What to eat for diabetic foot

Written by Li Hui Zhi
Endocrinology
Updated on September 05, 2024
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For patients with diabetic foot ulcers, first, their diet should control blood sugar. Foods with a high glycemic index like porridge, glutinous rice, and rice noodle rolls should be avoided. Additionally, sweet foods are also off-limits; it's important for meals to be regular and measured. Second, as patients with diabetic foot ulcers need nutrients for wound healing, they can eat foods high in protein such as eggs, fish, fish soup, and lean meats to promote wound healing. Third, if the patient also has high blood lipids, it's advisable to maintain a light diet and avoid greasy foods.

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Written by Yang Li
Endocrinology
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Care for diabetic foot

The first fundamental step is monitoring blood glucose; good control of blood glucose levels is essential for the effective management of diabetic foot problems. Secondly, attention must be paid to the protection of the wound. It's crucial to keep the wound clean, perform regular cleaning and disinfection, and when necessary, debride necrotic tissue thoroughly. For instance, if there is a sinus tract or deep ulceration, it is essential to open the wound and ensure drainage, removing all necrotic tissue inside. Thirdly, footwear choice is critical for patients with diabetic foot; it is important to wear shoes that are loose fitting, moderately soft yet firm, and capable of evenly distributing pressure across the footbed. There are shoes specially designed for those with diabetic foot, and these can be custom-made. Other considerations include maintaining good blood pressure control and ensuring adequate nutrition to support wound healing, including sufficient protein intake, which plays a vital role in promoting wound repair.

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Written by Lin Xiang Dong
Endocrinology
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How to control diet for diabetes

The diet for diabetes mainly involves setting reasonable blood sugar reduction targets. Before achieving these targets, strict dietary control is necessary. All fruits, nuts, fried foods, and barbecued foods must be avoided. Meals should be regular and quantified without any extra meals or snacks. The amount of rice for lunch and dinner should be controlled, approximately a couple of ounces per meal, while intake of sufficient vegetables is encouraged to satiate hunger. However, vegetables like pumpkin should not be eaten. A certain amount of lean meat can be included, but fatty meats are to be avoided. Additionally, dry foods are recommended for diabetics, while liquid diets, like soups and porridges, should be avoided. For breakfast, if blood sugar control is poor, one should temporarily avoid noodles and rice noodles. Instead, consuming some pure milk and an egg, along with buns or dumplings such as steamed dumplings or wontons, is acceptable.

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Written by Lin Xiang Dong
Endocrinology
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Can diabetics drink alcohol?

It is not recommended for diabetes patients to drink alcohol, as alcohol consumption can lead to digestive enzyme disorders, causing problems with the blood sugar regulation mechanism in patients, significantly increasing blood sugar fluctuations. This can lead to severe hypoglycemia or severe hyperglycemia, severely affecting the patient's condition. Therefore, it is advised that diabetes patients should avoid alcohol, and it is best to quit drinking altogether.

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Written by Lin Xiang Dong
Endocrinology
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How to reduce sugar in a diabetic diet?

Dietary control is the most important method of treatment for diabetes. If dietary control is improper, all hypoglycemic drugs, including insulin, will not be very effective, and the focus of dietary management in diabetes is to control the intake of carbohydrates. Our Chinese diet is primarily based on carbohydrates like rice. Mainly, we control the amount of rice consumed, with each meal (lunch and dinner) consisting of about 100 to 200 grams of rice. This is complemented by plenty of vegetables and a certain amount of lean meat to enhance satiety. By controlling the intake of carbohydrates in our daily lives, blood sugar levels can drop significantly.

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Written by Chen Xie
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Screening time for gestational diabetes

For women without high-risk factors, the general practice is to conduct a 75g glucose tolerance test between 24 to 28 weeks of pregnancy, measuring fasting blood glucose, blood glucose one hour after glucose ingestion, and blood glucose two hours after glucose ingestion. The fasting blood glucose should not exceed 5.1 mmol/L, blood glucose one hour after glucose ingestion should not exceed 10.0 mmol/L, and blood glucose two hours after glucose ingestion should not exceed 8.5 mmol/L. For women with high-risk factors, it is advisable to screen for blood glucose levels during the first prenatal visit to detect gestational diabetes early, control blood sugar levels, and reduce the occurrence of complications. Who are the women considered to be at high risk? Those who have a history of gestational diabetes, history of delivering a macrosomic infant, are obese or have polycystic ovary syndrome, have a family history of diabetes among first-degree relatives, are found to have positive fasting and ketone bodies early in pregnancy, have a history of unexplained recurrent miscarriages, have a history of fetal anomalies and stillbirths, and those who have a history of delivering newborns with respiratory distress syndrome. These women need to undergo diabetes screening after becoming aware of the pregnancy to detect any abnormality in blood sugar levels early and treat accordingly.