What factors should be taken into account in managing the diet of older adults with diabetes? What does “keeping your mouth shut” entail?
- Maintain a certain amount of weight and muscle mass. Maintaining a certain weight and muscle mass is important. Dietary weight loss is not recommended for overweight individuals unless their BMI is higher than 32 (kg/m2), which is the body mass index, or body mass index, BMI = weight in kg/height squared in m2.
- Take into account the structure of the diet. Ensure total caloric and protein intake, taking into account the structure of the diet. The recommended daily caloric intake is 30 calories per kg of ideal body weight, with 45%-60% carbohydrate and 1.0-1.3 g/(kg-day) protein, with a focus on high-quality protein.
- Do not refuse food, it’s all about choice. In theory, anyone with diabetes can eat any food. It is recommended to choose foods rich in dietary fiber and low glycemic index, eat fewer meals, and fruits can be eaten in between meals or before bedtime.
- Multi-pronged, combined approach wins. Diet is not the only means to control blood glucose, but should be combined with exercise, medication, self-monitoring, and patient education – a five-horse race.
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Finally, I would like to urge all older people with diabetes to keep their mouths shut, not just starve themselves. The “five carriages” of diabetes management can work in tandem to make life with diabetes as an older adult as rewarding as well.