You can prevent this by reviewing your lifestyle. Our bodies need an energy source to work properly. Carbohydrates such as rice and bread are important energy sources.
Carbohydrates are broken down in the gut to glucose. Glucose enters the blood, and the concentration of glucose in the blood (blood sugar) increases slightly. In response to this slight increase in blood sugar, a hormone called insulin is released from the pancreas. This hormone works on the liver, muscles, and adipose tissue to take glucose into cells. Therefore, blood sugar levels do not rise significantly.
Causes of diabetes
Diabetes is divided into four categories according to its cause.
(1) Type 1 diabetes
(2) Type 2 diabetes
(3) Diabetes caused by genetic abnormality, pancreatic disease, liver disease, etc.
(4) Gestational diabetes
Leave high blood sugar alone
In diabetes, the rapid release of insulin for a slight rise in blood sugar after eating carbohydrates worsens, and blood sugar after a meal gradually rises. If the blood sugar level exceeds 140 mg / dl, it is said that the blood vessels will be damaged and the arteries will age, so even such a slight rise cannot be underestimated.
If you go further, blood sugar will rise further, and if it exceeds 170 mg / dl, sugar will come out in urine. If the blood glucose rises to 200 mg / dl or more and the average value of blood sugar “hemoglobin Alc” becomes 6.1% or more, it is diagnosed as diabetes. If you leave it further, your blood sugar level will rise even before you eat carbohydrates (fasting). In that case, after the meal, the blood sugar further rises to 300 mg / dl or more, and the hemoglobin Alc also becomes a severe condition such as 10%.
(1) Improving postprandial blood glucose:
Since insulin output after meals deteriorates in the early stages, fast-acting insulin secretagogues (Starsis, Fastec, Glufast) that improve insulin output after meals, and slowly absorb sugar. Drugs to use = α-glucosidase inhibitors (Glucobay, Basin, Sable) are effective.
(2) Drugs that improve the efficacy of insulin:
Biguanides (glycolane, melvin, medet, metogluco, dibetos) are less likely to gain weight and improve the effectiveness of insulin in muscles and liver to lower blood sugar. Pioglitazone (Actos) also improves the effectiveness of insulin, but it is important to adhere to a good diet because it tends to gain weight.
(3) If your pre-meal blood sugar rises:
You need a drug that works on your pancreas to improve insulin output before meals. Sulfonylurea drugs (glimicron, amaryl, etc.) work on the pancreas to improve insulin output and lower blood sugar. It is important to note that when your blood glucose level is close to normal, your blood sugar level may drop too much, such as when you eat late, and you may feel sick (hypoglycemia). DPP-4 inhibitors (Gractive, Janubia, Equa, Nesina), which have recently been used, increase insulin output only when blood sugar levels are high, so they are unlikely to cause hypoglycemia alone.
Insulin injection is necessary when insulin is no longer available due to type 1 diabetes, type 2 is hyperglycemic, sick, pneumonia or pyelonephritis.
Even with type II, if hyperglycemia continues, pancreatic insulin-producing cells become tired and temporarily lose insulin (glycotoxicity). In such a case, insulin injection can be used, and if the pancreas is rested, its own insulin comes out again and the injection can be stopped. If your blood sugar is high even after taking a sulfonylurea to increase insulin output, you may be able to add more insulin to lower your blood sugar.
There are various types of insulin, from ultra-rapid to long-acting, depending on the duration of the effect. Recently, disposables with integrated preparation and injector have become mainstream and have become easier to use. The needle is thin and painless, so I no longer need to be hospitalized to start the injection.
It is ineffective when the cells that release insulin such as type 1 diabetes are extremely low. Sulfonylurea drugs are expected to be effective for obesity patients who gain weight or have poor blood sugar control because they have the effect of suppressing appetite and losing weight.
Can you prevent it?
If you are obese, reduce your weight to 5%, reduce your meals, and limit your intake of fats and sweets. Exercise such as walking 30 minutes a day is also effective. Eat vegetables, seaweed, mushrooms, and other fibrous foods. Take precautions especially if you have diabetic people in your family, obesity, or any of the risk factors for cardiovascular disease, such as high blood pressure or dyslipidemia. There is also a test (sugar tolerance test) that checks your response to glucose, which indicates whether you are a reserve diabetic. This test is recommended if you have diabetic people or are worried about diabetes because you have recently gained weight.
If the inspection says that you are a reserve army, let’s start taking action immediately
Revision of lifestyle to prevent and improve diabetes
(1) Diet therapy
Consult a doctor or dietitian to determine the amount of food appropriate for your age, physique, and amount of exercise. For adults, three meals of 100 to 200 grams at a time, side dishes are 60g of meat, 1 piece of fish, 1 egg, tofu hancho (1 pack of natto), vegetables, seaweed, mushrooms and more than 300g (but potatoes) , Pumpkins, and corn are rice companions, so let’s reduce the amount of rice), 1 bottle of milk, 1/2 apple and 1 tablespoon of oil. Obese people need to lose weight both to lower blood sugar and to prevent atherosclerosi
(2) Exercise therapy
Exercise can be harmful when you feel unwell, such as sluggishness and pain, when blood sugar levels before meals are higher than 250 mg / dl, when there are complications such as fundus bleeding, heart and kidneys.