Insulin resistance, hyperinsulinemia and progression to diabetes are all linked to increased cancer, a 30-year follow-up published in the British Journal of Cancer (BJC) in March 2022 risk.
The study found that the incidence of cancer in patients with normal glucose tolerance, impaired glucose tolerance and diabetes was 6.06, 6.77 and 7.18 per thousand people per year, respectively people. The researchers point out that the study confirms that diabetes, hyperglycemia and hyperinsulinemia are clearly associated with cancer.
Analysis found that compared with normal people, sugar Patients with impaired tolerance and diabetes had a 77% and 2.34-fold increased risk of cancer, respectively. Once impaired glucose tolerance progresses to diabetes, the risk of cancer doubles.
The study also showed that in people with large blood sugar fluctuations, increased blood sugar levels were significantly associated with the occurrence of cancer, but in people with small blood sugar fluctuations No such association was found in the population. ①②This also suggests that people with diabetes should pay more attention to controlling their blood sugar.
Nearly half of adults have abnormal blood sugar
A national study on the prevalence of diabetes in the Chinese population published in April 2020 Epidemiological Survey”, sampled and analyzed the data on the prevalence of diabetes among 75,880 residents in 31 provincial-level administrative regions in mainland China from 2015 to 2017, and found that:
1. Nearly half of adults have abnormal blood sugar
The total standardized prevalence of diabetes among adult residents in my country was 12.8%, and the standardized prevalence of prediabetes was 35.2%.
2. Older age is associated with higher prevalence of diabetes p>
The prevalence of both males and females increases with age: the prevalence of diabetes rises significantly after the age of 40; The prevalence rate among the 29-year-old population has reached 20.2%, and more than 40% of the population after the age of 40 are in pre-diabetes.
3. North has the highest prevalence overall
Including diagnosis and prediabetes, the overall prevalence was highest in the North, followed by the Southwest, Northeast, South, Central, East and Northwest regions. ③
If you have a good blood sugar, you need to know these 4 points
1. What to eat in the first bite Very important
Big fish and big meat, high protein, high sugar, heavy oil and salt, are not conducive to blood sugar health. In addition, the order of meals can also affect blood sugar fluctuations.
Some studies have pointed out that the eating order of “vegetables-protein meat-staple food” has the best effect on controlling postprandial blood sugar. The staple food should be eaten last; if it is unacceptable, it is good enough to eat vegetables first, and then eat meat one bite at a time. ④
It is recommended to try the “Jiangnan Diet” more often:
1) Increase coarse grains and reduce polished rice and noodles;
2) Vegetable oil is recommended for low temperature cooking;
3) White meat is increased and red meat is reduced, soy products are recommended;
4) The more vegetables, the better, and the right amount of fruit; >
5) Moderate amount of nuts and milk are recommended;
6) The cooking methods of steaming, boiling and rinsing are strongly recommended. ⑤
2. Lack of sleep also affects blood sugar
In 2017, Gao Shan, chief physician of the Endocrinology Department of the Western Hospital of Beijing Chaoyang Hospital, pointed out in an interview with a Health Times reporter that long-term lack of sleep can cause a series of negative physiological changes, such as sympathetic nerve excitation, activation of the stress system, and cortisol in the body. , epinephrine and other “glycemic hormones” increased secretion, but also lead to insulin resistance.
Insulin resistance reduces the efficiency of insulin in promoting glucose uptake and utilization in the human body, and the body compensatively secretes too much insulin to produce hyperinsulinemia. Symptoms to maintain blood sugar stability. If this condition is not improved for a long time, it may lead to diabetes. ⑥
3. Exercise can really improve blood sugar
< p>Many endocrinologists have mentioned that “muscle is a good hypoglycemic agent”. Sun Zilin, chief physician of the Endocrinology Department of Zhongda Hospital Affiliated to Southeast University, also said in an interview with Health Times in 2015 that in some cases, the effect of some hypoglycemic drugs is less than 1, and the effect of an effective exercise is less than 1. Sugar effect can reach 1.8. This means that effective exercise may even be more effective in anti-glycemic than some drug treatments. ⑦
He said that moderate-intensity aerobic exercise combined with low-intensity resistance exercise can better reduce blood sugar. Effect. Aerobic exercise can burn energy, such as tai chi, jogging, square dancing, brisk walking, etc. Practicing dumbbells, strength training belts and other resistance exercises can reduce fat, promote muscle growth, improve skeletal muscle antioxidant capacity, improve insulin resistance, and make hypoglycemic drugs more effective.
4. Fat on the stomach is the most dangerous
< p>Generally, people with thick waists and large stomachs have a higher risk of developing diabetes. A Health Times reporter once interviewed an endocrinologist. When it comes to diabetes, the first thing he emphasizes is abdominal obesity!
A study published in 2014 by the Qingdao Center for Disease Control and Prevention pointed out that the relationship between central obesity and impaired glucose regulation and type 2 diabetes mellitus , Abnormal waist-hip ratio caused by central obesity is related to abnormal blood sugar regulation and the onset of type 2 diabetes. ⑧
“China’s Adults” compiled by the former Department of Disease Control of the Ministry of HealthThe Guidelines for the Prevention and Control of Overweight and Obesity in People clearly stipulate that the waist circumference of men is ≥85 cm and the waist circumference of women is ≥80 cm.
This article is synthesized from:
① Cancer and its predictors in Chinese adults with newly diagnosed diabetes and impaired glucose tolerance (IGT): a 30-year follow-up of the Da Qing IGT and Diabetes Study. Br J Cancer. 2022 Mar 7.
② 2022-03-12 China Circulation Journal “High blood sugar increases cancer risk! A 30-year follow-up survey of the Daqing Study”
③ Li Yongze, et al. BMJ, DOI: 10.1136/bmj.m997
④ Sun, L., Goh, HJ, Govindharajulu, P ., Leow, MKS, & Henry, CJ (2020). Postprandial glucose, insulin and incretin responses differ by test meal macronutrient ingestion sequence(PATTERN study). Clinical Nutrition, 39(3), 950-957.
< p>⑤ 2020-06-02 Health Times “What’s so good about the “Jiangnan Diet” praised by academicians? 》
⑥ 2017-09-05 Health Times “Children Too Household Susceptible to Diabetes”
⑦ 2015-01-05 Health Times “Smart Exercise Beats Diabetes Medicine”
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⑧ 2014 Qingdao Center for Disease Control and Prevention, “The relationship between central obesity, impaired glucose regulation, and type 2 diabetes”, Liu Li, Shao Yuhan
Editor: Ren Xuan
Reviewer: Yang Xiaoming