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Title : Control of postprandial hyperglycemia
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Control of postprandial hyperglycemia

In our previous blog on postprandial blood sugar saw that high levels are associated with a number of complications. Largely, it is known that food intake corresponds to the response of blood sugar, but in some cases the dose of insulin or oral medication may be inappropriate. The approach to the management of postprandial hyperglycemia (HPP) can focus on different aspects such as diet, exercise and medication or insulin

The four pillars of the management of hyperglycemia postprandial in diabetic patients are:

1. Diet
2. exercise food Post
3. Medication
4. insulin

1. dietary treatment

the postprandial blood glucose depends on both the quality and quantity of carbohydrates in the food. easily digestible foods such as white bread, rawa / Suji, sago, white rice, etc. lead to the spike in blood glucose and insulin that turns off just as fast resulting rapid change of hunger. Foods rich in fiber such as fruits and vegetables, legumes, nuts germinated more slowly digested and absorbed and delayed causing a low glycemic response.

certain category of foods has clear benefits in reducing trips postprandial glucose

i) Fruits and vegetables have double benefit excursions postprandial blood glucose:

• Firstly- having a low caloric density, high in fiber and water
• Secondly- its antioxidant phytonutrients narrow down the oxidative inflammatory process following food post

ii) proteins of high biological value (Ex milk, curd, egg whites, lean meat, fish, poultry without skin, and whey) -. The proteins from these food sources are almost completely digested and absorbed in the body and therefore are called proteins of high biological value. Including more foods rich in protein in the diet can help increase satiety of food, increase basal metabolic rate due to the high thermogenic effect, and help prevent obesity.

iii) -Almonds Nuts, pistachios or peanuts when consumed as part of food can reduce postprandial blood glucose area under the curve. Nuts are also rich sources of monounsaturated fatty acids (MUFA), folic acid, fiber, phytosterols and magnesium

2.Exercise

Physical activity directly reduces postprandial glucose and excess abdominal fat. Basically, every time they make possible the movement of muscles release insulin. So more insulin release will result in a better glucose control especially among those who are not producing sufficient natural insulin (insulin deficiency). Among those insulin, and increased physical activity resistant leads to better sensitivity of cells to insulin.

The type and intensity of exercise needs to be undertaken in consultation with the doctor. Although strength training exercises / anaerobic are beneficial aerobic exercises like walking, running, swimming, badminton, etc. are safer

3. Medication

There are several classes of drugs available. While the discussion of all of them can not be done here in detail, we are looking at some of them can be especially useful in the treatment of high levels of blood sugar after meals. So once you eat, carbohydrates in food are broken down to release glucose. Drugs that can decrease the breakdown of carbohydrates or prevent absorption of glucose available or stimulate insulin secretion increased to regulate blood sugar after meals all can be effective in reducing postprandial hyperglycemia. Drugs such as acarbose (acarbose ACAREX, Glubose, Diabose, etc) and miglitol (Miglit, Diamig, Elitox, Mognar, Glock, Glyset, etc.) block the action of an enzyme in the small intestine that normally breaks down carbohydrates into glucose thus causing slow entry of glucose into the bloodstream. This gives enough time for the pancreas to release insulin and gradually reduce sugar levels. Meglinitides such as repaglinide (Eurepa, novonorm, Regan, Répide, etc) and nateglinide (Starlix) stimulate the pancreas to release insulin in a manner dependent glucose and therefore these are also effective to regulate the increased glucose related food

4. iNSULIN

insulin treatment is used in type 2 diabetic patients when oral agents fail to achieve normal levels of blood glucose. Specific for the treatment of hyperglycemia in diabetic postprandial are combination of insulin and basal short action. Analogs rapid-acting insulin, such as insulin aspart (NovoLog) and lispro (Humalog) taken 15 minutes before meals and are rapidly absorbed thus helping to reduce postprandial sugars. Its action is also very long lasting so its lasts only until glucose related to food are removed from the blood effectively.

However, we strongly recommend that the type and dose of insulin should be initiated under close supervision and consultation with a specialist

Monitoring blood sugar after meals at frequent intervals recommended can help understand the effectiveness of the diet, exercise or medical treatment that is being followed for the management of diabetes. Many-a-times we are following the same routine for several months without realizing that does not really work for us. What we do know the risks associated with the persistence of high levels of postprandial blood sugar and therefore should ensure proper care and handling of it.

References:

http://www.diabetesselfmanagement.com/diabetes-resources/definitions/postprandial-hyperglycemia/

http://www.medindia.net/drug-price/repaglinide.htm

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