Female, 66 years old, diabetes, femoral neck fracture, how to supplement calcium?

People with diabetes need calcium supplement, and the daily calcium supplement is about 3 bags of milk.

Because the blood sugar of diabetic patients is difficult to control, it is easy to hold back urine, resulting in excessive calcium excretion with urine or feces, so sugar friends have become a high-risk group of osteoporosis. Compared with healthy people, it is more important for sugar friends to supplement calcium. May wish to start from the following aspects:

The daily calcium supplement is about 3 bags of milk. A diabetic over 60 years old is advised to take 800~ 1000 mg of calcium every day, which is equivalent to drinking more than 3 bags of milk every day, so as to meet the body's demand for calcium. Need to be reminded that it is best not to drink more than 500 ml of milk every day, because milk is rich in protein, and drinking too much will easily lead to calcium loss in urine, which is not good for calcium supplementation. It is suggested to supplement calcium in various ways. The total intake of calcium should not exceed 2000 mg.

2. Eat more foods rich in calcium. For example, dairy products, bean products, vegetables and some seafood. Every 100g of tofu contains more than 100 mg of calcium, so don't rely on soybean milk to supplement calcium, because every 100g of soybean milk only contains 10 mg of calcium. Foods rich in calcium are: edamame, snake bean, onion, rape, shepherd's purse, kale, carrot tassel, coriander, amaranth, snow red and so on. Cabbage vegetables (such as Chinese cabbage, kale, cabbage, etc. ) The oxalic acid content is low, so you can eat more in moderation.

3. Adhere to "two increases and two decreases". Calcium supplementation is affected by many factors, so it is necessary to play "combination boxing". First of all, we should increase the intake of vitamin D and vitamin K. Vitamin D can promote the absorption of calcium, and vitamin K is a "good assistant" for bones to store calcium. Green leafy vegetables are rich in vitamin K. The greener the color, the richer the content, such as kale, Chinese cabbage and asparagus. Second, we should reduce the intake of high-salt and high-phosphorus foods. Foods with high phosphorus (such as animal viscera) will form insoluble compounds with calcium, which will affect the absorption of calcium. The more high-salt food is ingested, the more calcium will be excreted with urine, which will also affect the absorption of calcium.

4. Get 20 to 30 minutes of sunshine every day. Ultraviolet rays in sunlight can make human skin produce active vitamin D, thus promoting the absorption of calcium. Therefore, in the case of good air, drying for 20~30 minutes is very beneficial to calcium supplementation.