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77 blood sugar: Low blood sugar Information | Mount Sinai

Low blood sugar Information | Mount Sinai

Hypoglycemia; Insulin shock; Insulin reaction; Diabetes – hypoglycemia





Low blood sugar is a condition that occurs when the body’s blood sugar (glucose) decreases and is too low.

Blood sugar below 70 mg/dL (3.9 mmol/L) is considered low. Blood sugar at or below this level can be harmful.

The medical name of low blood sugar is hypoglycemia.



























Insulin is a hormone secreted by the pancreas in response to increased glucose levels in the blood.

To treat low blood sugar the 15/15 rule is usually applied. Eat 15 grams of carbohydrate and wait 15 minutes. The following foods will provide about 15 grams of carbohydrate; 3 glucose tablets; half a cup (4 ounces or 120 milliliters) of fruit juice or regular soda; 6 or 7 hard candies; or 1 tablespoon (15 grams) of sugar. After the carbohydrate is eaten, the person should wait about 15 minutes for the sugar to get into their blood. If the person does not feel better within 15 minutes, more carbohydrate can be consumed. Their blood sugar should be checked to make sure it has come within a safe range.

Symptoms such as weakness, feeling tired, shaking, sweating, headache, hunger, nervousness and irritability are signs that a persons blood sugar is getting dangerously low. A person showing any of these symptoms should check their blood sugar. If the level is low (70 mg/dL), a sugar-containing food should be eaten right away.


Causes

Insulin is a hormone made by the pancreas. Insulin is needed to move glucose into cells where it is stored or used for energy. Without enough insulin, glucose builds up in the blood instead of going into the cells. This leads to symptoms of diabetes.

Low blood sugar occurs due to any of the following:

  • Your body’s sugar (glucose) is used up too quickly
  • Glucose production by the body is too low or it is released into the bloodstream too slowly
  • Too much insulin is in the bloodstream

Low blood sugar is common in people with diabetes who are taking insulin or certain other medicines to control their diabetes. However, many other diabetes medicines do not cause low blood sugar.

Exercise can also lead to low blood sugar in people taking insulin to treat their diabetes.

Babies born to mothers with diabetes may have severe drops in blood sugar right after birth.

In people who do not have diabetes, low blood sugar may be caused by:

  • Drinking alcohol
  • Insulinoma, which is a rare tumor in the pancreas that produces too much insulin
  • Lack of a hormone, such as cortisol, growth hormone, or thyroid hormone
  • Severe heart, kidney, or liver failure
  • Infection that affects the whole body (sepsis)
  • Some types of weight-loss surgery (usually 5 or more years after the surgery)
  • Medicines not used to treat diabetes (certain antibiotics or heart drugs)












Symptoms

Symptoms you may have when your blood sugar gets too low include:

  • Double vision or blurry vision
  • Fast or pounding heartbeat
  • Feeling cranky or acting aggressive
  • Feeling nervous
  • Headache
  • Hunger
  • Seizures
  • Shaking or trembling
  • Sweating
  • Tingling or numbness of the skin
  • Tiredness or weakness
  • Trouble sleeping
  • Unclear thinking

In many people with diabetes, low blood sugar causes nearly the same symptoms every time it happens. Not everybody feels low blood sugar symptoms the same way.

Some symptoms, like hunger or sweating, occur when blood sugar is only slightly low. More severe symptoms, such as unclear thinking or seizure, occur when the blood sugar is much lower (less than 40 mg/dL or 2.2 mmol/L).

Even if you do not have symptoms, your blood sugar could still be too low (called hypoglycemic unawareness). You may not even know you have low blood sugar until you faint, have a seizure, or go into a coma. If you have diabetes, ask your health care provider if wearing a continuous glucose monitor can help you detect when your blood sugar is getting too low to help prevent a medical emergency. Some continuous glucose monitors can alert you and other people that you designate when your blood sugar decreases below a set level.

If you have diabetes, keeping good control of your blood sugar can help prevent low blood sugar. Talk to your provider if you’re not sure about the causes and symptoms of low blood sugar.












Exams and Tests

When you have low blood sugar, the reading will be lower than 70 mg/dL (3.9 mmol/L) on your glucose monitor.

Your provider may ask you to wear a small monitor that measures your blood sugar every 5 minutes (continuous glucose monitor). The device is often worn for 3 or 7 days. The data is downloaded to find out if you’re having periods of low blood sugar that are going unnoticed.

If you’re admitted to the hospital, you’ll likely have blood samples taken from your vein to:

  • Measure your blood sugar level
  • Diagnose the cause of your low blood sugar (these tests need to be carefully timed related to low blood sugar to make an accurate diagnosis)












Treatment

The goal of treatment is to correct your low blood sugar level. It is also important to try and identify the reason why the blood sugar was low to prevent another low blood sugar episode from happening.

If you have diabetes, it is important that your provider teaches you how to treat yourself for low blood sugar. Treatment may include:

  • Drinking juice
  • Eating food
  • Taking glucose tablets

Or you may have been told to give yourself a shot of glucagon. This is a medicine that raises blood sugar.

If low blood sugar is caused by an insulinoma, surgery to remove the tumor will be recommended.












Possible Complications

Severe low blood sugar is a medical emergency. It can cause seizures and brain damage. Severe low blood sugar that causes you to become unconscious is called hypoglycemic or insulin shock.

Even one episode of severe low blood sugar may make it less likely for you to have symptoms that allow you to recognize another episode of low blood sugar. Episodes of severe low blood sugar can make people afraid to take insulin as prescribed by their provider.












When to Contact a Medical Professional

If signs of low blood sugar do not improve after you have eaten a snack that has sugar:

  • Get a ride to the emergency room. Do not drive yourself.
  • Call 911 or the local emergency number

Get medical help right away for a person with diabetes or low blood sugar who:

  • Becomes less alert
  • Cannot be woken up










American Diabetes Association Professional Practice Committee. 6. Glycemic Targets: Standards of Medical Care in Diabetes-2022. Diabetes Care. 2022;45(Suppl 1):S83-S96. PMID: 34964868 pubmed.ncbi.nlm.nih.gov/34964868/.

Cryer PE, Arbeláez AM. Hypoglycemia. In: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Textbook of Endocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020:chap 38.

Last reviewed on: 2/1/2022

Reviewed by: Sandeep K. Dhaliwal, MD, board-certified in Diabetes, Endocrinology, and Metabolism, Springfield, VA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.


Reactive Hypoglycemia, What Is It? Symptoms, Causes, Treatment

Written by Mary Jo DiLonardo

  • Symptoms of Reactive Hypoglycemia
  • Causes of Reactive Hypoglycemia
  • Diagnosing Reactive Hypoglycemia
  • Treatment for Reactive Hypoglycemia
  • Lifestyle Changes to Help Reactive Hypoglycemia

All day long, your blood sugar levels go up and down. If the sugar — or glucose — levels in your blood are too low, you can sometimes get a condition called hypoglycemia.

Hypoglycemia mainly affects people with diabetes, but there are two types that can happen to anyone:

  • Fasting hypoglycemia usually results from an underlying disease.
  • Reactive hypoglycemia often happens not long after you eat. You may hear it called postprandial hypoglycemia.

The symptoms of reactive hypoglycemia generally start within 4 hours after a meal. They can include:

  • Anxiety
  • Blurry vision
  • Racing heart
  • Confusion
  • Dizziness
  • Irritability
  • Headache
  • Hunger
  • Light-headedness
  • Sweating
  • Shaking
  • Trouble sleeping
  • Feeling faint
  • Extreme tiredness
  • Weakness

The answer isn’t always clear. It’s likely the result of your body making too much insulin after a large, carb-heavy meal. Scientists aren’t sure why, but sometimes your body continues to release extra insulin even after you’ve digested your meal. This added insulin makes your blood glucose level drop below normal.

Reactive hypoglycemia can also result from tumors, alcohol, surgeries — like gastric bypass or ulcer treatment — and possibly some metabolic diseases. It’s more common if you’re overweight.

Talk to your doctor if you think you’ve had an episode of hypoglycemia. They’ll ask about your symptoms, medical history, and if other people in your family have had diabetes.

The doctor may check your blood sugar while you’re having symptoms and compare it to a reading taken after the symptoms go away.

You might need a mixed-meal tolerance test, or MMTT. You’ll get a syrupy drink to raise your blood sugar and cause your body to make more insulin. The doctor will check your blood sugar several times over the next 5 hours to see if your levels drop too low.

Treatment depends on what’s causing your hypoglycemia.

If you have diabetes, check your blood sugar levels. For people with diabetes, a reading below 70 mg/dL means you’re hypoglycemic.

Eat 15 grams of carbohydrates, then check your blood sugar after 15 minutes. If it’s still below 70 mg/dL, have another serving. Repeat until your blood sugar is at least 70 mg/dL. Talk to your doctor to see if you need a new treatment plan.

If you know the specific cause of your hypoglycemia, your doctor will treat that cause. For example, if a medicine or tumor is triggering your hypoglycemia, you may need a new drug or possibly surgery.

Most people don’t need medical treatment to manage reactive hypoglycemia. Instead, there are changes you can make at home. Often changing your diet can help your symptoms.

Here are some things you can try:

  • Eat small meals and snacks about every 3 hours.
  • Choose a variety of foods including protein (meat and nonmeat), fruits and vegetables, dairy products, and whole grains.
  • Avoid foods that are high in sugar and highly refined carbs, like white bread.
  • If you drink, eat food with your alcohol.
  • Get regular exercise.

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Samara City Polyclinic No. 13 Medical articles

Diabetes mellitus is a systemic multifactorial disease in which your body cannot control the amount of sugar (glucose) in the blood. Glucose is the main source of energy in the body. Many of the foods you eat on a daily basis break down to supply sugar (glucose) to your bloodstream, which is distributed throughout your body as a source of energy. If the body cannot properly use this sugar, then its blood levels rise above normal. This leads to excess sugar in the blood and urine.

Blood sugar levels are inextricably linked to the body’s ability to produce and use insulin. Insulin is a hormone produced by the pancreas that helps the body use sugar and keeps blood glucose levels within normal limits.

Although no cure has yet been found for diabetes, it can be controlled by keeping blood sugar levels close to normal. This is achieved through dietary choices, regular physical activity and, if necessary, medication. Your doctor will give you recommendations and support, but the real control of your condition depends only on you! Your blood sugar levels will depend on the decisions you make. This will help you study at the “School of Self-Control”, which you can ask your doctor about.

Types of Diabetes Mellitus

There are two main types of diabetes – type 1 and type 2.

Type 1 diabetes

In type 1 diabetes (formerly known as juvenile diabetes), the body does not produce insulin or produces too little insulin.

People with type 1 diabetes receive daily insulin to meet their body’s needs. Insulin is usually given by injection.

The prevalence of type 1 diabetes is less than 1 in 10 people with diabetes. It most often occurs in young people, but can develop at any age.

Causes of Type 1 Diabetes

Type 1 Diabetes is caused by the almost complete cessation of insulin production due to the death of beta cells, which are destroyed by a special process in the body known as “autoimmune” (i.e., in which body cells attack each other). This occurs against the background of a special genetic predisposition, which, when exposed to external factors (infection, viruses, surgery), leads to a change in the state of the body’s immune system and, in the future, to the development of diabetes.

Type 2 diabetes

Type 2 diabetes is the most common form of diabetes. 9 out of 10 cases of diabetes are type 2 diabetes. It most often begins after the age of 40, although the number of young people with type 2 diabetes is continuously increasing.

In type 2 diabetes, the body may produce enough insulin, but the ability to use this insulin effectively may be impaired. This phenomenon is called “insulin resistance”. Over time, in the body of people with type 2 diabetes, the amount of insulin produced decreases. This leads to its deficiency (relative insulin deficiency).

People with type 2 diabetes may receive antidiabetic tablets, insulin or other injectables, and combinations thereof.

Type 2 diabetes changes its course over time: after 10-15 years of the disease, 40% of patients experience depletion of beta cells (relative insulin deficiency) – this leads to a switch to insulin therapy, so treatment will also change.

Symptoms of Type 2 Diabetes

Since, in type 2 diabetes, blood sugar (glucose) levels can rise over a long period of time, you may not experience any unusual sensations. In the early stages of type 2 diabetes, there may be no symptoms. When they appear, you may experience the following:

  • Feeling tired
  • Dry skin, itching
  • Numbness or tingling in the hands and feet
  • Frequent infectious diseases
  • Urinary frequency
  • Blurred vision
  • Slow healing of cuts and skin lesions
  • Increased feeling of hunger and thirst
  • Sexual problems (erectal dysfunction)

Causes of type 2 diabetes mellitus

No one knows the exact cause of type 2 diabetes, but it is most likely to occur in people under the following circumstances:

  • Age over 40
  • Overweight
  • Cases of diabetes mellitus in relatives
  • Transient diabetes mellitus during pregnancy
  • Birth of a child weighing more than 4 kg (for women)
  • Past stress due to illness or injury
  • High blood pressure

Diabetes examination

Diagnosis of diabetes mellitus

Diabetes mellitus is easily detected by blood tests. If there are no symptoms, tests may be done that can detect elevated blood sugar levels. Here are some tests used to detect diabetes:

Random blood sugar test

This test is usually part of a complete blood count for a routine medical examination and measures blood sugar (glucose) levels regardless of the last meal. A blood sugar level above 11 mmol / l indicates a possible diabetes mellitus.

A repeat or fasting blood sugar test is usually done to confirm diabetes.

Fasting blood sugar or fasting plasma glucose test

This is the standard test for diabetes. The blood test is taken on an empty stomach (i.e. if you have not eaten for at least 8 hours before the test) so that the blood sugar level is minimal. If your sugar level is 7 mmol/L or higher, this test must be repeated the next day to confirm the diagnosis of diabetes.

Oral glucose tolerance test

This test measures blood sugar levels at regular intervals after the patient has drunk a special glucose solution. Before the test, you must abstain from food for at least 8 hours. If 2 hours after taking a solution containing 75 g of glucose, the blood sugar level is 11 mmol / l or higher, diabetes is diagnosed. With certain results from other tests, this test is also used to detect diabetes.

Blood sugar control

Managing diabetes means preventing blood sugar levels from being too high or too low and keeping them as close to normal as possible. The following tests will show your healthcare provider how well your diabetes is being controlled:

HbA1c or glycated hemoglobin test

This test shows your average blood sugar level over the past 3 months. In people who do not have diabetes, normal values ​​​​are 3.5-5.5%. An HbA1c level that is 1% higher than normal in most of the examined people may indicate the presence of diabetes mellitus.

If you have diabetes, the value of your HbA1c results allows you to take an active part in managing your diabetes.

Ask your doctor about the hospital laboratory’s upper limit of normal for the HbA1c test. There are various normative ranges for this indicator.

If your HbA1c is below 7% or within your target range, this is a sign of good blood sugar control and your treatment plan is working. Depending on your diabetes treatment and control, an HbA1c test should be done every 3-6 months.

Blood sugar 2 hours after eating (postprandial)

This blood test is used to monitor treatment. It can also be used for screening for diabetes mellitus. Postprandial means “after a meal”, so blood sugar is measured exactly 2 hours after a meal. Home blood sugar testing is the most common way to monitor postprandial blood sugar levels to see if diabetes is being adequately controlled.

Urinary Ketone Test

This is the most common way to measure ketone bodies, or by-products of the breakdown that the body produces when fat and muscle are broken down instead of sugar to meet energy needs. The test can be done at home using ketone test strips if you have diabetes and are pregnant, sick or stressed, or have a blood sugar level of 15 mmol/L or higher. This analysis is important to do if there are clinical signs of increased blood sugar levels (thirst, polyuria).

Conclusion

Diabetes mellitus is an insidious “silent” disease. You may not even notice it for a long time, but if you ignore it now, you may have serious health problems in the future. Whether you have symptoms or not, it’s important to keep your blood sugar under control! Learn more about how you can control your diabetes. Talk to your doctor about any questions or concerns you have. It is important to constantly learn new things about diabetes!

Head of Software No. 5 endocrinologist Shilova Larisa Anatolyevna

Diet for high blood sugar

It is important for everyone to know the level of sugar in the blood. This indicator is of the utmost importance: it affects the metabolism, and therefore, well-being and health in general. In order for the production of glucose by the body to correspond to the norm, it is required to adhere to a special nutrition plan. A diet with high sugar is necessary not only if a person has already been diagnosed with diabetes. Proper nutrition will help control blood sugar levels.

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Controlling your sugar levels is not that hard if you know which foods are high and which are moderate.

Contents of the article

Why is it necessary to follow a high blood sugar diet? And why is an excess of sugar with such a diagnosis not only harmful, but also dangerous for a person? Glucose is the ideal fuel for all cells in the human body, but only as long as it remains within normal limits. As soon as the sugar level rises above normal, this sugar goes into the category of “slow poison”. First, the cells in the pancreas that produce insulin to compensate for the action of glucose start to work too hard, then they cannot stop, and as a result, the pancreas is slowly destroyed.

Secondly, blood vessels become less elastic, which can eventually lead to atherosclerosis and many other diseases – kidney, heart, eye, nervous and immune systems. A diet for diabetes is important to keep the body in a stable condition and to avoid dangerous conditions.

The blood glucose level in a healthy person on an empty stomach is 3.3-5.5 mmol/l. Elevated sugar appears due to insufficient insulin production or insulin resistance. The consequences of this can be metabolic disorders and diabetes. To return a normal glucose level, it is necessary to reconsider nutrition: choose a diet so that sugar does not rise, at least suddenly. High blood sugar requires you to reconsider not only your diet, but in general the entire list of your favorite foods that you prefer. It is possible that not all of them will have to be eliminated from the diet, even if they affect blood glucose levels. If the sugar concentration rises slowly, it can be controlled with the help of insulin, but sharp rises cannot be observed and can be life-threatening.

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In addition to these rises, it is also important to lower your blood sugar levels in general in order to maintain thyroid function and prevent the development of diabetes (which is characterized by a stable sugar level above 7 mmol/l). In any case, a diet with high sugar and insulin will allow you to control not only the level of glucose, but also your general well-being.

The Sugar-Reducing Diet: Nutrition Principles

The Blood Sugar-Reducing Diet is based on knowing which foods increase glucose levels and how much. What kind of diet with high sugar – this question is asked by patients with a diagnosis of diabetes mellitus. First of all, you need to completely revise your diet and give up many dishes that are unhealthy. The ability of foods to raise glucose levels is called the glycemic index (GI). If the GI in the diet is too high, the blood sugar will rise. The glycemic index of glucose itself is considered to be 100 and the indices of all other products are compared with it.

To normalize carbohydrate metabolism, it is necessary to consume mainly food with a low glycemic index (below 55). A diet with high sugar in women provides for the restriction of easily digestible carbohydrates, adherence to fractional nutrition (5-6 meals a day).

A diet with high sugar in men, that is, a competently and properly selected diet, will allow you to do without the use of drug therapy.

In parallel with this, it is important for the patient to control his weight: the condition can be stabilized not only with the help of a diet with high sugar, but also with weight correction.

Diet to reduce sugar: product list

  • Bread and bread products: bread, mainly rye, bran, whole grain.
  • Soups mainly based on vegetable broth; on weak meat and fish broth 1-2 times a week.
  • Meat and poultry dishes (beef, veal, lean pork, poultry, rabbit) boiled and in aspic.
  • Fish dishes: from low-fat varieties (perch, cod, pike, navaga, carp) in boiled and aspic form.
  • Dishes and side dishes from vegetables and leafy greens (cabbage, cauliflower, lettuce, swede, radish, cucumbers, zucchini, potatoes, beets, carrots) boiled, raw and baked.
  • Dishes and side dishes from cereals, legumes and pasta: in limited quantities.
  • Egg dishes: no more than 1 pc. per day in the form of omelettes or soft-boiled, as well as in other dishes.
  • Sour and sour-sweet varieties of fruits and berries (Antonov apples, lemons, oranges, red currants, cranberries, etc.) per day in raw form, in the form of compotes with sweeteners.
  • Milk, dairy products and dishes made from them: milk, kefir, curdled milk, cottage cheese, including in the form of curds, syrniki and puddings; cheese, sour cream, cream in limited quantities.
  • Sauces and spices: mild sauces with vegetable broth, tomato puree, with roots, dairy.
  • Appetizers in the form of salads, vinaigrettes, low-fat fish in aspic.
  • Drinks: tea, tea with milk, weak coffee, tomato juice, fruit and berry juices from sour varieties of berries, fruits. Total liquid (together with soup, milk, curdled milk, compote, drinks) 5-6 glasses per day.
  • Fats: butter, vegetable oil only 30 g per day.
  • Prohibited: sweets, chocolate, confectionery, pastry, jam, honey, ice cream, etc.; lamb and pork fat; spicy, spicy, smoked and salty snacks and dishes, pepper, mustard; alcoholic drinks; grapes, bananas, raisins.

From this list, you can navigate what you can eat on a diet with high sugar and what you can’t, but for greater clarity, we will also provide a table of glycemic indices for some products.

Food glycemic index (glucose index – 100)

  • White bread – 75
  • Whole grain bread – 74
  • Boiled white rice – 73
  • Boiled brown rice – 68
  • Barley – 28
  • Sweet corn – 52
  • Spaghetti – 49
  • Rice noodles – 53
  • Udon noodles – 55
  • Couscous – 65
  • Corn flakes – 81
  • Oatmeal cereal – 55
  • Instant oatmeal – 79
  • Rice porridge – 78
  • Millet porridge – 67
  • Plain muesli – 57
  • Apples – 36
  • Oranges – 43
  • Bananas – 51
  • Pineapple – 59
  • Mango – 51
  • Watermelon – 76
  • Strawberry jam – 49 (depending, of course, on the amount of sugar)
  • Apple juice – 41
  • Orange juice – 50
  • Boiled potatoes – 78
  • French fries – 63
  • Boiled carrots – 39
  • Boiled sweet potato – 63
  • Boiled pumpkin – 64
  • Vegetable soup – 48
  • Milk – 39
  • Skim milk – 37
  • Ice cream – 51
  • Fruit yogurt – 41
  • Soy milk – 34
  • Rice milk milk – 86
  • Chickpeas – 28
  • Beans – 24
  • Lentils – 32
  • Soybeans – 16
  • Chocolate – 40
  • Popcorn – 65 9005 0
  • Chips – 56
  • Fructose – 15
  • Sucrose – 65
  • Honey – 61

It is very important that a properly selected diet allows you to maintain normal blood cholesterol levels in women after 50 years.

Every day a person should receive at least two thousand kcal with food. When following a diet with high blood sugar, an important psychological aspect plays a special role. A person diagnosed with diabetes should not feel disadvantaged. The food and the menu designed for his health should be enjoyable and not have a basis for developing feelings of inferiority.

A competent approach to the composition of the diet is also important for the preparation of a diet for a pregnant woman with high blood sugar. Neither she nor the fetus should suffer from both a lack of sugar and its excess.

Some more information on glycemic indexes:

Of course, these are average data for products, there are small errors. However, this table can be guided in order to plan your diet.

High Blood Sugar Diet Sample Menu

Here we give a detailed menu for Monday with the approximate weight of each dish, so that you can imagine the total amount of food for the day. A diet to lower blood glucose should be strictly observed throughout the day – all foods according to the approved list, dishes prepared from them, the volumes of these dishes and nothing more. As for the rest of the days, for them the menu for the week with high sugar is given schematically. You can slightly vary the weight of the dishes, the main thing is that the glycemic index corresponds to the desired parameters, and there are no sharp jumps in glucose.

For every 100 grams of food, there should be approximately 16 grams of protein, 24 grams of fat and 60 grams of carbohydrates. It is desirable to eat at the same time of the day so that the body gets used to a uniform intake of food. If there is a trend towards a further increase in sugar, it is useful to keep a food diary – this way it will be more convenient for you to control what you eat, and if necessary, you can share the accumulated information with your doctor. With this information, it will be easier for him to make a diagnosis. A diet for diabetes requires following a few simple and important rules, and then it will be much easier to control your well-being.

Monday

Breakfast: 50 g boiled veal, 200 g buckwheat porridge, 150 g cabbage and cucumber salad, tea.

Second breakfast: an apple.

Lunch: 250 g vegetable soup (can be dressed with sour cream), 50 g boiled turkey breast, 100 g vegetable salad, a slice of whole grain bread, applesauce.

Snack: jelly without sugar (with permitted sweetener).

Dinner: 150 g marrow meatballs without salt, 150 g curd soufflé with sweetener, tea.

Late dinner: ryazhenka.

Tuesday

Breakfast: syrniki, milk.

Second breakfast: orange.

Lunch: jellied cod with beans.

Snack: kefir.

Dinner: salad of cucumbers, radishes and eggs.

Late dinner: a glass of vegetable juice.

Wednesday

Breakfast: avocado and shrimp salad.

Second breakfast: soft-boiled egg.

Lunch: boiled beef with buckwheat porridge.

Snack: whole grain toast with squash caviar.

Dinner: curd noodles.

Late supper: ryazhenka.

Thursday

Breakfast: fruit yogurt.

Second breakfast: a handful of red currants.

Lunch: vegetarian cabbage soup, a slice of whole grain bread.

Snack: apple.

Dinner: boiled turkey with broccoli.

Late dinner: beetroot.

Friday

Breakfast: cottage cheese casserole.

Second breakfast: whole grain toast with a piece of boiled tongue.

Lunch: steamed chicken cutlet, chickpeas.

Snack: a glass of rosehip broth.

Dinner: steamed rabbit with cauliflower.

Late dinner: apple mousse.

Saturday

Breakfast: barley porridge.

Second breakfast: plums.

Lunch: zucchini baked with mushrooms and minced chicken.

Snack: peach.

Dinner: beetroot and apple salad.

Late dinner: kefir.

Sunday

Breakfast: cottage cheese with apple slices.

Second breakfast: soft-boiled egg.

Lunch: vegetarian borscht, a slice of whole grain bread.

Snack: kefir.

Dinner: tomato, cucumber and lettuce salad.

Late supper: a glass of rosehip tea.

Diabetes diet to reduce sugar

Diabetes mellitus requires a therapeutic diet. Type 2 diabetes is well corrected by a well-designed menu. Diabetics are prescribed diet table No. 9 according to Pevzner.

The high sugar diet for diabetics includes a hearty breakfast, 5-6 meals per day, and the exclusion of foods with a high glycemic index. It is recommended to eat vegetables and protein foods, reduce the amount of salt

, it is useful to eat vegetable soups and meatballs. The purpose of the diet for type 2 diabetes is to control sugar, regulate the metabolism of carbohydrates and fats, while the calorie content is slightly reduced compared to a regular diet.