Geriatric diabetes refers to diabetes that occurs after the age of 60 or before the age of 60 and continues beyond the age of 60. Its preventive measures mainly include diet, exercise and health care. There are many methods in Chinese medicine that can lower blood sugar and complications, and can be used differentially in practice.
Goals for blood sugar control vary from person to person
Patients under 65 years of age.
For newly diagnosed or well-documented diabetic patients with no other chronic diseases or few chronic diseases, the goal of glycemic control is not to exceed 8 blood glucose 2 hours after meals0mmol/l。For patients with a long course of disease, a history of cardiovascular disease, or a very high-risk risk (obesity, hypertension, dyslipidemia), the glycemic control goal can be appropriately relaxed to a 2-hour postprandial blood glucose of no more than 100mmol/l。
Patients over 65 years of age.
For patients who are relatively healthy, have no other chronic diseases, or have few comorbidities, the goal of glycemic control is not to exceed 10 blood glucose 2 hours after meals0mmol/l。Patients with a high risk of hypoglycemia, short life expectancy, and patients with cardiovascular and cerebrovascular diseases or severe acute or chronic diseases should have a glycemic control target of no more than 13 blood glucose 2 hours after meals9mmol/l。
Attention should also be paid to monitoring glycosylated hemoglobin, which reflects the average blood sugar level in the last 3 months. It is recommended that most older adults control at 7About 0%, if the patient has more complications and shorter life expectancy, the control target can be appropriately relaxed to 75%。
There are many ways to control your blood sugar
Traditional Chinese medicine massage hypoglycemic method.
Traditional Chinese medicine massage can effectively lower blood sugar and is a very effective auxiliary method, and the following three methods are briefly introduced.
Rub your abdomen. Stretch your hands apart and fold them together, then press your abdomen slightly harder and massage clockwise around your belly button. Keep the speed at about 30 laps per minute, and massage until the abdomen feels hot, and the massage time is 10 minutes each time.
Hold your belly trembling. Stretch out your hands and cross them together, place your palms naturally on your navel, and then shake your abdomen up and down, no less than 150 times per minute, do it for 5 minutes.
Rub across the upper abdomen.
Stretch out your hands and place them under both breasts, and then rub your hands horizontally until you get warm, for about 5 minutes each time.
Daily conditioning. If you want to control your blood sugar, it is very important to pay attention to your diet, daily life, exercise and insist on taking medication, and you should follow the principle of "three factors", arrange your diet reasonably according to your personal physique, control your calorie intake, and increase exercise appropriately. Here are 5 specific measures to help stabilize your blood sugar after a meal.
Eat less starchy, fast-digesting foods.
Foods such as porridge and noodles are easy to digest and can cause blood sugar to rise significantly in a short period of time. Diabetics are best to choose coarse grains, such as brown rice, buckwheat, oats, black rice, etc. as staple foods. These foods digest slowly and have little effect on blood sugar after a meal.
Eat fruit in moderation.
Fruits contain fructose and glucose, and the metabolism of fructose does not require the participation of insulin. Studies have shown that those who consume fresh fruit frequently1 4 times a week and 5 times a week have a 20% and 30% lower risk of poor glycemic control, respectively; Those who consumed 50 99 grams of fruit per day and those who consumed more than 100 grams of fruit per day had a 29% and 32% lower risk of poor glycemic control, respectively. Therefore, eating fresh fruits is conducive to blood sugar control, and fresh fruits have certain benefits for meeting the nutrients needed by the human body, preventing and treating arteriosclerosis, retinopathy, and constipation. Under the premise that blood sugar control is relatively stable, you can eat some low-sugar fruits between meals or before bedtime, such as apples, pears, peaches, strawberries, cherries, grapefruits, etc., and control the intake within 100 grams each time, which will have less impact on blood sugar.
Avoid single foods.
The nutrition of any kind of food is not comprehensive, and you can't be picky eaters, let alone picky eaters, which will lead to unbalanced nutrition and even malnutrition. The staple food in a meal should pay attention to the combination of thickness and fineness, and there should be protein-rich meat, eggs, milk, and beans, which can improve the frailty of elderly diabetic patients and prevent muscle loss. We should reduce fat intake, increase dietary fiber intake such as vegetables and fruits, do not eat high-sugar and high-salt foods, and do not drink sugary drinks.
Older people with diabetes are at higher risk of developing malnutrition than people without diabetes. Malnutrition can lead to a number of problems, such as longer hospital stays, higher medical expenditures, and higher rates of rehospitalization. Therefore, the family must pay attention to the nutritional problems of elderly patients. Early recognition of malnutrition can help prevent and delay the development of complications.
Drink plenty of fluids. Family members should encourage and urge patients to drink at least 1500 ml a day if the condition allows.
Don't stay up late and exercise more.
You should go to bed before 11 p.m. every day and try to get enough sleep for 7 hours. Proper aerobic exercise can enhance physical fitness and regulate qi and blood. "Treatise on the Origin and Syndrome of Diseases" proposes that thirst-quenching patients should "take 120 steps first, 1,000 steps, and then eat it". It is also important not to sit for a long time, and to get up and move for 1 5 minutes every 30 to 60 minutes. Outdoor activities can also promote the production and absorption of vitamin D, which can help prevent osteoporosis and reduce the risk of diabetic peripheral neuropathy.
Content**: China Journal of Traditional Chinese Medicine.