psychological treatment for diabetes

Diabetic Treatment: Psychotherapy
Many people think that diabetes treatment is diet, exercise, and medication. In fact, psychological treatment for diabetes control is very important. Optimistic about the emotional stability to maintain the stability of the internal environment of patients, and anxiety give rise to feelings of stress hormones such as epinephrine, norepinephrine, adrenocorticotropic hormone and glucagon secretion, which antagonist of insulin, causing blood sugar up High, so that aggravate their condition. In the right state of mind and attitude of the disease should be correct under the guidance of a doctor, the initiative to play, learn prevention and treatment of diabetes knowledge, through the urine sugar and blood sugar monitoring, and explore the impact of favorable conditions and unfavorable factors, the characteristics of their own condition, Have strong confidence and perseverance, rather than the treatment of serious tension, persistent for a reasonable diet, physical activity, not do any work. The proper use of the drug to make weight, blood sugar, urine sugar, blood sugar, blood lipid at a reasonable level. Infection, surgery, a major burden on the spirit of the time, it is necessary to correctly deal with in a timely manner. In short, through the psychological support, to achieve effective control and prevention and treatment of diabetes.
The second treatment of diabetes: diet treatment
Hunger breeds discontent, not necessarily exercise every day, but had to eat every day. The diet has a direct impact on diabetes, the diet is very important for the treatment of diabetes. Traditional Chinese medicine: Diabetes more alcohol as a result of Hou Wei, spleen and stomach injuries, transport of dereliction of duty, Xiao-chun consumption, Zongyushangyin and replace them with hot fat-deficiency disease. "Huang Di Nei Jing" said: "This is also made by the plump, the person must be vegetarian and she has more fat, fat people are internal heat, Gan who is in full, so the gas to overflow on Diabetes." "Jing Yue Quan Shu" said: "Diabetes, for its Zhaoduan's disease, are cream of the beam Feigan change in labor satyric of injury, disease who are rich, the poor and those who have little." Pointed out that obesity, More affluent life of this disease, which is modern medicine's understanding of the causes of diabetes in line. As a result of high or low blood sugar and insulin secretion into the number and variety of food is closely related to diet and thus is the basis for the treatment of type 2 diabetes, regardless of what type of diabetes, severity of illness or any complications, and what treatment should be For a long time and strict diet control.
In the early 50's before Chinese and foreign treatment are low carbohydrate, high-fat, high-protein diet based. According to the Clinical Practice has proved that such a diet for diabetes patients are not beneficial to insulin function, diabetes and high fat diet will increase the patient's vascular disease, high-protein diet would be caused by diabetes increased the incidence of kidney disease. At present, medical experts are to promote high-carbohydrate, lower proportion of fat, protein intake of the control diet, to improve blood glucose tolerance have a good effect, the specific content of the diet are as follows:
First, quantitative diet from time to time
According to age, sex, occupation, weight [(length -100) × 0.9] estimated that the total daily calories. Men than women required daily calories to about 5%. The different age requirements are also differences in heat, per kilogram of body weight is generally required number of kilocalories of heat for young people> middle-aged> elderly>, the average high of 5% to 10% per kilogram of body weight / day. The different physical energy consumption per day is different. Light manual per kilogram of body weight daily calorie consumption 30 ~ 35kcal; moderate physical consumption per kilogram of body weight per day 35 ~ 40kcal heat; heavy manual per kg body weight per day to be more than 40kcal heat. In general, pregnant women, nursing mothers, malnutrition and wasting disease should be increased as appropriate, reduce it obese patients to maintain normal body weight of about 5%, the condition can often be satisfied with control.
Second, the reasonable adjustment of the ratio of the three major nutrients
Dietary sugar, fat and protein ratio of the three major nutrients, it is necessary and reasonable adjustment. Not only achieve the purpose of treating disease, but also to meet the body's physiological needs. At present, the American Diabetes Association (ADA) claim: Diabetes patients carbohydrate diet should be accounted for 55% of the total calories to 60%; protein intake of total daily calories should not exceed 15%. Per kilogram of body weight per day to 0.8 ~ 1.2g appropriate. The development phase of the young people and pregnant women, nursing mothers or special vocational and other complications of patients can be Zhuojia to about 1.5g; daily intake of total fat no more than 30% of total calories, per kilogram of body weight per day to 0.6 ~ 1g as well, such as obese patients, in particular, have high blood lipids or atherosclerosis, fat intake should be adjusted as the case may be.
Third, restaurants and the calculation of heat calculation
The supply of nutrients are the body's heat 3: protein, fat, carbohydrates. One gram of protein and carbohydrates for energy 4kcal (1kcal = 4.184kj), per gram of fat to heat 9kcal (37.74kj). Diabetes patients, according to its labor intensity will be needed per person per day, the total calories (kcal) in accordance with the 69% carbohydrate, 15% protein, fat accounted for 25% of the allocated in proportion to derive the various components of the energy supply, and then Per gram of fat thermogenesis 9kcal, carbohydrates and grams of protein per kilo thermogenesis 4 conversion of the supply of different nutritional needs of the patient's weight, three meals a day, or four meals. Three meals a day for the distribution of heat Breakfast 1 / 5, lunch and dinner each 2 / 5. Four heat distribution for the breakfast meal 1 / 7, all three of the remaining 2 / 7. For example: a middle weight 60kg manual, the normal size of adult diabetes patients, according to the daily per kilogram of body weight 40kcal heat calculation, the total calories a day for 2400kcal, according to the proportion of the allocation of more than 1440kcal calories from carbohydrates that is, 360kcal to the heat Since the protein, 600kcal from fat. These need to provide heat supply 360g carbohydrates, 90g protein, 66g fat.
We stress the importance of diet to control the heat methods, not asking people with diabetes every day must be mechanically to calculate, but should be in the hands of this method of calculation, from time to time, or a sharp change in body weight when a bit of arithmetic, work out The next phase of the program of diet, deprivation and sweet, greasy food, diet choice but to seek to have the principle of diversity.
Diabetic Treatment of three: the treatment of movement
Movement therapy is based on the function of patients and disease characteristics, the use of physical exercise to prevent disease and enhance the body resistance to help patients overcome the disease, an effective way to recover. Movement to the physical benefits will be listed in the following training on the specific law. In the treatment of diabetes, exercise therapy is an important component of, especially for elderly patients, obese patients is more important. Traditional Chinese Medicine have long recognized the movement of the diabetes patients the importance of the Sui Dynasty, "from the source of waiting," Tang Dynasty "Taiwan Miyao," Diabetes has been documented in sports therapy. Since then, both on family medical history.
To the mid-eighteenth century, a number of well-known medical experts from abroad have begun to advocate with diabetes should be appropriate to do physical activity, and physical activity, diet, insulin injections as a treatment of diabetes three magic weapons. Some diabetic patients with only light physical training and to adhere to the combination of diet that is used to achieve rehabilitation.