老年人饮食治疗的目的仍然是降低血糖、血脂和血压,减轻体重。但是老年糖尿病人有些特点,在饮食控制中应予以注意:(1)老年人糖尿病病人中肥胖的比例低于中年,部分人体重正常或者低于正常,所以控制饮食、减轻体重的目标应该是达到或接近理想体重,不能认为“有钱难买老来瘦”而一味地减肥,以免造成营养不良。对于体重较轻的老年糖尿病病人,还应该调整饮食结构,使他们的体重升至正常范围;(2)老年人蛋白质的丢失往往较中、青年人更为明显,造成肌肉萎缩、骨质疏松的可能性更大,所以更要注意蛋白质的补充;(3)老年人高血压、高血脂及心、脑血管病变存在的可能性比较大,饮食宜清淡,少食肥甘厚味,低 The purpose of diet therapy in the elderly is still to lower blood sugar, blood lipids and blood pressure, reduce weight. However, some characteristics of elderly diabetic patients should be noted in the diet control: (1) the proportion of elderly diabetic patients obesity is lower than middle age, some people are normal or below normal weight, so the control diet, weight loss goal should be To achieve or close to the ideal weight, can not be considered “hard to buy old and thin” and blindly lose weight, so as to avoid malnutrition. For light-weight elderly patients with diabetes, dietary structure should also be adjusted so that their body weight rose to the normal range; (2) the loss of protein in the elderly tend to be more obvious than in young people, resulting in muscle atrophy, osteoporosis More likely, so pay more attention to protein supplementation; (3) elderly hypertensive, hyperlipidemic and cardiac, cerebrovascular disease is more likely to exist, the diet should be light, eat less fat and fat, low