Question: I have 2 questions. I love tea. I drink only black and always without sugar. After the meal, and when I want to drink. Sometimes even to 8 cups a day. Not bad if so much tea for kidneys? And question # 2: In hot weather buy lemonade from sweeteners, Aspartame. But recently read on the internet about aspartame a lot of negative feedback. They write that it can affect badly on sight and on the whole organism. Tell me please, what kind of sweeteners can be used for diabetics, so as not to harm her, and so weak health
Answer: A <b> </ b>: A lot of tea drinking is not harmful. Another thing – whether you have increased thirst? If the ordinary, not hot days, you always drink more than 2-2. 5 liters of fluid – should visit an endocrinologist to exclude diabetes (or diabetes insipidus), although it is possible that it is – version of the rules, or the result of, for example, dry mouth because of the difficulty of nasal breathing (a lot of options, in absentia is hard to tell). At your 2 nd question – quote article about sweeteners (written for patients with diabetes, so that not all of it belongs to you, but security issues – the same for all). SaharozameniteliPrakticheski all know that sweets (chocolates, confectionery, sugar, honey, etc.) increase the blood sugar levels, and diabetes are excluded from power. But sometimes it happens that very much want: something sweet. The solution was found for a long time – Sweetener: Fructose * * Sorbitol and xylitol * Modern sweeteners – saccharin, aspartame and cyclamate sweeteners, etc. Modern (tablets and solutions) have significant advantages over "traditional" (fructose and sorbite): do not contain calories, and do not affect blood sugar (in contrast to fructose, which raises blood sugar, although it is 3 times lower than glucose). They are available in tablets and solutions. The latter can be added not only in beverages, but also in food: pour their cheese, savory loaf, etc. This is very convenient and allows you to make nutrition in diabetes is not only useful but also tasty. The most popular of modern sweeteners – aspartame, saccharin (Sucrasit) and cyclamate (Zucli). To use the first two are no limitations. Cyclamate is contraindicated in those who have renal insufficiency (relatively rare, but the most severe complication of kidney disease). But themselves sweeteners do not damage the kidneys. To identify renal failure, it is necessary to determine the level of creatinine in the blood (this analysis is to be done with LEDs annually). When kidney disease without renal failure cyclamate is not contraindicated. For saccharin about 50 years ago there were suspicions about its safety. However, quite a long time (about 40-45 years ago), these suspicions were not confirmed at retesting. Therefore saccharin can be used as well as aspartame. When using sweeteners should also be borne in mind that: Aspartame is destroyed by boiling (for cooking jams, compotes, etc.) Sparkling (instant) tablets contain sweeteners lemon (or other organic) acid and soda (sodium carbonate), which react with each another in the water. These impurities can give some flavor. If you hinder – use a liquid sweetener or neshipuchimi "tablets. Taste sweetener can become bitter, if you put it in tea too much (more than 2-3 tablets). The true overdose sweeteners can say, if you consume more than 20 tablets per day. Of course, we must remember that sugar substitutes do not have a hypoglycemic effect and are not "drugs for diabetes." If you have never drank sweet tea, and you did not want – add saharozmenitelya no benefit. But if you prefer sweet tea – sweetener tablets will cause you less harm than sugar or honey.
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Question: My question is not new, but very important. My mother's recent increase of sugar (13. 7), on the basis of this case is the second attack. 'll Show what products should be used more frequently, what would reduce the sugar? I mean not a diet, namely, the products reduce the sugar. Over the past thank you.
Answer: The issue date. Indeed, there are products that do not increase the sugar (in the first place, it's vegetables). If vegetables are used together with the products, in one way or another increases the sugar – they reduce the rise in glucose after the meal. But the products that (like drugs) directly would reduce the sugar (and thus could cause a decrease in glucose below normal humans without DM), NO. The principle of the diet in CD is somewhat more complicated (than simply "increasing the sugar that does not increase the sugar"), they discussed other issues in this section.
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Question: Why does your website has never specifically responded to questions on diet? Entire Site izlazil, nichitalsya your evasive answers, but nochego not found. It's a great professional secret? Or you like a doctor knows full well that the CD nothing to help, and suicide bombers do not care. . . And I wrote to you last year: "Help with a diet!" Are you not ashamed
Answer: The fact that a diet with the SD depends on the type of diabetes, the availability of excess weight on the treatment and the associated diseases. Therefore, the question "what is the diet in diabetes, can give only general recommendations. In addition, you should be aware of limitations that arise when replying to a question on the Internet. Not seeing the patient and with only minimal information, it is impossible to hold a "distant consultations", and can only give certain advice, in what direction to move.
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Question: Unexpectedly found SD 1. In general, a child sick with thyroid, but she never worried. But the vision has deteriorated and is constantly thirsty. The survey found elevated blood sugar 13.5 mmol. She lay down in endocrinology. Week lowered the sugar, thus managing discharged with the result 13,4. Sugar in the blood gallops. Dali leaflet with the calculation HEH. How can we live at 14 HE per day. Insulin is prescribed for life. I am constantly shocked. Wounds, cuts a long time to heal. Many read online about nutrition and so forth, but found no answer to the questions: Can we eat roasted sunflower seeds? What absolutely can not eat? My food consisted mostly of fish, fruit, coffee, cheese, "Borodino" bread, sunflower seeds. Sweet and fat is always in a very small number ve. Suddenly uniquely Insulin. Is it all so seriously
Answer: Reason for the diagnosis of CD – fasting blood sugar is higher than 6. 1 (in capillary blood from a finger). Type of SD is based on clinical signs (for type 1 is characterized bytroe and rapid start, high levels of sugar and acetone in the urine, etc. When in doubt (for example, when aged 30 years) the diagnosis can be confirmed by the detection of antibodies to the pancreas and insulin. Now – in treatment (in Novosibirsk better, in my opinion, professionals – in the Diabetes Center of the regional hospital). At the SD type 1 to learn how to manage the "galloping" sugar, should be trained in a good location for the school program of diabetes, but this is done in a few months from the onset. With respect to life-long insulin: with the SD type 1 pancreas (which all people have life provides insulin) ceases to provide, so we have to fill their places without input from the outside. But any hypoglycemic medication (eg, diet or tablets for type 2 diabetes) is also appointed for life. With respect to grain units: 14 HE per day – this is for you a lot or a little?? This system was invented, not in order to limit the amount of carbohydrates per day. It is – in order to introduce amount of insulin in proportion to how much you eat HEH. ie, a 3 x (say, breakfast) – one of insulin on 2 – to 1. 5 times less. What specifically rasschtiyvaetsya this dose – are taught at the "School . HE used to calculate the carbohydrate. Protein products (meat, fish) and fats (butter, lard, fat-rich nuts and seeds) contain virtually no HEH. But sunflower seeds contain lots of calories, they advise to restrict those patients who lose weight. to the level of sugar, HEH and calculating insulin doses, they have no relationship. In general, you can feel that shock passes, and that you have better control of the situation, after a full pass in school diabetes.
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Question: Doctor! "please tell me what is possible and encouraged to have diabetes. My husband suffers from this disease and I should know that I cook for him. Thank you for your help. Natali
Answer: When the SD type 1 diet as such, no, just in the process of learning "Shkolediabeta" patients are taught to evaluate effect of food saharopovyshayuschiee posisteme "bread units, and cover a food with insulin. In type 2 diabetes in the majority paitsentov there is an excess weight. From dietyisklyuchayutsya products, quickly raise blood sugar (in the first ocheredsladosti, sugar, carbonated drinks, fruit juices), as well as high-energy (it nevsegda one and the same) products. The latter include primarily fat. Extremely useful low-calorie foods such as vegetables. Proteins dolzhnyprisutstvovat in the diet in sufficient quantities, but in rare cases (adrenal insufficiency), a physician recommends their limitation. The purpose of the diet – slow (!) Weight loss (when it is abundant), but not starvation. Normal weight is approximately equal to: "increase (in cm) – 100 for men and Height -100 – 10% for women. By reducing the weight necessary to achieve a close knormalnomu weight, but not quickly, but losing 2-3 kg per month. If the weight is not reduced, it means that diet adherence is poor (Libov consume a lot of fat, for example, in the form of cooked sausage or plavlenogosyra or chereduete periods of strict dieting to the days when you can "pamper" themselves calorie diet). It should be remembered that the most difficult at lower weights – not snizitves, and keep it low. This is necessary to remember every day! In addition to the composition of foods is very important mode of supply. If you eat Touch the same (but not more!) The amount of food, but not for 2-3 hours, aza 5-6, blood sugar levels will be lower. In type 2 diabetes mellitus with normal weight: Under "normal" in this case should understand the weight, not exceeding "height – 100" more than 5 kg. In this case we have all of these recommendations, kromeogranicheniya calories. That is, avoid eating quickly povyshayuscheysahar blood, eat more vegetables and evenly distribute the food in techeniednya.
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Question: I take insulin for 3 months. During this time I recovered from 48 kg to 60 kg. Try many diets, but not losing weight or per gram. 'll Show some kind of diet to fit in the SD. I very much want to lose weight. help. Thank you.
Answer: Excess weight in type 1 diabetes – is a topic that periodically arise. Obviously, you do not fullness of insulin and did not overdose on it (before the emergence of diabetes in your body is allocated a certain amount of insulin. Now it is not, and you enter the missing number). In this situation, the approaches to the regulation of weight is the same as everyone else: excess weight occurs when you consume fewer calories than their spending. To reduce the weight can either increase energy expenditure, or (more effectively) to lower calorie intake. Because the main carriers of calories – fats and alcohol, the number of HE can be largely unabated. Recommendations on what should be a diet with excess weight, can be found in the FAQ in the "diet". The main principle is this: first you decide what you eat, and enter the required amount of insulin for HE contained in this food. There is always a temptation to take the easier way: reduce the amount of insulin, and then part of the food will not be assimilated, and will leave your body in the form of urine sugar. But the price to pay for weight reduction are complications caused by high levels of sugar, so this is not worth it.
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