Everyone is familiar with the phrase: "Modern medicine does not stand still." Before our eyes there are many examples of people who, despite their illnesses and injuries, thanks to the achievements of doctors and pharmacists, live a full life as healthy people. Looking at all this, many patients with diabetes are wondering if it really has not been invented and for them something that will allow them to limit themselves in nothing? We asked this question to our permanent expert Olga Pavlova.
Doctor endocrinologist, diabetologist, nutritionist, sports nutritionist Olga Mikhailovna Pavlova
She graduated from the Novosibirsk State Medical University (NGMU) with a degree in General Medicine with a red diploma.
Graduated with honors from the endocrinology residency at NGMU
She passed with honors professional training in the specialty Dietetics at NGMU.
She passed professional retraining in the specialty of Sports Dietology at the Academy of Fitness and Bodybuilding, Moscow.
Passed certified training on psychocorrection of overweight.
Very often at the reception I hear the question of the patients: "Doctor, if you pick up modern, strong antidiabetic drugs, can I not follow the diet?"
Let's discuss this issue.
As we know, with diabetes, the diet completely excludes the use of fast carbohydrates, that is, sweets (sugar, jam, cookies, cakes, buns) and white flour products (white bread, pita bread, pizza, etc.).
Why do we eliminate fast carbs?
Fast carbohydrates are broken down and absorbed by our body very quickly, as is clear from their name, therefore, after eating fast carbohydrates in diabetes, blood sugar rises rapidly. Even if we take modern, costly glucose-lowering drugs, the level of blood glucose after eating fast carbohydrates will still go up, albeit slightly less than without drugs. For example, after eating two pieces of cake on the most common diabetes therapy, sugar from 6 mmol / l will take off to 15 mmol / l. Against the background of the use of modern expensive sugar-lowering therapy, blood sugar from 6 mol / l after the same two pieces of cake will fly up to 13 m mmol / l.
There is a difference? On the meter, yes, there is. And sugar and blood vessels above 12 mmol / l have an active damaging effect on the vessels and nerves.
So even at the very best treatment for diabetes, violations of the diet lead to disastrous consequences.
As we know, high sugar damages the endothelium - the inner lining of blood vessels and the sheath of nerves, which leads to the development of diabetes complications.
Even if we measure sugar 6 times a day with a glucometer (before and 2 hours after a meal), we may not notice these “takeoffs” of sugar when the diet is disturbed, because after eating fast carbohydrates, blood sugar rises up in 10-20-30 minutes after eating, reaching very large numbers (12-18-20 mmol / l), and 2 hours after eating, when we measure glycemia, blood sugar has already returned to normal.
Accordingly, those blood sugar jumps after consuming fast carbohydrates, which damage our blood vessels and nerves and lead to diabetes complications, we do not see when measuring blood sugar with a glucometer, and we think that everything is fine, a violation of the diet did not harm us, but In fact, with irregular sugar after a violation of the diet, we damage vessels and nerves and lead our body to the development of diabetes complications - damage to the kidneys, eyes, feet and other organs.
Those very jumps in blood sugar after a violation of the diet can be clearly seen only when using continuous blood glucose monitoring (CGMS). It is during the application of continuous monitoring of blood glucose that we see an extra eaten apple, a piece of white bread and other violations of the diet that harm our body.
I fully agree with the now fashionable statement: "DIABETES IS NOT AN ILLNESS, BUT A LIFESTYLE".
Indeed, if diabetes is followed by a proper diet, getting high-quality selected therapy, playing sports and being regularly examined, then both the quality and the lifespan will be comparable, and even higher and better than in people without diabetes. In diabetes, most of the responsibility for health lies with the patient, because it is the patient who is responsible for keeping the diet, controlling blood sugar, taking medications in a timely manner, doing physical activity.
All in your hands! If you want to live long and happy with diabetes, start a diet, adjust therapy with an endocrinologist, control sugars, play an acceptable sport, and then your health, well-being and appearance will delight you and serve as an example to others!
Health, beauty and happiness to you!