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降血糖最有效5种食物

2017-09-29 21页 doc 84KB 73阅读

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降血糖最有效5种食物降血糖最有效5种食物 降血糖最有效的五种食物 持续高血糖不仅会引发糖尿病,还会伴随许多并发症。治疗应该以饮食法为中心,减少脂质和糖分的摄入,特别注意不要摄入过多含有大量果糖的水果。 血糖是指血液中葡萄糖的浓度,它通过我们食用谷类、砂糖、水果、薯类等食品时摄入的糖分转化而成的,是肌肉运动的能量来源。但如果人们摄入过多的糖分,血液中持续的高血糖就会发展为糖尿病,严重的还会引起并发症波及全身。 一旦出现高血糖,即使是没有自觉症状也应立即接受治疗。治疗以饮食法为中心,避免饮食过量,减少脂质和糖分的摄入,特别注意不要摄入过多含有...
降血糖最有效5种食物
降血糖最有效5种食物 降血糖最有效的五种食物 持续高血糖不仅会引发糖尿病,还会伴随许多并发症。治疗应该以饮食法为中心,减少脂质和糖分的摄入,特别注意不要摄入过多含有大量果糖的水果。 血糖是指血液中葡萄糖的浓度,它通过我们食用谷类、砂糖、水果、薯类等食品时摄入的糖分转化而成的,是肌肉运动的能量来源。但如果人们摄入过多的糖分,血液中持续的高血糖就会发展为糖尿病,严重的还会引起并发症波及全身。 一旦出现高血糖,即使是没有自觉症状也应立即接受治疗。治疗以饮食法为中心,避免饮食过量,减少脂质和糖分的摄入,特别注意不要摄入过多含有大量果糖的水果。在日常饮食中,有哪些食物是能起到降低血糖的功效的呢, 黏滑类蔬菜:抑制餐后血糖上升 山药中的黏滑成分也是由黏蛋白形成的。黏蛋白能包裹肠内的其他食物,使糖分被缓慢地吸收。这一作用能抑制饭后血糖急剧上升,同时也可以避免胰岛素分泌过剩,使血糖得到较好调控。 山药还含有胰岛素分泌必不可少的镁和锌等有效成分,以及维生素B1、维生素B2。这些成分促进了血液中葡萄糖的代谢。此外,山药还含有淀粉酶,这是消化糖类的酶,可使血液中不再积存糖分。 生吃山药更有助于摄取黏滑成分,可以切成细丝或者弄成山药泥吃。黏滑成分越多的山药,其药效成分也越多。 芋头:最适合需限制热量的人 芋头中含有黏蛋白、镁、锌、维生素B1等有效成分,它还含有半乳聚糖,能有效降低血压和胆固醇。此外,很重要的一点是,山药的热量较低。因糖尿病、高脂血症、肥胖等疾病而必须限制饮食的时候,芋头是最为适合的食品。100克芋头中,热量仅为58千克。 人们多是将芋头煮熟后再食用,这样虽然容易损伤黏蛋白,但是有利于其他有效成分的吸收。 番石榴茶:可预防血糖上升 番石榴茶是将热带地区的水果番石榴的叶干燥后,用热水浸泡而成的。 coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 茶中含有番石榴多酚,这一物质能抑制分解糖的酶活化,缓解糖的吸收,使得只有必要的少量的葡萄糖被缓慢吸收。通过这一作用,可以避免人体吸收过多的糖分,从而抑制了血糖的上升,同时也防止了胰岛素的过度分泌。 桑叶茶:降血糖,预防糖尿病 桑叶很早以前就被用做治疗糖尿病的中药。最近有研究发现,桑叶中特有的1-脱氧野尻酶素成分,能抑制将多糖分解成葡萄糖的α-糖甘酶,从而抑制血糖的上升。 桑叶除了能保护胰腺,促进胰岛素的正常分泌,还能改善高血压,减少胆固醇和甘油三酯。所以,桑叶可以有效预防糖尿病。 桑叶茶在饭前饮用能抑制饭后血糖升高,在饭后饮用则没有这种功效。 洋葱:让血液顺畅流动 洋葱中含有一种叫做异蒜氨酸的物质会和蒜酶的酶发生反应,变成催泪性的物质,使我们的眼睛刺痛流泪。催泪性的物质还会发生反应,生成多种含硫化合物。这些物质能防止血液中的血小板凝固,使血液流动流畅,并且还有消除自由基的功效。此外,洋葱中还有一种叫做环蒜氨酸的物质,可溶解血栓。 洋葱最突出的功效是抑制血糖的上升。虽然血糖可以通过化学制剂来抑制,但是有时候化学制剂的作用过强,反而会导致低血糖。洋葱没有化学制剂那么立竿见影的效果,但它使血糖降到正常之后就不会再下降了。另外,洋葱特有的黄色色素成分——槲皮酮具有很强的抗氧化能力,能有效地抑制因血液黏稠造成的氧化,防止高血压和动脉硬化的发展。 每日摄取50克(约1/4个)洋葱,就能发挥很好疗效。新鲜的洋葱辣味重,含有的有效成分也较多,效果会更好。所以应尽早食用新鲜的洋葱。 特别需要注意的是,炒洋葱前应该先放置15分钟。因为洋葱中对人体有益的含硫化合物在刚切好时不会立即产生,需要放置15分钟以上再加热烹调,更能发挥其效用。 16个能降血糖的优秀食物 coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 苦瓜中所含的苦瓜皂苷,有非常明显的降血糖作用。 如果已出现高血糖,即使没有自觉症状也应立即接受治疗。治疗以饮食法为中心,避免饮食过量,减少脂质和糖分的摄入,特别注意不要摄入过多含有大量果糖的水果。下面,我们向您介绍几类能够降低高血糖的食物。 1、洋葱:性味辛温,甜润白嫩,是人们喜爱的佳蔬。洋葱不仅含有刺激胰岛素合成和分泌的物质,对糖尿病有辅助治疗作用,而且其所含的前列腺素A和硫胺基酸,有扩张血管,调节血脂,防止动脉硬化的作用。因此,对糖尿病伴有血脂异常者最为适宜。 2、南瓜:甘温无毒,有补中益气功效。南瓜含有能抑制葡萄糖吸收的果糖,能与人体内多余的胆固醇结合,有防止胆固醇过高,预防动脉硬化的功效。现代医学研究表明,南瓜中还含有腺嘌呤、戊聚糖、甘露醇等许多对人体有益的物质,并有促进胰岛素分泌的作用。糖尿病患者每天煮食南瓜 100克 ,对改善症状有良效。 3、黄瓜:性味甘凉,甘甜爽脆,具有除热止渴的作用。现代药理研究表明,黄瓜含糖仅1.6%,是糖尿病患者常用的代食品,并可从中获得维生素C、胡萝卜素、纤维素和矿物质等。黄瓜中所含的丙醇二酸,能抑制人体内糖类物质转变为脂肪。肥胖型糖尿病患者合并有高血压者,每天食黄瓜 100克 ,大有益处。 4、苦瓜:性味苦寒,肉质柔嫩,富含多种营养成分,尤其是维生素C的含量高居各种瓜类之首。药理研究发现,苦瓜中所含的苦瓜皂苷,有非常明显的降血糖作用,不仅有类似胰岛素样作用(故有植物胰岛素之称),而且还有刺激胰岛素释coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 放的功能。有人试验,用苦瓜皂苷制剂口服治疗2型糖尿病,总有效率可达到78.3%。所以,糖尿病患者若用苦瓜1个,剖开去瓤洗净,切片水煮1次服下,每天1,2次,有利于控制血糖。 5、菠菜:性味甘寒,止渴润燥,归肺、胃经。具有润燥清热、下气调中、调血之功效。适用于胸膈闷满、脘腹痞塞型糖尿病。菠菜含草酸较多,与含钙丰富的食物共烹,容易形成草酸钙,不利于人体吸收,对肠胃也有不利影响,烹调时应加以注意。是辅助治疗糖尿病口渴喜饮的最佳蔬菜。 6、小扁豆:含有丰富的可溶性纤维素,具有降糖、降甘油三酯和有害胆固醇的作用。用小扁豆30,50克煮食,每天 1次,对糖尿病合并血脂异常者有良效。 7、黄膳:性味甘温,具有补五脏、填精血的作用。现代药理研究表明,黄膳所含的黄腊素A和B两种物质,有降低血糖的作用。 8、薏苡仁:性味甘淡微寒,是补肺健脾、利尿除湿的食药两用之品。现代药理研究显示,薏苡仁有降低血糖的作用,尤其适用于肥胖型糖尿病伴有高血压者。 9、芹菜:甘寒。能除心下烦热,散节气,下瘀血。有降血糖、降血脂、降血压作用。糖尿病合并高血压的病人可以长期食用。 10、藕:味甘,性寒。归心、脾、胃经。生用具有清热解渴、凉血止血、散瘀醒 熟用具有健脾养胃、滋阴补血、生肌止泻之功效。适用于多饮仍烦渴酒之功效; 不止、饥饿、形体消瘦型糖尿病,兼有吐血、衄血及热淋者尤为适宜。 11、莱菔(萝卜):味辛、甘,性温。归肺、胃经。具有消积滞、化痰热、下气、宽中、解毒之功效,适用于食积胀满型糖尿病。 12、韭菜:味辛,性温。入肝、胃、肾经。具有理中行气、散血解毒之功效,适用于高血脂、冠心病、糖尿病患者。 13、山药:能有效改善高血糖,山药中的黏滑成分也是由黏蛋白形成的。黏蛋白能包裹肠内的其他食物,使糖分被缓慢地吸收。这一作用能抑制饭后血糖急剧上升,同时也可以避免胰岛素分泌过剩,使血糖得到较好调控。山药还含有胰岛素分泌必不可少的镁和锌等有效成分,以及维生素 B1、维生素B2。这些成分促进了血液中葡萄糖的代谢。此外,山药还含有淀粉酶,这是消化糖类的酶,可使血液中不再积存糖分。 14、芋头:最适合需要限制热量的人,芋头中含有黏蛋白、镁、锌、维生素B1coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 等有效成分,它还含有半乳聚糖,能有效降低血压和胆固醇。此外,很重要的一点是,山药的热量较低。因糖尿病、高脂血症、肥胖等疾病而必须限制饮食的时候,芋头是最为适合的食品。 100克芋头中,热量仅为58千克。人们多是将芋头煮熟后再食用,这样虽然容易损伤黏蛋白,但是有利于其他有效成分的吸收。 15、肉桂:性味辛温,具有补元阳、暖脾胃的作用。美国科学家研究发现,肉桂可使血中胰岛素水平升高,对糖尿病患者有辅助治疗作用。建议在烹调时加入1, 3克 肉桂末,但肉桂辛热,不适宜阴虚型糖尿病患者。 16、银耳:性味甘平,具有滋阴调燥、生津养胃的作用,不仅营养丰富,而且有较高的药用价值,被人们誉为“菌中明珠”。银耳热能较低,又含有丰富的食物纤维,糖尿病患者食之有延缓血糖上升的作用。近年来有研究报道,银耳中含有较多的银耳多糖,它对胰岛素降糖活性有影响。在动物实验中发现,银耳多糖可将胰岛素在动物体内的作用时间从3,4小时延长至8,12小时。因此糖尿病患者宜常食银耳。用法:银耳15, 20克 ,炖烂后服食,每天1次。 吃对食物 控血糖又助瘦身 减肥者往往计较热量还是难瘦,糖尿病患常抱怨少吃淀粉但血糖仍忽高忽低。专家分析,这跟食物的升糖指数 (GI)有关,吃对食物血糖就稳定、不易饿,有助瘦身。 外号加菲 (猫)的苏先生有糖尿病,三餐外食,报名天主教康泰医疗教育基金会举办的“控糖班”后,学会进餐时先喝清汤,再吃清炒或汤里的青菜,接着吃点动物性蛋白质,最后再吃1碗 (约200克)杂粮饭。 苏先生当初只是想控制血糖,并未刻意减肥,在掌握食物热量及升糖指数要领后,吃得不多却不容易饿,不再像以前动辄一饿就火气上来。不知不觉中,他的腰围瘦一圈,朋友见到他都说,“你终于看得到自己的脚趾头,不能再叫你加菲了。” 书田诊所家医科主任何一成指出,糖尿病的饮食控制目的,在于兼顾控制热量与稳定血糖,食物的升糖指数,是吃进的食物造成血糖上升速度快慢的数值;低GI值食物的血糖升降速度较慢,高GI值食物能陡升血糖,但之后血糖急降。 由于食物种类、烹调方式、来源及含纤维量不同,使得食物有不同GI值,同时coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 吃不同GI值食物,对血糖升降有混合影响。 何一成建议,控制血糖与体重最好三餐定时定量,选择GI与热量较低的食物,避免饿过头,导致血糖太低而暴食高热量及高GI的食物。 哪些是低GI食物,卫生署国民健康局提供的资料显示,含糖量或精制碳水化合物较高的食物,GI值较高;全谷类食物及蔬菜等纤维质较丰富的食物,GI值较低。 以白面包GI值100做为基准,国人常吃的食物如糯米饭GI值约132、甜甜圈108、薯条107、白米饭91、可乐83、山药53、全脂牛奶38、优格51、西瓜103、木瓜84、苹果52、黄豆25、花生21。 国健局也提供一些饮食技巧,例如吃白饭或糯米饭时,多配些蔬菜一起吃,吃白土司最好夹生菜沙拉,都能有效平衡食物的GI值。 控制饮食降低血糖 在治疗二型糖尿病时,医生有时会开出高剂量的降低血糖的药物。美国糖尿病协会建议,为了避免心脏病,必须有效控制病人的血糖。但是,研究人员发现,服用高剂量降血糖药物病人的死亡率增高,这个现象部份地中止了最近对糖尿病进行的一次大规模的研究项目。这项研究的英文简称是ACCORD,由美国政府的一些机构赞助。 这项发现让许多医生大吃一惊。死亡率出人意料地上升,促使美国一些医生开始推动一项不寻常的饮食标准,作为降低血糖的方法。 美国糖尿病协会告诉患者,碳水化合物能使血糖增加,并且增加心脏病发作coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 的危险,而正确的饮食可以降低血糖。但是二型糖尿病患者理查德(巴拉多说,通过饮食控制血糖的确很难。“我过去吃蜂蜜包、冰淇淋和糖果,我过去吃过很多不该吃的东西。” 巴拉多说,即使服用治疗糖尿病的药物,他的血糖还是太高。因此,他报名参加了全国性的研究项目ACCORD。费利切塔医生领导了在凤凰城退伍军人医药中心进行的研究工作,他说,有些病人为了降低血糖,不得不服用更多的药物。“我们几乎把所有能用的药物都用在这些患者身上。” 但是服用更多降血糖药物的患者的死亡率更高。“这件事使我震惊,因为,就像我说过的那样,我父亲50岁去世,我的兄弟活到49岁,我已经60岁了,我希望活得更长些,我还不想死。” 巴拉多现在只服用一般剂量的降血糖药,但是他不再吃蜂蜜包了。虽然巴拉多说,他的血糖下降了,但还不算正常。费利切塔医生说,这样可能就很不错了。“如果二型糖尿病患者的年龄比较大,而且很有可能患心脏病,那就可以让他服用高剂量的药物。” 但是杜克大学的研究人员韦斯特曼博士说,他担心美国已经放弃了健康血糖的标准。“体内葡萄糖的控制必须严格。事实上,二型糖尿病患者的血糖必须要正常。” 因为这项研究显示,高剂量药物可能是危险的,因此韦斯特曼博士希望多注意研究糖尿病患者的饮食问题。“通过正确的饮食控制糖尿病,也可以不用药物使血糖正常。” 玛丽(弗农是糖尿病门诊医生,她出版了一本关于治疗糖尿病的新书。她批评美国糖尿病协会提出的糖尿病患者的饮食中含有太多的碳水化合物。“美国糖尿病协会说,人体所需要的热量,百分之 50 应该来自碳水化合物,甚至更高。这么说来,如果你每天吃下两千卡热量,你自己算算看。那要包含多少碳水化合物。难怪人们需要越来越多的药物来控制血糖。” 在他们的诊所里,韦斯特曼医生和弗农医生建议每天的热量只有百分之10来自碳水化合物,再加上绿叶菜和大量脂肪。这引起一些医生的不同意见。韦斯特曼和弗农医生说,他们的建议能让糖尿病患者停止服用降血糖的药物。 只是,费利切塔医生说,从食物中摄取的碳水化合物,百分之10也好,百coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 分之50也好,大多数患者都不可能坚持下去。“我常说,让病人靠运动和饮食来控制糖尿病的医生,会有很多没有控制好的糖尿病人。” 弗农医生要求她的病人坚持低碳水化合物饮食,她希望美国糖尿病协会在今年六月举行的年会中讨论她的饮食建议。会议还将讨论ACCORD研究情况以及相关研究项目。不过到目前为止,美国糖尿病协会还没有修改所推荐的血糖和饮食标准。 吃对主食,控制血糖 在很多人眼里,糖尿病就是“糖惹的祸”,因此“闻糖色变”,甚至有人说糖是“白色的魔鬼”。对这样的论调,北京协和医院内分泌科向红丁教授表示反对,他说:“糖是人体必需的营养素,人离了糖活不了。” 向红丁说,在老百姓的认识里,糖往往是甜的东西,比如白糖、红糖、糖果等。而在医学上,糖的学名为“碳水化合物”,它包括多糖、双糖、单糖等几类。大家平时吃的米、面,属于多糖;蔗糖(白糖)、红糖、乳糖、麦芽糖属于双糖;单糖则包括葡萄糖、果糖(水果中富含)、半乳糖等,蜂蜜里就包含很多单糖。 对健康人来说,上述3类糖都能吃;糖尿病临界者,多糖、双糖可以吃,单糖要少吃;对于患糖尿病的人来说,最好不吃单糖。 很多人觉得,糖既然会升高血糖,那我就不吃主食,只吃含蛋白质、脂肪的副食。其实,这是错误的。向红丁解释说,现代人之所以糖尿病高发,不是因为粮食吃多了,恰恰是粮食吃得少,而高蛋白、高脂肪食物吃得太多所致。事实上,蛋白质、脂肪在体内也能转化为葡萄糖,并且蛋白质、脂肪生成的热量远远高于糖类。 “那些不吃主食的人,往往多吃蛋白质和脂肪,就会造成肥胖、超重,从而引起胰岛素抵抗,结果非但能控制糖尿病,反而加重病情。”因此,向红丁建议,要防治糖尿病,我们应该回归传统的东方饮食习惯。 不过,由于进食糖类能升高血糖,糖尿病患者吃主食很有讲究。向红丁提倡“少量多餐”,即每天吃不少于3顿饭,每顿饭的主食不超过2两(100克)。这样的好处是,对胰岛细胞的负担小,还能避免低血糖的发生。专家建议,对于男性、年纪轻、偏瘦且体力活动量大的人,每天进主食350—400克;而女性、coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave, 年龄大、偏胖且体力活动小的人,每天吃主食200—250克。 向红丁提醒,这里说的饭食是指粮食的干重,不是最后成品的重量。开始时,病人和家属可以准确称量一下米、面再做饭,这样可以形成重量和体积方面的确切概念,以后就可以此为准了。? 防餐后高血糖改改三个习惯 很多糖尿病人经常是空腹血糖正常,而餐后血糖很高,即使是用口服降糖药或胰岛素治疗也控制不好。有医生建议,只要把三个习惯“变变样”,就能改变这种被动的局面。 测血糖换成“餐后的” 对于2型糖尿病患者,不仅要经常查空腹血糖,还应经常监测餐后血糖。病情稳定时,每周至少1次监测空腹及餐后2小时血糖,每月至少1次监测全天空腹、三餐后2小时和睡前血糖;另外,还应3到6个月左右监测1次糖化血红蛋白。同时,对于由于基础胰岛素分泌不足造成早餐后高血糖者,睡前加用中效胰岛素可以帮助控制空腹血糖,进而使早餐后血糖明显下降。 降糖药换成“速效的” 使用一天一次的达美康缓释片或速效胰岛素类似药物,都能有效地补充早时相胰岛素,控制餐后高血糖,安全性有保障,而拜唐苹能延缓餐后碳水化合物的吸收,是控制餐后高血糖较好的药物。另外,新开发的胰高血糖素样肽-1(GLP,1)也具有改善早时相胰岛素分泌的显著效果,能够防止餐后高血糖的发生。 早餐换成“稠的” 由于稀饭加热的时间较长,淀粉容易转化为糊精进而易分解为萄萄糖。同时,稀饭呈半流体状态,进食后胃的排空时间比较短,所以吃稀饭比吃主食更易于升高餐后血糖。因此,早餐最好不要只喝稀饭,要吃点“稠的”食物,坚持以吃主食为主。 coupling Centre shall be checked, the second poured concrete strength of more than 70%. In the process of reaming or boring, apart from the special provisions in factory, does not allow any work that may affect the coupling Centre, such as irrigation, to cylinder connections to flood the condenser pipes and so on. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Mounting bolts should be added lubricants, typing gently with a small hammer, not too loose or too tight, packed the bolts with the corresponding seal screw hole should be marked. 6.4.5.4.2 coupling reamed and pairings is close to the diameter of bolt bearing good hinge holes, dressed with a good two coupling bolts before you can move the rotor, boring-reaming hole in turn. Coupling bolts must be tight coupling is symmetrical diameter, in boring, reaming, two bolts out. Well boring, hinge bolt hole flange with coupling of vertical, not oblique. Due to the coupling bolts in accordance with hinge holes corresponding to the diameter of the screw holes one by one after processing, processing back bolt installation location cannot be changed, so according to bolt after the actual weight difference of nut and lock washer to match. General requirements for coupling two symmetrical diameter bolt, nut and lock washer's total weight difference should not be greater than 10 g and knocks stamped mark. (See Figure 18) The coupling bolts apply lubricant, and then gently with copper home, not too loose or too tight. Bolt Assembly is finished, symmetrical tightening all bolts to 30%, 50%, 70%, 100% force, and check the coupling flutter and before connecting the circle gradually changes its value should be less than 0.02mm. Tightening torque of the coupling bolts shall comply with the technical requirements manufacturers drawings, with a dynamometric wrench or log tension tools. Three wheel rotor swing test coupling connections should be checked: taking leave,
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