August 16, 2019
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【營養師．中醫師Q&A】米水會令血糖增高？
Q：糖尿病人可以飲米水嗎？
（T：註冊營養師 @tsheknutritionTiffany Shek，C：註冊中醫師Cinci EC）
T：其實糖尿病患者都一樣可以進食含有澱粉質的食物，包括喝米水，重點是進食碳水化合物的分量和時間。此外，保持理想體重亦是關鍵。若對碳水化合物的計算法或進食時間上的配合有疑問，可以諮詢註冊營養師。
C：中醫稱糖尿病為消渴病。常見症狀為多飲、多食、多尿，消瘦而無力。中醫理論裡消渴分為上消、中消及下消三種不同的類別，上消者主要為肺熱，病徵是經常都會覺得口渴；而中消者多胃火熾盛，吃得多而且易覺飢餓；下消者多為腎陰不足，虛火內熱，症狀為尿頻。
飲食上，患者要戒掉高糖分水果及糕點、少吃澱粉質、避免進食辛辣、煎炸油膩、溫補性等食物。中醫對於消渴的調理為平衡陰陽氣血，調理還是要配合體質，不同症狀配合不同食療。
米水成分為紅米、白米及薏米，一人每天分量的原材料約為兩湯匙米飯，而且只喝米水澱粉質更少，屬性為平和。於中醫角度而言，飲用有健脾養胃袪濕的功效，建議糖尿病朋友飲用前先諮詢註冊營養師更穩妥！
Can diabetic patients have rice water?
(T: Tiffany Shek, Registered Dietitian, C: Cinci EC, Registered Chinese Medicine Practitioner)
T: Individuals with diabetes are allowed to consume carbohydrate-rich foods, including rice water. The key is to control the amount of carbohydrates ingested per meal and the timing of meals. Additionally, weight management is required for optimal management of diabetes. You can inquire with a dietitian to find out what might suit you best.
C: Chinese medicine believes diabetes is accompanied by excessive eating and drinking but still very slim and weak, as well as excessive urination. Diabetes exhausts three parts of the body usually. Upper exhaustion would have lung heat, and the symptoms would be excessive thirst. Middle exhaustion would have stomach heat, and the symptom is hunger even after a full meal. Lower exhaustion would be deficiency in kidney yin and the symptom is frequent urination.
From a dietary perspective, diabetic people should stop eating high sugar fruits and cakes, decrease carbohydrate intake, avoid spicy, fried, oily and tonic foods. Chinese medicine manages diabetes by balancing yin and yang, qi and blood. Treatment course should be determined based on body type and symptoms.
The ingredients of rice water are red rice, white rice and coix seeds. The raw ingredients serving for one person per day is about two tablespoons of rice. The starch intake is less when drinking rice water, and rice water is mild in nature. From the perspective of Chinese medicine, drinking rice water can strengthen spleen and stomach and dispel dampness. It is recommended that the patients with diabetes should consult the registered dietitian before drinking rice water!
