Stir-fry and eat it. There is also a recent fire of okra, also said that there is hypoglycemic effect, became a frequent visitor on her family's table. Ms. Zhang said with distress that the evidence that these foods can “reduced sugar†is a long story, and there are support from foreign research institutions. I really don’t know which one.
Food "hypoglycemic" has no evidence so far
Ms. Zhang forwarded an article to reporters via WeChat, saying: Since the 1980s, it has been found that bitter melon juice extract contains trisaccharides, terpenoids, glycosides and peptides. Ingredients", in which the structure of the polypeptide is similar to that of insulin, and can mimic the physiological action of insulin, and is called "plant insulin." The researchers injected these peptides into the skin of diabetic mice and found that the blood sugar in the mice was reduced to some extent. Therefore, eating bitter gourd may cure diabetes.
In this regard, the reporter asked Li Wenhui, deputy chief physician of the Department of Endocrinology, Peking Union Medical College Hospital. She said that from the perspective of nutrition, bitter gourd does have a unique side. Bitter gourd contains more water, less carbohydrates, lower glycemic index, and contains essential dietary fiber, multivitamins and minerals. It is an ideal food for diabetics, and it is also a common feature of most vegetables.
Some unique substances in bitter gourd do make some people with diabetes rise less bloody after eating, but to achieve this, they need to eat every day or even every meal, and eating bitter melon may interfere with other nutrients. In addition, Chinese medicine believes that bitter gourd is a kind of bitter food, and a large amount of food may damage the spleen and stomach. Many people's stomachs are also unbearable. Therefore, bitter gourd can only be used for a short time, but it can only be used as an auxiliary, and hypoglycemic drugs cannot be broken. Since it can't be used for a long time, there is a contradiction between the need for long-term control of blood sugar, and the effect of many people after use is not satisfactory, so there is no need to pay the gastrointestinal cost.
Some products are said to contain "plant insulin" in bitter gourd, which can lower the sugar, but its content, purity and efficacy are probably only known to the inventors and producers. Moreover, the current concept of plant insulin is only a saying. It has not yet seen a scientific basis for traceability. It is recommended that patients with diabetes do not have to listen to commercial propaganda, analyze more, think more, ask for more professional doctors, and do not practice rashly.
Bitter melon "hypoglycemic" is not very reliable, so the black sugar, okra "hypoglycemic" effect, pumpkin, konjac and other foods can "fall sugar" is credible? In the eyes of experts, the truth is the same. Li Wenhui pointed out that all foods are not suitable for talking about "hypoglycemic". From the medical evaluation of the hypoglycemic effect, it is necessary to start from the curative effect, that is, after using this substance, the fasting, postprandial blood glucose and glycated hemoglobin can be reduced compared with when not eating. With experimental data and scientific verification, it can be said that there is "effect". In other words, to verify the efficacy of representative and coverage, not only to see the individual, it depends on the situation of larger populations, such as the average blood sugar drop of these people. At present, there is no such food after such an argument, so the food can only have a certain sugar control effect at best, and it has an auxiliary effect on hypoglycemic, and the size of the auxiliary effect cannot be clearly expected. However, there are some products that claim to contain such characteristic foods claim to have a good effect, but it is inevitable that there is a suspicion of "Pharaoh selling melons" and lacks a strong scientific basis.
Some people may say that there are some herbs in the West that can help treat certain diseases? Why can't China, as a big Chinese medicine country, launch several homologous medicines with "efficacy"? What needs to be explained here is that we have never opposed the nature and efficacy of food. The problem is that we cannot over-exaggerate this effect, and even make some patients reach the level of blind faith.
If you change the term "hypoglycemic" to "improve the control of blood sugar," some foods may still be able to catch up. Li Wenhui said that some foods may have the effect of controlling blood sugar elevation in some people. This is true. For example, eating the same rice, some people with bitter melon and other bitter cold foods, or drinking green tea, Gynostemma tea after meals. The blood sugar and blood lipids will decrease in magnitude. We can say that bitter gourd and green tea have the effect of controlling blood sugar and blood lipids in patients, but this often has strong individualized differences. Some people have good effects, while others have no obvious effect or even complete intolerance. Therefore, this effect of controlling blood sugar elevation can be understood as an auxiliary health care effect, but it is by no means a curative effect. Although manufacturers can sell it as a health supplement, patients should never eat it as a drug, and it is not recommended to eat it in large quantities instead of drugs.
Li Wenhui repeatedly stressed that people of different ages, different conditions and different disease courses have different responses to hypoglycemic drugs. Clinically, some people with high blood sugar can't fall with western medicine and insulin, let alone some kind of food that reacts very weakly. The most dangerous thing is that those patients who can't get down the blood sugar simply think that a certain kind of food can help themselves, blindly trust, and delay the disease.
Scientifically treat blood sugar
Why are the rumors about "food hypoglycemic" spread widely, and many people with diabetes are convinced? Li Wenhui believes that there are two main reasons: First, many people with diabetes have a wrong understanding of Western medicine, and believe that no matter what kind of western medicine is harmful to the human body, it not only damages liver and kidney function, but also is not good for the stomach. In order to avoid western medicine, subjectively more willing Believe that "food hypoglycemic"; Second, many patients hope to escape the "shadow" of diabetes, this psychology has been used by health care companies, unknowingly fall into the trap, the "new theory" in the mouth of the sales staff Bewildered, listen to the exaggerated advertising.
Li Wenhui said that it is completely unnecessary for diabetic patients to avoid western medicine because they are worried about safety. Because the clinically used hypoglycemic drugs have undergone rigorous scientific arguments, each drug has clear indications and contraindications, as well as adverse reactions. . On the contrary, health care products often vary widely in terms of standards, specifications, evidence, and recommendations. In addition, diabetes can not cure, but hope that sugar friends can correctly treat diabetes, and understand diabetes as a special physical state that needs timely prevention of related complications, rather than being inappropriate or excessively fearful. Smart diabetics should have three skills:
Focus on diet management.
Although a single food does not have a "hypoglycemic" effect, overall diet management is extremely important for people with diabetes. Pay attention to nutrition, disable sweets with high carbohydrates, control the consumption of white rice and high-fat, high-cholesterol foods, eat more grains, and increase fresh vegetables, which not only benefits blood sugar management, but also promotes overall health.
Do not believe in exaggerating publicity. According to your own physical condition, under the premise of adhering to the use of drugs, rational use of single foods and health care products that may control the rise of blood sugar, but the motive should be clear, be vigilant about commercial propaganda, listen to professional doctors, do not be full of hope, credulous Crazy words, being advertised by commercials. Relevant departments should regulate and restrict the promotion of health products so as not to mislead consumers.
A comprehensive view of blood sugar. Many people with diabetes choose low-glycemic index foods to control their blood sugar levels. I don't know if this is a standard that applies to everyone. Blood sugar control should not only consider the blood sugar stability after eating, the increase is not fast, not much, the reduction is not too fast, but also consider the long-term impact on overall health. Therefore, more dimensions must be used to measure the health effects of food. For the elderly whose brain cells are in a state of decline and the brain circulation is not very good, the food glycemic index is too low, and the excessive blood sugar control often leads to mental exhaustion and poor stomach. Therefore, for the elderly over 65 years old, we often do not particularly advocate diet control, but to remove the disadvantages in the diet. For people who are 70 to 75 years old or have digestive dysfunction, they are often encouraged to eat. They do not have to avoid digesting and easily absorbing high-glycemic index foods in order to make better use of sugar and balance blood sugar with drugs and food.
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