Strict sugar control still suffers complications? The reason is actually a long-term vegetarian vitamin deficiency!

Changjiang Daily, Wuhan Client, October 28th.   Diet therapy is one of the important basic means of treating diabetes. At the same time, people with diabetes cannot ignore vitamin supplementation. Recently, a woman developed complications of diabetes due to a lack of vitamins.

67-year-old Aunt Zhang has a history of diabetes for more than 10 years. She has been taking oral hypoglycemic drugs to control blood sugar under the guidance of a doctor, and at the same time strictly controls her diet. Blood sugar management has always been ideal. A month ago, she often felt dizzy and weak, her memory was not as good as before, and she had repeated oral ulcers, but the blood glucose monitoring results did not fluctuate greatly, so she did not pay special attention. Half a month ago, Aunt Zhang felt numbness in her fingers and ants crawling, and her vision became blurred. Because peripheral neuropathy with diabetic complications occurred 3 years ago, she did not dare to take it lightly this time, and went to Wuhan Donghu Hospital for treatment on the 27th.

Doctor on rounds.

The attending physician, Mao Shisuo, inquired about Aunt Zhang’s eating habits in detail, and carried out related blood biochemical and diabetic complications tests. It was found that Aunt Zhang’s vitamin B12 content was 72pg/ml, which was far lower than the normal level in the human body. A long-term vegetarian diet led to a serious deficiency of Aunt Zhang’s vitamin B12 and aggravated peripheral neuropathy, which led to a series of uncomfortable symptoms.

According to Mao Shisuo, the normal content of vitamin B12 in the human body is about 300pg/ml, and less than 200pg/ml is a deficiency. Vitamin B12 deficiency will aggravate the occurrence and development of diabetic complications. If vitamin B12 deficiency occurs in diabetics, it can cause or aggravate peripheral neuropathy, and have symptoms such as paresthesia, numbness, blurred vision, and mucosal inflammation. cognitive dysfunction. Lack of vitamin B12 can also cause hyperhomocysteinemia, increasing the risk of atherosclerosis, deep vein thrombosis, hypertension, etc. At the same time, vitamin B12 is also an essential vitamin for erythropoiesis, and severe deficiency can lead to pernicious anemia.

Mao Shisuo said that long-term vegans are more prone to vitamin B12 deficiency. People with diabetes should not have to be too strict in their diet. They should have a reasonable diet, diversify food types, and ensure adequate intake of protein and vitamins. Usually, you can eat more vitamin-rich foods in your diet, such as fish, shrimp, seaweed, meat, eggs, milk, and soy products. Increasing the intake of green leafy vegetables and calcium can also prevent the occurrence of vitamin B12 deficiency. It is recommended that people with diabetes regularly detect the concentration of serum vitamin B12, and if necessary, they can be treated by intramuscular injection of vitamin B12 and oral methylcobalamin.

Mao Shisuo also reminded that diabetic patients are more likely to be deficient in B vitamins, vitamin C, vitamin D, and various micronutrients such as chromium, zinc, selenium, magnesium, iron, and manganese, which can be supplemented according to the results of nutritional evaluation. In addition, the risk of osteoporosis in diabetics is significantly higher than that of other groups, and they also need to supplement vitamin D in moderation. Usually, increasing the intake of dairy products and soy products can better prevent diabetics from suffering from vitamin D deficiency. Autoimmunity-related manifestations of the body due to osteoporosis or vitamin D deficiency. At the same time, protein intake should be increased. If symptoms occur, seek medical attention and early intervention to avoid delay in treatment.

(Changjiang Daily reporter Mao Yin correspondent Wu Ping Tu Dan)

【Editor: Yu Lina】