The diet of diabetic patients with hyperthyroidism should follow the “eight points of attention”

In recent years, with the formation of people’s bad life and eating habits, and the increasing work pressure, the number of patients with hyperthyroidism and diabetes increased, and gradually younger. Diabetes sometimes in the body thyroid secretion of hormone too much, affect the body’s metabolic function will also occur, hyperthyroidism will aggravate the symptoms of diabetic patients, causing ketoacidosis. The two diseases affect each other, aggravate the patient’s condition and seriously endanger the patient’s health. First of all, hyperthyroidism should be controlled first, such as fasting iodine containing food, not staying up late and smoking, avoiding fatigue and rational drug use. Only when hyperthyroidism is well controlled can the blood glucose level be better adjusted. < / P > < p > patients have both diabetes and hyperthyroidism, which is rare and contradictory in clinical practice, because hyperthyroidism patients have more food fatigue, while diabetic patients need to control their diet, and if they eat more, their blood sugar will fluctuate greatly. Therefore, the diet management should be individualized, flexible and dynamic. Du Ruiqin, director of Endocrinology, rheumatism and Immunology Department of rocket army characteristic medical center, told sugar friends that eight points should be paid attention to in diet. < / P > < p > first, reasonable control of food total calories and carbohydrate intake: according to the height and weight of patients with BMI value, according to the Chinese adult BMI standard of 18.5-23.9, to judge the patient’s body shape and required calories; calculate the basal metabolic rate: guide patients to correctly monitor their own basal metabolic rate, and when they don’t get up in the morning, they will be in a quiet state = – 111, hyperthyroidism patients with high basal metabolic rate will increase the intake of calories than ordinary diabetic patients; finally, combined with the standard body weight and activity of patients to calculate their daily caloric requirements, patients with hyperthyroidism total calories to increase 10%, the calculated total caloric value will be reasonably distributed to three meals. Try to avoid or reduce the consumption of fried food. According to the specific situation of patients, increasing carbohydrate intake can improve insulin sensitivity and glucose tolerance. Attention should be paid to increasing carbohydrate content and keeping total calories unchanged. If the total calories increase, it is easy to lead to deterioration of the disease. The diet is mainly light diet with low sugar and low calorie. Meanwhile, the diet with high starch and sweetness should be controlled. More fresh fruits and vegetables should be eaten and meat food should be eaten properly. Strict control of the patient’s diet structure, pay attention to balanced nutrition. In addition, the patients were advised to eat less and more meals at regular intervals, each meal should be taken as staple food, and should not eat raw, cold, spicy and other stimulating food, and patients were advised to prohibit smoking and drinking. Secondly, protein supply should be sufficient. The metabolic disorder caused by diabetes and hyperthyroidism accelerates the decomposition of protein in the body, which leads to the negative nitrogen balance. If the diet is rich in protein, then enhance the body’s immunity and disease resistance, in order to restore health. Ensure high-quality protein intake, more eggs, lean beef, black sesame, fish, dairy products, etc. The daily intake of milk should be fixed to ensure that the body protein is sufficient to meet the metabolism, such as drinking milk before sleep, but also can promote sleep. Thirdly, reduce the intake of fat. Fat intake is strictly restricted in obese patients. Essential fatty acids are important substances in human metabolism, which should be taken from food. Vegetable oil is an important source of essential fatty acids for human beings. Patients with hyperthyroidism and diabetes should eat vegetable oil and try not to eat food with high animal fat and cholesterol, such as animal viscera, whole milk and egg yolk, so as to prevent the occurrence of various complications. Fourthly, we should pay attention to the supply of food rich in vitamins. Because diabetic patients limit the intake of staple food and fruit, avoid eating monosaccharide, such as honey and all kinds of syrup, soft drinks, etc., resulting in insufficient source of vitamins. Therefore, the intake of B vitamins should be increased in diet. Vitamin B rich food: liver, meat, beans, egg yolk, spinach, cheese and so on. Fifthly, calcium rich foods should be supplemented in diet. In diabetic patients, a large amount of calcium and phosphorus are also lost from the urine. The main reason is that the renal tubular filtration rate increases and the reabsorption of calcium and phosphorus is reduced. Therefore, the supply of calcium and phosphorus should be increased and vitamin D should be supplemented in time to prevent osteoporosis. Eat sesame, black beans, black fungus, liver, lean meat, bean products, etc. < p > < p > seventh, in the work, it is found that patients reduce their food intake or eat less staple food because of fear of rising blood glucose value, inform patients of the disadvantages of unreasonable diet, strengthen health education, urge patients to eat on time, eat less and more meals, exercise appropriately after meals, and regularly check to control blood sugar. When carrying out diet intervention, it is important to remember that the diet plan should be adjusted according to the patient’s condition Whole, reasonable collocation meal type. (8) prevention and control of complications: Patients with diet nursing, through reasonable diet structure adjustment, supplement the protein, vitamin and carbohydrate needed by patients, improve the immunity of patients and reduce the incidence of complications. A number of studies have shown that the incidence of complications in hyperthyroidism patients with diabetes mellitus is significantly lower than that of patients without diet nursing measures. It is proved that the implementation of routine nursing combined with diet nursing measures can reduce the incidence of complications in patients with hyperthyroidism and diabetes. By Mo Peng and Li Xia