Pangani mu shuga mellitus

Kwa ambiri, matenda ashuga ndi vuto lomwe limabweretsa zovuta zingapo m'moyo. Chifukwa chake, mwachitsanzo, muyenera kusiya shuga. Koma ambiri akufunsa ngati fructose ikhoza kugwiritsidwa ntchito pa matenda ashuga, chifukwa amatha kusintha shuga m'maswiti. Fructose ndi chinthu chomwe chimapezeka muzinthu zingapo, ndipo chimatha kugulidwanso ngati sweetener. Kutengera ndi mankhwalawa, zinthu zabwino zambiri zimapangidwa - iyi ndi njira yabwino kwambiri yothetsera odwala omwe ali ndi matenda amtundu 1 kapena 2.

Anthu omwe akumanapo ndi matenda ngati a shuga ayenera kusiya shuga muzakudya zawo. Ndipo fructose amaonedwa ngati njira ina yabwino. Akatswiri akukhulupirira kuti ndizotheka komanso kuti odwala matenda ashuga azigwiritse ntchito kuti asadzizunze ndi kufuna kwa maswiti, koma osatero. Koma muyenera kusamala kwambiri, kuti mupeze mbali zabwino ndi zoipa za chinthucho. Mwanjira zambiri, zabwino ndi zovulaza za malonda zimadalira momwe zidzagwiritsidwire ntchito. Ichi ndichifukwa chake ndibwino kufunsa dokotala yemwe aliyense payekha afotokozere njira yothetsera vutoli.

Zolemba za matendawa - kodi zakudya zimasintha bwanji?

Matendawa amatengedwa kuti ndi amodzi mwa ofala kwambiri. Anthu ambiri amakumana ndi zovuta m'moyo chifukwa cha zovuta izi, pomwe amayenera kutsatira dongosolo lina lamankhwala, kudzipatula pakudya. Matenda a endocrine ali ndi mitundu iwiri:
Mtundu woyamba ndi matenda omwe munthu amadalira insulin. Ndikumveka kuti kapamba sangapangitse kuchuluka kwa insulini. Chifukwa cha izi, shuga wamagazi amakwera.

Mtundu wachiwiri umatanthawuza kuti insulini imapangidwa m'njira zochuluka kwambiri zomwe thupi limafunikira, koma nthawi yomweyo zimakhala kuti zimatha kuzizindikira, mwa kuyankhula kwina, insulini imayamba. Nthawi yomweyo, akatswiri akuti pali zinthu zingapo zomwe zimatha kukhala chifukwa cha matendawa. Pali zifukwa zambiri, ndikofunikira kuwunikira wamba:

  • Mavuto a kapamba, omwe amadziwika ndi kuwonongeka kwa maselo a beta,
  • Mwachitsanzo, makolo kapena abambo amatha kudwala matendawo. Kafukufuku akuwonetsa kuti nthawi yomwe kholo limodzi likadwala, mwana akhoza kudwala ndi 30%. Ngati makolo onse akudwala, ndiye kuti kuchuluka kwake kudzachulukanso mpaka 60%,
  • Kunenepa kwambiri kumathanso kudwala matenda ashuga. Chowonadi ndi chakuti, kunenepa kwambiri, njira zama metabolic, ntchito zamkati zimasokonezeka, kuzindikira kwa insulin ndi maselo kumatsika.
  • Ma virus monga rubella, hepatitis, nthomba, amathanso kuyambitsa.
  • Kusamutsidwa kwa kupsinjika kwakanthawi, izi zimakhudzanso thupi komanso zimathandizira kukulitsa shuga. Omwe ali pachiwopsezo ndi iwo omwe ali ndi vuto la kunenepa kwambiri komanso vuto lotengera kwa makolo.
  • Mukamakula, amatha kupezeka ndi matenda amtundu wa 2.

Kodi mungamvetse bwanji kuti matenda ashuga awonekera?

Ngati tizingolankhula za zomwe zikuwonetsa matendawa, ndiye kuti kuchepa msanga kapena kuchepa thupi, kufupika, ludzu, chizungulire, khungu lotupa ndi ena. Kuzindikira kumatha kupangidwa kokha ndi katswiri atapima mozama. Pochita izi, ayenera kukhazikitsa mtundu wa matenda ashuga. Ngati dokotala wanena za matendawa, khalani okonzeka kutsatira zakudya zapadera za carb ndikuchepetsa maswiti. Zitha kuikidwa m'malo ndi zinthu za fructose, zomwe zimaperekedwa m'madipatimenti apadera ogulitsa.

M'madipatimenti apadera mutha kusankha zinthu zotsala za fructose:

Zokhudza zabwino ndi zovuta za fructose

Pamaso pa matenda, katswiri amapatsa wodwalayo mndandanda wazinthu zoletsedwa. Chopanga chachikulu chomwe chimaphatikizidwa ndi matendawa ndi shuga. Itha kuzindikiranso ndi fructose kapena mwanjira ina ndi lokoma. Pankhaniyi, muyenera kudziwa zabwino ndi zovulaza za fructose, chifukwa zimawonedwa kuti ndizothandiza ndipo zili ndi zabwino zambiri:

  • Ngati fructose imagwiritsidwa ntchito ngati matenda a shuga, sayambitsa zovuta zina,
  • Chiwopsezo cha kuwola kwa mano chimachepa kwambiri,
  • Magazi azikhala ndi glucose wokhazikika, ndiye kuti, izi zimalepheretsa kuchepa kwa mahomoni,
  • Ngati musankha fructose kapena shuga, ndiye kuti muyenera kumvetsetsa kuti kugwiritsa ntchito fructose kumatanthauza kuchepa kwa caloric kudya. Lokoma ndiwotsekemera koma wopanda zopatsa thanzi.
  • Glycogen amadzaza mu minofu kwambiri.
  • Kudzimva kutopa kumachepa kwambiri
  • Thupi lidzakhala ndi mphamvu yofunikira.

Kodi pali vuto lililonse?

Ngati timalankhula za mbali yakudyayi ya nkhaniyi, ndiye kuti fructose ndi yofunika kwambiri kuposa shuga. Amapereka malonda ndi kutsekemera, pomwe zopatsa mphamvu zimakhala zochepa. Koma musaiwale za zinthu zoyipa zomwe zili ndi malo. Makhalidwe oyipa omwe amasiyanitsa kusintha shuga ndi fructose ndi monga:

  1. Loweruka limachitika pang'onopang'ono, chifukwa fructose imalowa m'magazi.
  2. Ngati mumaphika makeke opangira tinthu tating'onoting'ono ndikugwiritsa ntchito shuga wina, kuphika kumakhala kovutirapo.
  3. Osagwiritsa ntchito molakwika zinthu zomwe zimakhala ndi fructose.
  4. Komanso, zochulukirapo zimayambitsa matenda a rectum. Ngati simuyang'anira momwe mumadyera, ndiye kuti chiwopsezo cha kudya kwambiri chikukula. Chifukwa chake, akatswiri amalangiza posankha chakudya choterocho kuti ayang'anire kuchuluka kwa chakudya chomwe adadya.
  5. Fructose wa mtundu wachiwiri wa shuga amachititsa kuti azikhala ndi chidwi chifukwa zimaphatikizapo ghrelin, yomwe imadziwika kuti ndi njala.
  6. Ngati mumagwiritsa ntchito chakudya chochuluka kwambiri, mutha kukumana ndi vuto lomwe chiwindi chimadzaza kwambiri. Chifukwa cha izi, mavuto amatha kubwera ndi thupi ili, kugwira kwake ntchito kukhoza kukhala kosokoneza.
  7. Fructose samapezeka nthawi zonse m'njira yabwino, motero odwala matenda ashuga molakwika. Kotero mu tiyi, mutha kuyika supuni ziwiri za cholowa m'malo panthawi yomwe mungathe kuyang'anira theka la supuni.

Momwe mungagwiritsire kudya fructose molondola?

Zogulitsa zotere zimatha kukhala zothandiza kwambiri, chifukwa amatha kuyendetsa shuga m'magazi. Ichi ndichifukwa chake simuyenera kukana kuwaphatikiza pazosankha. M'masitolo, ngati kuli kofunikira, mutha kupeza chilichonse chomwe mukufuna - shuga, maswiti, ma jellies, marmalade, kupanikizana, granola komanso mkaka wokometsedwa. Opanga amalemba pamapaketi kuti zinthu izi zilibe shuga, zimasinthidwa ndi fructose.

Mukamagwiritsa ntchito chakudya, muzikumbukira kuti siziyenera kuzunzidwa. Ndikofunikira kumvetsetsa kuti sizopangidwa kwathunthu ndi fructose, koma zimaphatikizapo zinthu monga ufa wa tirigu, wowuma. Komanso, zinthu zambiri zotere zimadzaza ndi chakudya, koma anthu omwe ali ndi matendawa amayenera kuyang'anira zakudya zomwe zili mkati mwa calorie. Izi sizitanthauza kuti muyenera kusiya maswiti oterowo. Musamale mukamapanga zakudya.

Mmalo wabwino kapena woyipa wa shuga

Zaka zingapo zapitazo, madokotala amalankhula za phindu la shuga wa zipatso. Kusiyana pakati pa fructose ndi sucrose mu shuga tsopano akuphunziridwa mwatsatanetsatane. Malingaliro siokhulupirira chilichonse.

Kusiyana pakati pa fructose ndi sucrose (sucrose, nzimbe, C12H22O11) mu shuga:

  • Levulosis ili ndi mawonekedwe osavuta, chifukwa ndi monosaccharide. Suprose imapangidwa ndi shuga ndi fructose. Kuchokera pamenepa ndizodziwikiratu kuti yoyamba imalowa mu madzi a m'magazi mwachangu ndipo sikutanthauza kuti insulini ipangike, imawola chifukwa cha michere. Chifukwa chake, arabino-hexulose ndimalo abwino shuga.
  • Kcal pa 100 g - 380. Malinga ndi zopatsa mphamvu, zinthu zonse ziwiri ndizofanana. Amatha kubweretsa mawonekedwe owonjezera ngati mukuzunzidwa.
  • Levulosis samakakamiza mahomoni kusinthasintha, mosiyana ndi sucrose.
  • Arabino-hexulose sawononga mafupa ndi mano, mosiyana ndi sucrose mu mtundu 2 shuga.

Poyerekeza ndi nzimbe, zipatso ndizabwino. Uwu ndiye malo abwino opangira chovulaza. Zomwe zimawonekeratu poyerekeza onse awiri.

Muyenera kudziwa ngati fructose akweza shuga. Monosaccharide imathandizira kukulira kuchuluka kwa shuga. Kuchulukaku kumachitika pang'onopang'ono kuposa kugwiritsa ntchito sucrose. Pazifukwa izi, ndi malo oyamba pakati pa oloweza.

Ndi matenda a shuga 1

Fructose imakulitsa insulini - mawuwo ndi olakwika. Insulin ndi fructose sizimayenderana mwanjira iliyonse. Zotsirizazo sizichulukitsa kapena kuchepetsa kuchepa kwa mahomoni.

Mndandanda wa glycemic ndi wocheperako, ndi magawo 20.

Levulosis sikuletsedwa ndi mawonekedwe amtundu wa endocrine. Mtundu woyamba wa matenda ashuga, palibe choletsa china chilichonse chogwiritsidwa ntchito ndi zotsekemera.

Lamulo lokha ndikufanizira kuchuluka kwa mkate womwe umagwiritsidwa ntchito ndi insulin. Kwa ana omwe ali ndi matenda a shuga, tikulimbikitsidwa kugwiritsa ntchito mpaka 1 g pa 1 makilogalamu a thupi, komanso kwa akulu - 1.5 g pa 1 kg. Mlingo wa tsiku ndi tsiku sayenera kupitirira 150 gr.

Ndi matenda amtundu wa 1 shuga, maapulo, mapeyala, mphesa zamphesa ndi mphesa, masiku amaloledwa.

Maswiti okhala ndi fructose a mtundu 1 wa shuga amaloledwa kudya. Chachikulu ndichakuti musadutse malire omwe mwakhala nawo kuti mupewe kukula kwa zovuta ndi zovuta.

Ndi matenda a shuga a 2

Ambiri mwa odwala ali ndi chidwi chofuna kudziwa ngati zingatheke kudya fructose ndi matenda a shuga a 2. Endocrinologists amalimbikitsa kuti zakudya zomwe zimakhala ndi levulosis yotsika ziziphatikizidwa muzakudya.

Ndi matenda a shuga a mtundu 2, fructose amatha kudya. Amaloledwa kuphatikiza zosaposa 30 magalamu patsiku.

Popeza mwasankha kusinthana ndi levulosis, muyenera kuyang'anira kuchuluka kwa shuga m'magazi. Wodwala amakakamizidwa kuti azitsatira zakudya zapadera, sizilola zovuta ndi zovuta zake kukula.

Simungadye zipatso usiku. Levulosis imawonjezera kuchuluka kwa shuga, ndiye kuchepa kwake. M'maloto, zimakhala zovuta kuti wodwala akumane ndi vuto la hypoglycemia wokhala ndi zida zonse. Chifukwa chake, tikulimbikitsidwa kudya zipatso masana.

Kwa mtundu wachiwiri wa matenda a shuga, zipatso zotsatirazi zomwe zimakhala ndi levulosa ndizovomerezeka: nkhaka, dzungu, mbatata, tomato, zukini, cranberries ndi raspberries, walnuts ndi pistachios, apricot ndi kolifulawa, pichesi.

Gwiritsani ntchito mita yanu ya glucose pafupipafupi kuyeza glucose. Zikhala munthawi yake kuti muchepetse kuwonjeza kapena kutsika kwa shuga m'magazi.

Maola ochepa mutatenga levulosis, kuchuluka kwa shuga kumayamba kutsika. Kusintha kwa Mlingo kumachitika. Ndikofunikira kuganizira kuchuluka kwa mkate.

Zipatso zimagawidwa pa 1 XE, yomwe ndi 80-100 g yazinthu.

Mtundu wachiwiri wa matenda osokoneza bongo a 2 shuga, kugwiritsa ntchito shuga wa zipatso kumagwirizanitsidwa ndi dokotala.

Fructose ndi matenda a shuga

Matenda amishuga amakula mwa amayi nthawi yapakati chifukwa cha vuto la mahomoni. Ziwerengero zakukula kwa kusokonezeka kwa endocrine - mpaka 4% ya milandu yonse.

Chifukwa choopa kutaya pang'onopang'ono munthawi yochepa komanso yayitali chifukwa cha GDM, kukula kwa zolakwika muubongo ndi mtima wa mwana wosabadwa, amayi ali ndi chidwi chofuna ngati fructose itheka ndi matenda ashuga.

Ndi mawonekedwe a gestational, shuga ndi zovulanso, monga mtundu wina uliwonse wa endocrine pathology. Levulose m'malo mwa shuga yoyera amaloledwa. Koma pali malire omwe odwala ambiri sazindikira ndi madokotala ambiri.

Omwe amalowa m'malo mwake samangotengera azimayi onenepa okha, komanso kwa abwinobwino oyembekezera. Mu trimester yoyamba, mayi woyembekezera sayenera kupitirira 1 kg, ndipo wachiwiri ndi wachitatu trimester woposa 2 kg.

Arabino-hexulose, monga shuga wokhazikika, amathandizira pang'ono kuchulukitsa kulemera kwakutali ndi kuchuluka kwa mahomoni. Ndiye kuti, yankho ku funso loti fructose ndiyotheka ndi GDM ndiloyipa.

Ndikofunika kupatula izi m'malo mwa zakudya za mayi wapakati kuti zolemera zisakweze kwambiri.

Zimalimbitsa kumverera kwanjala, mkazi amadya ndikupeza cholemera china. Kunenepa kwambiri kumachulukitsa matenda a shuga.

Kuphatikiza apo, imaphatikizidwa pamndandanda wazinthu zomwe zimakhala ndi zotsatira za teratogenic. Ma Endocrinologists salimbikitsa kudya izi zotsekemera. Muyenera kudziwa kuti levulosis imathandizira kusokonekera kwa mahomoni.

Popitiliza kugwiritsa ntchito cholowa m'malo, mayi woyembekezera amatenga chiopsezo ku thanzi lake. Mwina kukula kwa matenda a maso. Zochitika zambiri zamatchuthi ndizodziwikiratu ndikuwongoletsa ma mandala amaso, zomwe mtsogolomo zimabweretsa kuwonongeka kwathunthu kwamawonedwe.

Vuto lachiwiri ndikuphwanya njira za metabolic komanso kukula kwa gout.

Fructose Kuvulala ndi Kusamala

Ndikofunikira kudziwa osati momwe fructose imathandizira odwala matenda ashuga, komanso zomwe zimabweretsa, ngakhale ali ndi malingaliro abwino. Ndikwabwino kudziwa m'malo mongoyang'ana zomwe zakuwonongerani pambuyo pake.

Ndi kumwa kwambiri zipatso ndi zinthu zina zokhala ndi zotsekemera izi, ntchito ya ziwalo zina imasokonekera. Izi ndi zowona ndipo zimatsimikiziridwa mobwerezabwereza ndi madokotala.

Amachokera ku kagayidwe kachakudya njira mu chiwindi. Arabino-hexulose imatengedwa kwathunthu ndi maselo a chiwalochi. Makina ena safuna kanthu. Mu chiwindi, shuga ya zipatso amasinthidwa kukhala mafuta, chifukwa chake kunenepa kwambiri sikuyenera kuwonongedwa.

Imalimbikitsa kuchuluka kwa mapangidwe a maselo amafuta. Ichi ndi chowopsa cha cholowa m'malo, chimatha kupangitsa mafuta kuwonongeka kwa chiwindi. Levulosis yogwiritsidwa ntchito pafupipafupi komanso mosasamala imayambitsa mapangidwe a poizoni mthupi.

Zopatsa mphamvu za calorie za shuga ndi levulose ndizofanana. Ngati mankhwalawa avomerezedwa ndi dokotala, izi sizitanthauza kuti siwopatsa mphamvu komanso wathanzi, mulibe zinthu zovulaza. Kugwiritsa ntchito monosaccharide pamiyeso yambiri kumatha kuyambitsa hyperglycemia komanso kusagwira bwino ntchito kwa kapamba.

M'malo mwake ndiwotsekemera kuposa sucrose, chifukwa chake amadya pang'ono, koma zotsatira zake ndizofanana. Levulosis imasweka mwachangu ndikubwezeretsanso zamagetsi, koma patapita nthawi yochepa wodwalayo akumvanso kusweka ndipo ali ndi njala.

Zimawonjezera zomwe zili m'magazi a triglycerides m'magazi, zomwe zimapangitsa kuti pakhale atherosclerosis.

Odwala omwe amamwa misuzi yambiri yazipatso, amagwiritsa ntchito shuga yambiri, ali pachiwopsezo cha matenda a khansa. Ndikulimbikitsidwa kusiyiratu mankhwala amtunduwu.

Kodi fructose ndiyotheka kwa odwala matenda ashuga kuperekedwa momwe zovulazo zili? Sizoletsedwa kuzigwiritsa ntchito, koma m'malo mwake zimaloledwa ndipo zimaperekedwa ngakhale kwa odwala matenda a shuga m'malo mwa sucrose. Komabe, kuchuluka kwazomwe zaloledwa ndi dokotala ziyenera kutsatira.

Chifukwa chake wodwala amapeza phindu lochulukirapo, pewani kukulitsa zovuta zovuta komanso zoyipitsitsa - kupezeka kwa matenda ashuga a mtundu 2.

Ubwino Wopezeka ndi Matenda A shuga

Zakudya zomanga thupi ndizofunikira kuti mukhale ndi thanzi labwino. Amatenga gawo pazakudya za mthupi, kutsogolera mphamvu ku ma cell a ziwalo zamkati. Zakudya za odwala omwe ali ndi matenda ashuga ayenera amapanga 40-60% ya chakudya chololedwa.

Fructose ndi chinthu chomera, monosaccharide. Mayina ake ena ndi arabino-hexulose, shuga wa zipatso, ndi levulose. Ali ndi index yotsika ya glycemic - 20 unit. 12 g zinthu zili 1 mkate. Ndi gawo la shuga limodzi ndi shuga.

Ubwino wa fructose mu shuga ndi chifukwa chamapangidwe ogwiritsira ntchito. Vutoli limasiyana ndi shuga chifukwa, likamamwa, limamwa. Pankhaniyi, njira ya fructose metabolism imachitika popanda kutenga insulin. Maselo apuloteni, kuphatikizapo insulini, amafunika kulowa m'magazi a shuga m'magazi.Ngati kuchuluka kwa mahomoni kumakhala kotsika, shuga amakhala m'magazi ndipo amatsogolera ku hyperglycemia.

Mosiyana ndi shuga, fructose simachulukitsa kuchuluka kwa shuga m'magazi. Vutoli limaloledwa mosavuta ndi odwala omwe ali ndi insulin yambiri m'magazi.

Shuga wazipatso ndi wabwino kwa amuna omwe ali ndi matenda ashuga. Zimapangitsa kupanga umuna ndi ntchito. Zimalepheretsa kubereka mwa amuna ndi akazi.

Pambuyo oxidation, fructose imatulutsa mamolekyu apadera - adenosine triphosphates, ofunikira pakugwira bwino ntchito kwa thupi. Levulose ali ndi zotsatira zabwino pamikhalidwe ya mano ndi mano. Wokoma mwachilengedwe amachepetsa chiopsezo cha matenda otupa a kumlomo wamkati ndi ma caries ndi 20-30%.

Ubale pakati pa maubwino ndi zovulaza zotsekemera zakhala zikukambirana kwakutali pakati pa madokotala ndi odwala omwe. Fructose imatha kukhala ndi zotsatirapo zabwino komanso zoyipa.

Glucose imakhutitsa thupi, imapatsa kumva kuti mukukomoka. Shuga wazipatso amathandizira kupanga ghrelin, timadzi tomwe, m'malo mwake, timatha kudya. Chifukwa chake, ndi shuga, sikulimbikitsidwa kuti muzigwiritsa ntchito zakudya zokhala ndi fructose ngati zokhwasula-khwasula kuti musangalale ndi njala.

Levulose sangatengeredwe ndi maselo amthupi. Mukugawika, chiwindi chimakhudzidwa mwachindunji. Zotsatira zake, chinthucho chimasandulika kukhala glycogen kapena mafuta. Fructose imapangidwa mu glycogen pokhapokha ilowa m'thupi mwakuchepera komanso chakudya.

Kupanda kutero, triglycerides amapangidwa. Ndi kuwonjezeka kwa zomwe zimakhala ndi cholesterol yoyipa m'magazi, chiopsezo chotenga matenda chikukula:

  • mtima: kukwiya, kugunda kwa mtima, matenda a m'matumbo,
  • zingayambitse kukhumudwa m'mimba: kudzimbidwa, kuphulika, kupweteka.

Nthawi zina fructose imabweretsa kunenepa kwambiri. Ikagwiritsidwa ntchito, maselo amafuta amatha kupanga omwe amaikidwa mu minofu yamkati. Ndizovuta kwambiri kuti odwala matenda ashuga atenge levulose kuti achepetse thupi: ndiye kuti, amakhala ndi njala nthawi zonse.

Ndi nkhanza za fructose, kuchuluka kwa mkodzo m'magazi kumatha kuchuluka. Izi zimatha kutsogolera kukula kwa urolithiasis, phazi la diabetes kapena gout.

Kugwiritsa

Fructose, ngati sucrose, imakhala ndi ma calories ambiri: mu 100 g - 400 kcal. Ndiwotsekemera kawiri kuposa shuga wokhazikika komanso katatu katatu kuposa shuga. Lawani masamba mwachangu chizolowere maswiti. Popita nthawi, wodwalayo amakhudzika ndi zinthu zachilengedwe komanso amadya levulose yambiri.

Ndi matenda a shuga 1 amitundu, fructose amatha kudya pang'ono. Pakuwerengera nthawi yovomerezeka, magawo a mkate ndi muyeso wa insulin yomwe imayang'aniridwa ayenera kukumbukiridwa.

Ndi matenda 2 a shuga, odwala ayenera kusamala kwambiri. Tsiku lililonse zipatso shuga sayenera upambana 30- 40 g.

Chololedwa chovomerezeka chimawerengeredwa zaka za wodwalayo. Ana akulimbikitsidwa kutenga 1 g ya fructose pa 1 makilogalamu a thupi patsiku. Akuluakulu amatha kudya 1.5 g / kg patsiku. Sitikulimbikitsidwa kupitilira muyeso wa 150 g wa levulose patsiku.

Fructose sayenera kumwedwa ngati wokhazikika. Ena molakwika amalola kudya ma cookie a shuga kapena marshmallows popanda choletsa. Ngakhale zinthu zamkati mwa sitolo zili ndi zinthu zovomerezeka zokha, kuzunzidwa kumatha kubweretsa zovuta zazikulu.

Ubwino ndi kuvulaza kwa fructose mu shuga

Anthu ambiri amakhulupirira kuti zinthu zopangidwa ndi fructose ndizothandiza kwa odwala matenda ashuga. Fructose yokha ngati m'malo mwa shuga itha kugulidwa momasuka m'madipatimenti apadera a hypermarkets. Komabe, mankhwalawo ali ndi malire omwe ngakhale odwala matenda a shuga sangawadziwe.

Matenda a shuga kunyumba. Patha mwezi kuchokera pamene ndayiwala za kudumphira shuga komanso kumwa insulin. O, momwe ine ndimavutikira, kukomoka kosalekeza, kuyimba mwadzidzidzi. Kodi ndapita kangati kwa endocrinologists, koma amangonena chinthu chimodzi - "Tengani insulin." Ndipo tsopano masabata 5 apita, popeza kuchuluka kwa shuga m'magazi ndikwabwinobwino, osati jakisoni imodzi ya insulin ndipo chifukwa chonse cha nkhaniyi. Aliyense amene ali ndi matenda ashuga ayenera kuwerenga!

Nanga ndi mnzakeyo kapena mdani? Fructose poyambirira adagawidwa ngati mankhwala. Amakhala ndi tsiku lililonse kumwa, komwe munthu wina angamuthandize kudziwa dokotala. Ngati fructose imagwidwa, thupi limatha kuvulazidwa - chifukwa limakhala ndi calorie yayitali kwambiri ndipo litasweka m'chiwindi, limayesedwa m'maselo a mafuta, ndipo kunenepa kwambiri ndi chimodzi mwazomwe zimayambitsa matenda ashuga.

Fructose amalimbikitsidwa ngati njira yochepetsera kunenepa, akunena kuti imatha kusintha shuga kwathunthu. M'malo mwake, uku ndi kuwina kotsatsa. Fructose imapezeka muzakudya zambiri, maswiti, omwe amapangidwira anthu opanda matenda a shuga. Kwa opanga, kugwiritsa ntchito kwake ndikothandiza: ndizotsika mtengo kuposa shuga, amasunga mtundu ndi kakomedwe ka zinthu, kuphika kumakhalabe kofewa, kotentha komanso kofungoola kwa nthawi yayitali.

Kuli kuti fructose

Mu shuga, ndibwino kudya fructose mu mawonekedwe ake achilengedwe. Imapezeka mu zipatso, masamba ndi uchi. Kuphatikiza kwakukulu kwa levulose kumawonedwa mu maapulo, mphesa, buliberries, yamatchera, chivwende, mapeyala, ndi currants.

Zipatso za citrus zimathandizanso: ma supimmon, nthochi, malalanje, chinanazi, kiwi, mandarin, mphesa, avocado.

Zipatso zouma zimakhala ndi mafuta ambiri: zipatso, nkhuyu, mphesa zamphesa.

Shuga wochepa zipatso amapezeka mu tomato, tsabola wokoma, nkhaka, zukini, squash ndi zukini.

Zotsatirazi ndi zakudya zomwe zimakhala ndi fructose wokwanira.

ZogulitsaKupanga ndende
Madeti31.95 g
Mphesa8.13 g
Ngale6.23 g
Apple5.9 g
Persimmon5.59 g
Chitumbuwa chokoma5.37 g

Malangizo

Kugulitsa kwapadera mumatha kupeza zokometsera zokopa ndi maswiti ambiri pa fructose. Opanga amapereka ma confectionery ndi zakudya zosiyanasiyana za anthu odwala matenda ashuga: makeke, makeke, ma waffle, marshmallows, chokoleti, zakumwa zotsekemera.

Nthawi zambiri, shuga wazipatso zamasamba amakhala ndi sucrose (45%) ndi fructose (55%). Amasiyana kwambiri ndi levulose wachilengedwe yemwe amapezeka zipatso. Kuti mupewe kuwonjezeka kwambiri kwa shuga m'magazi, onetsetsani kuti mukuwerenga zomwe zikugula mukamagula zinthu.

Odwala odwala matenda ashuga salangizidwa kuti azidya shuga pamsika wa fructose. Kuphatikiza pa shuga wa zipatso, muli zoteteza.

Anthu odwala matenda ashuga amatha kugwiritsa ntchito zotsekemera zouma pakhomo. Zokometsera zimaphatikizidwa ndi tiyi, makeke, masoseji kapena mafuta ophikira. Kwa nthawi yayitali, pakhala kutsutsana pazokhudza mgwirizano pakati pa kugwiritsa ntchito zinthuzi ndi kuopsa kwa khansa. Okometsera amakono ayesedwa ndikuvomerezedwa ndi U.S. National Institute of Health. Mu kafukufuku wawo, panalibe ubale wachindunji ndi khansa yoyambika.

Ndi matenda a shuga, fructose amatha kudya, koma muyenera kuchita izi mosamala. Kukhazikika kwa zosokoneza kungayambitse kukula kwa matenda olimba.

Kuyesedwa kwa hemoglobin ya glycated: zomwe zimachitika mwa amuna ndi akazi omwe ali ndi matenda ashuga

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Nyuzipepala yaku Britain yofalitsa zotsatira za kuyesera komwe kumayenera kukhazikitsa kudalirika kwa hemoglobin ya glycosylated ndi chiopsezo cha kufa pakati pa amuna. HbA1C idayendetsedwa mu odzipereka a mibadwo yosiyana: kuchokera pa zaka 45 mpaka 79. Kwenikweni, anali anthu athanzi (opanda matenda ashuga).

Mwa amuna omwe amawerengera glucose mpaka 5% (pafupifupi), kuphedwa kwamunthu kunali kochepa kwambiri (makamaka kuchokera ku kugunda kwa mtima ndi stroko). Kuchulukitsa chizindikirochi ndi 1% chokha komwe kumawonjezera mwayi waimfa ndi 28%! Malinga ndi zotsatira za lipotilo, mtengo wa HbA1C wa 7% umawonjezera chiopsezo cha kufa ndi 63% (mukayerekeza ndi chizolowezi), ndipo 7% ya anthu odwala matenda ashuga nthawi zonse amawonedwa ngati zotsatira zabwino!

Kuyesedwa kwa hemoglobin ya glycated ndi kafukufuku wofunikira, mtundu wa zilembo zam'magazi zomwe zimakupatsani mwayi wofufuza bwino matenda ashuga. Zimathandizira kuwunika momwe mankhwalawa amathandizira.

Ntchito yayikulu ya hemoglobin ndikupereka mpweya m'maselo. Puloteni iyi imagwirizana ndi mamolekyulu a shuga. Ndizomwe zimatchedwa glycosylated hemoglobin. Mashuga ochulukirapo m'magazi, hemoglobin yochulukirapo imapangidwa, yomwe imadziwika ndi chiwopsezo cha matenda ashuga ndi zotsatira zake.

Pakadali pano, mayesowa ndi ofunikira ku hyperglycemia, amakupatsani mwayi wofufuza matenda ashuga pamene mitundu ina ya mayeso sikukonza. Kuwunikaku kumathandizira kuzindikira bwino matenda a shuga m'magawo oyambira. Kuyesedwa koteroko kumathandiza anthu odwala matenda ashuga kumvetsetsa momwe adayang'anira bwino glycemia kwa masiku 90-100, momwe shuga imayendera mwachangu, komanso ngati mankhwala omwe asankhidwa omwe amachepetsa shuga ndi othandiza.

Ubwino ndi kuipa kwa njirayi

Ma molekyulu a glucose m'magazi amatenga ndi maselo ofiira amwazi. Zotsatira zake ndimapangidwe osasunthika ngakhale mapuloteni awa akafa mu ndulu. Katunduyu wa iwo amathandizira kuzindikira vuto molawirira kwambiri, pomwe mayeso wamba sanamvebe kusintha m'magazi.

Kusanthula musanadye kumakulolani kudziwa shuga, mutatha kudya - kumawunikira zomwe zili pansi pake. Glycated hemoglobin mu shuga mellitus amayesa glycemia m'miyezi itatu yapitayo. Kodi njira yowerengera iyi ndi iti?

  • Kuyesereraku kungachitike osati m'mawa, pafupi ndi kukomoka kwa njala, mayesowo akuwonetsa chithunzi cholondola kwambiri, kuwulula matenda ashuga pamlingo wa prediabetes.
  • Kukhazikika kwa preanalytical - magazi omwe amatengedwa kunja kwa labotale amatha kusungidwa mpaka kuyezetsa kwa vitro.
  • HbA1C imathandizira kuwunika kuchuluka kwa chiphuphu cha shuga mu shuga, kuti musankhe mtundu woyenera wa mankhwala a hypoglycemic.
  • Choyimira sichimatengera kupsinjika, matenda, zolakwika mu chakudya, kumwa mankhwala aliwonse.
  • Kuyesako kumakhala kofulumira, kosavuta komanso kotsika mtengo kuposa mayeso a shuga a chikhalidwe, omwe amatenga maola awiri.

Ndi anemia, hemoglobinopathy kapena mavuto ndi chithokomiro, komanso kuchuluka kwakudya m'zakudya za mavitamini E ndi C, zotsatira zake sizabwino. Njirayi sioyenera kuyesa pachimake hyperglycemia.

Chiyeso chosagwira ntchito kwa amayi apakati. Chithunzi chojambula chimatha kuwonekera pokhapokha mwezi wa 8-9, pomwe mavuto akuwonekera kale mu trimester yachiwiri. Pali odwala omwe amachepetsa kulumikizana pakati pa HbA1C ndi kuwerengera kwa glucose.

Zowonazo ndizophatikiza mtengo wa mayeso: mtengo wapakati pazantchito ndi ma ruble 520 kuphatikiza ma ruble ena okwana 170 ndi mtengo wamapulogalamu a magazi a venous. Si dera lililonse lomwe limakhala ndi mwayi wofufuzidwa.

Chifukwa chiyani muyenera kuyesedwa?

Hemoglobin ndi puloteni yomwe imakhala ndi chitsulo ndipo imatha kunyamula oxygen m'thupi lonse. Maselo ofiira amthupi amakhala ndi miyezi 3-4 yokha, ndikulondola kuti ayesedwe HbA1C ndi pafupipafupi chotere.

Kuchedwa kopanda enzymatic kumapereka mgwirizano wamphamvu wa glucose ndi hemoglobin. Pambuyo pa glycation, glycosylated hemoglobin imapangidwa. Kukula kwa zomwe zimachitika zimatengera kuwerengera kwa mita mu nthawi yoyendetsa. HbA1C imakupatsani mwayi wopenda magazi m'masiku 90-100.

Tisanayesedwe pafupipafupi, odwala matenda ashuga "ambiri amakhala ndi malingaliro," kuyesa kukonza chithunzithunzi. Mukamayesa HbA1c, chinyengo ichi sichikugwira ntchito, zolakwika zonse muzakudya ndi mankhwala azikumbukiridwa.

Zina mwa njira zopezekera pazanema zidanenedwa ndi Pulofesa E. Malysheva:

Miyezo ya HbA1c

Popanda zizindikiro za matenda ashuga, mfundo za HbA1C zimasinthasintha mosiyanasiyana 4-6%. Amawerengeredwa poyerekeza ndi kuchuluka konse kwamaselo ofiira am'magazi. Chizindikirochi chikuwonetsa metabolism wabwino wa chakudya.

Kuthekera kotenga matenda "okoma" kumawonjezeka ndi mfundo za HbA1C kuchokera ku 6.5 mpaka 6.9%. Ngati atha kugunda kwa 7%, izi zikutanthauza kuti kagayidwe ka lipid kamakhala kovuta, ndipo kusintha kwa shuga kumachenjeza za prediabetes. Malire a hemoglobin a glycated (zomwe zili mu shuga mellitus) amasiyana mitundu ya matenda ashuga komanso amisinkhu yosiyanasiyana. Kusiyanaku kukuwonekera bwino pagome.

Ndikofunika kuti achinyamata azisamalira HbA1C yawo poyerekeza ndi odwala matenda ashuga. Kuwunikira kwa hemoglobin ya glycated kwa amayi apakati kumakhala kotheka kwa miyezi 1-3, mtsogolomo, kusintha kwa mahomoni sikupereka chithunzi cholondola.

HbA1C ndi hemoglobin wakupha

Fatog hemin imapezekanso mwa akhanda. Mosiyana ndi ma analogues, mawonekedwewa amatumiza mpweya wabwino m'maselo. Kodi hemoglobin yomwe imapha imakhudza umboni?

Zambiri za okosijeni zomwe zimakhala m'magazi zimathandizira njira ya makutidwe ndi okosijeni, ndipo chakudya chimasinthidwa kukhala glucose mwachangu ndikusintha kofanana ndi glycemia. Izi zimakhudza kugwira ntchito kwa kapamba, kupanga insulini ndi hemoglobin wa shuga.

Zambiri za kuyesa kwa hemoglobin ya glycated - mu kanema:

Zinthu za phunziroli

Mwayi wofunikira pakuwunika hemoglobin ya glycosylated ndi kusowa kwa kufunika kwakukonzekera kulikonse komanso kuthekera kwakuti kuchititse nthawi yovomerezeka. Njira zapadera zimapangitsa kuti zitheke kupeza chithunzi chodalirika mosasamala zakudya kapena mankhwala, matenda opatsirana, nkhawa, kapenanso mowa.

Kuti mupeze chithunzi cholondola cha zotsatira zake, tikulimbikitsidwa kuti tisadye chakudya cham'mawa, chifukwa wodwala, monga lamulo, amayesedwa mozama, ndipo izi zingakhudze mayeso ena. Mu tsiku limodzi kapena awiri mutha kudziwa zotsatira zake. Pokambirana ndi endocrinologist, muyenera kumamuwuza za kuchepa kwa magazi, matenda a kapamba, komanso kugwiritsa ntchito mavitamini.

Zotsatira zoyeserera zimatha kukhala zosiyanasiyana posankha ma labotore osiyanasiyana. Zimatengera njira zomwe amagwiritsa ntchito kuchipatala. Kuti mutsate zamphamvu zakukula kwa matendawa, ndikofunika kuyeserera nthawi zonse malo amodzi. Ndikofunikira kuyesedwa pafupipafupi: kwakhazikitsidwa mwachipatala kuti kuchepa kwa HbA1 ngakhale 1% moyenera kumachepetsa zovuta.

Mtundu wa LEDMavuto omwe angakhalepoKuchepetsa ngozi,%
Mtundu woyamba wa shugaRetinopathy

Type 2 shugaMicro ndi macroangiopathy

Imfa chifukwa cha matenda ashuga

Kodi HbA1 yafupika?

Kufunika kwa HbA1 m'munsi mwabwinobwino m'matenda a shuga kumatanthauza hypoglycemia. Momwe amadziwikiratu amadziwika nthawi zambiri kuposa kupitilirapo. Ndi dzino lotsekemera, ndikugwiritsa ntchito maswiti nthawi zonse, kapamba amagwira ntchito kuvala, kutulutsa timadzi tambiri tambiri. Zofunikira zoyambira ndikupanga ma neoplasms momwe ma b-cell amapanga insulin yambiri.

Kuphatikiza pa matenda ashuga komanso zokonda za dzino lokoma, palinso zifukwa zina zotsika HbA1:

  • Zakudya zazitali za carb
  • Matenda a m'magazi ogwirizana ndi shuga
  • Njira zam'mbuyo komanso zotupa,
  • Anemia
  • Mavuto ndi hypothalamus,
  • Katundu wosakwanira wamisempha
  • Mankhwala osokoneza bongo ambiri a insulin.

Kuti mupeze zomwe zimayambitsa matenda a glycated hemoglobin mu shuga mellitus, ndikofunikira kuyesedwa kwathunthu.

Pa gulu la anthu odwala matenda ashuga omwe amakhala ndi moyo wautali wazaka 5, HbA1 ikhale yodziwika mpaka 8%, chifukwa amakhala ndi vuto la shuga kuposa chiwopsezo cha matenda ashuga. Muubwana ndi unyamata komanso panthawi yomwe muli ndi pakati, ndikofunikira kusunga HbA1C mpaka 5%.

Zomwe zimapangitsa kuti HbA1 iwonjezeke

Kupitilira muyeso wa hemoglobin wa glycated mu mtundu 1 kapena mtundu 2 kungatanthauze hyperglycemia. Matenda a pancreatic nthawi zambiri amapezeka ngati kupenda kwa HbA1 kuli pamwamba pa 7%.Zizindikiro za 6-7% zimawonetsa kulekerera kwa glucose komanso zovuta zama metabolic.

Kwa amayi apakati ndi ana, kuyang'ana hemoglobin wa glycated sikuli kofunikira kuposa kwa okalamba. Mukanyalanyaza malangizowa, zovuta zapakati pa kubereka kwa mwana, kubadwa msanga, komanso kuwonongeka kwa thanzi la mayiyo ndizotheka. Hemoglobin yotsika mumtunduwu ndivuto wamba, chifukwa zofunika zawo zachitsulo ndizokwera kwambiri (mpaka 15 - 18 mg).

Hyperglycemia imadziwika kuti imangokhala ndi mitundu yosiyanasiyana ya matenda ashuga, komanso matenda a chithokomiro, kulephera kwa chiwindi, kusokonezeka kwa hypothalamus (gawo laubongo lomwe limayang'anira ntchito ya gland ya endocrine).

Ngati ana akwezeka hemoglobin (kuyambira 10%) glycated hemoglobin, ndizowopsa kuigwetsa pansi kwambiri, mwanayo amayamba kuona. Ngati vutoli lokha silinathetsedwe kwa nthawi yayitali, litha kuchepetsedwa ndi mankhwala ndi 1% pachaka.

Glycemic control kunyumba

Ndi mtundu uliwonse wa matenda ashuga, boma la magazi anu liyenera kuwunika tsiku lililonse kuti musinthe katundu, zakudya kapena mlingo wa mankhwala ngati kuli kofunikira. Nthawi zambiri mita ya shuga imayang'ana kuti shuga asala kudya, maola awiri mutatha kadzutsa, musanadye chakudya chamadzulo komanso usiku.

Mtundu wachiwiri wa matenda ashuga, ngati wodwala salandira jakisoni wa insulin, njira ziwirizo ndizokwanira. Kuchulukitsa kwa wodwala aliyense kumatsimikiziridwa ndi dokotala. Zotsatira za ashuga a glucometer amalembedwa mu diary kuti ayese mbiriyo mumphamvu. Ndikulimbikitsidwa kuyang'ana shuga pa nthawi yomwe muli ndi pakati, nthawi yoyenda, ndi minofu kapena kutopa kwambiri.

Ngati matenda ashuga apezeka kale ndipo akupita patsogolo, simuyenera kungokhala pa mayeso amodzi a HbA1C. Sichikuwonetsa kusintha kwa kapangidwe ka magazi ndi katundu wa carbohydrate, kuthandiza kusintha molondola moyo.

Odwala ena a shuga samawongolera glycemia, pofotokoza chisankho chawo chifukwa chakuti kusokonezeka kosafunikira kumakhudza deta yoyesa.

Zomwe zotsatira zoyesazi zimanena zimatha kumvetsetsa.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

HbA1C,%Glucose, mmol / LHbA1C,%Glucose, mmol / L
43,8810,2
4,54,68,511,0
55,4911,8
5,56,59,512,6
67,01013,4
6,57,810,514,2
78,61114,9
7,59,411,515,7

Momwe mungasungire dzuwa lanu la plasma

Malangizo apadera amafuna kuti odwala matenda ashuga a HbA1C akhale pansi pa 7%. Pokhapokha, matenda a shuga amalipiridwa mokwanira, ndipo chiwopsezo cha zovuta ndizochepa.

Mwapang'ono, zakudya zama carb zotsika zimathetsa vutoli, koma kuchuluka kwa chiphuphu cha shuga kumayenderana mwachindunji ndi zovuta za hypoglycemic. Luso la kumverera bwino pakati pamaopsezo a hypoglycemia ndi hyperglycemia, wodwala matenda ashuga amaphunzira moyo wake wonse.

Glycated hemoglobin ndi deta ya masiku 90-100, ndipo ndizosatheka kuiletsa m'nthawi yochepa, ndipo ndiyowopsa. Chofunikira chachikulu pakulipira kwa glycemia ndi kupewa zovuta pamavuto a carbohydrate metabolism ndikutsatira kwambiri zakudya.

  1. Zakudya zotetezeka kwambiri ndizapuloteni: nyama, nsomba, mazira, mkaka, popanda thupi sizingakhale bwino.
  2. Kuchokera pa zipatso ndi ndiwo zamasamba, ndibwino kuti musankhe zomwe zimamera pamwamba pa nthaka: nkhaka, kabichi, zukini, mapeyala, maapulo, mandimu, nkhanu. Zomera zozikika ndi zipatso zotsekemera (mphesa, nthochi, mapeyala) zimadyedwa mu nyengo yoposa 100 g ndipo mosiyana ndi zinthu zina.
  3. Matenda a shuga ndi nyemba ndi othandiza, nandolo amathanso kudyedwa zobiriwira. Nyemba za nyemba ndi chida chotsimikiziridwa chochepetsera shuga.
  4. Ngati muli ndi vuto losafuna kudya chinthu chokoma, ndibwino kuti mutenge chokoleti chamkati (30 g) ya chokoleti chamdima (osachepera 70% cocoa) kuposa maswiti omwe amadziwika ndi matenda ashuga omwe ali ndi fructose.
  5. Kwa okonda chimanga, ndibwino kuti musankhe zakudya zamafuta pang'ono, zomwe zimamwa nthawi yayitali ndipo zimakonzedwa bwino. Balere imakhala ndi index yotsika kwambiri ya glycemic, koma imakhala ndi gluten. Mpunga wakuda, mphodza, mphira, ndi oats zina nthawi zina zimatha kuphatikizidwa muzakudya.

Chakudya chizikhala chopindika, mpaka katatu pa tsiku. Mapuloteni ndi zakudya zamafuta kwambiri zimadyedwa mosiyana. Kuchiritsa kwamoto pazinthu - zofatsa: kuwongolera, kuphika, kuwonda.

Kuti muchepetse kunenepa, kusangalala, kukhala wathanzi, komanso, shuga, ndikofunikira kuti mupange masewera olimbitsa thupi anu pafupipafupi, poganizira zaka ndi thanzi lanu.

Kuwunikira pafupipafupi kwa hemoglobin ya glycosylated mu shuga mellitus ndikofunikira kubwezeredwa kwabwino kwa glycemic. Zovuta zomwe zimawululidwa panthawiyi zimathandiza kukonza njira zochizira, kupewa zovuta za matenda ashuga. Chiyeso cha HbA1 chimaphatikizidwa ndi European Association of Endocrinologists mu zovuta za zolembera zoyenera kuti azindikire matenda a shuga.

Kuti mumve zambiri panjira yoyesera ya HbA1, onani vidiyo:

Kodi ndizotheka kudya maswiti a odwala matenda ashuga: maphikidwe a fructose a shuga mellitus mtundu 1 ndi 2

Maswiti a matenda ashuga ndi chakudya chenicheni. Kutsekemera kofananako kungapezekenso m'mashelefu asitolo, ngakhale si odwala matenda ashuga onse omwe amadziwa za izi.

Makandulo a odwala matenda ashuga a mtundu woyamba ndi wachiwiri ndi osiyana kwambiri ndi zakudya zamafuta wamba. Izi zikugwira ntchito pa kulawa, ndi kusasinthika kwa malonda.

Kodi maswiti amapangidwa ndi chiyani?

Maswiti a odwala matenda ashuga amatha kusiyanasiyana, ndipo kapangidwe kawo kamasiyanasiyana kutengera wopanga ndi kapikisidwe. Ngakhale izi, pali lamulo lalikulu - palibenso shuga pang'onopang'ono mu malonda, chifukwa amaloledwa ndi ma analogues:

Izi zimasinthika kwathunthu motero zina zake sizingafanane ndi maswiti. Kuphatikiza apo, shuga onse omwe ali ndi shuga sangathe kuvulaza chamoyo cha matenda ashuga komanso amangokhala ndi zotsatirapo zabwino.

Zambiri za okometsera

Ngati wodwala matenda ashuga ali ndi vuto lililonse wogwiritsa ntchito shuga, ndiye kuti siziwayika kudya maswiti. Komabe, mayankho osakwanira oterewa m'thupi amakhala osowa kwambiri.

Omwe amathandizira shuga, saccharin, alibe kalori imodzi, koma amatha kukhumudwitsa ziwalo zina, monga chiwindi ndi impso.

Poganizira njira zina zilizonse zotsekemera, ziyenera kunenedwa kuti zimakhala ndi zopatsa mphamvu zambiri ngati chakudya. Pankhani ya kukoma, sorbitol ndiye wokoma kwambiri kuposa onse, ndipo fructose ndiye wokoma kwambiri.

Chifukwa cha kutsekemera, maswiti a anthu omwe ali ndi matenda ashuga amatha kukhala okoma ngati maswiti wamba, koma ndi index yotsika ya glycemic.

Maswiti okhala ndi analogue ya shuga aloŵa m'matumbo am'mimba, mayamwidwe ake m'mitsempha amayamba pang'onopang'ono.

Poganizira izi, palibe chifukwa chowonjezera cha insulin. Ndi chifukwa cha izi kuti ndiwozi zomwe zimapangidwira zili ndi phindu kwa odwala omwe ali ndi matenda osokoneza bongo a mtundu woyamba komanso wachiwiri.

Maswiti amatha kukhutitsa thupi ndi zinthu zonse zofunika pakuchita kwake bwino.

Kodi mungadye zochuluka motani popanda vuto?

Kwa munthu amene ali ndi matenda a shuga, pafupifupi tsiku lililonse la fructose, komanso shuga ina, sidzaposa 40 mg, womwe ndi wofanana ndi maswiti atatu. Kuphatikiza apo, ngakhale mutapeza mapindu ake, ndizoletsedwa kudya maswiti amenewo tsiku lililonse.

Mukamadya zakudya za anthu odwala matenda ashuga, muyenera kuwunika kuchuluka kwa magazi anu tsiku lililonse!

Ngati kuchuluka kwa shuga m'magazi sikukwera pambuyo pa mankhwalawo, ndiye kuti ndizotheka kuzisintha mtsogolo. Mwambiri, maswiti ndi maswiti a shuga sangathe kuvulaza, pokhapokha ngati zomwe amachita tsiku ndi tsiku samadyedwa kamodzi, koma amagawidwa chimodzimodzi.

Madokotala ndi akatswiri azaumoyo amalimbikitsa kudya maswiti a odwala matenda ashuga m'magawo angapo. Pokhapokha ngati kutulutsa shuga m'magazi sikungachitike.

Ngati munthu wodwala matenda ashuga wasintha mtundu wa maswiti omwe amwedwa, ndiye kuti izi zimathandiza kuti shuga ayendetsedwe.

Ngakhale kutetezedwa kwathunthu pokhudzana ndi glycemia sikukutanthauza kuchoka machitidwe osamala. Njira yabwino ikakhala kumwa maswiti a shuga ndi tiyi wakuda kapena chakumwa chilichonse chopanda shuga.

Kodi mungasankhe bwanji maswiti "oyenera"?

Poganizira nkhaniyi, ndikofunikira kuti onetsetsani kuti mumayang'ana poyamba pazomwe zikuwonetsedwa pa zilembo. Mu mchere, kuwonjezera pa zotsekemera, zosakaniza zotsatirazi ziyenera kuphatikizidwa:

  1. ufa wa mkaka
  2. CHIKWANGWANI (chimakhala cholowa mmalo ndi cholepheretsa kuyamwa kwa chakudya),
  3. m'munsi mwa zipatso
  4. zosakaniza zachilengedwe (mavitamini A ndi C).

Maswiti apadera alibe zokonda, zoteteza kapena zojambula zomwe zimakhala zovulaza kwa odwala matenda ashuga. Kuchoka kwina kulikonse kwachilengedwe kumakhala ndi mavuto ndi ziwalo zam'mimba, zomwe zimalemetsa ntchito ya ziwalo zina zambiri ndi machitidwe.

Ndikofunika kuwonetsa kuti maswiti ayenera kugulidwa kokha pamisika yapadera yogulitsa kapena pa pharmacy chain. Kutsimikizira kwa satifiketi yoyenera ndikuzindikira mawonekedwe ake sikuyenera kunyalanyazidwa. Njira iyi yokhudzana ndi zakudya zam'mimba zimapangitsa kuti zitheke zofunikira zokha.

Musanaphatikizepo maswiti a shuga mu zakudya, muyenera kufunsa dokotala!

Maswiti a DIY

Kuti mutsimikizire za mtundu komanso zigawo za maswiti, ndizotheka kudzipanga nokha. Izi ndizabwino koposa, chifukwa mutha kusintha mitunduyo kuti mumve kukoma koyenera.

Chinsinsi chotchuka kwambiri komanso chotsika mtengo chimaphatikizapo kupanga maswiti a matenda ashuga:

  • madeti (zidutswa 20-30),
  • makapu a walnuts (250 g),
  • 50 g batala,
  • supuni ya ufa wa cocoa,
  • nthangala za sesame (kulawa),
  • coconut flakes (kulawa).

Kuti mupeze mankhwala abwino, ndibwino kuti musankhe ma walnuts apamwamba kwambiri. Cholowa m'malo chingakhale ma hazelnuts.

Zofunika! Mtedza suyenera kukazinga. Ayenera kukhala owuma bwino.

Poyamba, ndikofunikira kumasula zipatso zouma kuchokera ku mbewu ndikusankha bwino pamodzi ndi mtedza wokonzedwa. Izi zitha kuchitika pogwiritsa ntchito chopukusira nyama kapena chosakanizira.

Potsatira misa yikani cocoa ndi batala. Maswiti okhala ndi maswiti amakhazikitsidwa bwino kuti azisinthasintha.

Unyolo womalizidwa umagawidwa m'magawo ang'onoang'ono ndipo zinthu zamtsogolo zimapangidwa. Amatha kukhala mu mawonekedwe aliwonse. Maswiti opakidwa amayenera kugulitsidwa mosamala mu coconut kapena nthangala za sesame. Maswiti aikidwe mufiriji kwa mphindi 15, atatha kugwiritsidwa ntchito mokwanira.

Tsiku la maswiti otere lidzafunika ma apricots owuma, zipatso, mtedza ndi chokoleti chamdima chakuda. Kuti mukonzekere, ndikofunikira kutsuka bwino zouma zouma (zidutswa 20) ndikuzilowetsa m'madzi ozizira usiku, koma zilowerereni mumtsuko wina.

M'mawa, madzi amathiridwa, ndipo zipatso zimaphwa ndi thaulo la pepala. Sungunulani chokoleticho posamba madzi. Chidutswa cha mtedza chimayikidwa mu zipatso zilizonse zowuma, ndikuchiviika mu chokoleti chotentha. Maswiti okonzeka amayikidwa pa zojambulazo ndikulola kuti chokoleti chiziwalitsa.

Zogulitsa maswiti okonzedwa motere zimatha kudyedwa osati ndi anthu odwala matenda ashuga okha, komanso ndi anthu opanda matenda. Ndipo komabe, ndikofunikira kudziwa chokoleti choti odwala matenda ashuga asankhe.

Mukamagula maswiti, ndikofunikira kwambiri kuti muwerenge mosamala zidziwitso zonse zoperekedwa pamapaketi awo. Sikuti mankhwala aliwonse omwe amachititsa kuti azikhala ndi matenda ashuga alipo kwenikweni. Kuphatikiza apo, muyenera kufunsa dokotala wanu za kuyenera kudya zakudya zotere.

Kodi pali maswiti omwe angakhale odwala matenda ashuga?

  • Kupanga
  • Chinthu chosangalatsa kwambiri pazinthu
  • Mlingo wololedwa
  • Momwe mungasankhire
  • Maphikidwe odzipangira nokha

"Maswiti a matenda ashuga" - zimamveka ngati nkhambakamwa, koma izi ndi zowona. Maswiti oterewa alipo, koma sizikhala zomwe aliyense wa ife amazolowera. Izi zotsekemera, zopangidwira odwala matenda ashuga okha, zimasiyana ndi chokoleti wamba kapena maswiti pakoma ndi kapangidwe. Kodi kusiyana kwake ndi chiyani kwenikweni - kupitanso m'nkhaniyo.

Maphikidwe ophika

Kuphatikizika kwa zinthu zamtunduwu kwa odwala matenda ashuga kumaphatikizapo shuga. Chifukwa chake, maswiti aphatikizapo:

Izi ndi zinthu zosinthika, zina zake sizingaphatikizidwe popanda kuvulaza thupi. Komanso zosakaniza zonse zomwe zingatchulidwe zingakhale mu mawonekedwe ndi maswiti nthawi imodzi zingakhale zothandiza kwa odwala matenda ashuga.

Chinthu chosangalatsa kwambiri pazinthu

Pankhani ya zovuta zomwe thupi limakumana nazo, dermatitis, kugwiritsa ntchito zosakaniza zilizonse zitha kuletsedwa. Komabe, izi ndizosowa kwambiri. Cholocha cha shuga monga saccharin, chomwe ndi gawo lalikulu la maswiti, mulibe zopatsa mphamvu. Nthawi yomweyo imakhala ndi chinthu chosasangalatsa pa chiwalo monga impso ndi chiwindi.
Ngati tikulankhula za sorbitol, xylitol, fructose ndi beckoning, omwe ali gawo la maswiti, ndiye, mosiyana ndi saccharin, ali okwera kwambiri mu zopatsa mphamvu monga chakudya chofanana. Pankhani ya kukoma, xylitol ndi mannitol amakhala okoma kangapo kuposa sorbitol. Nthawi yomweyo, fructose imakhala yokoma kwambiri. Tithokoze kwa iwo, maswiti omwe adapangidwira odwala matenda ashuga ndi okoma ngati okhazikika, koma ndi index yotsika ya glycemic.
Zigawozi zikakhala mthupi laling'ono, ndiye kuti kumizidwa m'magazi kumachitika pang'onopang'ono. Ichi ndichifukwa chake palibe chifukwa china chowonjezera cha mitundu ya insulin. Chifukwa cha izi, maswiti omwe aperekedwa amathandizanso anthu omwe ali ndi matenda ashuga.
Kumbali imodzi, amakhutitsa matupi awo ndi zinthu zonse zofunika kuphatikizapo zinc, ndipo, izi zimachitika popanda kuvulaza thupi lawo.

Mlingo wololedwa

Gawo lovomerezeka la saccharin ndi zosakaniza zina patsiku sizoposa 40 mg (maswiti atatu), ndipo ngakhale apo ayi tsiku lililonse. Poterepa, ndikofunikira kuwunika kuchuluka kwa shuga m'magazi. Ngati zili zachilendo, ndiye kuti kugwiritsanso ntchito kwazinthuzo ndizovomerezeka.
Mwambiri, maswiti ndi kugwiritsa ntchito kwawo zimakhudza thanzi la anthu odwala matenda ashuga. Komabe, sikuti kuchuluka kokha ndikofunikira, komanso momwe mankhwala omwe amaperekedwera amagwiritsidwa ntchito chimodzimodzi.
Mutatha kudya maswiti awiri kapena atatu nthawi imodzi, thupi la munthu limadzaza ndi shuga mwachangu, pomwe limalowa m'magazi ndikuchepetsa njira zonse za metabolic.

Izi sizingalolere, chifukwa chake ndikofunikira kugawa molondola momwe zinthu izi zalandiridwira.

Ndi bwino kuwagwiritsa ntchito mu zakudya Mlingo zingapo.

Ngati wodwalayo atayamba kugwiritsa ntchito maswiti amtundu wina, ndiye kuti pambuyo pa phwando lililonse ayenera kuyeza mulingo wa insulin m'magazi.

Ngakhale atetezedwe, njira zopewera chitetezo ziyenera kutsatiridwanso.
Njira yabwino ndikugwiritsa ntchito maswiti ndi tiyi kapena chakumwa chilichonse chomwe chingachepetse kuchuluka kwa shuga. Koma chosafunikanso ndichakuti momwe maswiti amasankhidwa. Pankhani yosankha yolakwika, thupi limatha kuvulazidwa.

Momwe mungaphikire zakudya zamitundu yosiyanasiyana za shuga, werengani ulalo.

Momwe mungasankhire

Choyamba, muyenera kulabadira zomwe zalembedwazi. Maswiti amayenera kukhala ndi zinthu zonse zomwe zalembedwa pamwambapa, komanso:

  • CHIKWANGWANI, chomwe chimathandizira kulowetsedwa ndikuchepetsedwa kwa mafuta achilengedwe,
  • zosakaniza zachilengedwe: mavitamini a magulu A ndi C,
  • ufa wa mkaka
  • m'munsi mwa zipatso.

Komanso, maswiti oterowo sayenera kukhala ndi zoteteza kapena utoto.Amakhala ovulaza kwambiri odwala matenda ashuga, chifukwa amakhudza kwambiri zomwe zimachitika m'matumbo ndipo zimapangitsa kuti ziwalo zina zonse zizigwira ntchito.
Tiyenera kukumbukira kuti ndikofunikira kugula zinthu m'masitolo apadera. Komabe, ayenera kukhala ndi ziphaso zonse zoyenera, ndipo mndandanda wazophatikizira uyenera kukhalapo pamaphukusi osalephera. Ichi chidzakhala chitsimikizo kuti maswiti azikhala apamwamba kwambiri.

Musanagule, ndikofunikira kufunsa katswiri yemwe angakuuzeni omwe ali oyenera mlanduwu.

Maphikidwe odzipangira nokha

Kupanga maswiti oterewa okhala ndi shuga wambiri ndizotheka okha. Amavomerezedwanso ndi akatswiri, koma zopangira izi ziyenera kusankhidwa zamtundu wapamwamba momwe zingathere.
Chinsinsi chotsika mtengo kwambiri chimaphatikizapo kupanga zinthu ndi kuwonjezera kwa zipatso muzaka 20 mpaka 30. Mufunikanso kapu imodzi ya mtedza, pafupifupi magalamu 50 a batala (kutengera kuchuluka kwa madeti), supuni imodzi ya ufa wa cocoa, nthangala za sesame kapena shaonings shaon.
Kuti tiwapange kukhala abwino komanso athanzi, ndizofunikira:

  1. gwiritsani ntchito walnuts kapena hazelnuts. Opera bwino
  2. madeti amadzazidwa komanso oponderezedwa. Blitter ndi woyenera pamenepa,
  3. onjezani cocoa osakaniza.
  4. onjezani batala molingana ndi kuchuluka kwa masiku,
  5. patsani zonsezi kwa mphindi zingapo ndi blender.

Mukapeza misa yambiri, zidutswa zimang'ambika ndipo zinthu zimapangidwa. Ndikotheka kuwapatsa mawonekedwe aliwonse: otalikirana, momwe amapangira mipiringidzo, ndikupangitsanso mtundu wa phokoso lawo.
Anthu ambiri amakonda kumangowafalitsa patebulo masentimita angapo ndikuwadula. Pambuyo pakupanga kwazinthu, ndikofunikira kuzikulunga mu mawonekedwe a zipatso za coconut kapena china chilichonse chomwe mungakonde.
Gawo lomaliza lokonzekera zomwe zaperekedwa zimaphatikizanso kuziyika mufiriji. Pambuyo mphindi 10-15 amatha kumwa.

Maswiti okhala ndi nyumba, mosiyana ndi omwe amagulitsidwa m'masitolo apadera, amatha kudya ngakhale ndi omwe alibe shuga.

Chifukwa chake, poganiza zogula maswiti makamaka kwa odwala matenda ashuga, muyenera kulabadira zinthu zonse zomwe zimapanga kapangidwe kake. Ndikofunikanso kuti muyambe mwakambirana ndi katswiri yemwe angazindikire kuyenera kwa kugwiritsa ntchito kwawo. Ndizodziwikanso kuti zopangidwa zopanda shugazi ndizosavuta kusamalira kunyumba mosavuta.

Zipangizo za Fructose a shuga

Kutsekemera kumafunika mukafuna kuchepetsa shuga. Fructose ndi monosaccharide ndipo safuna kuti insulin iwonongeke, izi ndi zina mwazifukwa zomwe zimapangitsa kuti malonda amtunduwu azikondedwa ndi anthu omwe ali ndi matenda ashuga.

Inde, nthawi zambiri, pakudya fructose mpaka 30 mpaka 40 magalamu patsiku, munthu wodwala matenda a shuga amachepetsa kufunika kwa insulin, akumva mphamvu. Komabe, anthu ambiri amaiwala kuti fructose ndi mankhwala opatsa mphamvu kwambiri ndipo nthawi yomweyo sayambitsa kukhuta, ndiye kuti, mudzadya, koma manjawo amakhala ovuta kuti akwaniritse.

Opanga ufa ndi confectionery, zakumwa zoziziritsa kukhosi nthawi zambiri amagwiritsa ntchito fructose popanga zinthu, chifukwa fructose ndiwachuma kuposa shuga:

  • okoma kwambiri, omwe amalola kuti azigwiritsidwa ntchito pang'ono,
  • sichimapatsa thupi chizindikiritso cha machulukitsidwe - zomwe zikutanthauza kuti mankhwalawo adzadyedwa kapena kuledzera pamiyeso yayikulu kuposa analogue pa sucrose, momwe glucose alipo.

Maswiti a Fructose a shuga ayenera kugwiritsidwa ntchito mosamala. Musaiwale kuti confectionery kapena makeke (omwe ali osavomerezeka kwa odwala matenda ashuga) ndi zinthu zovuta zomwe zimakonzedwa kuchokera pazosakaniza zonse. Kuphatikiza pa mulingo wa fructose, ali ndi zisonyezo zina zomwe zingakhudze kuchuluka kwa shuga m'magazi.

  • Ma cookie a Fructose akuyenera kugwiritsa ntchito ufa wotsika wa glycemic, wopanda mazira a nkhuku yaiwisi. Musatengeke nawo pophika mkate, ngakhale atapangidwa monga matenda ashuga.
  • Ma cookie a Gingerbread, otchuka pakati pa azimayi omwe akuchepetsa thupi, amatha kuchita ntchito - pokonza monosaccharide kokha ndi maselo a chiwindi, amasintha kukhala mafuta acid ndipo amayikidwa mu mawonekedwe amafuta. Popeza kuti zinthu zophikidwa zoterezi zimadyedwa m'magawo akuluakulu, kuwonongeka kwake kudzadziwika posachedwa kwambiri m'dera la m'chiuno.
  • Maswiti a Fructose amakhalanso ndi choletsa kudya - osaposa miyezi 4, pambuyo pake muyenera kupuma.
  • Chokoleti chachilengedwe chimaphatikizidwa kwa odwala matenda ashuga, mosatengera mtundu wamatenda, chifukwa ali ndi index yayikulu ya glycemic ndipo amatha kuvulaza ngakhale pang'ono. Fructose Chocolate ndi chinthu chopangidwa makamaka kwa odwala matenda ashuga. Kuphatikiza pa cocoa, ilibe mafuta, batala wa cocoa, mafuta a kanjedza. Amatsitsimuka kwakukulu pazinthu zovulaza odwala matenda ashuga.
  • Halva kwa odwala matenda ashuga amapangidwa kuchokera ku mtedza ndi chimanga chokhala ndi index yotsika ya glycemic. Ichi ndi chimodzi mwazinthu zomwe zimathandizira kufunika kwa maswiti. Muyenera kuyang'ana mosamala kuti utoto ndi zoteteza zisapezekemo.
  • Zakudya zokhala ndi matenda ashuga zimakhala ndi mndandanda wotsika wa glycemic, pomwe zonunkhira komanso zonyoza. Malondawo atha kukhala okoma kuposa mnzake wokhazikika wa shuga. Ndikofunika kukumbukira kuti monosaccharide sichimapereka kukhudzika ndikukhala osamala pakugwiritsa ntchito - makamaka kwa ana.
  • Famizamu kupanikizika imakhala yotchuka kwambiri ndi opanga ndi amayi a nyumba. Ichi ndichifukwa chake monosaccharide palokha ndiyabwino kwambiri yosamalitsa yomwe imakupatsani mwayi wokulitsa mtundu wokongola wazinthu.

Mukamasankha zogulira m'malo mwa shuga, ndikofunikira kupeza chitsimikizo kuti mukutenga mankhwala oti agwiritsidwe ntchito ndi odwala omwe ali ndi matenda ashuga. Fructose amagwiritsidwanso ntchito kuphika wamba, timadzi tokonzanso, timadziti, pomwe glycemic index ikukwera kwambiri.

Makolo omwe ali ndi matenda a shuga nthawi zambiri amalola kuti fructose adyedwe ndi ana. Ngati sikofunikira, ndibwino kusiya malingaliro awa, chifukwa glucose ndiofunikira kuti thupi la mwana likukula - limadyetsa ubongo.

Konzani matenda a shuga

Kusiyana pakati pa matenda a shuga ndi mitundu ina ndikuzindikira kusowa kwa shuga m'magazi nthawi yomweyo panthawi yoyembekezera. Chiwerengero cha kupezeka kwa endocrine pathology - mpaka 4% ya milandu yonse.

Zotsatira zoyipa zimatha kukhala kuchotsa kwa m'mimba koyambirira, kapena kukula kwa zolakwika za muubongo ndi mtima wa mwana wosabadwayo. Matenda a shuga amtunduwu amatanthauza zovuta zomwe zimachitika pathupi ndipo ngati sizichiritsidwa, amatha kukhala ndi matenda ashuga 2.

Pa nthawi yoyembekezera, zinthu zomwe zimakhala ndi mphamvu yayikulu kwambiri zimatsutsana. Fructose ali pamndandanda wazinthu izi, chifukwa chake chimasiyidwa kwathunthu panthawi yapakati. Ichi ndi mankhwala apamwamba a calorie osathandiza kuthetsa njala. Amayi oyembekezera akadapitiliza kumwa mankhwala amenewa, amalandila kwambiri, zomwe zimapangitsa kuti matenda ashuga azikula.

Kudya kwa fructose kumasokoneza chikhalidwe cha kudya ndipo kumabweretsa kusalinganika kwa mahomoni. Popeza pa nthawi yomwe amayi amatha kukhala ndi vuto losagwirizana ndi mahomoni amakhala osakhazikika, ndizotheka kukhala ndi matenda omwe amachitika chifukwa cha kupezeka kwa metabolic komanso kuchuluka kwa mchere - gout, cataracts.

Zomwe zili bwino ndi shuga: fructose kapena sorbitol

Ma sweeteners omwe akupanga tekinoloje yopanga asintha kuchokera ku gulu lamankhwala kupita kugula zinthu zotsika mtengo zomwe ogula angagule mosavuta m'madipatimenti akuluakulu ndi zinthu zokhala ndi moyo wathanzi.

Fructose ndi sorbitol ndizabwino kwambiri komanso zotsekemera kwambiri. Onse ali ndi zabwino komanso zovuta zomwe muyenera kuziganizira ngati muli ndi matenda ashuga komanso muyenera kuwongolera shuga.

  • Fructose ali ndi katundu wotchulidwa tonic: akatengedwa, anthu amawona kuwonjezeka kwa machitidwe, magwiridwe. Zilibe chowonongeka pa enamel ya mano, mosiyana ndi sucrose.
  • Sorbitol - yatchulidwa choleretic kwambiri. Imathandizira kusintha microflora yamatumbo.

Malinga ndi magwero osiyanasiyana, kudya kwa zotsekemera tsiku lililonse ndi 30-50 magalamu. Kuchulukitsa kwa fructose kumayambitsa kunenepa kwambiri, ndipo sorbitol imatha kutulutsa komanso kugaya chakudya m'magazi. Zinthu zonsezi ndi zopatsa mphamvu. Ndikofunikira kupereka zokonda m'modzi mwa oloweza pamaziko a zotsatira za kusanthula, pakulimbikitsidwa ndi dokotala.

Sitikulimbikitsidwa kusinthira kwathunthu m'malo a shuga, izi zimatha kusokoneza ntchito yathupi lathunthu. Ngati ndi kotheka, shuga amayenera kulowedwa m'malo ndi zipatso zokazinga, uchi, zipatso zouma, zomwe zingathandizenso kukhwimitsa zinthu zofunika osati kuvulaza thupi.

Mtundu wachiwiri wa matenda ashuga, fructose amathandiza kupewa hyperglycemia komanso amathandizira kuwongolera shuga. Zimathandizira anthu omwe ali ndi matenda ashuga kukwaniritsa kufunika kwa maswiti, osachulukitsa kuchuluka kwa shuga komanso kufunika kokweza chitsulo ndi kuchuluka kwa mahomoni. Komabe, fructose sichiwopsezo cha matenda ashuga; sichingatengeke ndi minyewa kapena ubongo.

Fructose ndi gwero lamphamvu lamphamvu, kwa anthu abwino ndi ana ang'onoang'ono, zimatha kupanga zofunikira kuti chiwonetsero cha mitsempha chikhale chambiri ngati chinthucho chikuchitiridwa chipongwe.

Onaninso kanema wokhudza fructose:

Ndili ndi zaka 47, ndinapezeka kuti ndili ndi matenda ashuga a 2. M'masabata angapo ndinapeza pafupifupi 15 kg. Kutopa nthawi zonse, kugona, kumva kufooka, kuwona kunayamba kukhala pansi.

Nditakwanitsa zaka 55, ndinali nditadzibaya kale ndi insulin, zonse zinali zoipa kwambiri. Matendawa adapitilirabe, kukomoka kwakanthawi kunayamba, ambulansi imandibwezera kuchokera kudziko lina. Nthawi zonse ndimaganiza kuti nthawi ino ikhala yomaliza.

Chilichonse chinasintha mwana wanga wamkazi atandilola kuti ndiwerenge nkhani imodzi pa intaneti. Simungayerekeze m'mene ndimamuyamikirira. Nkhaniyi inandithandiza kuthana ndi matenda ashuga, omwe amati ndi osachiritsika. Zaka 2 zapitazi ndidayamba kusuntha kwambiri, nthawi yamasika ndi chilimwe ndimapita kumayiko tsiku lililonse, ndikumalima tomato ndikugulitsa pamsika. Azakhali anga amadabwa ndimomwe ndimapangira chilichonse, komwe ndimapeza mphamvu zambiri, sakhulupirira kuti ndili ndi zaka 66.

Ndani akufuna kukhala ndi moyo wautali, wamphamvu komanso kuiwalako za matenda oyipawa kwamuyaya, tengani mphindi 5 ndikuwerenga nkhaniyi.

Kusiya Ndemanga Yanu