Diet with impaired glucose tolerance should pay attention to which patients with impaired glucose tolerance may not develop diabetes. At this stage, most patients with impaired glucose tolerance can be cured if preventive intervention can be strengthened according to the cause.
Generally speaking, impaired glucose tolerance is an inevitable stage of diabetes, and it can also be considered as an early manifestation of type 2 diabetes, so the risk factors of both are the same, mainly including ① family history of diabetes; ② Obesity; ③ Long-term unreasonable diet; (4) Insufficient exercise; ⑤ Insulin resistance, etc. In order to prevent people with impaired glucose tolerance from developing diabetes, it is necessary to intervene in the controllable factors among these inducing factors:
First, diet. As we all know, the dietary requirements of diabetics are very particular: eat less and eat more meals, don't be too full, be regular and quantitative, light, low in salt and oil, refuse sweets, fry, have more fat, have a high glycemic index, and cook the same. Although IGT patients are not sugar people, the dietary principles of diabetes are consistent with general healthy diet. If IGT patients want to intervene and control the development of the disease, they must start with lifestyle and diet.
Second, exercise. Exercise is also diabetes management? Five carriages? On the one hand, diabetics regard exercise as an auxiliary way to lower blood sugar. Some sugar friends who eat too much will increase their exercise, and some sugar friends who have relatively insufficient insulin will arrange exercise for a period of time after each meal and form a habit. However, IGT patients have insulin resistance, so strengthening exercise can reduce blood sugar and improve insulin sensitivity. Normal physical exercise, at least five times a week, must be completed for at least half an hour each time.
Third, lose weight. Obesity is very harmful to diabetes, and obese IGT patients will accelerate the development of diabetes, so it is necessary to lose weight at this stage. We should try our best to reduce our weight to the standard range and keep it.
Fourth, medication. IGT patients can intervene by taking drugs when necessary, which requires the guidance of doctors. When doctors feel that it is difficult to achieve their goals only through lifestyle intervention, they can reasonably use certain drugs for IGT patients, such as metformin and betamiphene.
Harm of impaired glucose tolerance IGT is not strictly a patient, but impaired glucose tolerance is not without harm. People with impaired glucose tolerance can be regarded as potential diabetic patients, and a considerable number of people with impaired glucose tolerance develop type 2 diabetes within a few years. The risk of diabetes, the incidence of atherosclerosis, abnormal electrocardiogram and mortality in the future are higher than those in the general population, because impaired glucose tolerance is closely related to macroangiopathy. Macroangiopathy is mainly related to hyperinsulinemia, insulin resistance, abnormal blood lipid metabolism and abnormal function of vascular endothelial cells. These factors are related to impaired glucose tolerance, so they probably existed when IGT was diagnosed, which means that macroangiopathy has already appeared at this time. However, the macrovascular disease in IGT stage is mild, and the development of the disease can be delayed or terminated through strict metabolic control. This is why we should actively intervene in IGT.
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