Weight reduction helps to regulate blood sugar levels Blood sugar - a very important indicator   and possibly reduce the number of medications that you need to take diabetes patients Diabetes - threatening and incurable disease . Diabetic harmful simple carbohydrates in the diet is therefore necessary to include more grains, fruits and vegetables. If you are not sure how to organize your meals, you will information about diets for diabetics.

Food group

In this diet all the products are classified into one of the food groups: carbohydrates, fruits, vegetables and proteins. For one meal you can consume only a fixed number of products in each group. On the basis of the permissible norms planned diet. Just define rules for you personally may be the doctor.

Model plate

This method has been developed especially for a person to independently control what and how much he eats. It's simple: half of the plate should take vegetables (salad, steamed broccoli, beans, and so on), a quarter plate - protein foods, another quarter - carbohydrates.

Carbohydrate counting

Carbohydrates are the most significant effect on blood sugar Blood sugar - one of the main indicators of human health   and not less than fats - by weight. So by reducing their use, you kill two birds. Experts do not recommend at all to refuse from carbohydrates, but if you want to lose weight should reduce their intake to 45-60 grams per serving.

Glycemic index

Glycemic index (GI) of the products is determined on the basis of how their use affects the blood sugar level. The higher the figure, the greater the product increases the blood sugar level. Avoid these foods and choose foods with medium and low GI, such as bread and grains, brown rice and oatmeal cereals.

Diabetic Food Pyramid

Eating according to the pyramid, you will make your diet more useful and lose weight. At the base of the pyramid - grains. This means that they will dominate your diet. At the next level of fruits and vegetables, whose number can not particularly limited. Above - meat and other protein products, dairy products. They need to eat several times a day, but not too much. The peak of the pyramid - fats and sweets, which should be consumed in moderation.

Meridia - a medicament for the treatment of obesity, and obesity, which is combined with diabetes mellitus. Just like that, to improve the shape and drop a few kilos, this drug can not be taken, as it has many contraindications and side effects.

How do tablets (capsules) meridia

Meridia (international non-proprietary name - sibutramine) produced by Abbott Pharmaceutical GmbH (Germany) and 10 capsules of 15 mg for oral administration.

Meridia is a drug for the treatment of obesity of the central (ie, in the brain) action. The therapeutic effect of the drug due to its metabolites (decomposition products), which inhibit the reuptake of certain neurotransmitters (biologically active substances with which nerve impulses are transmitted) - norepinephrine, serotonin and dopamine. As a result, the activity is suppressed hunger center located in the brain.

Clinical studies have confirmed that Meridia reduces body weight by increasing satiety. In the process of adaptation of the body to reduce weight often decreases the rate of metabolism - impedes the meridian. In addition, weight loss in patients receiving this drug is accompanied by positive changes in lipid and carbohydrate metabolism, especially in patients with type 2 diabetes (non-insulin dependent).

Indications and contraindications

Indications for use of the drug Meridia are:

• alimentary obesity with a body mass index (BMI) of 30 or more (BMI - a ratio of body weight, expressed in kilograms by the square of height in meters, so that a BMI of 20 to 25 - is the norm, from 25 to 27 - overweight, 27 - 29 - obesity degree I, 30 - 34 - II A, 35 - 40 - II B, over 40 - III);
• alimentary obesity with a BMI of 27 or more in combination with type 2 diabetes or biochemical signs of changes in fat metabolism in the blood.

Prescribe medication for a long time, sometimes up to a year. Dose selected individually: begin with a dose of 10 mg once a day and if it does not work (the weight is reduced too slowly), the routine proceeds to a dose of 15 mg per day.

Contraindications for use of the drug Meridia very much. This is due to the fact that in different brain centers are located close to each other and the oppression of activity of one cent, can cause a number of other friendly depression of vital centers. Meridia is contraindicated in reducing thyroid function, eating disorders on a background of nervous and mental diseases Mental illness - ashamed to ask for help? , While taking psychotropic drugs (neuroleptics, antidepressants, tranquilizers, sleeping pills).

You can not assign the drug with severe diseases of the circulatory system (stable high blood pressure, cardiac arrhythmias, ischemic heart disease, heart failure, stroke, peripheral circulation), increased thyroid function, which is followed by cardiovascular disorders.

The drug is contraindicated in Mérida and in severe violations of the liver and kidneys, prostate cancer, pheochromocytoma (a tumor of the adrenal hormone), increased intraocular pressure, as well as any form of dependence (drug, drug, alcohol).

Do not take the drug during pregnancy and nursing Breastfeeding - a personal choice   breast, under 18 and over 65 years, with lactose intolerance, fructose and galactose in the background of the lack of enzymes needed for their digestion and increased sensitivity to the drug.

In many other diseases meridia used with caution.

Side effects

Side effects usually occur in the first month of taking the drug and not necessarily require the abolition, as are often not heavy, reversible and eventually pass. So often there is sleep disturbances, dry mouth, constipation, headache, dizziness, irritability, Irritability - you try to control my temper   short-term memory impairment, blurred vision. These symptoms do not require discontinuation of therapy.

Cardio-vascular system attacks often appear heartbeat, heart rhythm disorders and high blood pressure. If these violations are significant, the treatment should be discontinued.

There may also be nausea, vomiting, diarrhea, abdominal pain Abdominal pain: Types and Symptoms , Transient abnormal liver function, exacerbation of hemorrhoids, sweating, decrease in the number of platelets in the blood and increased bleeding, allergies, mental illness (from mild depression to psychosis - in this case, drug overturned), urinary retention, sexual dysfunction, menstrual cycle, intermenstrual bleeding, runny nose, swelling.

Meridia - a drug that is prescribed only by your doctor.

Galina Romanenko