Some people with diabetes asked, why do I keep losing weight despite my blood sugar control reaching the target? Feel like your resistance is no longer what it used to be? The last time I went for a physical examination, I still had osteoporosis. What should I do?

If you have diabetes, controlling blood sugar is the key, but you must pay attention to the method. We know that diabetics need to keep their mouths shut. This actually requires us to control the amount on the basis of a balanced diet.

However, some people with diabetes are prone to lack of nutrients and malnutrition due to wrong eating patterns (eating very little, skipping staple foods, only eating vegetarian food, etc.), which can lead to reduced body resistance and complications. The risk will be higher.

Especially these two nutrients, diabetics are easily deficient. Only by paying attention to supplements can they better control blood sugar and prevent complications.

Vitamin B12 is very important for nerve and cell health. Severe B12 deficiency can lead to anemia. B12 deficiency can also cause peripheral neuritis and sensory abnormalities and other problems. Because B12 mainly comes from animal foods, vegetarians are prone to B12 deficiency, so they should pay attention to supplementing vitamin B12. The elderly are also prone to B12 deficiency due to poor absorption, so those over 50 years old should supplement B12.

Diabetics are another high-risk group for B12 deficiency. One study found that 22% of patients with type 2 diabetes were deficient in vitamin B12.

However, this situation is not necessarily caused by diabetes itself. It is most likely a side effect of taking the anti-diabetic drug metformin, because metformin is a commonly used anti-diabetic drug and has a very good anti-diabetic effect, so it is important to take metformin. People with diabetes should take vitamin B12 supplements.

One of the complications of diabetes is peripheral neuritis, which has similar symptoms to peripheral neuritis caused by vitamin B12. Therefore, if peripheral neuritis occurs, it is not necessarily caused by diabetes. It may also be caused by vitamin B12. caused by lack.

Generally speaking, a balanced diet can meet the body's demand for vitamin B12. Foods rich in vitamin B12 include animal liver, beef, mutton, chicken, eggs, dairy products, etc.

The daily requirement of normal healthy adults for vitamin B12 is 2.4?g. However, for diabetic patients who take metformin for a long time (especially those who take metformin at a dose greater than 1000 mg/d, use it for more than 4 years, or have hematological abnormalities), they must not only obtain vitamin B12 from the diet, but also Supplement by mouth or injection when necessary.

Supplementary treatment can be started within a few days after vitamin B12 deficiency is diagnosed. If there is a neurological disorder, treatment should be started immediately. The recommended dose of vitamin B12 (2.4ug/d) and the usual dosage (6ug/d) may not be sufficient to correct metformin-related vitamin B12 deficiency. The specific dosage and frequency of medication should be determined according to individual circumstances.

Vitamin D can promote the synthesis and secretion of insulin and relatively increase insulin sensitivity. Vitamin D can also inhibit the inflammatory response in the body and regulate the immune function in the body.

If vitamin D is deficient, it may increase the risk of insulin resistance, and insulin resistance is the main risk factor for diabetes.

Some scholars have found in their research that an obese person coupled with a lack of vitamin D will have a higher risk of insulin resistance, thus increasing the risk of diabetes.

Some researchers have also shown in studies that obese individuals with normal vitamin D levels are 20 times more likely to develop insulin resistance than non-obese individuals; obese individuals with lower vitamin D levels are more likely to develop insulin resistance. The risk of insulin resistance is more than 32 times higher than in non-obese individuals.

There are three ways to take in vitamin D:

One is to bask in the sun, which can synthesize vitamin D through 7-dehydrocholesterol under the skin. Wearing sunscreen, and in winter and other circumstances, you cannot supplement vitamin D by basking in the sun;

The second is food, mainly egg yolks, milk and sea fish, but the content in food is very small, just through Food supplements cannot meet the needs;

The third is to use vitamin D supplements. It is recommended to supplement vitamin D3 extracted from natural fruits and vegetables (such as Medical Vitamin D3), which is safer and more efficient and can increase blood vitamin D levels faster.

In summary, sufficient vitamin D needed by the human body should be obtained in a coordinated and reasonable manner from the above three aspects.

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