How can people with diabetes survive the summer heat?

  Many people with diabetes think that summer is the hardest time of the year to control their blood sugar, as blood sugar is prone to fluctuations. In fact, summer is the best time for people with diabetes to get treatment. In general, blood sugar is higher in winter than in spring and autumn, while summer is the season of the year with the lowest blood sugar. Some people with mild diabetes have a tendency to normalize their blood sugar in summer. The hot weather in summer makes people generally lose their appetite and often turn to light diet, and the sugar content of light food is lower; the hot weather in summer makes energy consumption higher and metabolism in the body is vigorous, so the relative consumption of sugar is also higher; the body’s sensitivity to insulin increases in summer, which promotes the secretion of insulin and the use of insulin more than other seasons. Therefore, people’s blood sugar is lower in summer than in other seasons, especially for people with diabetes. The reason for the fluctuation of blood sugar in summer is often caused by the difficulty of enduring the heat and eating too much fruit, sugary drinks and cold drinks.  Although blood sugar is lower in summer than in other seasons, it does not mean that you can stop or reduce the use of hypoglycemic drugs, which should not cause misunderstanding among diabetic patients. In order to seek good control of blood sugar, some patients may have their drug doses increased based on the original treatment, and after a period of good blood sugar control, some patients may have their drug doses reduced appropriately. For patients who inject insulin, some of them can stop using insulin in summer and change to oral hypoglycemic drugs, but all this should be done under the premise of blood glucose monitoring and through the guidance of a specialist to adjust the dose of hypoglycemic drugs, do not blindly reduce or stop the drugs. In conclusion, summer is a natural time to lower blood glucose, and diabetic patients should seize the treatment, which is conducive to the recovery of the disease and can also postpone the emergence of complications.  In the hot summer, the summer heat is so intense that diabetic patients are prone to aggravate their disease and induce a variety of complications due to their weak body defenses and poor resistance to disease. Therefore, diabetic patients should be treated at the right time, in order to spend the summer peacefully, the following points must be noted: 1, control emotions The hot summer heat, easy to produce heart fire, restlessness, rest is not good, in this environment, can make people’s blood sugar rise, and even induce diabetic ketosis. Therefore, diabetic patients in the heat of the summer, to maintain optimism, to rest their anger, quiet their hearts, and calm their souls, in order to achieve the purpose of a quiet mind naturally cool.  2, pay attention to water hot day sweat, thirsty drink, but some diabetic patients do not dare to drink water, worrying about drinking more lead to polyuria, in fact, diabetes polyuria is due to elevated blood glucose, if the hot summer limit water, it is easy to cause dehydration, easy to induce hypertonic coma, cerebral infarction and acute renal failure and other serious diseases, so diabetic patients should not limit water in the summer. It is best to use cooled water, gradually, a small amount of multiple times to drink, do not wait until there are symptoms of thirst before remembering to drink water. Do not drink sugary or carbonated drinks. Chrysanthemum tea, green tea can clear the liver and eyes, clear heat and diuretic, is a good summer drink, suitable for diabetic patients to drink, should not be too strong when drinking.  3, reasonable diet summer season, people like to eat cold food and fruits, but diabetic patients should not eat more, especially high blood sugar has not been controlled diabetic patients need to be more cautious, so as not to cause a rise in blood sugar. Patients with high blood sugar and unstable condition can use vegetables and fruits with sugar content below 5%, such as strawberries, tomatoes, cucumbers, etc. Patients with stable condition and infrequent hyperglycemia or hypoglycemia can use fruits with less than 10% sugar content and sweet and sour taste, such as kiwi, loquat and cherry. The best time to eat fruit is between meals, when hungry or after physical activity, as energy and nutrient supplement. Usually chosen at about 9:30 am and 3:30 pm. Do not advocate eating fruit before or immediately after meals, and avoid excessive one-time intake, resulting in high blood sugar after meals. Bitter melon, pumpkin, onion, the three are known as the table of sugar drugs, especially bitter melon, which itself contains an insulin-like substances, can lower blood sugar, diabetic patients can be appropriate to eat. Green beans are low in sugar and have the effect of clearing heat and detoxifying, cooling and dispelling summer heat, and can be mixed with rice and cooked, which is suitable for diabetic patients in summer.  4, appropriate exercise exercise can promote the use of glucose in the blood, reduce insulin consumption, is conducive to enhancing fat metabolism and enhance cardiorespiratory function, improve the body’s immunity. The weather is sultry and lazy to exercise, which will affect the effect of diabetes treatment. Therefore, diabetic patients should insist on physical exercise in summer, so that the organism always remains in the best condition. Get up and live regularly, go to bed early and get up early. You can rush to do activities before 8-9 o’clock in the morning, in the evening after the sun sets or after dinner, when it is not the most sultry.  5, pay attention to hygiene Diabetic patients who do not pay attention to personal and environmental hygiene, it is easy to cause skin, gastrointestinal tract, upper respiratory tract and urinary system infections, and infection is the main cause of diabetic ketoacidosis. Therefore, diabetic patients must pay attention to hygiene in summer, bathe regularly, change clothes in time, and keep their skin clean and dry. Regularly clean the home hygiene, timely removal of dust, dirt, to prevent bacteria, viruses, parasites and other infections.  6, pay attention to foot protection Summer is a good season for diabetic foot. Diabetic patients, especially those with peripheral neuritis and peripheral vascular disease in the foot, try not to walk barefoot in summer, and be especially careful not to walk too long when walking on gravel, sharp stones, hot sand, hot stone road. It is best to wear white socks, which are easy to find when there is damage or bleeding in the foot, and there should not be more threads or joints on the inside of the socks to avoid damaging the skin after friction. Wear soft cloth shoes that fit well and do not show your toes. Before going out and after returning, check your feet, and if you find any problems such as ulcers, seek medical attention in time to prevent the condition from getting worse and becoming unmanageable. Before going to bed with 35-38 ℃ warm water soaking feet, foot massage, keep the skin between the toes dry, not only to relieve fatigue, but also to promote local blood circulation, to avoid bacterial, fungal infections. Prevent burns, avoid mosquitoes, insect bites, skin itching should not be scratched to prevent ulceration and inflammation. Diabetic patients should not sleep on cool mats, some of which are prone to parasitic mites in the crevices, which can lead to skin redness, itching and pain; new cool mats are also prone to abrasion of the skin, causing skin infections.  7, insulin preservation points of attention Insulin is a protein hormone, high temperature will deteriorate and solidify and lose biological activity, it is also a hormone generated in the body, at normal body temperature to play a biological effect. Normally, insulin is relatively stable at normal low temperature. For unopened insulin, it can be stored for 2 years under refrigeration at 2-8℃. After opened, insulin can be stored in a cool room temperature environment below 25℃ for 4-6 weeks without putting it in the refrigerator. Insulin pens with refills installed must be stored with the needles removed and should not be stored with needles. Never put insulin in the freezer. Insulin frozen and then thawed cannot be restored to its pre-freezing state, and the absorption and dose accuracy of insulin after thawing will be problematic, so it cannot be used again. After insulin is taken out of the refrigerator, it should be left for about 10 minutes until the temperature is close to the surrounding environment before use. When traveling by airplane, insulin cannot be checked in the luggage because the temperature in the luggage compartment of the airplane is very low in the high altitude, so you should carry it with you. In summer, the temperature in the car can be very high, so do not leave the insulin in the car when you leave it to prevent it from deteriorating.