What are the dietary considerations for diabetes? Does diabetic gastric diversion surgery work?

A proper diabetic diet is an important step in relieving high blood sugar, so what are the diabetic diet notes? Does diabetic gastric diversion surgery work? Normal people’s blood sugar should be lower than 7.8mmol/L 2 hours after meal. Many people with normal fasting blood sugar will have high blood sugar after meal, which will lead to many complications of diabetes in the long run, such as fundus lesions, nephropathy, cardiovascular and cerebrovascular lesions, etc. Therefore, diabetic patients should not only control fasting blood sugar, but also control postprandial blood sugar smoothly. High postprandial blood sugar? How to control postprandial blood sugar? Pay attention to the amount. The greater the total amount of carbohydrates, the greater the potential of sugar-raising. Therefore, the first item to control blood sugar is not to eat too much sweet and starchy food. Limit the amount of starchy staple foods. In addition to limited food such as rice, buns and noodles, if you eat sweet potatoes, potatoes, yams, taro, roots and other starchy foods, you should reduce the amount of staple foods to ensure that the total amount of carbohydrates in a meal is not too much. Pay attention to the quality: the type of starch in food and what anti-nutrients it contains are equally important for controlling post-meal blood sugar. Because of the different composition of starch, the digestibility can be very different. For example, rice starch has a high branched chain starch content and is easier to digest. In contrast, mung bean starch grains have a high straight chain starch content and are slower to digest. In addition to sticky foods, most mixed grains, mixed beans and potatoes, are lower glycemic response than white rice and white flour. Therefore, it is recommended that you eat more mixed grains, mixed beans, potatoes, you can use these foods instead of refined white rice and flour. Smart processing: Generally speaking, the whiter the food is processed, the more it is broken, the softer it is cooked, the easier it is to digest, and the faster the blood sugar rises after meals. It is recommended that we mix some mixed grains and beans in white rice and cook it as mixed grains and beans rice, which can help us control postprandial blood sugar. Good combination: You can use other ingredients to inhibit the rise of blood sugar through food combination. Other ingredients can slow down the digestion of starch and slow down the rate of glucose entering the bloodstream, which can also effectively calm down the blood sugar level after meals. For example, if you eat a bowl of vegetables first, with some fish, and then start eating rice, and a bite of rice with a bite of dishes, the fluctuation of blood sugar is much smaller than if you eat rice first, a big mouthful of food and a small mouthful of vegetables. Therefore, when eating, do not just eat white rice, with vegetables with rice, more vegetables and less rice, can help control post-prandial blood sugar. Exercise regularly: In addition to controlling diet, increasing exercise and strengthening muscles is one of the most important ways to increase insulin sensitivity and improve blood sugar control Gastric diversion for diabetes: Gastric diversion surgery was first performed by Austrian surgeon Theodor Billroth in 1885 for the treatment of patients with gastric cancer, and evolved into a bariatric surgery in the 1950s. In 1995, the Pories completed a 14-year clinical observation of 146 obese diabetic patients and found that the attainment rate of diabetes after gastric diversion was 80%. After decades of development and improvement, in March 2011, the International Diabetes Federation issued a statement: Surgery is recommended for patients with type 2 diabetes in the early stages of the disease. The Chinese Medical Association Diabetes Branch officially included surgery for diabetes in the Chinese Diabetes Prevention and Control Guidelines in 2011, making gastric diversion surgery a new hope for patients with type 2 diabetes. The reason why gastric diversion surgery can treat diabetes in one go and achieve clinical cure is that the unique feature of gastric diversion surgery is that it changes the physiological flow of food, which is accomplished through the steps of gastric blockage, gastrointestinal anastomosis and enteroenteric anastomosis. After the surgery, insulin resistance in the patient’s body is eliminated, and the way food flows through the body after the surgery also promotes insulin secretion in the patient’s body, reduces apoptosis and proliferation of islet cells, restores the function of the pancreas, and cures diabetes.