There are many reasons why diabetes is not always done well, the most important of which is the lack of emotional awareness of its hazards, always thinking that the so-called complications are far away from them and that they are the business of others and have nothing to do with them. This has led to many misconceptions, and in practice diet management, like other misconceptions, is hindering the return of rationality in the prevention and treatment of diabetes. We all know the classic 5 horsemen of diabetes prevention and treatment, the first of which is diet control, but we often ignore the diet aspect of the treatment process. We have done a small-scale patient survey, less than 30% of patients can adhere to the diet treatment, the reason is very complex, but their own subjective will is not strong enough to withstand the temptation or most of them. Diabetes diet control is very important, there is a saying: although diabetes diet control can not solve all the problems of diabetes, but if not diet control diabetes things are absolutely not done well. Diabetes diet control is the first thing that must be done in the chain of diabetes control, and is the cornerstone of the diabetes control pyramid. But the reality is that very few people do this well! First, the connotation of dietary control: the current diabetes guidelines are placed in the management of dietary control, in fact, it is not too much to say that he is an important part of the treatment. As the pancreatic function of diabetic patients declines, the ability to balance blood sugar is damaged, the body needs a relatively stable external environment to achieve the demand for blood sugar stability, and diet is one of the most important factors in the rise of blood sugar, so the smaller the change in the external environment of diet, the more conducive to the stability of blood sugar, doctors are not opposed to reasonable caloric needs, the key is that most patients do not understand that excessive intake will not only become urine sugar The key is that most patients do not understand that excessive intake will not only turn into urine sugar for nothing; but that these excessive intakes are an important factor in causing high blood glucose to persist, and high blood glucose is poison! High blood sugar will further damage the residual pancreatic islet function of diabetic patients, making blood sugar balance becomes more difficult, and at the same time will damage the immune function of patients prone to infection and tumors, other hazards we all understand, not to elaborate. Diet control is not the better the less you eat, doctors will calculate the exact amount of calories required by patients each day according to their specific situation, and then convert specific recipes to guide the patient’s diet, but excess calories must be poison! The relative constancy of diet structure and amount is an important connotation of diet control, many patients do not understand this, see some good blood sugar can not resist the temptation to eat beautifully for a few days, see high blood sugar will rush to strictly control a few days the less the better, this deviates from the principle of diet control; precisely is an important cause of blood sugar instability, if this patient is taking hypoglycemic drugs or insulin injections, while embarrassed to confess details of the diet, it is likely to cause an increased risk of hypoglycemia, which is very dangerous for the elderly and those with cardiovascular risks! Therefore sometimes the stability of the diet is more important than the amount of control! Second, the benefits of dietary control: 1, conducive to blood sugar stability to protect the function of the islet 2, develop good eating habits, not only benefit the small vision of diabetes, but also conducive to the prevention of cardiovascular and cerebrovascular disease 3, can help obese type 2 diabetes to lose weight, reshape a healthy body and improve the quality of life 4, good dietary control of blood sugar stability of diabetic patients than non-diabetic patients without dietary control to live a long and healthy life Third, the misconceptions of manipulation: 1, some doctors diet program is too cumbersome, the feasibility is not strong, the patient’s compliance is very poor, the effect of course can not be discussed. 2, the less you eat the better, over time will be malnutrition cirrhosis. Diabetic patients must understand that even if you do not eat blood sugar is still high! 3, do not eat more meat staples, eat too much meat in addition to elevated blood lipids, eat too much seafood and lean meat so that the intake of protein greatly increased, protein will also become glucose, which is one, the second protein load will increase the burden on the kidneys, easy to aggravate kidney damage on the basis of high blood sugar, and may also raise blood uric acid, and hyperuricemia in addition to gout attacks will also damage the kidneys through the precipitation of the kidneys. 4, more food on more drugs, less food on less drugs. Seems reasonable, but it is not, or ignore the basic principle of a relatively fixed diet. 5, two meals and a meal to eat, some special occupations of patients want to sleep in the morning do not want to eat, and busy at noon did not have time to make up some food, to the evening to have time to make up for the 100 days did not eat a full, and then go to sleep, very bad. The basic principle of diabetic diet is small and many meals, the same total amount every day, a small number of meals is conducive to blood sugar stability.