Is it okay for elderly people with diabetes to take honey?

Modern medicine has proven that after a normal person eats, as blood sugar rises, insulin secretion also increases, thereby lowering blood sugar and maintaining it within the normal range. Therefore, diabetes will not occur. In diabetic patients, due to hypofunction of the pancreatic islets, insulin secretion is absolutely or relatively insufficient. Insulin cannot increase with the increase in blood sugar after eating, and cannot effectively lower blood sugar, so blood sugar exceeds the normal range. At this time, if you continue to eat like normal people without dietary control, or even overeat, your blood sugar will rise too high, and it will have an adverse effect on the pancreatic islet tissue that is already undersecreting, causing the pancreatic islet function to further decline, and insulin levels will decline. The secretion is further reduced, thereby further aggravating the condition. Therefore, people with diabetes should have reasonable dietary control.

Diet therapy is the basis for the treatment of various types of diabetes and one of the most fundamental treatments for diabetes. Regardless of the type of diabetes, the severity of the condition or the presence of complications, or whether it is treated with insulin or oral hypoglycemic drugs, dietary control should be strictly carried out and adhered to for a long time. For obese patients with type II diabetes or elderly patients with mild cases, dietary therapy can be used as the main treatment method, and appropriate combination with oral hypoglycemic drugs can achieve the purpose of effectively controlling the disease. For type 1 diabetes and severe cases, allergy should be treated with insulin and other drugs and active diet control can effectively control blood sugar and prevent the condition from worsening. Therefore, dietary therapy is the basic therapy for diabetes and must be strictly followed.

1. Purpose of dietary treatment

(1) Reduce the burden on pancreatic islets, bring blood sugar and blood lipids to or close to normal values, and prevent or delay the occurrence and development of cardiovascular and other complications. .

(2) Maintain health so that adults can engage in various normal activities and children can grow and develop normally.

(3) Maintain a normal weight. Obese people reduce energy intake and can improve receptor sensitivity to insulin. Those who are emaciated can gain weight to enhance their resistance to infection.

2. Key points in the application of dietary therapy

(1) Dietary therapy is the basic therapy for the treatment of diabetes and the prerequisite for all treatment methods. It is suitable for patients with all types of diabetes. Mild cases can achieve good results by focusing on dietary therapy. Moderate and severe cases must also rationally apply physical therapy and drug therapy on the basis of dietary therapy. Only if the diet is well controlled can oral hypoglycemic drugs or pancreatic islets be effective. Otherwise, it will be difficult to achieve good clinical results by blindly relying on so-called new and good medicines and ignoring dietary therapy.

(2) Diet therapy should be adjusted at any time and flexibly controlled according to the condition. Weight loss patients can relax appropriately to ensure total calories. Obese patients must strictly control their diet, focus on low-calorie fat diet, and lose weight. For those treated with insulin, attention should be paid to adding meals at 9 to 10 a.m., 3 to 4 p.m., or before going to bed, as appropriate, to prevent hypoglycemia. When doing physical labor or doing a lot of activities, you should also pay attention to increasing the amount of staple food or snacks.

(3) Diet therapy should be scientific and reasonable, not too much or too little. That is to say, it cannot be subjective and voluntary, nor can it be too restrictive. Don't dare to eat any carbohydrates. On the contrary, it will aggravate the condition and even cause ketosis. You should make strict calculations based on your condition, weight, and height, and arrange your diet scientifically and rationally while controlling the total calories, so as to meet the minimum needs of the human body and control the total calories.

(4) Scientifically arrange the staple food and non-staple food. Do not only pay attention to the staple food and despise the non-staple food. Although staple food is the main source of blood sugar and should be controlled, some of the protein and fat in non-staple food can still turn into blood sugar and become the source of blood sugar when entering the body. Protein and fat are metabolized into glucose at a rate of 58 and 10 respectively. Excessive amounts of these non-staple foods can also cause weight gain, which is detrimental to the condition. Therefore, in addition to reasonable control of staple foods, non-staple foods should also be properly matched, otherwise the expected results will not be achieved.

(5) Choosing foods suitable for diabetic patients is also very important for the control of diabetes. The following two points should be noted:

① Foods that should not be eaten include:

Foods that tend to raise blood sugar quickly: white sugar, brown sugar, rock sugar, glucose, maltose, honey, chocolate, toffee, fruit candy, candied fruit, canned fruit, soda, juice, sweet drinks, jam, ice cream, sweet cookies, cakes, Sweet bread and sugar pastries, etc.

II. Foods that easily increase blood lipids: beef tallow, mutton fat, lard, butter, butter, and fatty meats. Special attention should be paid to foods rich in cholesterol and should not be used or used sparingly to prevent the occurrence of atherosclerotic heart disease. .

III. Not suitable for drinking alcohol. Because the alcohol contained in wine does not contain other nutrients and only provides heat energy. Each gram of alcohol produces about 7 kcal (294 joules). Long-term drinking is not good for the liver and can easily cause the increase in serum triglycerides. A small number of patients who take sulfonylurea hypoglycemic drugs are prone to reactions such as palpitation, shortness of breath, and red and dry cheeks after drinking alcohol. Note that patients with insulin can easily cause hypoglycemia when drinking alcohol on an empty stomach. Therefore, for the safety of the patient, it is better not to drink alcohol.

② Suitable foods: mainly foods that can delay the rise of blood sugar and blood lipids.

I. Soybeans and their products: In addition to being rich in protein, inorganic salts, and vitamins, soybean oil also contains more unsaturated fatty acids, which can not only lower blood cholesterol but also lower blood triglycerides. Sterols also have lipid-lowering effects.

II. Coarse sugar: such as oatmeal, buckwheat noodles, hot cereal, and cornmeal contain a variety of trace elements, vitamin B and dietary fiber. Experiments have shown that they can delay the rise in blood sugar. Corn flour, bean flour, and white flour can be used to make three-way steamed buns, pancakes, and noodles in a ratio of 2:2:1. If stopped for a long time, it will not only help lower blood sugar and fat, but also reduce hunger.

(6) People with diabetes should eat less or no fruits. Because fruits contain more carbohydrates, mainly glucose, sucrose, and starch. The speed of digestion and absorption after eating can quickly lead to an increase in blood sugar, which is detrimental to diabetic patients. Therefore, diabetics generally should not eat more fruits. However, because fruits contain more pectin, which can delay glucose absorption, you can eat less fruit when your condition is stable.

When eating fruits, you should choose fruits with low sugar content. At the same time, its heat energy must be calculated based on its sugar content. Convert to staple food, reduce or subtract the amount of staple food to keep the total calories unchanged. It is not advisable to eat fruit with every meal. It is generally considered more appropriate to take a small amount between meals (when blood sugar drops). Check the nutritional composition table and choose accordingly according to your condition.

(7) Diabetic patients should also limit the cholesterol content in their diet. When the condition of diabetic patients is not well controlled, serum cholesterol may easily rise, leading to diabetic vascular complications, coronary heart disease, etc. Therefore, diabetic patients should limit the intake of cholesterol in their diet. It is generally recommended that the cholesterol limit be less than 300 mg per day. Therefore, fat meat and animal offal, such as heart, liver, kidney, brain, etc., should be used less or less in clinical practice because these foods are rich in cholesterol. Instead, eat more lean meat, fish and shrimp, which are high-protein and low-fat foods.

Strict control of diet is a prerequisite and the most important part of treating diabetes. Doctors have found in clinical practice that patients often fail to have the desired effect of medications because of poor diet control. The principles of diet control are as follows:

1. Break the misconception that "taking more hypoglycemic drugs can lead to eating more".

2. Eat smaller meals more often. It not only ensures the supply of calories and nutrients, but also avoids blood sugar peaks after meals.

3. Carbohydrate foods should be eaten according to regulations, neither less nor more, and should be eaten evenly (carbohydrates refer to foods such as grains, vegetables, milk, fruits, soy products, and hard fruits) of sugar).

4. There is no difference between eating sweet snacks and salty snacks, both will cause blood sugar to rise.

5. The amount of "diabetic food" eaten should be equal to the amount of ordinary food. "Diabetes food" refers to foods made with high dietary fiber grains, such as buckwheat and oats. Although these foods take longer to digest and absorb, they eventually turn into glucose.

6. The so-called "sugar-free foods" are essentially foods without added sucrose. Some foods use sweeteners instead of sucrose, but they still cannot be eaten casually.

7. Vegetables with starch as the main component should be included in the amount of staple food. These vegetables include potatoes, sweet potatoes, lotus roots, yams, water chestnuts, taro, lilies, water chestnuts, arrowheads, etc.

8. Beans other than soybeans, such as red beans, mung beans, broad beans, kidney beans, and peas, are also mainly composed of starch, so they should also be counted as staple food.

9. Eat non-staple food in moderation.

10. Do not eat peanuts, melon seeds, walnuts, almonds, pine nuts and other hard fruit foods to satisfy your hunger.

11. Eat more foods containing dietary fiber.

12. Eat less salt.

13. Eat less cholesterol-containing foods.

14. Regarding the issue of eating fruits. Patients with good blood sugar control can eat fruits with low sugar content, such as apples, pears, oranges, oranges, strawberries, etc., but the amount should not be large. The time to eat fruit should be between meals when blood sugar is low. If you eat fruit afterwards, it is equivalent to a snack, and your blood sugar will immediately rise. In addition, after eating watermelon, the sugar is absorbed quickly, so try not to eat it. Bananas have a high starch content and should be considered a staple food.

15. Sweeteners will not be converted into glucose, will not affect changes in blood sugar, and cannot be used as a self-help food for hypoglycemia.

16. People with diabetes should never limit drinking water.

Chinese medicine prescription

Recipe 1

30 grams of gypsum, 10 grams of skullcap, 15 grams each of Digupi and Anemarrhena, Asparagus and Ophiopogon japonicus 20 grams each of Trichosanthin, Trichosanthes, and Japonica rice, 8 grams of raw licorice

Preparation and usage: Decoct in water, take 1 dose per day.

Indications: Diabetes with dry-heat injury to the lungs

Recipe 2

20 grams each of Rehmannia glutinosa and Chinese yam, 10 grams each of Schisandra chinensis, Ophiopogon japonicus, and Pueraria lobata, clam 12 grams each of powder and sea pumice, 15 grams pollen, 5 grams Gallus gallus domesticus

Preparation and usage: decoction in water

Indications: diabetes with kidney yin deficiency and yang hyperactivity

Recipe 3

30 grams of adzuki beans and 40 grams of Chinese yam. 1 pig pancreas

Preparation and usage: decoction in water, 1 dose per day, until blood sugar is lowered.

Indications: Diabetes

Recipe 4

50 grams of watermelon seeds, 30 grams of japonica rice

Preparation and usage: First mix watermelon seeds and Mash it with water, boil it in water to remove the residue and extract the juice, then add rice to make porridge. Eat as much as you like.

Indications: Diabetes with lung heat and fluid injury syndrome

Recipe 5

15 grams each of watermelon rind and winter melon rind, 12 grams trichosanthin

Preparation and usage: boil in water. 2 times a day, half a cup each time.

Indications: Diabetic thirst and turbid urine

Recipe 6

60-90 grams of raw Imperata root

Preparation and usage: Decoction. Instead of tea, take 1 dose per day for 10 days.

Indications: Diabetes

Recipe 7

Equal amounts of yam and trichosanthin

Preparation and usage: decoct in water, 30 grams per day.

Indications: Diabetes

Recipe 8

60 grams of mulberry octopus

Preparation and usage: Grind into powder, drink with boiling water, take every 6 grams each time, 3 times a day, until recovery is achieved.

Indications: Diabetes with excessive urination and thirst

9 prescriptions

30 grams each of arrowroot powder and trichosanthin, 1 pig pancreas

Preparation and usage: First, boil slices of pig pancreas in water, add arrowroot powder and trichosanthes powder and swallow it. Take 1 dose a day, divided into 3 servings.

Indications: Diabetes with polydipsia and polyphagia

Recipe 10

10 grams each of Anemarrhena, Ophiopogon japonicus and Codonopsis pilosula, 30 grams of Gypsum (decoct first) , 12 grams of ginseng, 18 grams of raw rehmannia root

Preparation and usage: decoction in water

Indications: Diabetes injuring the stomach and fluids

Prescription 11

12 grams each of Rehmannia glutinosa and Lycium barbarum, 10 grams each of Asparagus, Golden Cherry, Mulberry, and Shayuanzi, 15 grams each of Cornus and Gorgon fruit, and 30 grams of Chinese yam

Preparation and Usage : Decoction in water

Indications: Diabetes with kidney yin deficiency syndrome

Recipe 12

30 grams of sweet potato leaves

Preparation and usage: Decoction in water

Indications: Diabetes

Recipe 13

10 grams of Acostalis, 15 grams each of Angelica sinensis and Chuanxiong, Pueraria lobata, Salvia miltiorrhiza, Astragalus membranaceus, Motherwort, 30 grams each of yam, 12 grams each of red peony root and atractylodes.

Preparation and usage: decoction in water

Indications: diabetes and blood stasis syndrome

Prescription 14

9 grams each of raw Astragalus, Polygonatum, Radix Pseudostellariae, and Rehmannia Rehmanniae, 6 grams Trichosanthin

Preparation and usage: grind *** into powder. Take it with 14 grams of water 3 times a day.

Indications: Diabetes with Qi and Yin deficiency syndrome

Prescription 15

Pogonatum, Salvia miltiorrhiza, Radix Rehmanniae, Radix Polygonatum, Ophiopogon japonicus, Pueraria lobata, Trichosanthes trichosanthes, Huangshi Appropriate amount of each.

Preparation and usage: decoction in water, 1 dose per day.

Indications: Diabetic nephropathy, liver and kidney qi and yin deficiency and stasis syndrome

Recipe 16

50 grams of silkworm cocoon

Preparation and usage: Remove the silkworm pupae and boil them in water. Instead of tea, take 1 dose daily.

Indications: Diabetes, thirsty and polydipsia, persistent urinary sugar loss

Prescription 17

Pig pancreas 1 set

Made Usage: dry at low temperature to make powder, and refine into honey to make pills. Take 15 grams with boiled water each time and take it regularly.

Indications: Diabetes

Prescription 18

15 grams each of Asparagus, Ophiopogon japonicus, Rehmannia glutinosa, and red peony root, 10 grams each of Scutellaria baicalensis and rhubarb (lower back) grams, 6 grams of Coptis chinensis, 12 grams of paeonol bark, 30 grams of Radix Polygonatum ginseng, 60 grams of corn silk

Preparation and usage: decoction in water

Indications: Diabetes with excessive stomach heat

Recipe 19

25 grams of Chinese yam, 10 grams of Coptis chinensis

Preparation and usage: decoction in water

Indications: diabetes, thirst, polyuria , Good Hunger

Recipe 20

10 grams of Lao Song Tea

Preparation and usage: Brew with boiling water. Instead of tea.

Indications: Diabetes

Recipe 21

15 grams each of Rehmannia glutinosa and Astragalus membranaceus, 10 grams each of potato meat, psoralen, and Schisandra chinensis, ginseng and yam , 12 grams each of Salvia miltiorrhiza, Atractylodes lancea 6 grams, and cinnamon 3 grams

Preparation and usage: decoction in water

Indications: diabetes syndrome of yin and yang deficiency

Prescription 22

40-100 grams of Atractylodes macrocephala, 15-20 grams of Citrus aurantium, 20-30 grams each of Pinellia ternata, Sanleng, Curcuma, and Pueraria lobata, 15 grams of Agarwood, and 2-3 grams of Zhicheqian

Preparation and usage: decoct in water and take. For patients with Qi deficiency, add Codonopsis pilosula and Astragalus membranaceus; for liver depression, add Turmeric and Artemisia; for premature aging, add Ligustrum lucidum, wolfberry, and cornus.

Indications: Diabetes

Recipe 23

1 fresh pig pancreas, 50 grams of coix seed or 100 grams of astragalus

Preparation and usage : Rinse the pig pancreas with clean water, cut into several slices, then put it into a bowl with coix kernels and cover with water.

Stew in an iron pot with water, add appropriate amount of salt and seasoning

Indications: Diabetes

Recipe 24

500 grams each of fresh celery and green radish, winter melon 1000 grams, 120 grams of mung beans, 2 pears

Preparation and usage: Boil the celery and winter melon lightly, wrap them in white gauze to extract the juice, and cook together with the mung beans, pears, and green radish. Clothes.

Indications: Diabetes

Recipe 25

10 grams each of Cnidium monnieri, lotus root, dogwood, and white fresh bark, Yizhiren, mulberry, and roasted astragalus , 30 grams each of Chinese yam and Silver Flower Vine, 15 grams of Poria cocos, 6 grams each of Chinese gallnut and Gallus gallus gallus gallus gallinae (grind into powder and drink),

3 grams of Panax notoginseng powder (mix and drink)

Preparation and Usage: Decoction in water

Indications: Diabetes with kidney yin deficiency

Recipe 26

15 grams of Codonopsis pilosula, 30 grams of Salvia miltiorrhiza, Radix ginseng and Radix Scutellariae. 10 grams each of ginseng, 12 grams of polygonatum odorifera, and 30 ebony plums

Preparation and usage: decoct in water and take. For severe thirst, add Trichosanthes powder; for loose stools, add Hawthorn.

Indications: Diabetes

Prescription 27

30 grams each of Atractylodes, Radix Polygonatum, and Raw Astragalus, Chinese yam, Rehmannia glutinosa, Rehmannia glutinosa, Codonopsis pilosula, Ophiopogon japonicus, Schisandra chinensis , gallnut, raw keel, and tuckahoe 10 grams each

Preparation and usage: decoction in water

Indications: Diabetes with Qi and Yin injuries and blood stasis syndrome

Prescription 28

100 grams of dried purslane

Preparation and usage: decoct in water and take. Take 1 dose per day, usually the urine glucose level will turn negative after taking it for 1-2 weeks.

Indications: Diabetes

Recipes 29

10 loach, 3 dried lotus leaves

Preparation and usage: dry and grind the loach in the shade At the end, mix well with lotus leaf powder. Take 10 grams each time, 3 times a day.

●Detailed condition and purpose of consultation: What fruits are suitable for diabetics?

What kind of fruits are suitable for diabetics in their lives? Will the sugar in fruits affect the body? Also, I would like to ask, what should diabetics pay attention to in their diet and daily life? Is there any simple and practical dietary therapy method to treat the disease?

Hello, diabetes is a common disease among middle-aged and elderly people. If it is not well controlled, it can cause some complications. Treatment methods commonly include a combination of diet, exercise, and medication, of which diet therapy is the basis of all therapies. For mild diabetes, the condition can be controlled with dietary therapy alone.

The basic principle of dietary therapy is to estimate the total calorie needs based on the patient's weight and activity level, and reasonably arrange the daily diet. Avoid foods with high sugar content, eat less foods with fat and starch, and mainly eat vegetables and grains, along with a certain amount of high-quality protein foods such as lean meat, milk, eggs, soy products, etc. Fruits contain sugar, so can we eat fruits?

It is not appropriate to avoid fruits completely, because fruits contain a lot of vitamins, fiber and minerals, which are beneficial to people with diabetes. . The sugars contained in fruits include glucose, fructose and sucrose. Fructose does not require the participation of insulin during metabolism. Therefore, people with diabetes do not always reject fruits after their blood sugar is under control.

Furthermore, the sugar content in fruits varies, so they cannot be treated equally. Foods with an amount of less than 10 grams per 100 grams include green plums, watermelons, melons, coconut milk, oranges, lemons, grapes, peaches, plums, apricots, loquats, pineapples, strawberries, sugar cane, coconuts, cherries, olives, etc. People with diabetes can Select. Fruits with a sugar content of 11-20 grams include bananas, pomegranates, grapefruits, oranges, apples, pears, lychees, mangoes, etc., so you must choose carefully; fruits with a sugar content of more than 20 grams include dates and red fruits, especially dried dates, candied dates, and persimmons. , raisins, dried apricots, longan, etc., which contain very high sugar content, are taboo to eat.

Many vegetables can be eaten as fruits, such as tomatoes, cucumbers, melons, etc. The sugar content of food per 100 grams is less than 5 grams, and it is rich in vitamins. It can completely replace fruits. It is suitable for people with diabetes and can be promoted.

In addition, it is necessary to match the food intake and not be rigid.

Watermelon contains 4% sugar, pears 12% and bananas 20%. Although watermelon contains less sugar, eating 500 grams is equivalent to 100 grams of bananas and 170 grams of pears, so don’t eat too much. You should also pay attention to the way you eat fruits. Don't eat them immediately after a meal. You can eat them between meals or before going to bed. It is best to eat on a trial basis, that is, test your urine sugar 2 hours after eating. If urine sugar increases, the amount needs to be reduced; if urine sugar is still high after reducing fruit, the amount of staple food should be appropriately reduced.

Precautions for diabetic diet:

1. The staple food of diabetic patients is generally rice and flour. However, there are more coarse grains, such as oats, oatmeal, cornmeal, etc. It is rich in inorganic salts and vitamins and is rich in dietary fiber. Dietary fiber has the effect of reducing blood sugar and is beneficial to blood sugar control.

2. Soybeans and their soy products are the best sources of protein for diabetic patients. On the one hand, they contain high-quality protein; on the other hand, they do not contain cholesterol and have lipid-lowering effects, so It can replace some animal foods, such as meat.

3. When diabetic patients still feel hungry during the period of controlling calories, they can eat vegetables with low sugar content, boil them in water, add some condiments and mix them before eating. Because vegetables contain a lot of dietary fiber and water, have low heat energy and have a satiety effect, they are an essential food for diabetic patients.

4. Prohibited foods include: white sugar, red tang, glucose and sugar sweets, such as candies, pastries, jams, preserves, ice cream, sweet drinks, etc. In addition, potatoes, yams, taro, lotus roots, garlic sprouts, carrots, etc. that contain more carbohydrates should be used sparingly or the corresponding amount of staple food should be reduced after consumption.

5. Use lard, butter, foreign oil, cream, butter, etc. that are rich in saturated fatty acids sparingly and preferably not at all. Vegetable oil can be used to replace some animal oils. Peanuts, walnuts, sesame seeds, and melon seeds also contain a lot of fat. Try not to eat them or eat less or reduce your oil intake.

6. Egg yolks and animal offal such as liver, brain, waist, etc. contain very high cholesterol and should be used as little or as little as possible.

7. Fruits contain glucose and fructose, which can increase blood sugar. Therefore, when blood and urine sugar are relatively stable, fasting blood sugar is lt; 7.8mmol/L or 2-hour postprandial blood sugar is lt; 10mmol /L, it can be eaten between meals or before going to bed, but the corresponding staple food should also be reduced.

8. Alcohol mainly contains alcohol, produces high heat, and contains very few other nutrients, so it is best not to drink it.

9. In addition to controlling total calories, the diet of diabetic patients should also diversify food. However, due to restrictions on sugar and salt, the taste of dishes is relatively simple. In response to this, a variety of sweeteners have been produced on the market, such as stevia and sweet sugar, which do not produce heat and do not contain any nutrients. In the past two years, there has been a sweetener called protein sugar, which has an amino acid composition and is also It does not produce heat and has no side effects. It is currently an ideal sweetener, such as Newt sugar and Yuanzhen sugar.

10. Insulin-dependent patients also need to strictly implement dietary control under the guidance of doctors and nutritionists. For obese diabetic patients with hypertension and coronary heart disease, in addition to stricter dietary control In addition, avoid eating animal offal, egg yolk, fish roe, etc., and strictly control animal oils such as butter, lard, butter, etc. The saturated fatty acids in them are not good for preventing atherosclerosis.

11. For diabetic patients with renal insufficiency, in addition to controlling total calories, they should pay attention to the intake of less salt, no salt or less sodium and protein according to their condition. The protein supply should not be too high, and Avoid eating soy products. For patients with uremia, they should eat a low-protein diet. The protein should be about 30 grams per day. The staple food should be wheat starch instead of rice and noodles. The protein supply is the first choice for high-quality protein, such as milk, eggs, lean meat, etc.

Answer: Anonymous 8-5 19:49

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