For patients with the "four highs" of high blood pressure, high blood sugar, high blood fat, and high uric acid, lifestyle adjustments are very important. If you do not do well in life, no matter how much medicine you take, the effect will be greatly reduced! These 40 taboos must be avoided in daily life!
10 taboos for hypertensive patients
1, asymptomatic high blood pressure let go. He Yubin, Chief Physician of the Department of Cardiovascular Medicine of the Seventh Medical Center of the PLA General Hospital, said when he was a guest on the "People's Good Doctor" program in 2017 that asymptomatic hypertension is highly concealed, and its harm will not be reduced by asymptomatic, but it is more harmful than symptomatic. Hypertension is at greater risk. ①
2. Only take antihypertensive drugs without monitoring blood pressure. Hypertension has a strong hidden nature. You should go to the hospital for regular checkups as directed by your doctor, and conduct regular ambulatory blood pressure monitoring. You can understand the 24-hour blood pressure control situation, which is conducive to the assessment and prevention of cardiovascular and cerebrovascular risks.
3, do not control "invisible salt" food. For example, soy sauce, pickles, pickles, salted duck eggs, dried shrimp, and seaweed already contain sodium salt, so the addition of salt should be further reduced when cooking and eating these foods. Other spices can be used instead of salt for seasoning.
4, high blood pressure stopped taking medicine without authorization, taking medicine intermittently. Some people take medicine according to their feelings. They take a pill when they have headache, dizziness and other uncomfortable symptoms, and they don’t take it if they don’t have symptoms. These practices are wrong. Regardless of whether there are symptoms or not, as long as the blood pressure is high, it must be actively treated.
5. When taking antihypertensive drugs, eat grapefruit at the same time. Han Pan, a pharmacist at the Department of Pharmacy of Wuhan Central Hospital in Hubei Province, published an article in the Health Times in 2016 and pointed out that patients with high blood pressure are advised to eat less grapefruit, or not to eat grapefruit. If you eat grapefruit while taking the medicine, it is recommended that the interval between taking the medicine and taking the medicine be more than 12 hours, or consult a doctor to reduce the dosage appropriately. ②
6. Blood pressure was found to be elevated and quickly dropped to normal. Rui Haomiao, deputy chief physician of the Cardiology Department of Henan Provincial Hospital of Traditional Chinese Medicine, stated in an article published in the People's Daily Health Issue in 2021 that in clinical practice, it usually takes 1-2 months from the beginning of drug intervention to reaching the target blood pressure. Very good protective effect; a sudden increase or decrease in blood pressure may not only cause damage to blood vessels, but may also cause hemodynamic disorders. ③
7, do not quit smoking, do not quit drinking. Drinking alcohol can exacerbate blood pressure fluctuations and make it harder to control. Smoking not only raises blood pressure, but also increases the occurrence of heart, brain and kidney diseases. Therefore, hypertensive patients should work hard to quit smoking and alcohol.
8. Irregular life and lack of sleep. Regular living habits and adequate sleep help to better control blood pressure. Irregular life and lack of sleep are common and important causes of elevated blood pressure.
9. Believe in folk remedies and health products that "cure high blood pressure". Liu Jian, chief physician of the Department of Cardiovascular Medicine at Peking University People's Hospital, published an article in the Health Times in 2019, pointing out that the "panacea" that can cure hypertension is all false propaganda. With the current medical methods, high blood pressure cannot be cured, and patients diagnosed with hypertension need to take antihypertensive drugs for a long time or even for life. ④
10, high blood pressure can protect blood vessels by regular infusion. Wang Xing, deputy chief physician of the Cardiovascular Department of the 983rd Hospital of the Joint Logistics Support Force, published an article on the People's Daily Health in 2021, saying that for the vast majority of high blood pressure, there is no such thing as infusion to lower blood pressure. Regular antihypertensive drugs to lower blood pressure. The way to protect blood vessels is to live a healthy life and control the "three highs". ⑤
Top 10 taboos for diabetic patients
1, no more than three and one less symptoms, not diabetes. "Three excesses and one deficiency" are well-known typical symptoms of diabetes, namely polydipsia, polyphagia, polyuria and weight loss. However, Li Yanbing, Chief Physician of the Department of Endocrinology at the First Affiliated Hospital of Sun Yat-sen University, published an article in the Health Times in 2019 that in fact 90% of diabetic patients lack these symptoms in the early stage, but only show fatigue, fatigue, or blurred vision, and wounds that cannot heal for a long time and other atypical symptoms. It is recommended that people over the age of 35 check their postprandial blood sugar once a year. ⑥
2. I know my blood sugar is high, but I don't control it. Diabetes is not just as simple as high blood sugar. Severe high blood sugar can be fatal. If long-term high blood sugar is not well controlled, it will lead to myocardial infarction, cerebral infarction, kidney failure, amputation, and blindness. Therefore, as long as diabetes is found, it must be treated early and reasonably.
3. Only focus on blood sugar, not blood pressure and blood lipids. "Three high co-management" can minimize the risk of heart, brain and kidney complications.
4, suffering from diabetes, do not like to drink water. Mo Wei, deputy director of the Department of Endocrinology of Guangdong Second Hospital of Traditional Chinese Medicine, published an article in the Health Times in 2020 and pointed out that some diabetic patients have symptoms of polydipsia and polyuria, but this does not mean that there is no lack of water in the body. If people with diabetes drink less water, the blood will concentrate, excessive blood sugar and waste in the blood cannot be discharged, and it will also cause electrolyte imbalance. ⑦
5, sugar friends have a habit of overeating for breakfast. Jiao Kai, Chief Physician of the Department of Endocrinology, Tangdu Hospital, Air Force Military Medical University, published an article in the Health Times in 2014, pointing out that diabetics should not eat too much breakfast, because people’s body secretes more hormones against insulin in the morning, if you still eat too much Food, blood sugar will remain high two hours after breakfast, so it is best to eat less breakfast. ⑧
6, sugar friends always cross their legs. Wang Aiping, chief physician of the Department of Endocrinology at the Air Force Hospital of the Eastern Theater Command, published an article in the Health Times in 2020, pointing out that long-term cross-legged diabetic patients will increase the risk of diabetic foot. Crossing your legs will cause the blood to flow upwards, which will reduce the blood flow or return speed to the heart and brain. In addition, the blood circulation function of diabetic patients is poor. The superimposed result will be accelerated arteriosclerosis and ischemia , over time susceptible to diabetic foot. ⑨
7. Diabetics eat less and do not eat staple food. Fang Hongjuan, deputy chief physician of the Endocrinology Department of Beijing Tiantan Hospital, published an article in the Health Times in 2019. If a sugar friend does not eat the staple food, the islets will be in a "shutdown" state, which will affect the normal function of the islets. If they suddenly eat the staple food, it will lead to Excess insulin secretion, excess insulin does not play a role, and then insulin resistance occurs, blood sugar will fluctuate. ⑩Sugar friends should consider the thickness of the staple food.
8, got diabetes, can no longer eat fruit. Duan Yunhui, an attending physician in the Nutrition Department of Beijing Chaoyang Hospital, published an article in the Health Times in 2020 and pointed out that diabetic patients can eat fruits in moderation. Try to choose fruits with low sugar content and rich fiber, such as: apples, pears, grapefruits, strawberries, cherries, kiwis, oranges, etc. ⑪
9. The need for insulin means that you are seriously ill. Liu Longdan, director of the Endocrinology Department of the Third People's Hospital of Zhengzhou City, Henan Province, said in an article in the Health Times in 2018 that insulin is not a patent for "old" patients, and it does not necessarily need to be used for life. It must be used according to the condition. , Don't miss the best time to use insulin. ⑫
10. Just take good hypoglycemic drugs without changing your living habits. Purely relying on drugs to treat diabetes is a one-sided approach. In addition to drug treatment, it is still necessary to continue to adhere to diet conditioning and proper exercise.
Top 10 taboos for patients with hyperlipidemia
1 Don't worry if the blood lipid index exceeds the normal range. Chen Qingyu, director of the Health Examination Center of Sun Yat-sen Memorial Hospital of Sun Yat-sen University, published an article in the Health Times in 2017. It is just simple high blood lipids. Although it will not cause arteriosclerosis in the short term, long-term high blood lipids may also cause blood vessel blockage. ⑬
2. Hyperlipidemia means high triglycerides. Wang Qinghe, deputy chief physician of neurosurgery at Beijing Ditan Hospital, mentioned in an article in the Health Times in 2016 that blood lipids are the general term for lipids in the blood, mainly including cholesterol and triglycerides. The main cause of serious harm is abnormal cholesterol, especially high LDL-C (low-density lipoprotein). Therefore, low-density lipoprotein cholesterol is currently the most important blood lipid detection index. ⑭
3, reduce blood fat and eat some vegetarian food. Not only does eating greasy food increase blood lipids, but if you eat vegetarian food, especially if you eat too much fine grains, it will also be converted into fat (that is, triglycerides) and stored in the body, resulting in increased blood lipids.
4. To save trouble, I often eat convenience food. Zhao Shasha, an attending physician in the Nutrition Department of Qilu Hospital of Shandong University, published an article in the Health Times in 2020, pointing out that patients with high blood lipids should eat less convenience food, such as canned fish, ham, bacon, instant noodles, biscuits, potato chips, pastries, various puffed Casual snacks and more. Avoid high-energy foods such as candy, chocolate, potato chips, and shachima. ⑮
5. Hyperlipidemia means eating less meat.Xu Hao, deputy director of Xiyuan Hospital of the Chinese Academy of Chinese Medical Sciences, published an article in the Health Times in 2015. For patients with high cholesterol and low-density lipoprotein, in addition to eating less meat and greasy food, they should also pay attention to eating less animals. Foods with high cholesterol and saturated fatty acids such as offal, egg yolk, crab roe, and fish roe. ⑯
6, high blood fat, can not eat eggs. Guo Yifang, vice president of Hebei People's Hospital, published an article on his personal WeChat public account in 2019, pointing out that for people with high cholesterol, it is still recommended to eat an egg a day. For patients with atherosclerotic diseases such as coronary heart disease and cerebral infarction, they should properly control their dietary cholesterol intake (3 to 5 eggs per week is enough). ⑰
7. In addition to lying down or sitting, do not exercise. People who sit for a long time and do little exercise will slow down blood circulation, increase blood viscosity, and cause myocardial contraction weakness. Over time, arteriosclerosis and coronary heart disease will follow.
8, suffering from hyperlipidemia, often emotional. Qiao Yan, deputy chief physician of the Cardiology Department of Beijing Anzhen Hospital, published an article in the Health Times in 2014, saying that excessive excitement can easily lead to elevated blood lipid levels, activate platelets, promote plaque rupture, induce thrombosis, and cause myocardial infarction and stroke. ⑱
9. Use fish oil instead of drugs to lower blood lipids. Guo Yifang, vice president of Hebei People's Hospital, published an article on his personal WeChat public account in 2022, pointing out that fish oil can moderately lower triglycerides, and has almost no cholesterol-lowering effect. Studies have found that statins are the most powerful drugs that inhibit cholesterol synthesis and can significantly reduce the risk of coronary heart disease or stroke. ⑲
10. Only by adjusting diet to lower blood fat. For patients with hyperlipidemia, the effect of diet control varies from person to person. If the cholesterol is significantly elevated, drug therapy should be applied at the same time as lifestyle intervention. Although diet and living habits have a greater impact on triglycerides, those with severely elevated triglycerides should also be treated with medication in time.
Ten taboos for patients with hyperuricemia
Hu Wen, chief nutritionist of the Clinical Nutrition Department of West China Hospital of Sichuan University, shared the most common misunderstandings of these patients with hyperuricemia in an article published on the hospital’s WeChat public account. ⑳
1. Do not eat those with high purines, but eat those with low purines. Meat and offal with high purine should be eaten less or even not, but vegetables high in purine (lettuce, spinach, mushroom, cauliflower, etc.), beans and soy products are edible! In addition, some very sweet fruits, honey, etc. are low-purine foods, but high in fructose, so it is not recommended for people with gout to eat more.
2. You can't drink beer, you can drink liquor. High blood uric acid is not to quit beer, but to quit alcohol! Whether it is white wine, red wine, rice wine, sparkling wine, you must quit any alcohol!
3, drink water only when you are thirsty. People with hyperuricemia or gout with normal heart and kidney function need to maintain water in the body, so drink plenty of water, drink about 2000 ml of plain water/purified water/mineral water every day, and maintain a daily urine output of 2000-3000 ml .
4, rely on diet to lose weight and control weight. It goes without saying that obese people have a higher risk of gout, but they cannot lose weight by dieting, because unreasonable dieting and exercise will increase uric acid instead.
5. Smoking has no effect on gout. Some people think that smoking and gout are inseparable, but this is not the case. The 2016 gout diagnosis and treatment guidelines pointed out that smokers are 35% more likely to develop gout/hyperuricemia than normal people.
6. Excessive strenuous exercise. First of all, patients with gout are not suitable for strenuous exercise, because unreasonable exercise will induce gout; second, regular and moderate exercise can reduce the number of gout attacks, and people with high blood uric acid should insist on moderate exercise.
7, usually like to drink sweet drinks. The "Multidisciplinary Expert Consensus on the Diagnosis and Treatment of Hyperuricemia-related Diseases in China (2023 Edition)" pointed out that patients with hyperuricemia should avoid drinking cola, orange juice, apple juice and other fructose-containing beverages or sugary soft drinks.
8. Take uric acid-lowering drugs without consulting a doctor. Different people have different reasons for the increase of uric acid, some are due to excessive uric acid production, some are due to poor excretion of uric acid, and some are both.The uric acid-lowering drugs selected for different types of hyperuricemia are also different, and the medications used for gout attack and remission are also different, and some uric acid-lowering drugs have more side effects, so they cannot be used at will.
9. Check irregularly after taking urate-lowering drugs. Regular review of uric acid after medication, and understanding of the common side effects of the drugs used, once adverse reactions occur, adjust the plan in time under the guidance of a doctor.
10, only focus on lowering uric acid, regardless of other diseases. Hyperuricemia often coexists with high blood pressure, diabetes, and high blood lipids. Therefore, after finding elevated uric acid, you must pay attention to check blood pressure, blood sugar, and blood lipids, and treat abnormalities in time, which can reduce the risk of heart, brain, and kidney complications.
