Diabetes is a chronic life-long behavioral disorders, with the life changes in behavior and diet, the incidence of diabetes has increased year after year, the serious consequences of poorly controlled diabetes has been for everyone to understand. But a lot remains the treatment of patients with the initiative entirely to the doctor that the only medicine, injection is the treatment. In fact, the treatment of diabetes, including the comprehensive treatment, which is one of the most basic measures to dietary treatment.
Reasonable diet, can reduce the workload of β cells, is conducive to the control of blood glucose levels. Currently the most basic measures of diabetes food exchange. By the popularization of basic knowledge of diabetes and education, can help patients to understand for their own specific diet and exercise, strict diet control. Diet control is based on patient physical activity, height, weight, calculate the total intake of calories needed to determine the nutrient supply and distribution of 3 meals, based on the principle of a balanced diet, carbohydrates, protein and fat largely on the ratio of 6:1:3, breakfast account for 1 / 5, lunch and dinner each 2 / 5, the development recipe. The calculation of the amount of exercise, including the movement pattern, duration, intensity, energy consumption estimate the date of movement, making the total intake of calories and energy consumption generally balanced. Focused on the development of diet therapy for individual patient characteristics of the diet treatment. This diet quantify the intake of nutrients within the required heat to avoid recipes fluctuations; the other hand, patients with exercise, strict calculation of daily energy intake, so that movement of energy consumption and energy intake to maintain a balance; urge patients achieve an effective workout.
There are many intervention diet therapy of diabetes reported in clinical trials observe the guidance given 1 to 1 at any time based on diet, exercise, and strengthen guidance and programs to adjust the situation, strengthen the guidance to patients within a short time observation of diet control, after 6 months of dietary treatment intervention, patient weight, blood sugar, complications between the 2 groups was statistically significant difference. So that the diet therapy can effectively control blood sugar levels, thereby reducing the incidence of diabetic complications.
The key to disease control in diabetic patients is to control blood sugar levels and reduce complications, to improve the quality of life of patients and reduce the morbidity and mortality. Science diet therapy to control their own plan, play to their initiative, with drugs, exercise therapy, and diabetes can be in play in this protracted war in a big victory.
The need for exercise therapy of diabetes
1 to improve insulin sensitivity, improve blood sugar control:
Patients with diabetes through exercise, even if not associated with weight loss, but also can decrease blood insulin levels, suggesting increased insulin sensitivity. Effects from the perspective of exercise physiology, acute exercise can promote the use of muscle tissue degradation of glucose, so blood sugar dropped, and chronic long-term exercise can improve muscle insulin sensitivity of target tissues to speed up liver glycogen, muscle glycogen breakdown and peripheral tissue glucose utilization, lower blood sugar levels.
2 accelerated fat breakdown, reduce weight and improve lipid metabolism:
Effective exercise can improve muscle tissue lipoprotein lipase activity, the lower very low density lipoprotein, high density lipoprotein cholesterol, while promoting lipolysis and free fatty acids and cholesterol utilization. This can enable the consumption of excess adipose tissue, play a role in weight loss, but also play a lipid-lowering and regulation of lipid metabolism, is conducive to the prevention of chronic vascular complications.
3 enhance physical and athletic ability to improve the mental state:
Exercise can increase maximal oxygen consumption, sustained exercise can enhance muscle strength, endurance, and enhance physical fitness, so that able-bodied; also facilitate the adjustment of force of motion, flexibility, etc.; but can also improve heart and lung function. On the other hand, exercise is conducive to restoring psychological balance, eliminate stress and anxiety, in which patients with mental Shuangkuaigan, fulfillment, satisfaction, improve self-confidence and self-determination, to improve work efficiency and quality of life. Physical rehabilitation and psychological status improved very beneficial to diabetes control.
4 Prevention and control of diabetes and development of chronic complications:
Treatment effect based on the above exercise, exercise can improve insulin sensitivity, reduce hyperinsulinemia, lipid-lowering, weight loss, hypoglycemic, diabetic conditions conducive to the comprehensive control, and conducive to the prevention and control of chronic complications such as cardiovascular and cerebrovascular disease, kidney disease and the occurrence of such development.
5, the latest exercise effect mechanism, further confirmed the clinical value of exercise therapy:
Past research suggests that exercise can increase muscle glucose uptake, so that the relative increase in the number of insulin receptors, or binding up, enhanced post-receptor effects, such as succinate dehydrogenase activity increased, glucose utilization improved in the Krebs cycle enzyme activity enhanced. Recently to the use of modern molecular biology techniques, to further explore at the molecular level the mechanism of the exercise therapy and found that insulin resistance in type Ⅱ diabetes is mainly derived from glucose transporter (GLUT4) and its messenger ribonucleic acid (GLUT4mRNA) reduction can exercise the muscles of GLUT4 and its mRNA levels, and that this is the decision to exercise therapy to improve insulin sensitivity and glucose metabolism in the main mechanism.
Reasonable diet, can reduce the workload of β cells, is conducive to the control of blood glucose levels. Currently the most basic measures of diabetes food exchange. By the popularization of basic knowledge of diabetes and education, can help patients to understand for their own specific diet and exercise, strict diet control. Diet control is based on patient physical activity, height, weight, calculate the total intake of calories needed to determine the nutrient supply and distribution of 3 meals, based on the principle of a balanced diet, carbohydrates, protein and fat largely on the ratio of 6:1:3, breakfast account for 1 / 5, lunch and dinner each 2 / 5, the development recipe. The calculation of the amount of exercise, including the movement pattern, duration, intensity, energy consumption estimate the date of movement, making the total intake of calories and energy consumption generally balanced. Focused on the development of diet therapy for individual patient characteristics of the diet treatment. This diet quantify the intake of nutrients within the required heat to avoid recipes fluctuations; the other hand, patients with exercise, strict calculation of daily energy intake, so that movement of energy consumption and energy intake to maintain a balance; urge patients achieve an effective workout.
There are many intervention diet therapy of diabetes reported in clinical trials observe the guidance given 1 to 1 at any time based on diet, exercise, and strengthen guidance and programs to adjust the situation, strengthen the guidance to patients within a short time observation of diet control, after 6 months of dietary treatment intervention, patient weight, blood sugar, complications between the 2 groups was statistically significant difference. So that the diet therapy can effectively control blood sugar levels, thereby reducing the incidence of diabetic complications.
The key to disease control in diabetic patients is to control blood sugar levels and reduce complications, to improve the quality of life of patients and reduce the morbidity and mortality. Science diet therapy to control their own plan, play to their initiative, with drugs, exercise therapy, and diabetes can be in play in this protracted war in a big victory.
The need for exercise therapy of diabetes
1 to improve insulin sensitivity, improve blood sugar control:
Patients with diabetes through exercise, even if not associated with weight loss, but also can decrease blood insulin levels, suggesting increased insulin sensitivity. Effects from the perspective of exercise physiology, acute exercise can promote the use of muscle tissue degradation of glucose, so blood sugar dropped, and chronic long-term exercise can improve muscle insulin sensitivity of target tissues to speed up liver glycogen, muscle glycogen breakdown and peripheral tissue glucose utilization, lower blood sugar levels.
2 accelerated fat breakdown, reduce weight and improve lipid metabolism:
Effective exercise can improve muscle tissue lipoprotein lipase activity, the lower very low density lipoprotein, high density lipoprotein cholesterol, while promoting lipolysis and free fatty acids and cholesterol utilization. This can enable the consumption of excess adipose tissue, play a role in weight loss, but also play a lipid-lowering and regulation of lipid metabolism, is conducive to the prevention of chronic vascular complications.
3 enhance physical and athletic ability to improve the mental state:
Exercise can increase maximal oxygen consumption, sustained exercise can enhance muscle strength, endurance, and enhance physical fitness, so that able-bodied; also facilitate the adjustment of force of motion, flexibility, etc.; but can also improve heart and lung function. On the other hand, exercise is conducive to restoring psychological balance, eliminate stress and anxiety, in which patients with mental Shuangkuaigan, fulfillment, satisfaction, improve self-confidence and self-determination, to improve work efficiency and quality of life. Physical rehabilitation and psychological status improved very beneficial to diabetes control.
4 Prevention and control of diabetes and development of chronic complications:
Treatment effect based on the above exercise, exercise can improve insulin sensitivity, reduce hyperinsulinemia, lipid-lowering, weight loss, hypoglycemic, diabetic conditions conducive to the comprehensive control, and conducive to the prevention and control of chronic complications such as cardiovascular and cerebrovascular disease, kidney disease and the occurrence of such development.
5, the latest exercise effect mechanism, further confirmed the clinical value of exercise therapy:
Past research suggests that exercise can increase muscle glucose uptake, so that the relative increase in the number of insulin receptors, or binding up, enhanced post-receptor effects, such as succinate dehydrogenase activity increased, glucose utilization improved in the Krebs cycle enzyme activity enhanced. Recently to the use of modern molecular biology techniques, to further explore at the molecular level the mechanism of the exercise therapy and found that insulin resistance in type Ⅱ diabetes is mainly derived from glucose transporter (GLUT4) and its messenger ribonucleic acid (GLUT4mRNA) reduction can exercise the muscles of GLUT4 and its mRNA levels, and that this is the decision to exercise therapy to improve insulin sensitivity and glucose metabolism in the main mechanism.
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