这样吃,让糖尿病患者重振雄风!

2016-07-22 christiney 医学界内分泌频道

吓死宝宝了,性功能障碍也是糖尿病的并发症!可能很多人并不知道,性功能障碍也是糖尿病患者常见的并发症,而且不论男女,都有可能发生。糖尿病患者并发性功能障碍主要是因为血糖升高,导致周围神经、自主神经及周围动脉血管的一系列病变。对于男性患者来说,当影响到周围神经时,阴茎的触觉感受会降低,从而发生勃起障碍(ED,俗称“阳痿”)。据国内有关资料统计,2型糖尿病患者ED的发生率为35~60人/百人。国外也有家

吓死宝宝了,性功能障碍也是糖尿病的并发症!


可能很多人并不知道,性功能障碍也是糖尿病患者常见的并发症,而且不论男女,都有可能发生。糖尿病患者并发性功能障碍主要是因为血糖升高,导致周围神经、自主神经及周围动脉血管的一系列病变


对于男性患者来说,当影响到周围神经时,阴茎的触觉感受会降低,从而发生勃起障碍(ED,俗称“阳痿”)。据国内有关资料统计,2型糖尿病患者ED的发生率为35~60人/百人。国外也有家医院对536名男性T2DM患者进行了分析,发现其中ED>6个月的占35%,且发病率随年龄增长而上升;ED甚至是提示糖尿病加重的一个标志。


不只是男性患者,女性患者的性欲也会受到影响。高血糖所致的阴道湿润度下降、神经系统病变、和内分泌紊乱是引起女性T2DM患者性功能障碍的几个主要原因。这种变化既与疾病有关,也与心理因素有关。


性功能障碍和地中海饮食有什么关系?


一项为期8年的研究(MEDITA试验)表明,相较于低脂饮食,地中海饮食在预防性功能障碍(不论男女)的发生和恶化上都显示出更好的预防作用


这项研究共纳入215名2型糖尿病患者,随机分为低脂饮食组和地中海饮食组,8年的观察结果显示:


①56%的参与者发生ED或女性性功能障碍(FSD)的风险降低


②对于已有性功能障碍的患者,不论男女,恶化程度都有改善——ED的恶化风险下降了59%,FSD的恶化风险下降了约50%。


③地中海饮食组的参与者达到长期糖尿病缓解的比例显著高于低脂饮食组的参与者。


研究人员表示,这是第一个证明了地中海饮食对于新诊断为T2DM的男性及女性患者预防性功能障碍发生和进展(相对风险降低56%)都有效果的长期试验;地中海饮食模式改善糖尿病患者的性功能障碍可能是通过改善炎症和心血管风险这两种效应。


到底什么是地中海饮食?


有很多人并不清楚地中海饮食到底是什么, 觉得它离自己很遥远。


其实,地中海饮食是一种很简单的饮食方式,它得名于地中海周边如西班牙、意大利、法国和希腊等国的一种饮食风格,特色健康、清淡、简单且营养全面。


而它之所以著名,是因为研究者通过观察性研究和干预实验发现,这种以蔬菜、水果、豆类、鱼类为主、并强调尽可能少的摄入饱和脂肪酸的饮食结构,能够减少整体人群中发生某些慢性疾病、心血管疾病和认知障碍的几率,对肾脏也有一定好处 。


“涨姿势”——浪漫的“一日食谱”


简要的总结地中海饮食的原则,只需谨记:尽量少吃红肉和糖,多吃果蔬、橄榄油和鱼类、坚果、全谷食物等,晚餐喝点红葡萄酒。


如果你有心爱的人,为了和他/她更好的“啪啪啪”,你还不该努力吗?


下面,界妹友情提供一份“地中海”食谱,请按照下面的食谱为他/她做饭,或者按照它好好吃饭,这样可能你们会收获更多哦!(18岁以下不宜观看)


早餐:一杯酸奶、草莓和蜂蜜。




午餐:绿色蔬菜和一个西红柿、一份主食(米饭、面条)、白开水。




零食:杏仁和花生(一小把)。




晚餐:鱼肉、全麦面包、一小杯红酒




参考文献:

Mediterraneandiet may improve sexual dysfunction in type 2 diabetes,Maiorino MI,et al.DiabetesCare.2016;doi:10.2337/dc16-0910.

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  1. [GetPortalCommentsPageByObjectIdResponse(id=131791, encodeId=42cb131e9137, content=文章很好,非常有益, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Tue Sep 20 22:36:00 CST 2016, time=2016-09-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=125615, encodeId=77b912561580, content=好精致的食物哦,感谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160907/IMG57D00CF1965701770.jpg, createdBy=565c1948251, createdName=舒心和人, createdTime=Tue Sep 13 18:35:00 CST 2016, time=2016-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1474022, encodeId=d2d614e402228, content=<a href='/topic/show?id=935fe6718e3' target=_blank style='color:#2F92EE;'>#糖尿病患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76718, encryptionId=935fe6718e3, topicName=糖尿病患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a38f7243741, createdName=xue8604, createdTime=Sun Jul 24 12:46:00 CST 2016, time=2016-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=94364, encodeId=5c0e94364dd, content=继续学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzfPkmqRTH5rHib5mcib8Wb3QdXjhfOK1UubQL2lictjJFdFJ6Lc3cnnCOSWqxXZ4Kk6y5GdzDoy764R/0, createdBy=156e1644785, createdName=doctorJiangchao, createdTime=Sat Jul 23 15:46:00 CST 2016, time=2016-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=94365, encodeId=4c07943654c, content=继续关注, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzfPkmqRTH5rHib5mcib8Wb3QdXjhfOK1UubQL2lictjJFdFJ6Lc3cnnCOSWqxXZ4Kk6y5GdzDoy764R/0, createdBy=156e1644785, createdName=doctorJiangchao, createdTime=Sat Jul 23 15:46:00 CST 2016, time=2016-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=94276, encodeId=5acd942e63e, content=性爱有佳, beContent=null, objectType=article, channel=null, level=null, likeNumber=53, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200609/ef6a57dbe7f1489dad7446b7c5217858/d5e4fe65996c4446a029b0f5d056abb1.jpg, createdBy=6b011518214, createdName=午夜星河, createdTime=Sat Jul 23 11:55:00 CST 2016, time=2016-07-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=94229, encodeId=7ea19422993, content=地中海饮食, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=a37a1710612, createdName=oo902, createdTime=Sat Jul 23 10:52:00 CST 2016, time=2016-07-23, status=1, ipAttribution=)]
    2016-09-20 1e10c84am36(暂无匿称)

    文章很好,非常有益

    0

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    2016-09-13 舒心和人

    好精致的食物哦,感谢分享

    0

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    2016-07-23 doctorJiangchao

    继续学习

    0

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    2016-07-23 doctorJiangchao

    继续关注

    0

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    2016-07-23 午夜星河

    性爱有佳

    0

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    2016-07-23 oo902

    地中海饮食

    0

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一项新的研究显示,如果你患有糖耐量受损或前驱糖尿病等糖尿病高风险,那么每天进行散步等简单的运动就可预防发展为糖尿病。 前驱糖尿病是指在患有高血糖症和低血糖症的患者中存在的葡萄糖代谢障碍,但其并未达到标准的II型糖尿病的诊断标准,通常认为是糖尿病诊断前的先兆表现。健康专家建议前驱糖尿病民众限制热量的摄入,多进食低脂肪饮食,坚持经常锻炼身体来预防糖尿病。但大多数人难以坚持饮食疗法。 美国杜克大学医学院

JAMA:美国青少年糖尿病发生率远超预期

根据美国糖尿病协会的数据,美国糖尿病患者中20岁以下的1型或2型糖尿病估计有208000人,占该年龄段的0.25%。2008-2009年该年龄段1型糖尿病患者估计有18436人,2型糖尿病患者有5089名。 Andy Menke博士指出,当今对美国青少年糖尿病患者的患病率等数据知之甚少,研究人员的目的是评估青少年糖尿病患者的患病率、未认识到自己患有糖尿病的患者人数和前驱糖尿病青少年患者人数。 糖尿

Ann Fam Med:BMI正常范围内的糖尿病前期和腹型肥胖率大幅增加

近期发表在Annals of Family Medicine的数据显示,从1988到2012年,健康体重范围内的糖尿病前期和腹部肥胖率大幅增加。盖恩斯维尔佛罗里达大学的Arch G. Mainous III博士对1988-1994年和1999-2012年的全国健康和营养调查(NHANES)进行了分析,探究健康体重成年人的糖尿病前期和腹部肥胖率。研究人员集中研究≥20岁BMI在18.5-24.99,

述评:糖尿病的精准医学从特殊类型糖尿病启航

糖尿病是以慢性高血糖为特征的一类代谢性疾病。目前分型是按照糖尿病的发病机制进行的,反映的是人类对糖尿病认识的进步。我们不仅能够诊断1型、2型糖尿病和妊娠糖尿病,还可通过临床表现和(或)基因检测发现特殊类型糖尿病。分子遗传诊断进入了糖尿病的临床,也让精准医学(precision medicine)与糖尿病联系起来。国内对特殊类型的糖尿病的认识和诊断水平也有长足的进步,特别是青少年的成人起病型糖尿

AJP:揭秘“减重手术”缓解糖尿病的机制

肥胖、糖尿病的人们今后在制定减重和治疗计划时,可要多加关注肠道微生物群变化。近日,中国南京大学高翔教授领导的研究证实,十二指肠空肠胃旁路分流术(DJB)后,患者的2型糖尿病(T2DM)得到了缓解,同时伴随肠道菌群的有益变化。这说明,在糖尿病缓解过程中,肠道菌群可能有重要作用。糖尿病是一种常见的慢性病,是因人体胰岛素失调、内分泌紊乱导致体内糖代谢异常,而引起血管、神经病变和反复感染等一系列并发症,危