Matenda A shuga Otsika a Carb

Insulin idapangidwa kokha kumayambiriro kwa zaka za m'ma 1900. Izi zisanachitike, anthu odwala matenda a shuga omwe amadalira insulin "adapulumuka", adathandizira kukana kugwiritsa ntchito zakudya zamafuta ambiri. Mu 50s ya zaka za zana la makumi awiri, chakudya chokhazikitsidwa ndi kuletsa kudya kwa zakudya zamafuta zinabwera mwa mafashoni. Amagwiritsidwa ntchito mwachangu ndi akatswiri othamanga nthawi ya "kuyanika". Akatswiri azakudya amalimbikitsa zakudya izi kwa anthu omwe akufuna kuchepa thupi.

Kafukufuku wasonyeza kuti kudya zakudya zamagulu ochepa m'matenda a shuga kumathandizira kuchepetsa kuchuluka kwa insulin ya matenda a shuga 1 (T1DM) komanso kuletsa mapiritsi ochepetsa shuga a matenda a shuga 2 (T2DM).

Maphikidwe a Zakudya Zopatsa shuga za Carbic Low

Pamodzi ndi zochita zolimbitsa thupi, zakudya zomwe zimachepetsa kudya za caloriyamu zimalimbikitsidwa kwenikweni kwa odwala matenda ashuga. Pogwiritsa ntchito zakudya zama carb ochepa, wodwala yemwe samadwala matenda a insulin amadalira matendawa kuti athetse matendawa, ndipo wodwala matenda amtundu wa 1 amatha kukhala ndi moyo nthawi yayitali, akulipirira matenda ake a shuga omwe amapezeka ndi insulin yotsika kwambiri.

Pambuyo powunikira mndandanda wazinthu zomwe zalimbikitsidwa za matenda ashuga, aliyense atha kudzipangira okha menyu. Ndi chakudya, tiyenera kudya mapuloteni, mafuta ndi chakudya chamagulu kuti tikhala ndi moyo. Ndikofunikira kudziwa kuchuluka kwazinthu izi muzakudya zathu.

Mapuloteni ndiye maziko a chakudya chochepa kwambiri. Mapuloteni amathanso kusintha kukhala shuga, koma njirayi imachitika pang'onopang'ono, popanda kuyambitsa kusinthasintha kowopsa m'magazi a magazi. Idyani Mopanda Mantha:

Mwa zamkaka, zomwe amakonda:

Zinthu mkaka wowawasa,
Tchizi
Batala,
Kirimu
Curd (yoletsa).

Tsiku lililonse mutha kudya 250 - 400 magalamu a zakudya zomwe zimakhala ndi mapuloteni (koma osakhala ndi chakudya). Zomera zokhala ndi mapuloteni (nyemba, soya ndi zina) zili ndi zomanga thupi, zimayenera kudyedwa pang'ono.

Ngati mumadya nyama, mumateteza thupi lanu ku chakudya chamafuta. Zakudya izi zimakhala ndi mapuloteni (

Mafuta a nyama amatha kudyedwa. Amakhala gwero lamphamvu komanso zinthu zomanga ma cell. Mafuta ochulukirapo amasungidwa m'malo osungira. Ndi zakudya zama carb otsika, zakudya zamafuta kwambiri zimalimbikitsidwa.

Mafuta akudya amakonzanso mafuta, ngati amwedwa ndi chakudya (mwachitsanzo ndimtundu wa mkate). Ngati mutsatira zakudya zamafuta ochepa, mafuta onse omwe amadyedwa nthawi yomweyo amasintha kukhala mphamvu.

Ndikosatheka kudya kwambiri mafuta komanso mapuloteni, thupi limadzachita mosachedwatsa - kupindika, kutentha kwamtunda, kutsekula m'mimba. Titha kuyamwa michere popanda malire.

Zakudya zomanga thupi zimandipatsa mphamvu. Palibe chifukwa chowalekera kwathunthu, koma muyenera kusankha bwino. Kuletsedwa kotheratu:

Zomera zamasamba zimakhala ndi zophatikiza ndi zakudya - wowuma, shuga, CHIKWANGWANI chamafuta. Okhathamira ndi shuga okha ndi omwe amayambitsa kulumpha mu shuga. Zakudya zofunika zamafuta patsiku la odwala matenda ashuga ndi magalamu 20. Pazakudya zanu, muyenera kusankha zakudya zomwe GI ndi shuga m'malo mwa shuga

M'mawa kwambiri thupi "limachedwa" kupanga insulin. M'mawa, tikulimbikitsidwa kuti tizikhala ndi chakudya cham'mawa chambiri. Kumverera kwadzala kwanthawi yayitali kudzateteza ku zodyedwa ndipo dzanja silimagwira chakudya chovulaza.

Ndikwabwino kudya ndi nkhomaliro nanu kunyumba kuchokera mumtsuko. Sizokayikitsa kuti pophika ndizotheka kupeza chakudya popanda chakudya.

Chakudya chamadzulo sichikhala patatsala maola 18/19. Zakudya zamapuloteni zimakhala ndi nthawi yopukusira, ndipo m'mawa mudzakhala ndi chakudya cham'mawa chomwe mumadya.

Ngati mukuvutika ndi gastroparesis, muchepetse chakudya chamadzulo. Sinthani masamba obiriwira ndi owiritsa.

Chinsinsi chomwe aliyense angakonde ndi saladi wokhala ndi nkhuku, imangokhala ndi magalamu 9.4 a chakudya.

Chifuwa cha nkhuku (200 g):
Beijing kabichi (200 g),
Tomato wa Cherry (150 g)
Anyezi 1,
Msuzi wa soya, mafuta a azitona, mandimu.

Pansi pake ndi Beebing kabichi. Pamwamba timayala anyezi, osemedwa m'mphete zokhala theka. Chotsatira ndi zigawo zophika zachifuwa zowiritsa ziwiri. Pomaliza, timayala tating'onoting'ono ta tomato. Povala, sakanizani mafuta a azitona, msuzi wa soya ndi mandimu kuti mulawe.

Chinsinsi cha "dzino lokoma" - ayisikilimu wobiriwira

Avocado - 2 ma PC.
Orange - zest.
Cocoa ufa - 4 tbsp. spoons.
Stevia (madzi) - madontho ochepa.

Mu blender, sakanizani avocado (zamkati), zest, cocoa ndi stevia. Ikani misa mu mawonekedwe, ikani mufiriji.

Kusintha kwa chakudya chamafuta ochepa kumatanthauza kukanidwa kwathunthu kwa zipatso, zipatso zimaloledwa. Zinthu zopangidwa ndi matenda a shuga zimachepetsa kuchepa kwa minofu.

Mafuta otsika kapena 0% mumakhala mafuta ochulukirapo kuposa zakudya zamafuta wamba.

Zosangalatsa:

Chakudya cham'mawa (10 g cha chakudya chamafuta) - mazira ophimbidwa ndi sipinachi, kapu ya mabulosi akutchire, khofi ndi kirimu.
Chakudya chamasana (12 g cha chakudya chamafuta) - saladi (nkhuku + Roquefort tchizi + Bacon + avocado + phwetekere + mafuta (olive) + viniga), chokoleti chamdima, tiyi.
Chakudya chamadzulo (11 g cha chakudya chamafuta) - nsomba yokazinga, zukini (yokazinga), champignons (yokazinga), sitiroberi ndi kirimu, walnuts, kapu ya vinyo wofiira.

Sankhani menyu sabata iliyonse

(Z. - kadzutsa, O. - nkhomaliro, U. - chakudya chamadzulo)

Z.-phala (buckwheat), tchizi, tiyi wobiriwira.
O.— saladi (masamba), borsch, cutlets (nyama, steam), masamba osawidwa.
W. - nyama (yophika), saladi (masamba).

Z.-omelet, ng'ombe (yophika), phwetekere, tiyi.
O.- msuzi (bowa), saladi (masamba), nkhuku, dzungu (yophika).
U. - kabichi (stewed), nsomba (yophika), kirimu wowawasa.

Z.-kabichi imayenda ndi veal, kirimu wowawasa, tiyi.
O.- msuzi (masamba), nyama (mphodza), saladi (masamba), pasitala.
U. - casserole (kanyumba tchizi), kirimu wowawasa, chakumwa (galu adanyamuka).

Z.-phala (oats), tchizi, dzira, tiyi wobiriwira.
O. - kachere, nyama (mphodza), zukini (stewed).
U. - nkhuku (yonyowa), nyemba zobiriwira (yophika), tiyi.

Z.-kanyumba tchizi, yogati ..
O.— saladi (masamba), nsomba (yophika), zipatso.
U.-cutlet (nyama, chonyowa), saladi (masamba).

Z.-nsomba, dzira, nkhaka, tiyi.
O.— borsch, waulesi kabichi masikono, kirimu wowawasa.
W. - nkhuku (fillet, yophika), biringanya (stewed).

Z.-porridge (buckwheat), veal (steam), tiyi.
O. - msuzi wa kabichi (bowa), wowawasa wowawasa, mabango a nyama (nyama yam'madzi, yonyowa), zukini (stewed).
U. - nsomba (yophika), saladi (masamba), zukini (stewed).

Menyuyi mulibe mkaka. Mutha kuyesa kuwonjezera mkaka pakudya chamadzulo, ndikuwonjezera zonona m'mbale zotentha. Onetsetsani kuti mwawongolera shuga!

Ngati wodwalayo ali ndi "chisa cha uchi", chakudya chochepa kwambiri cha matenda a shuga 1 amatha kuwonjezera nthawi yayitali. Sangafunike jakisoni wa insulin pankhaniyi.

Kusankha Menyu Pamlungu

(Z. - kadzutsa, O. - nkhomaliro, U. - chakudya chamadzulo)

Z. - phala pamadzi (buckwheat), tchizi chinyumba, chakumwa (mkaka wa chicory +).
O. - supu yamasamba, chifuwa cha nkhuku (chonyowa), zakudya (zipatso).
U. - pike perch (yophika), schnitzel (kuchokera kabichi), tiyi (wopanda shuga).

Z. - phala pamadzi (barele), dzira (owiritsa), saladi (masamba atsopano), chakumwa (mkaka wa chicory +).
O. - pickle, nkhuku chiwindi, masamba osakaniza, zipatso zatsopano.
U. - chifuwa cha nkhuku (chophika), kabichi (stewed).

Z. - kanyumba tchizi casserole, nkhaka / phwetekere, tiyi.
O. - borsch, nsomba (mphodza) + nyemba, zakumwa za zipatso.
U. - phala (mpunga), masamba (owiritsa).

Z. - nkhuku (yophika), omelet, tiyi.
O. - msuzi wa bowa (wopanda mbatata!), Meatballs (nsomba) + balere wa barele, chakumwa cha zipatso.
U. - ng'ombe (yophika), biringanya (yophika).

Z. - masamba (stewed) + tchizi yokazinga, tiyi.
O. - supu yamasamba (pa stock ya nkhuku), casserole (sipinachi + chifuwa cha nkhuku).
U. - cutlets (kaloti).

Z. - phala (oatmeal) + zipatso, tiyi.
O. - msuzi (phwetekere), mphodza (veal + masamba), compote kuchokera ku zipatso.
U. - phala (buckwheat), saladi (beets + tchizi).

Z. - mazira (owiritsa, zidutswa ziwiri), tchizi, chakumwa (mkaka wa chicory +).
O. - msuzi (sorelo), nkhuku (masamba ophika +), chakumwa cha zipatso.
U. - cutlets (kabichi).

Pazosakhwasula zomwe timasankha:

Chakudya chamadzulo, masana nkhomaliro - yogati, kefir, mkaka wowotchera, acidophilus, saladi watsopano wamasamba, mabulosi odzola.

Asanagone - yogati, kefir, mkaka wowotchera, acidophilus.

Zakudya zotsika mtengo zamatenda a shuga a 2 zimakuthandizani kuti muzitha kudya zakudya zopanda mafuta wamba.

Kuchepetsa kuchuluka kwa mapiritsi a insulin ndi shuga

Ngati muli ndi zakudya zamafuta ochepa, gwiritsani ntchito jakisoni waifupi wa insulin musanadye.Nthawi ya zochita za insulin yotereyi imagwirizana bwino ndi nthawi yosintha mapuloteni ku glucose.

Kungoyambira m'masiku oyamba kumene wodwala matenda ashuga ayamba kudya malinga ndi malamulo a zakudya zamafuta ochepa, magazi ake amachepetsa. Izi zimawonekera makamaka mukatha kudya. Ngati simukusintha mlingo wa insulin yolowa kapena kuchuluka kwa mapiritsi ochepetsa shuga, ndikosavuta kugwera mu hypoglycemia.

Kusintha kwa chakudya kumayenera kukhala pang'onopang'ono. Mlingo / kuchuluka kwa mankhwala omwe ayenera kumwedwa / kumwa ayenera kusinthidwa tsiku lililonse kuti mumvetsetse za kuchuluka kwa shuga. Mwachilengedwe, amachepa.

Momwe mungasinthire menyu malinga ndi zotsatira za masiku oyamba

Ngati mungasinthe zakudya zamagulu ochepa a shuga, muyenera kusintha zosintha zanu tsiku ndi tsiku kwakanthawi. Mwina chakudya chomwe mungasankhe sichingakhale chokwanira, ndipo mudzakhala osasangalala. Wonjezerani kutumikira kwanu ndikuonetsetsa kuti akuwuzani mlingo wa insulin.

Kusunga zolemba masiku angapo kukuthandizani kusankha zakudya zoyenera. Cholinga chanu ndikuwonetsetsa kuti kudalirika kwa kusintha kwa shuga mumadongosolo azakudya sikupita 0.6 mmol / L.

Kuchuluka kwa mapuloteni ndi chakudya chamagulu omwe amadyedwa ndi chakudya chimodzi kumatsimikizira kuchuluka kwa shuga m'magazi. Mukamawerengera kuchuluka kwa insulin, onetsetsani kuti mwalingalira kuchuluka kwa mapuloteni omwe apangidwa kuti agwiritsidwe ntchito.

Kangati patsiku muyenera kudya

Odwala omwe ali ndi shuga omwe amadalira insulin ayenera kudya maola asanu aliwonse. Izi ndichifukwa choti amadzipatsa jakisoni wa insulin musanadye (kufupika kapena ultrashort), zomwe zimatha kukhudza pambuyo pa maola 5. Pambuyo pokhapokha pazotheka kuwerengera molondola mlingo wa insulin musanadye chakudya chotsatira.

Odwala omwe ali ndi matenda a shuga 1 ayenera kudya katatu patsiku, makamaka nthawi imodzi (mwachitsanzo: 8-00, 13-00, 18-00). Zosakhazikika ziyenera kutayidwa. Kuchuluka kwa kuchuluka kwa mapuloteni ndi chakudya m'magawo amodzi kokha kumathandizira kukhalabe mpaka chakudya chotsatira.

Jakisoni wa insulin wa nthawi yayitali asanagone chakudya chimatha maola 5 mutadya.

Zofunika kwa odwala omwe ali ndi matenda osokoneza bongo omwe amadalira insulin sizikhala zovuta. Amalimbikitsidwa kudya maola atatu kapena anayi aliwonse. Kuwongolera dongosolo lokwanira, kuwongolera shuga kumathandiza - ngati achepetsa mukatha kudya, mudyanso chakudya china. Malangizo oterowo amathandiza odwala omwe ali ndi T2DM kuti asamachite “kususuka” kwawo.

Odwala omwe ali ndi matenda a shuga a mtundu wa 2, "pin up" insulin, ayenera kudyetsedwa malinga ndi chiwembu chogulitsidwa ndi odwala omwe ali ndi matenda a shuga. Atangofunika jakisoni wa insulin, ndikusintha zakudya zamafuta ochepa, izi ndizotheka, azitha kudya malinga ndi momwe amapangira.

Zosakhazikika pakati zakudya zazikulu

Atasinthira kudya zakudya zamafuta ochepa, wodwala matenda ashuga ayenera kusiya zizolowezi zake zapakati pa chakudya chachikulu. Ndi zakudya zoterezi, palibe chifukwa cha kuchuluka kwa insulin "yayitali", ndipo wodwala yemwe ali ndi matenda ashuga sayenera kumva kufunika 'kolola' china chake chakudya pakati pa kadzutsa, chakudya chamadzulo ndi chakudya chamadzulo.

M'masiku "azakudya" oyambilira, zokhwasula-khwasula sizingakuthandizeni kusankha mitundu yoyenera "mapuloteni | chakudya" | insulin ".

Ngati muli ndi njala yoluma, onetsetsani kuti mumayeza shuga. Mwinanso mlingo waukulu wa insulin unaperekedwa ndipo kuopseza kwa hypoglycemia ndi koona kwambiri. Tengani mapiritsi a glucose ndikufotokozeranso dongosolo.

Zakudya zokhala ndi mapuloteni osankhidwa bwino ziyenera kupereka chokwanira mpaka maola asanu. Mwina muyenera kuwonjezera kuchuluka kwa chakudya chomwe mumadya nthawi imodzi.

Nthawi zina zimakhala zovuta kuti munthu wodwala matenda ashuga azolowere kudya zakudya zonse zofunika kuti azigwiritsa ntchito panthawi imodzi. Sankhani chidutswa cha nkhumba yophika musanamwe ndikuwonetsetsa kuti mupeze inshuwaransi yochepa bwanji isanamwe.

Kusankha mlingo wa insulini kuti "muimitse" zokhwasula-khwasula

Ndikwabwino osangodandaula, koma ngati pakufunika - muthani shuga. Ngati shuga ndi wabwinobwino, jekeseni mlingo woyenera wa insulin yochepa ndikuyamba kudya.

Pazakudya, gwiritsani ntchito gawo lanu pazakudya zanu monga mwachitsanzo 1/3 ya nkhomaliro ndikulowetsedwa ndi insulin.
Njira yosavuta ndiyo kudya zakudya zama protein (m'mawere a nkhuku, mazira, chidutswa cha nsomba). Musanalume, lowetsani kuchuluka kwa insulin yayifupi, dikirani mphindi 20 ndiku ... "Bonet!".

Ngati shuga atsika, pezani njira zothetsera vuto la hypoglycemia.

Pali maluso apamwamba kwambiri kuwerengera molondola Mlingo wa insulin. Kuwerengera mosamala mankhwala omwe amaperekedwa ndi insulini kungathandize m'kupita kwanthawi kupewa mavuto ambiri.

"Nkhani zowopsa" zokhudzana ndi zakudya zamafuta ochepa

Madokotala nthawi zambiri samatha kudya zakudya zilizonse: zoletsa zilizonse zokhala ndi zakudya zimakhala ndi mbali zabwino komanso zoipa. Zakudya zoyipa zama carb zotsika zimaphatikizapo zotsatirazi:

Kukana kwa zipatso ndi kudya pang'ono zamasamba kumabweretsa kuchepa kwa zinthu zopezeka mosamala ndi mavitamini m'thupi. Zakudyazo zimakupatsani mwayi kudya zipatso komanso masamba okwanira. Kuperewera kwa kufufuza zinthu kungalipiridwe chifukwa chotenga mavitamini.

Kuchepetsa zakudya zomwe zimakhala ndi fiber kumayambitsa kudzimbidwa. Kudzimbidwa ndikotheka ndimavuto am'mimba. Njira zodziwika zamomwe mungathane nawo.

Kuchulukitsa kwa ma ketones kwa nthawi yayitali kumatha kubweretsa vuto mu machitidwe a thupi. Osasokoneza malingaliro awiriwo - ketosis ndi ketoacidosis. Ketoacidosis ndi vuto lowopsa lomwe limachitika ndi kuwonongeka kwa T1DM. Pankhaniyi, magazi "amapezekanso". Ngati simutenga njira zachipatala, wodwalayo akhoza kufa. Ketosis ndimachitidwe abwinobwino a metabolic omwe amapereka thanzi la ubongo ndikusowa kwa chakudya chambiri. Zotsatira zabwino zobweretsa thupi kukhala mkhalidwe wa ketosis mu matenda a Alzheimer's, khunyu, oncology amadziwika.

Mafuta ndi potaziyamu ochuluka kwambiri omwe amachotsedwa m'thupi, impso ndi mtima zimatha kuvutika. Voliyumu yowonjezereka pang'ono imachotsedwa m'thupi. Mwina kuthira mchere pang'ono komanso kudya mankhwala a potaziyamu kungakuthandizeni.

Kusowa kwa calcium sikuyenda bwino m'thupi. Pali zoletsa mkaka, koma mwanjira iliyonse pazinthu mkaka. Idyani tchizi, tchizi chanyumba ndi zinthu zopangidwa mkaka - calcium imalowa m'thupi lanu.

Thupi limakhala ndi kutopa kosatha. Mukasinthana ndi zakudya m'masiku oyambilira, kutopa kowonjezereka kumawonedwa. Pakatha kanthawi kuti muzolowere zakudya zamtundu wina (mwa anthu ena izi zimatha kutenga masabata angapo), maluso athupi adzabwezeretseka.

Ubongo umasiya kugwira ntchito mwachizolowezi m'malo osowa chakudya. Maselo ambiri a mu ubongo amatembenukira ku ma ketoni. Maselo otsalira amapatsidwa zakudya chifukwa cha gluconeogeneis metabolic, momwe glucose amapangidwira kuchokera kumapuloteni ndi mafuta.

Kudya calorie kumachepa. Izi zili choncho, ndipo izi ndi zotsatira zabwino. Mapuloteni amalimbitsa kagayidwe, munthu amaleka kuwerengera zopatsa mphamvu komanso nthawi yomweyo amachepetsa thupi. Mphamvu zake sizivutika.

Zakudya za "Zinyama" zimabweretsa vuto mu mtima. Zakhala zikutsimikiziridwa kuti cholesterol "yabwino" siyimasokoneza kugwira ntchito kwa mtima. Zambiri za cholesterol "yoyipa" ziyenera kuyang'aniridwa, mwa anthu ena, zakudya zimatha kuyipa kwambiri.

Munthu wathanzi sayenera "kukhala" pachakudya ichi nthawi yayitali. Odwala omwe ali ndi matenda amtundu wa 2, atakwanitsa kuchepa thupi ndi zakudya zama carb ochepa, ayenera kulingalira njira zina zothandizira kukhalabe ndi thupi labwino. Kwa odwala matenda ashuga amtundu woyamba, kuletsa kwa moyo wanga wonse ndi njira yokhayo yowonjezera Mlingo wa insulin.

Zakudya zochepa za carb zitha kulimbikitsidwa kwa mitundu yonse ya odwala matenda ashuga. Wina adzakhala ndi zotsatira nthawi yomweyo, wina adzawononga nthawi yake kuti azisankhira okha zinthu zomwe akufuna.Ubwino wazakudya zoterezi mu shuga ndizowonekeratu. Chakudya “chokoma” komanso “chosangalatsa” chotsika pang'ono kwa anthu odwala shuga chimalandiridwa bwino ndi odwala.

Shuga ndi wokhazikika chifukwa milingo yaying'ono ya insulin komanso zakudya za "wosakwiya" zimanenedweratu. Matenda abwinobwino samakula, chifukwa shuga ndi wabwinobwino.

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.

Kodi zakudya zotsika kwambiri zamatenda a shuga 1 ndi ziti?

Chinthu chofunikira kwambiri pochiza matenda amtundu woyamba wa shuga ndikukhazikika kwa shuga m'magazi. Mapeto ake adanenedwa ndi Dr. Richard Bernstein - wodwala matenda ashuga "wazaka" zaka 70. Kuchita zoyeserera za kadyedwe kake komanso kuyeza mulingo wa shuga ndi glucometer kunyumba nthawi 6 pa tsiku, adazindikira kuti kuchepa kokha kwa kuchuluka kwa mafuta amthupi kumathandizira kupewa kudumpha kwa glucose. Kwa zaka zingapo, Dr. Bernstein adapeza kuti 1 g ya chakudya chamafuta amachulukitsa shuga ndi 0,28 mmol / l, ndipo gawo limodzi la insulini mu ng'ombe kapena nkhumba lidachepetsa shuga ndi 0,83 mmol / l.

Posintha kadyedwe, dotolo waku America adachotsa pang'ono zovuta zomwe zimayambitsidwa ndi matenda ashuga, kukhala bwino komanso moyo wautali kwa zaka makumi angapo. Chomwe chimapangitsa kuti pakhale zakudya zama carb ochepa ndizochepa kwambiri pochotsa kuchuluka kwa ma securgeside ndi ma protein. Chakudya cha Bernstein cha matenda ashuga chimasintha shuga patangotha masiku atatu itatha. Zizindikiro sizidutsa 5.3-6.0 mmol / l mukatha kudya. Kuwerengera molondola kwa Mlingo wa insulin, kumwa mapiritsi apadera, kudya moyenera ndi 50-60% chakudya mu zakudya sikumapereka zotsatira.

Zomwe sizingadyedwe ndi shuga

Kwa zaka zambiri osalimbana ndi ma DIABETES?

Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.

"Ndingadye chiyani ndi matenda ashuga?" - ili ndi funso lomwe onse amafunidwa ndi matendawa. Kwa mtundu uliwonse wa matenda ashuga, Zizindikiro monga glycemic index ndi kuchuluka kwa zopatsa mphamvu ndizofunikira kwambiri. Kutsitsa kwa glycemic index ndi kuchuluka kwa zopatsa mphamvu, zomwe zili zofunikira kwambiri pamenepa kapena chogulitsa odwala matenda ashuga ndipo mutha kudya.

Momwe mungadziwire zothandiza

Kuti mudziwe zomwe zili zovomerezeka kudya ndi shuga ndizosavuta. Choyamba, chilichonse chopanga chimawonetsa momwe caloric ilili. Muyeneranso kuyang'anira mawonekedwe ake. Anthu odwala matenda ashuga sayenera kudya chilichonse chomwe chili ndi shuga wabwino. Chogulitsacho chimayenera kukhala ndi cholowa chamafuta, monga fructose, sucrose, sorbitol ndi ena.
Izi zikutsimikizira kuti chakudya chitha kudyedwa osawopa thanzi lanu. Komabe, zakudya zofunikirazi zimapezekanso ndi kalori yokhala ndi kalozera winawake.

Amakhulupirira kuti ndikofunikira kudya osaposa 50 mayunitsi patsiku, ndiye kuti, mutha kudya zilizonse zokhudzana ndi malire awa, koma zonse zomwe sizingatheke sizingatheke.

Titha kulankhula za zipatso, masamba, mkate ndi zomwe zimachokera, zomwe anthu ambiri odwala matenda ashuga amasangalala nazo.

Kodi muyenera kudya zakudya zingati pa chakudya chilichonse?

Onse awiri aku Russia ndi American endocrinologists amalimbikitsa kuti odwala matenda ashuga alandire kuchokera ku 45% mpaka 65% ya zopatsa mphamvu za tsiku ndi tsiku za chakudya. Izi zikutanthauza kuti pafupifupi theka la mbale yanu pachakudya chilichonse amayenera kukhala ndi chakudya chamafuta.

Muyenera kudziwa kuchuluka kwa zopatsa mphamvu zamafuta izi kapena zomwe muli. Chidziwitsochi chitha kuwoneka pa zilembo, ndipo pazinthu zomwe sizikutulutsidwa mungathe kupeza izi pa intaneti.

Zakudya zopatsa thanzi za tsiku ndi tsiku ndizophatikizika ndi 130 g patsiku. Pa chakudya chimodzi, tikulimbikitsidwa kuti tisadye zoposa:

60-75 magalamu a chakudya cha amuna,
45-60 magalamu a chakudya pa akazi onse.

Chakudya cham mkate monga chakudya chamagulu ena omwe amadyedwa

Kuti zitheke kuwerengera zamafuta am'mimba, lingaliro la "mkate unit" kapena XE linapangidwa. Mu gawo limodzi la mkate, malinga ndi kuyerekezera kosiyanasiyana, muli magalamu 10 mpaka 15 a chakudya (timawerengera ngati magalamu 10).

Madokotala amalimbikitsa kumwa kuchuluka kwa XE kamodzi pachakudya chimodzi:

Amuna - kuyambira 4 mpaka 5 XE pachakudya chimodzi chachikulu (kadzutsa, chakudya chamadzulo, chakudya chamadzulo).
Amayi - kuyambira 3 mpaka 4 XE pachakudya chilichonse.
Zakudya zazing'ono (zokhwasula-khwasula) - kuyambira 1 mpaka 2 XE.

Momwe mungawerengere kuchuluka kwa magawo azakudya?

Kuti muwerenge kuwerengera chakudya, timalimbikitsa kutenga 10 magalamu a chakudya 1 XE. Kuti muwerenge msanga kuchuluka kwa XE, muyenera kudziwa kuchuluka kwa zopezeka zamafuta zomwe zili m'gululi ndikugawidwa ndi 10.

Mwachitsanzo, chidutswa chimodzi cha mkate ndi wofanana ndi 1 XE ndipo muli magalamu 10 a chakudya. Mmodzi apulo wapakatikati (200 g.) Muli 20 g. chakudya, zomwe zikutanthauza 2 XE. Chikwama chimodzi cha phala la buckwheat masekeli 100 okhala ndi magalamu 62 a chakudya kapena 6.2 XE.

Ngati kulemera kwazinthuzo kulibe, mwachitsanzo, apulo wolemera 136 magalamu, ndiye kuti mutha kudziwa kuchuluka kwa zopatsa mphamvu ndi mkate zomwe zili ndi kakhalidwe:

XE = (CARBOHYDRATES MU 100 gr. CHIPANGIZO * CHIYANI CHOLEKA / 100) / 10.

Chifukwa chake, apulo yolemera 136 magalamu ali ndi: (10 * 136/100) / 10 = 1.36 XE.

Kuti magazi anu azikhala abwinobwino, sikokwanira kuwerengetsa kuchuluka kwa chakudya chomwe mumadya ndikuwasamutsa m'magawo a mkate. Muyenera kudziwa ndendende kuchuluka kwa insulini kapena mankhwala ena ochepetsa shuga ndikofunikira pakuchotsa 1 XE. Ichi ndi chimodzi mwamphamvu kwambiri pochiza matenda ashuga.

Kodi mukudziwa kuti mumadya zakudya zingati?

Pakadali pano, anthu ambiri, kuphatikiza omwe akudwala matenda ashuga, ali ndi chizolowezi chodya kudya mwachangu, osaganizira kwenikweni kuchuluka kwa chakudya chomwe amadya. Zimachitika nthawi zambiri ngati zikuoneka kuti timangodya kamodzi, koma zonse zophatikiza ndi mafuta atatu m'mo. Khalidwe lotere la kudya silivomerezeka kwa odwala matenda ashuga.

Pangani kukhala lamulo kuti muwerenge zolemba zamalonda ndi kudziwa kuchuluka kwa zopatsa mphamvu. Zimathandiza, koma ndibwino kuyesa kukhitchini yanuyanu.

Gulani muyeso wa tebulo, pezani chikho choyeza, yambani kuwerengera ndikulemba zonse zomwe mumadya. Ndikwabwino kuwerengera kuchuluka kwa XE m'khitchini, kuti pofika nthawi yomwe mumatha kudya, mukudziwa kuchuluka komwe mukadye mkate komanso kuchuluka kwa insulin yomwe mukufuna.

Konzani zakudya zamagetsi m'mabuku anu a kudziletsa

Zakudya zosiyanasiyana zimakhudza shuga m'magazi osiyanasiyana. Zimangotengera mtundu ndi kuchuluka kwa chakudya chamafuta omwe mumadya ndi insulin kapena mankhwala omwe mumamwa, komanso zinthu zina, mwachitsanzo, pazolimbitsa thupi.

Madokotala amalimbikitsa kuti odwala omwe ali ndi matenda ashuga asungire nthawi yodziletsa.

Zolemba za kudziletsa nthawi zambiri zimalowetsedwa:

kuchuluka kwa chakudya chamafuta,
mankhwala a insulin kapena hypoglycemic,
Zizindikiro za shuga m'magazi musanadye (mutha kuyerekezeranso maola awiri mutatha kudya),
zolimbitsa thupi.

Ndi mtundu wamtunduwu, ndikofunikira kuti musadziimbe mlandu ngati shuga wanu wakwera kapena china chake chalakwika. Mulingo wa shuga wamagazi samangotengera magawo a mkate ndi insulin, zolimbitsa thupi, matenda, kupsinjika kumakhala ndi zotsatira zake. Apa, zokumana nazo ndi malingaliro anu akulu ku matenda anu ndikofunikira. Kusunga zolemba zowonera kumayambitsa izi.

Sikuti mafuta onse omwe ndi ofanana.

Kumbukirani kuti mtundu wa chakudya chamafuta omwe mumadya ungakhale ndi zotsutsana ndi shuga m'magazi. Muyeneranso kudziwa kuti thupi lanu limalandira mphamvu kuchokera ku mitundu iwiri ya chakudya: yosavuta komanso yovuta.Zimakhudza shuga m'magazi m'njira zosiyanasiyana.

Zakudya zamafuta zosavuta ndizakudya zomwe zimakhala ndi shuga. Thupi lanu limazigaya mofulumira, amalowa m'magazi ndikuchulukitsa glucose m'magazi. Nayi mndandanda wathunthu wazakudya zosavuta (zofulumira):

shuga
wokondedwa
manyuchi okoma
Coca-Cola ndi Pepsi-Cola (kupatula Kuwala),
maswiti, chokoleti, halva,
zinthu zophika buledi zoyera.

Tiyeneranso kudziwa kuti zopatsa mphamvu zamafuta enanso zimasiyana. Amagawidwa kukhala monosaccharides (glucose, fructose, galactose) ndi ma disaccharides (sucrose, lactose, maltose). Glucose imatengeka mwachangu, pang'onopang'ono ndi fructose, yomwe imapezeka zipatso. Chifukwa chake, zipatso zimakondedwa kwambiri ndi odwala matenda ashuga kuposa michere ina yosavuta.

Sitikulemba kuti mafuta osavuta amotoletsedwa kwa odwala matenda ashuga. Pazochepa zochepa (1 XE), ndizovomerezeka ngati insulini iperekedwa asanayendetsedwe kapena mankhwala omwe amachepetsa shuga. Kuphatikiza apo, ndizofunikira ngati wodwala yemwe ali ndi matenda ashuga ali ndi hypoglycemia - kudya mafuta osavuta kumathandiza kukweza shuga msanga komanso kupewa kupewa ngozi.

Zakudya zomanga thupi zovuta kukhala zakudya zokhuthala. Amamezedwa ndi thupi motalika kwambiri kuposa mafuta ophweka. Chifukwa chake, amawonjezera shuga m'magazi pang'ono, zomwe zimakhala zabwino kwa odwala matenda ashuga. Zakudya zomanga thupi zopezeka m'zakudya izi:

Zakudya zomanga thupi ndizofunikira kwambiri pakudya la wodwala matenda ashuga

Mukamadya zakudya zokhala ndi zopatsa mphamvu, dziwani kuti zakudya zina zimapatsa thanzi kuposa ena. Pokhapokha atakonzedwa, ndibwino. Phala la tirigu-lonse ndiwathanzi kuposa mpukutu wa ufa wa tirigu, chifukwa ufa umapezeka chifukwa chogwiritsa ntchito tirigu ndipo mulibe fiber yothandiza.

Chifukwa chake, kuti shuga achepetse magazi pang'onopang'ono, sinthani zinthu zonse zamphesa, komanso masamba ndi zipatso, kupatula shuga, zakudya zoyendetsedwa ndi timadziti kuchokera ku chakudya.

Kodi shuga ndi chiyani ndipo imagwira ntchito yanji pachakudya?

Ngati muli ndi matenda ashuga, thupi lanu silitha kugaya chakudya chopatsa mphamvu moyenera.

Nthawi zambiri, mukamadya chakudya, zimagawika tizigawo ting'onoting'ono ta shuga, tomwe timapanga shuga m'magazi.

Miyezi ya shuga ikakwera, kapamba amayankha ndikupanga insulin. Hormoni iyi imalola shuga kulowa m'maselo.

Mwa anthu athanzi, shuga yamagazi imakhala yovomerezeka tsiku lonse. Mu shuga, komabe, dongosololi siligwira ntchito konse monga liyenera kukhalira.

Ili ndi vuto lalikulu, chifukwa kuchuluka kwambiri kapena shuga wochepa kwambiri wa m'magazi kumatha kuvulaza thupi.

Pali mitundu ingapo ya matenda ashuga, koma ochulukirapo ndi mtundu 1 ndi mtundu 2. Mitundu yonseyi ya matenda ashuga imatha kupezeka ndi zaka zilizonse.

At mtundu 1 shugaNjira ya autoimmune imawononga maselo a beta opanga insulin mu kapamba. Anthu odwala matenda ashuga ayenera kubayira insulin kangapo patsiku kuti atsimikizire kuti glucose amalowa m'maselo ndipo amakhalabe wovomerezeka.

At mtundu 2 shuga, maselo a beta mu kapamba amatulutsa insulin yokwanira, koma maselo amthupi amakhala osagwirizana ndi zomwe zimapangitsa, kotero kuti shuga ya magazi imakhalabe yokwera. Kuti zitheke izi, kapamba amapanga insulini yambiri, kuyesera kubweretsa shuga yochepa.

Popita nthawi, maselo a beta amalephera kutulutsa insulin yokwanira.

Mwa zakudya zitatu izi - mapuloteni, mafuta, ndi chakudya - mavitamini ambiri amachititsa shuga. Izi ndichifukwa chakuti thupi limaziphwanya.

Chifukwa chake, odwala matenda ashuga atha kumwa mankhwala akuluakulu a insulin kapena shuga akachulukitsa chakudya.

Kodi Zakudya zama carb zotsika zingathandize ndi matenda ashuga?

Maphunziro ambiri amathandizira pazakudya zamafuta ochepa kwa shuga.

M'malo mwake, insulin isanapezeke mu 1921, zakudya zokhala ndi carb zochepa zinali zodziwika ngati muyezo wothandiza odwala matenda ashuga.

Kuphatikiza apo, zakudya zamagulu ochepa zimagwira bwino ntchito kumapeto, bola odwala akatsatira zakudya.

Pakufufuza kwina, odwala omwe ali ndi matenda a shuga a 2 amatsata zakudya zamafuta ochepa kwa miyezi 6. Matenda awo a shuga adakhala olamulidwa bwino kwazaka zopitilira 3 pomwe amatsatira dongosolo lazopatsa thanzi.

Momwemonso, anthu omwe ali ndi matenda a shuga 1 amachepetsa zakudya zamafuta, adakhala ndi kusintha kwamphamvu kwa shuga pomwe amadya izi kwazaka zopitilira 4.

Kodi kuchuluka kwamankhwala ochulukitsa kwa odwala matenda ashuga ndi otani?

Kudya zakudya zopatsa thanzi kwa anthu odwala matenda ashuga ndi nkhani yovuta, ngakhale pakati pa omwe amathandizira kuletsa kudya.

Kafukufuku wambiri wawonetsa kusintha kwakukulu mu shuga, magazi, ndi zolemba zina pomwe zimam'patsa mphamvu mafuta 20 g patsiku.

Dr Boris Orlov,Dokotala wa matenda ashuga apamwamba kwambiri komanso wamkulu wa Russian Center for Diabetesology, adalimbikitsa 30 magalamu a chakudya patsiku ndipo alemba bwino kwambiri kuchuluka kwa shuga m'magazi, mwa iye komanso odwala ake.

Komabe, kafukufuku wina akuwonetsa kuti kuletsa kwa chakudya chamafuta pang'ono, mpaka magalamu 70-90 patsiku, kumathandizanso.

Kuchuluka kwa chakudya zamagalimoto kumatha kusiyanasiyana kutengera umunthu wake, popeza aliyense wa ife ali ndi zake zomwe zimapangidwa ndi chakudya. Kuti mudziwe kuchuluka kwanu, mutha kuyeza shuga wamagazi anu musanadye komanso maola awiri mutatha kudya.

Malingana ngati shuga yanu yamagazi imatsalira pansi pa 140 mg / dl (8 mmol / L), malo omwe mitsempha imatha kuwonongeka, mutha kudya magalamu 6, 10 g kapena 25 magalamu a chakudya pachakudya chimodzi pa carb yotsika. zakudya.

Zonse zimatengera kuthekera kwanu. Ingokumbukirani lamulo lonselo, zakudya zamafuta ochepa zomwe mumadya, shuga yamagazi yocheperako sangathe kuchuluka.

Ndipo, musangokhala ndi malire, kupatula chakudya, zakudya zamagulu ochepa za anthu odwala matenda ashuga ziyenera kuphatikizapo magwero azakudya zopatsa thanzi monga michere, zipatso, mtedza ndi mbewu.

Ndi zakudya ziti zomwe zimawonjezera shuga?

Zakudya zamafuta m'zakudya zam'mera ndizophatikiza shuga, wowuma ndi fiber. Koma, shuga ndi wowuma yekha ndi amene amakweza mulingo wa shuga m'magazi.

CHIKWANGWANI, chomwe chimapezeka muzakudya, ngakhale sichisungunuka kapena ayi, sichidumphira m'magazi ndipo sichikuchulukitsa shuga.

M'malo mwake, mutha kuthana ndi mafutawo, kumangosiyira "zabwino" zokha. Mwachitsanzo, chikho chimodzi cha kolifulawa chimakhala ndi magalamu 5 amafuta, omwe magalamu atatu ali ndi CHIKWANGWANI. Chifukwa chake, unyinji wazakudya zam'madzi mu kolifulawa ndi magalamu awiri okha.

Ma prebiotic akusala kudya, monga kudya inulin, awonetsedwa kuti akupanga shuga wamagazi ndi zikwangwani zina zaumoyo mwa odwala omwe ali ndi matenda a shuga a 2.

Zakudya zopangidwa ndi shuga monga maltitol, xylitol, erythritol ndi sorbitol nthawi zambiri amagwiritsidwa ntchito kutsekemera maswiti opanda shuga komanso zakudya zina zopatsa thanzi.

Ena a iwo, makamaka maltitol, amatha kudzutsira shuga wamagazi mwa odwala matenda ashuga.

Chifukwa chake, kuchuluka kwa ma carbohydrate otchulidwa pakukhazikitsa kwazinthu sikungakhale kolondola pokhapokha kuchuluka kwa chakudya cha maltitol kumachotsedwa ponseponse.

Zakudya Zoyenera kudya ndi Zakudya Zoyenera kupewa

Imayang'ana kwambiri pazakudya zapamwamba, zachilengedwe, zotsika mtengo.

Ndikofunikanso kuyang'anira chidwi chanu ndi njala ndi zizindikiritso za thupi lanu, ngakhale mutadya chiyani.

Zakudya zoyenera kudya

Mutha kudya zakudya zotsala zama carb zotsika mpaka mutathetsa njala yanu, ndipo muyenera kuonetsetsa kuti mumapeza mapuloteni okwanira pa chakudya chilichonse:

Nyama, nkhuku ndi zakudya zam'nyanja, Miphika Yophika Samasamba masamba (masamba ambiri, kupatula omwe alembedwera), Avocado Olive Olive, mafuta a kokonati, batala, kirimu, kirimu wowawasa ndi tchizi.

Malonda Ochepetsa

Zakudya zotsatirazi zitha kudyedwa pang'ono, malinga ndi kulekerera kwanu kwa chakudya cham'thupi:

Zipatso: 1 chikho kapena kuchepera, Yovomerezeka, Yogiriki yama Greek: chikho 1 kapena zochepa, tchizi tchizi: 1/2 chikho kapena zochepa, Mtedza ndi mtedza: 30-60 magalamu kapena zochepa, Mbeu za fulakesi kapena mbewu za chia: supuni ziwiri, chokoleti chamdima ( osachepera 85% cocoa): 30 magalamu kapena ochepera; Liqueur: 50 magalamu kapena zochepa; Vinyo wofiira kapena oyera: 120 gramu.

Yesani kudya msuzi, maolivi kapena ma pickles ena kuti muthe kutaya sodium. Musaope kuwonjezera mchere mu chakudya chanu.

Komabe, ngati muli ndi vuto la mtima wopunduka, matenda a impso, kapena kuthamanga kwa magazi, lankhulanani ndi dokotala wanu musanakulitse kuchuluka kwa sodium muzakudya zanu.

Zakudya Zopewera

Zakudya izi ndizophatikiza ndimatumbo ndipo zimatha kuwonjezera shuga m'magazi kwa anthu odwala matenda ashuga.

Mkate, pasitala, chimanga, chimanga ndi zina, Mbewu yotsekemera monga mbatata, mbatata zotsekemera ndi mphaka, Chizungu monga nandolo, mphodza ndi nyemba (kupatula nyemba zobiriwira ndi nandolo), Mkaka, Zipatso zina kupatula zipatso, Madzi , soda, nkhonya, tiyi wokoma, etc., Beer, Dessert, makeke, maswiti, ayisikilimu,

Chakudya chamadzulo: Saladi ya Cobb

90 magalamu a nkhuku yophika, 30 gm ya Roquefort tchizi (1/2 gramu yamatumbo), kagawo 1 ka nyama yankhumba, 1/2 sing'anga (2 magalamu a chakudya), chikho 1 cha tomato wosakaniza (5 magalamu a chakudya), chikho 1 cha saladi wosenda (1 gramu yama chakudya ), Mafuta a azitona ndi viniga, 20 magalamu (mabwalo ang'onoang'ono awiri) 85% chokoleti chamdima (4 magalamu a chakudya), 1 chikho cha tiyi wopanda masamba, kusankha koyenera.

Chakudya chamadzulo: Salmon ndi masamba

10 magalamu a nsomba yokazinga, 1/2 chikho cha supu ya zucchini (1 magalamu a chakudya), chikho 1 cha bowa (2 magalamu a chakudya), chikho 1/2 chodulidwa ndi ma kirimu, 28 magalamu a zakudya zophatikiza (magalamu 6 a chakudya), magalamu 120 vinyo wofiira (magalamu atatu a chakudya)

Zakudya zomanga thupi m'masiku onse: magalamu 37

Lankhulani ndi dokotala wanu musanadye zakudya zanu.

Zakudya zamafuta zikachepa, kuchepa kwambiri kwa shuga m'magazi kumawonedwa nthawi zambiri.

Pachifukwa ichi, insulini ndi mankhwala ena osokoneza bongo ayenera kuchepetsedwa. Nthawi zina, ndizotheka kuti amawachotsa kwathunthu.

Kafukufuku wina adanenanso kuti odwala 17 mwa 21 omwe ali ndi matenda ashuga a 2 adatha kuchepetsa kapena kuimitsa mankhwalawa a shuga atachepetsa kudya kwawo kwa carrot kwa 20 magalamu patsiku.

Pakafukufuku wina, odwala matenda amtundu woyamba 1 amamwa zosakwana 90 magalamu a chakudya patsiku. Kusintha kwawo kwa shuga m'magazi kunayenda bwino kwambiri, ndipo milandu yochepa kwambiri ya shuga m'magazi idadziwika chifukwa Mlingo wa insulin unachepetsedwa.

Ngati insulin ndi Mlingo wa mankhwala ena osayenera pazakudya zama carb ochepa, pali chiopsezo chachikulu cha shuga wotsika magazi, yemwe amadziwikanso kuti hypoglycemia.

Chifukwa chake, ndikofunikira kuti anthu omwe amamwa mankhwala a insulin ndi mankhwala ena a shuga azikambirana ndi dokotala wawo asanayambe zakudya zamafuta ochepa.

Njira zina zochepetsera shuga lanu lamagazi

Kuphatikiza pazakudya zama carb ochepa, masewera olimbitsa thupi amathanso kuthandiza kuthana ndi shuga m'magazi, powonjezera insulin sensitivity.

Kuphatikiza kochita masewera olimbitsa thupi ndi masewera olimbitsa thupi kumathandizanso kwambiri.

Kugona kumakhalanso kofunikira. Kafukufuku akuwonetsa kuti anthu omwe amagona bwino amakhala pachiwopsezo chotenga matenda a shuga.

Kafukufuku waposachedwa adawonetsa kuti odwala matenda ashuga omwe amagona kuyambira maola 6.5 mpaka 7.5 patsiku amatha kuwongolera shuga lawo lamwazi poyerekeza ndi iwo omwe amagona kwambiri kapena pang'ono.

Chinsinsi china pakuwongolera bwino shuga wamagazi ndikuwongolera kupsinjika. Yoga, qigong ndi kusinkhasinkha kwawonetsedwa kuti muchepetse shuga.

Chidule: Kuphatikiza pazakudya zochepa zama carb, masewera olimbitsa thupi, kugona tulo, komanso kuwongolera kupsinjika kungapangitsenso kuwongolera kwa matenda ashuga.

Zakudya zama carb zotsika ndizothandiza polimbana ndi matenda ashuga

Kafukufuku akuwonetsa kuti zakudya zama carb zotsika zimatha kuwongolera bwino matenda a shuga 1 ndi mtundu 2.

Zakudya zama carb ochepa zimatha kusintha kayendedwe ka shuga, kuchepetsa kufunika kwa mankhwala, komanso kuchepetsa chiopsezo cha zovuta za shuga.

Ingokumbukirani kuti mulankhule ndi dokotala musanayambe kusintha kulikonse muzakudya zanu, monga momwe mankhwala anu angafunikire kusintha.

Kodi njira yowerengetsera kuwala ndiyotani?

Zochita zikuwonetsa zotsatirazi. Ngati mumadya chakudya chamagulu pang'ono, osaposa magalamu 6-12 panthawi imodzi, adzakulitsa shuga wamagazi a wodwala matenda a shuga ndi kuchuluka kolosera. Ngati mumadya zakudya zambiri nthawi imodzi, ndiye kuti magazi ake samangomuka, koma adzalumpha mosakonzekera. Mukaba jakisoni wa insulin yaying'ono, amachepetsa shuga m'magazi ndi zinthu zomwe zitha kunenedweratu. Mlingo waukulu wa insulin, mosiyana ndi ang'onoang'ono, amachita mosayembekezereka. Mlingo waukulu womwewo wa insulin imodzi (kuposa ma 7-8 mayunitsi imodzi) utha kuchita mosiyanasiyana nthawi iliyonse, ndikutembenuka mpaka ± 40%. Chifukwa chake, Dr. Bernstein adapanga njira yodulira matenda amtundu wa shuga 1 komanso 2 - kuti adye chakudya chochepa komanso azitha kugwiritsa ntchito insulin yaying'ono. Iyi ndiye njira yokhayo yokhazikitsira shuga wamagazi ndikulondola kwa ± 0,6 mmol / L. M'malo mwa chakudya, timadya mapuloteni opatsa thanzi komanso mafuta achilengedwe.

Njira yotsika kwambiri imakuthandizani kuti musunge shuga m'magazi 24 tsiku lililonse, monga momwe mungakhalire ndi anthu athanzi opanda shuga. Chofunikira kwambiri kuchitira izi ndikutsatira zakudya zamagulu ochepa. Popeza kulumpha kwa shuga m'magazi kumatha, odwala matenda ashuga mwachangu amatha mofulumira kutopa. Ndipo pakupita nthawi, zovuta zazikulu za matenda a shuga zimatha pang'onopang'ono. Tiyeni tiwone maziko oyambira momwe "njira zopumira" zimamangidwira kuwongolera matenda ashuga amtundu wa 2 ndi mtundu wa 2. Mitundu yambiri yachilengedwe (yamoyo) ndi yama makina ili ndi gawo ili. Zimakhala zodziwikiratu m'mene kuchuluka kwa "zida zopangira" kuli kochepa. Koma ngati kuchuluka kwa magwero azinthu kuli kwakukulu, i.e., katundu pa dongosolo ndiwokwera, ndiye zotsatira za ntchito yake zimakhala zosakonzekera. Tilitchule kuti "lamulo lodziwika bwino lazotsatira pazotchipa zochepa."

Choyamba tiyeni tilingalire za magalimoto monga chitsanzo cha njira iyi. Magalimoto ochepa akapita munthawi yomweyo, onsewo adzafika nthawi yomwe akuyembekezeredwa. Chifukwa galimoto iliyonse imatha kuthamanga kwambiri, ndipo palibe amene amasokoneza. Kuthekera kwa ngozi zomwe zimachitika chifukwa cholakwitsa madalaivala ndizochepa. Chimachitika ndi chiani ngati mutachulukitsa kuchuluka kwa magalimoto omwe amayenda munthawi yomweyo? Likukhalira kuti kuthekera kwa kuchuluka kwa magalimoto ndi ngozi sizingowirikiza, koma kumachulukitsa, mwachitsanzo, kanayi. Zikatero, iwo amati zimawonjezera exponentially kapena exponentially.Ngati chiwerengero cha omwe akuchita nawo gululi chikupitilira kuchuluka, ndiye kuti zizitha kuposa kuchuluka kwa anthu pamsewu. Panthawi imeneyi, kuyenda kumakhala kovuta kwambiri. Kuthekera kwangozi ndizambiri, ndipo kupanikizika kwa magalimoto kuli kosapeweka.

Chizindikiro cha shuga m'magazi odwala matenda ashuga nawonso amachita chimodzimodzi. "Zinthu zoyambira" kwa iye ndi kuchuluka kwa chakudya chambiri chopatsa mphamvu komanso mapuloteni omwe amadyedwa, komanso mlingo wa insulin yomwe idayamba jekeseni posachedwa. Mapuloteni odya amawonjezera pang'onopang'ono komanso pang'ono. Chifukwa chake, timayang'ana kwambiri zamafuta. Ndi chakudya chamagulu omwe amawonjezera shuga m'magazi. Kuphatikiza apo, sikuti amangochulukitsa, koma amayambitsa kudumphadumpha kwake. Komanso, kuchuluka kwa insulin kumadalira kuchuluka kwa chakudya. Mlingo wocheperako wama carbohydrate ndi insulin ndiwodziwikiratu, ndipo milingo yayikulu siyikudziwika. Kumbukirani kuti mafuta onenepa samachulukitsa magazi konse.

Kodi cholinga cha matenda ashuga ndi chiani?

Kodi chofunikira ndi chiani kwa wodwala matenda ashuga ngati akufuna kuwongolera matenda ake? Cholinga chachikulu cha iye ndikukwaniritsa kulosera kwadongosolo. Ndiye kuti, kuti mutha kuneneratu molondola kuchuluka kwa shuga m'magazi, kutengera kuchuluka ndi zakudya zomwe mudadya komanso kuchuluka kwa insulin. Kumbukirani "lamulo loti lingachitike pazoyambira zochepa" zomwe takambirana pamwambapa. Mutha kukwaniritsa kulosera kwa shuga wamagazi mukamadya kokha ngati mutsatira zakudya zamafuta ochepa. Kuti muthandizire odwala matenda ashuga, tikulimbikitsidwa kupatula zakudya zamafuta ambiri (mndandanda wazakudya zoletsedwa), ndipo idyani zomwe zili ndi mapuloteni komanso mafuta achilengedwe (mndandanda wazakudya).

Kodi ndichifukwa chiyani zakudya zamagulu ochepa zimapatsa shuga? Chifukwa choti zakudya zochepa zomwe mumadya, shuga wamagazi ochepa amakwera ndipo insulin yochepa imafunikira. Ngati insulin ingachepetse kwambiri, ndizodziwikiratu, ndipo chiwopsezo cha hypoglycemia chimacheperanso. Ili ndi lingaliro lokongola, koma kodi limagwira ntchito? Yesani ndi kudzipeza nokha. Ingowerenga nkhaniyi kaye, kenako nkumachita :). Pimani shuga wanu wamagazi pafupipafupi ndi glucometer. Choyamba onetsetsani kuti mita yanu ndi yolondola (momwe mungachitire izi). Iyi ndi njira yokhayo yodziwira ngati chithandizo cha matenda a shuga chikugwira ntchito.

American Diabetes Association, ndipo pambuyo pathu Unduna wa Zaumoyo wobadwira, ikupitiliza kulimbikitsa zakudya “zoyenera” zamagulu 1 ndi matenda ashuga a 2. Izi zikutanthawuza zakudya zomwe wodwala amamwa pafupifupi magalamu 84 a chakudya nthawi iliyonse, i.e. zoposa 250 g zamankhwala tsiku. Webusayiti ya Diabetes-Med.Com imalimbikitsa mtundu wina wa zakudya zamafuta ochepa, osaposa 20-30 magalamu a chakudya tsiku. Chifukwa kudya "moyenera" sikothandiza ndipo sikulakwa kwambiri m'matenda a shuga. Kutsatira zakudya zamafuta ochepa, mutha kukhala ndi shuga m'magazi musanadye kwambiri kuposa 6.0 mmol / L kapena ngakhale osakweza kuposa 5.3 mmol / L, monga mwa anthu athanzi.

Momwe michere imayambitsa kutsika kwa shuga m'magazi

85 magalamu a chakudya ndi za kuchuluka zomwe zimapezeka mu mbale ya pasitala yophika wamba. Tiyerekeze kuti mukuwerenga zambiri zokhudzana ndi zakudya zamafuta a pasitala. Ndikosavuta kuwerengetsa kuchuluka kwa pasta wouma yemwe muyenera kulemera ndi kuphika kuti mudye 88 magalamu a chakudya. Makamaka ngati muli ndi muyeso wa kukhitchini. Tiyerekeze kuti muli ndi matenda amtundu woyamba wa shuga, mumalemera pafupifupi 65 kg, ndipo thupi lanu silipanga insulini yokha. Pankhaniyi, zikuwoneka kuti 1 gramu yamatumbo imakweza shuga m'magazi anu ndi 0.28 mmol / L, ndi magalamu 84 a chakudya - motero, mwa 23.3 mmol / L.

Mwachidziwitso, mutha kuwerengera moyenera kuchuluka kwa insulini yomwe mungafunikire kuti mufatse "kuzimitsa" mbale ya pasitala ndi magalamu 84 a chakudya omwe muli. Mwakuchita izi, kuwerengera kotere kwa zakudya zamafuta ochulukirapo kumagwira ntchito molakwika.Chifukwa chiyani? Chifukwa miyezo imaloleza kupatuka kwazomwe zimapezeka muzinthu ± 20% yazomwe zimalembedwa pamaphukusi. Choyipa chachikulu ndikuchita, kupatuka uku nthawi zambiri kumakhala kwakukulu. 20% ya 84 magalamu ndi chiani? Awa ndi pafupifupi magalamu 17 amafuta omwe amatha kukweza shuga m'magazi a "pafupifupi" mtundu 1 wa shuga wodwala ndi 4.76 mmol / L.

Kupatuka kotheka kwa ± 4.76 mmol / L kumatanthauza kuti mutatha kudya mbale ya pasitala ndiku "ibweza "ndi insulini, shuga yanu yamagazi imatha kukhala kuchokera kulikonse kuchokera ku hypoglycemia yayikulu kwambiri. Izi ndizosavomerezeka ngati mukufuna kuwongolera matenda anu a shuga. Kuwerengera pamwambapa ndikumakulimbikitsani kuyesa zakudya zamafuta ochepa a shuga. Ngati izi sizokwanira, werengani. Tionanso momwe kusiyanasiyana kwa zakudya zomwe zimakhudzana ndi zakudya zomwe zimadutsa komanso kusadziwika kwa kuchuluka kwa insulin.

Werengani zokhudzana ndi zovuta zamafuta ndi insulin pa shuga m'magazi zomwe zalembedwa:

Zakudya zamagulu m'zakudya za wodwala matenda a shuga a 2

Tsopano tiyeni tiwone chitsanzo china chomwe chili pafupi kwambiri ndi momwe ambiri owerenga nkhaniyi. Tiyerekeze kuti muli ndi matenda a shuga a 2 ndipo onenepa kwambiri. Zikondwerero zanu zimapitilizabe kupanga insulini, ngakhale sikokwanira kuti muchepetse shuga la magazi mukatha kudya. Mwawona kuti gramu imodzi ya chakudya chamafuta imawonjezera shuga m'magazi anu ndi 0.17 mmol / L. Kwa wodwala yemwe ali ndi matenda a shuga 1, kupatuka kwa shuga pambuyo pakudya kwa pasitala kudzakhala ± 4.76 mmol / L, ndipo kwa inu ± 2.89 mmol / L. Tiyeni tiwone tanthauzo la izi.

Mwa munthu wochepa thupi wathanzi, shuga m'magazi atatha kudya sapitirira 5.3 mmol / L. Mankhwala athu akale amakhulupirira kuti shuga imayang'aniridwa bwino ngati shuga atatha kudya sapitirira 7.5 mmol / L. Yang'anani shuga yanu yamagazi. Ndizachidziwikire kuti 7.5 mmol / L ndi pafupifupi 1.5 nthawi zambiri kuposa momwe munthu wathanzi amakhalira. Pazidziwitso zanu, zovuta za matenda ashuga zimayamba msanga ngati shuga m'magazi atatha kudya kupitirira 6.5 mmol / L.

Ngati shuga m'magazi atatha kudya limakwera kufika pa 6.0 mmol / L, ndiye kuti izi sizikuwopseza khungu kapena kuduladula mwendo, koma atherosclerosis imapita patsogolo mulimonse, i.e. mikhalidwe yokhudzana ndi vuto la mtima komanso sitiroko. Chifukwa chake, kuwongolera kwabwinobwino shuga kumatha kuganiziridwa ngati shuga ya m'magazi itatha kudya imakhala yotsika kuposa 6.0 mmol / L, komanso bwino - osapitirira 5.3 mmol / L, monga mwa anthu athanzi. Ndipo miyezo yovomerezeka ya shuga yam'mwazi ndiwokwera kwambiri kutsimikizira kusagwira ntchito kwa madokotala ndi ulesi wa odwala kuti azichita okha.

Ngati muwerengera kuchuluka kwa insulini kuti shuga m'magazi mutatha kudya ndi 7.5 mmol / L, ndiye kuti mumavutika kwambiri mumapeza 7.5 mmol / L - 2.89 mmol / L = 4.61 mmol / L Ndiye kuti, hypoglycemia sikukuwopsezeni. Koma takambirana pamwambapa kuti izi sizingaganiziridwe kuti ndi njira yabwino yolowera matenda ashuga, ndipo kwa zaka zingapo muyenera kudziwa zovuta zake. Ngati mutaba jakisoni wambiri, poyesa kutsitsa shuga mpaka 6,0 mmol / L, ndiye kuti vuto lalikulu kwambiri, shuga wanu wamagazi adzakhala 3.11 mmol / L, ndipo ichi ndi hypoglycemia kale. Kapena, ngati kupatuka kwadzuka, ndiye kuti shuga yanu ikhale yopanda malire ovomerezeka.

Wodwala akangosintha zakudya zamagulu ochepa kuti azitha kusintha matenda ashuga, ndiye kuti zonse zimasintha nthawi yomweyo. Kusunga shuga wamagazi mukatha kudya pansipa 6.0 mmol / L ndikosavuta. Kuchepetsa mpaka 5.3 mmol / L ndikuwona ngati mungagwiritse ntchito zakudya zamagulu ochepa komanso kuchita masewera olimbitsa thupi mosangalala kuthana ndi matenda amtundu wa 2. Mu milandu yovuta ya matenda a shuga a 2, timawonjezera mapiritsi a Siofor kapena Glucofage, komanso jakisoni wa Mlingo wochepa wa insulin pazakudya ndi maphunziro akuthupi.

Zakudya Zochepa Zopatsa Thupi za Type 1 ndi Matenda Awiri A shuga

Chifukwa chiyani zakudya zamagulu ochepa zimapatsa mphamvu kuthana ndi matenda a shuga:

Pazakudya izi, odwala matenda ashuga amadya zakudya zochepa, chifukwa chake mthupi shuga sitha kukwera kwambiri.
Mapuloteni azakudya amathandizanso shuga m'magazi, koma amawachita pang'onopang'ono komanso mosadukiza, ndipo amasavuta "kuzimitsa" ndi milingo yaying'ono ya insulin.
Magazi a shuga amwaziwikiratu.
Mlingo wa insulin umadalira kuchuluka kwa chakudya chamafuta chomwe mumafuna kudya. Chifukwa chake, pazakudya zochepa zama carbohydrate, kufunika kwa insulin kumachepetsedwa.
Mlingo wa insulin utachepa, chiopsezo cha hypoglycemia chimacheperanso.

Zakudya zamafuta ochepa zimachepetsa kuchepa kwa shuga m'magazi kuchokera pa chandamale cha odwala omwe ali ndi matenda a shuga 1 kuchokera ku ± 4.76 mmol / L, omwe takambirana pamwambapa, kuti ± 0.6-1.2 mmol / L. Kwa odwala omwe ali ndi matenda a shuga a mtundu wa 2 omwe akupitiliza kupanga insulin yawoyokha, kupatuka kumeneku ndikocheperako.

Bwanji osangochepetsa gawo kuchokera pa mbale imodzi ya pasitala kupita ku mbale 0,5 za pasitala yemweyo? Izi ndi zoyipa pazifukwa izi:

Zakudya zamafuta ambiri zimapangitsa shuga m'magazi, ngakhale atadyedwa mosavomerezeka.
Mudzakhala ndi kumva njala mosalekeza, chifukwa chomwe posachedwa mudzisweka. Palibe chifukwa chodzizunzira nokha ndi njala, mutha kubwezeretsa shuga m'magazi popanda izi.

Chakudya chamafuta ochepa ndi nyama zomwe zimaphatikizidwa ndi masamba. Onani mndandanda wazinthu zololedwa. Zakudya zomanga thupi zimachulukitsa shuga wamagazi mwamphamvu komanso mwachangu, chifukwa chake timayesetsa kuti tisamadye. M'malo mwake, timazidya pang'ono, zamtundu wathanzi komanso zokoma. Mapuloteni amawonjezeranso magazi, koma pang'ono ndi pang'ono. Kukula kwa shuga komwe kumachitika chifukwa cha zinthu zamapuloteni ndikosavuta kulosera komanso kuzimitsa molondola ndi milingo yaying'ono ya insulin. Zinthu zamapuloteni zimasiya kumva kosangalatsa kwa nthawi yayitali, makamaka kwa anthu odwala matenda ashuga a 2.

Mwachidziwitso, wodwala matenda ashuga amatha kudya chilichonse ngati ayesa zakudya zonse ndi cholembera kukhitchini kupita ku gramu yapafupi, kenako ndikuwerengera kuchuluka kwa insulini pogwiritsa ntchito zomwe zalembedwa pamapiritsi. Pochita izi, njira imeneyi sigwira ntchito. Chifukwa m'matafura ndi pamaphukusi azinthu zimangotchulidwa zokhazo. Zowonadi, zophatikiza ndi zakudya zimatha kukhala zosiyana kwambiri ndi miyezo. Chifukwa chake, nthawi iliyonse mukangoganiza zomwe mumadya, komanso momwe zimakhudzira shuga wanu wamagazi.

Zakudya zamagulu ochepa zama shuga ndi njira yeniyeni yopulumutsira. Ndizosangalatsa komanso zokoma, koma ziyenera kuwonedwa mosamala. Mulole zikhale chipembedzo chanu chatsopano. Zakudya zamafuta ochepa zimakupatsani mphamvu yodzaza komanso shuga wabwinobwino. Mlingo wa insulin umachepetsedwa, potero kuchepetsa chiopsezo cha hypoglycemia.

Mlingo wocheperako komanso waukulu wa insulin amagwira ntchito

Ndikufuna kuganiza kuti mlingo womwewo wa insulin nthawi iliyonse umatsitsa shuga. Tsoka ilo, sizili choncho pochita. Anthu odwala matenda ashuga omwe "akudziwa" amadziwa bwino kuti mlingo womwewo wa insulini m'masiku osiyanasiyana uzichita mosiyana. Chifukwa chiyani izi zikuchitika:

Pamasiku osiyana, thupi limakhala ndi chidwi chosiyanasiyana ndi zomwe zimapangitsa insulini. Mu nyengo yofunda, izi zimakonda kuwonjezeka, ndipo nyengo yozizira, m'malo mwake, imachepa.
Sikuti insulini yonse yomwe imalowa m'magazi. Nthawi iliyonse kuchuluka kwa insulin kumalowa.

Insulin yolowetsedwa ndi syringe, kapena ngakhale ndi pampu ya insulin, sigwira ntchito ngati insulin, yomwe nthawi zambiri imapanga kapamba. Insulin ya anthu mu gawo loyambirira la mayankho a insulin nthawi yomweyo imalowa m'magazi ndipo nthawi yomweyo imayamba kutsika shuga. Mu matenda a shuga, jakisoni wa insulin nthawi zambiri amachitika mu mafuta osunthika. Odwala ena omwe amakonda chiopsezo komanso kusangalala amakhala ndi jakisoni wa insulin (musachite izi!). Mulimonsemo, palibe amene amavulala ndi insulin kudzera m'mitsempha.

Zotsatira zake, ngakhale insulin yothamanga kwambiri imayamba kugwira ntchito pambuyo pa mphindi 20. Ndipo mphamvu zake zonse zimawonekera mkati mwa maola 1-2.Izi zisanachitike, kuchuluka kwa shuga m'magazi kumakhalabe kokwezeka kwambiri. Mutha kutsimikizira izi mosavuta mwakuyeza shuga m'magazi anu pakatha mphindi 15 mutatha kudya. Izi zimawononga mitsempha, mitsempha yamagazi, maso, impso, ndi zina. Mavuto a shuga amakula, ngakhale zolinga zabwino za dotolo ndi wodwala.

Tiyerekeze kuti wodwala matenda a shuga amadzipweteka ndi insulin. Zotsatira zake, chinthu chinaonekera m'matumbo am'madzi, omwe chitetezo chamthupi chimawona ngati chakunja ndikuyamba kuukira. Chitetezo cha mthupi nthawi zonse chimawononga inshuwaransi kuchokera ku jakisoni isanakwane nthawi yolowa m'magazi. Ndi gawo liti la insulini lomwe silingagwiritsidwe ntchito, ndipo lomwe lingachitike, limadalira zinthu zingapo.

Mokulira mlingo wa insulin, womwe umawonjezera kukwiya komanso kutupa komwe kumayambitsa. Tikatupa kwambiri, maselo "a" sendinel "a chitetezo chathupi amakopeka ndi jakisoni. Izi zimapangitsa kuti kuchuluka kwa insulin kochulukirapo, sikungachitike. Komanso kuchuluka kwa kuyamwa kwa insulini kumatengera kuzama ndi komwe jakisoni.

Zaka zingapo zapitazo, ofufuza ku University of Minnesota (USA) adakhazikitsa izi. Ngati mumasokoneza 20 U wa insulin pamapewa, ndiye kuti pamasiku osiyanasiyana zochita zake zimasiyana ndi ± 39%. Kupatuka uku kumawonekera pazinthu zosinthika zamagulu azakudya mu chakudya. Zotsatira zake, odwala matenda a shuga amakhala ndi "zochuluka" zamagazi m'magazi. Kuti musunge shuga wabwinobwino, sinthani zakudya zamafuta ochepa. Zakudya zamafuta zochepa zomwe mumadya, insulin yochepa imafunikira. Potsitsa muyeso wa insulin, ndizomwe zimatha kudziwikiratu. Chilichonse ndichosavuta, chotsika mtengo komanso chothandiza.

Ofufuzawo omwewo kuchokera ku Minnesota adapeza kuti ngati insulin ikalowetsedwa pamimba, kupatuka kumachepa mpaka ± 29%. Malinga ndi zotsatira za kafukufukuyu, adalimbikitsa kuti odwala omwe ali ndi matenda ashuga asinthe jakisoni m'mimba. Timapereka chida chothandiza kwambiri kuthana ndi shuga komanso kuthana ndi “kudumpha” kwake. Uku ndi chakudya chamafuta ochepa omwe amakupatsani mwayi kuti muchepetse mulingo wa insulin ndipo izi zimapangitsa kuti zotsatira zake zizikhala zosasunthika. Ndipo chinyengo china, chomwe chafotokozedwa m'gawo lotsatira.

Tiyerekeze kuti wodwala yemwe ali ndi matenda a shuga amalowa m'magawo 20 a insulin m'mimba mwake. Pa munthu wamkulu wolemera makilogalamu 72, avareji ya 1 UNIT ya insulini imatsitsa shuga ndi 2.2 mmol / L. Kupatuka pakuchitika kwa insulin 29% kumatanthawuza kuti mtengo wa shuga m'magazi udzasokonekera ndi ± 12.76 mmol / L. Izi ndi zowopsa. Popewa kwambiri hypoglycemia ndi kusazindikira, odwala matenda ashuga omwe amalandira Mlingo waukulu wa insulin amakakamizidwa kukhala ndi shuga yayikulu nthawi zonse. Kuti achite izi, nthawi zambiri amamwa zakudya zovulaza zopatsa mphamvu. Sangayembekezere kulumala msanga chifukwa cha zovuta za matenda ashuga. Zoyenera kuchita? Kodi kusintha izi? Choyamba, sinthani kuchokera kuzakudya zopatsa thanzi ndikuyamba kudya pang'ono. Onaninso momwe insulin yanu imachepera komanso kuchuluka kwa momwe shuga yanu imafikira kumene mukufuna.

Momwe mungapangire jakisoni wamkulu wa insulin

Anthu ambiri odwala matenda ashuga, ngakhale atadya zakudya zamafuta ochepa, amafunikabe kubayidwa Mlingo waukulu wa insulin. Poterepa, gawani muyeso waukulu wa insulin m'matabowo angapo, omwe amachitirana mbali zosiyanasiyana za thupi. Pindani jakisoni aliyense osaposa 7 PIERESES ya insulin, komanso bwino - osapitilira 6 PISITSI. Chifukwa cha izi, pafupifupi insulin yonse imamwa. Tsopano zilibe kanthu komwe ungayimenye - paphewa, ntchafu kapena m'mimba. Mutha kupanga majekeseni angapo limodzi ndi syringe yomweyo, osakonzanso insulini kuchokera ku vial, kuti musawononge. Werengani momwe mungapangire insulin kuwombera mopanda chisoni. Mulingo wochepetsetsa wa insulin imodzi jakisoni imodzi, ndiye kuti imagwira ntchito kwambiri.

Ganizirani chitsanzo chothandiza. Pali wodwala yemwe ali ndi matenda a shuga a 2 omwe ali ndi kunenepa kwambiri, motero, ndi insulin yolimba. Anayamba kudya zakudya zamafuta ochepa, koma amafunikabe insulin 27 "yotalikitsidwa" usiku wonse. Kukopa kuchita nawo maphunziro akuthupi kuti uchulukitse chidwi chathu cha insulin, wodwalayo sanadzipereke. Amagawa zigawo 27 za insulin m'matumba 4 omwe amapangira jakisoni wina mbali zosiyanasiyana za thupi ndi syringe yomweyo. Zotsatira zake, zochita za insulin tsopano zitha kudziwikiratu.

Yochepa komanso ya ultrashort insulin musanadye

Gawoli limangoperekedwa kwa odwala omwe ali ndi mtundu woyamba wa 2 ndi shuga wachiwiri omwe amalandiridwa jakisoni wa insulin asanadye. Kuwonjezeka kwa shuga wamagazi mukatha kudya "kuzimitsidwa" ndi jakisoni wa insulin yochepa kapena ya ultrashort. Zakudya zamagulu amthupi zimayambitsa pompopompo - makamaka, pompopompo (!) - kudumpha m'magazi a magazi. Mwa anthu athanzi, satenga mbali ndi gawo loyamba la insulin katemera poyankha chakudya. Izi zimachitika mkati mwa mphindi 3-5. Koma ndi mtundu uliwonse wa matenda ashuga, gawo loyamba la insulin katulutsidwe limaphwanyidwa choyambirira.

Sipangokhala fungo la insulin kapena lalifupi chabe lomwe limayamba kuchita zinthu mwachangu kwambiri kuti likonzenso gawo loyamba la insulin. Chifukwa chake, ndibwino kusakhala kutali ndi zakudya zamafuta ambiri. M'malo mwawo muthane ndi mapuloteni omwe amawonjezera shuga m'magazi pang'ono komanso bwino. Pazakudya zamafuta ochepa, tikulimbikitsidwa kuti musagwiritse ntchito mankhwala ochepetsa mphamvu yaifupi, koma yaifupi, ndikumaba jakisoni mphindi 40-45 musanadye. Komanso tikambirana mwatsatanetsatane chifukwa chake njira iyi ndiyabwino kwambiri.

Odwala odwala matenda ashuga omwe amadya chakudya chamafuta ochepa amalandila kuchuluka kwambiri kwa insulin musanadye kwambiri kuposa omwe amadya zakudya zabwino. Mlingo waukulu wa insulin umayamba kugwira ntchito mwachangu, ndipo zotsatira zake zimatenga nthawi yayitali. Zimakhalanso zovuta kudziwa kuti mphamvu ya insulin yayitali ingathe liti. Mlingo wochepa wa insulin yochepa umayamba kuchita pambuyo pake, ndiye muyenera kudikirira nthawi yayitali musanayambe chakudyacho. Koma mudzakhala ndi shuga wabwinobwino mukatha kudya.

Pochita izi, izi zikutanthauza izi:

Pokhala ndi zakudya zamagulu owonjezera chakudya chamagulu, ma insulin a "ultrashort" amatumizidwa pamiyeso yayikulu musanadye, ndipo amayamba kuchita pakatha mphindi 5 mpaka 15. Ndi zakudya zotsika pang'ono zama carbohydrate, insulin yomweyo "yocheperako" mumadontho ang'onoang'ono amayamba kuchita pang'ono pambuyo pake - pambuyo pa mphindi 10-20.
Ndi chakudya chamafuta ambiri, ma insulin "achidule" amafunikira musanadye mumalingo waukulu ndipo chifukwa chake amayamba kuchita mphindi 20-30. Pokhala ndi chakudya chamafuta ochepa, ayenera kudulidwedwa m'malo ochepa 40-45 mphindi musanadye, chifukwa amayamba kuchita pambuyo pake.

Zowerengera, timaganiza kuti zochita za jakisoni wa ultrashort kapena insulin yochepa imatha pambuyo pa maola 5. M'malo mwake, mawonekedwe ake amatha mpaka maola 6-8. Koma m'maola omaliza ndizosakwanira kwambiri kotero kuti amatha kunyalanyazidwa.

Chimachitika ndi chiani kwa odwala matenda a shuga 1 kapena 2 omwe amadya zakudya zoyenera? Zakudya zamagulu amthupi zimapangitsa kuti azikhala ndi shuga m'magazi, omwe amapitilira mpaka nthawi yochepa kapena insulort insulin ayambe kuchita. Nthawi ya shuga yayitali imatha kukhala mphindi 15-90, ngati mukugwiritsa ntchito insulin yofulumira kwambiri Kuchita kwawonetsa kuti izi ndizokwanira kuphatikizira kwa matenda ashuga m'maso, m'miyendo, impso, ndi zina.

Munthu wodwala matenda ashuga amatha kudikirira mpaka atayamba kudya “moyenera” mpaka atayamba kulowererapo. Tikukumbukira kuti adalowetsa insulin yayikulu kuti athetse gawo lolimba la chakudya. Ngati wasowa pang'ono ndikuyamba kudya patangopita mphindi zochepa kuposa momwe angakhalire, ndiye kuti adzakhala ndi hypoglycemia yayikulu.Chifukwa chake zimachitika nthawi zambiri, ndipo wodwalayo mwamantha amameza maswiti mwachangu kuti akweze shuga yake yayitali ndi kupewa kukomoka.

Gawo loyamba mwachangu la insulin katulutsidwe ka chakudya limalephera mitundu yonse ya shuga. Ngakhale insulin yofulumira kwambiri imayamba kuchita zinthu mochedwa kwambiri kuti iwonenso. Chifukwa chake, ndizomveka kudya zopangidwa ndi mapuloteni zomwe zimapangitsa shuga m'magazi pang'ono komanso bwino. Pazakudya zamafuta ochepa musanadye, insulin yochepa ndiyabwino kuposa yochepa kwambiri. Chifukwa nthawi ya zochita zake imagwirizana bwino ndi nthawi yomwe mapuloteni azakudya amawonjezera shuga m'magazi kuposa nthawi ya ultrashort insulin.

Momwe mungagwiritsire ntchito njira yotsatsira

Kumayambiriro kwa nkhaniyi, tinapanga "Lamulo loti liziwonetseratu zomwe zidzachitike pamitolo yochepa." Talingalirani za momwe angagwiritsire ntchito kuthana ndi shuga m'magulu 1 ndi matenda a shuga a 2. Popewa kuphuka kwa shuga, muyenera kudya chakudya chochepa kwambiri. Izi zikutanthauza kupanga katundu pang'ono pa kapamba. Idyani chakudya chochepa pang'onopang'ono. Amapezeka m'masamba ndi mtedza kuchokera mndandanda wazakudya zovomerezeka. Ndipo khalani kutali kwambiri ndi zakudya zamagalimoto othamanga kwambiri (mndandanda wazakudya zoletsedwa). Tsoka ilo, ngakhale mafuta "osakwiya", ngati adya kwambiri, amatha kuwonjezera shuga m'magazi.

Malangizo ambiri ochepetsa chakudya cha anthu obwera chifukwa cha matenda ashuga: osaposanso magalamu 6 a chakudya chochepa kwambiri cha chakudya cham'mawa, osaposa magalamu 12 a nkhomaliro, ndi magalamu 6-12 a chakudya chamadzulo. Onjezani mapuloteni ambiri kuti mumve zonse, koma osadya kwambiri. Zakudya zomanga thupi zovomerezeka kwa anthu odwala matenda ashuga zimapezeka m'masamba ndi mtedza, zomwe zili pamndandanda wazakuloledwa. Kuphatikiza apo, ngakhale zakudya za chakudya izi ziyenera kudyedwa pang'ono. Nkhani yakuti "Zakudya Zochepa Pazakudya Zaz shuga: Njira Zoyambirira" ikufotokozera momwe angapangire chakudya ndikupanga mndandanda wazomwe zimayambitsa matenda ashuga.

Ngati mumayendetsa mosamala kudya zakudya zamagulu ochulukitsa, monga momwe tafotokozera pamwambapa, ndiye kuti shuga yanu yamafuta mukatha kudya imakwera pang'ono. Mwina sangakulire konse. Koma ngati mutachulukitsa kuchuluka kwa chakudya chamafuta, ndiye kuti shuga mumagazi sidzadumphira kawiri, koma mwamphamvu. Ndipo shuga wambiri amachititsa kuti azikhala ndi shuga woipa kwambiri.

Odwala omwe ali ndi matenda amtundu wa 1 ndi mtundu wa 2 omwe akufuna kuwongolera matenda awo a shuga ayenera kukhala ndi mizere ya glucose mita yoyesa. Chitani izi kangapo. Pimani magazi anu mutatha kudya pang'onopang'ono kwa mphindi 5. Tsatani momwe amakhalira ndi zinthu zosiyanasiyana. Kenako yang'anani kuthamanga ndi kuchuluka kwa insulin. Popita nthawi, muphunzira kuwerengera moyenera kuchuluka kwa chakudya chamafuta pang'ono komanso kuchuluka kwa insulini yochepa kotero kuti "kudumphira" m'magazi a shuga kuyime. Cholinga chachikulu ndikuwonetsetsa kuti mutadya shuga wamagazi simaposa 6.0 mmol / L, kapena kuposa pamenepo, 5.3 mmol / L, monga mwa anthu athanzi.

Kwa odwala ambiri omwe ali ndi matenda ashuga a 2, kusinthana ndi chakudya chamafuta ochepa kumatha kupereka ma jakisoni a insulin musanadye komanso kukhalabe ndi shuga. Anthu otere amatha kuyamikiridwa. Izi zikutanthauza kuti adadzisamalira panthawi yake, ndipo gawo lachiwiri la insulin kutulutsa linali lisanathe. Sitilonjeza munthu pasadakhale kuti zakudya zamafuta ochepa zimakupatsani mwayi woti "mulumphe" kuchokera ku insulin. Koma zowonadi zake zimachepetsa kufunika kwanu kwa insulin, ndikuwongolera kwanu shuga.

Chifukwa chiyani simungadye kwambiri ngakhale ndi zinthu zovomerezeka

Ngati mwadya masamba komanso / kapena mtedza wambiri kotero kuti mwatambasulira makhoma anu, ndiye kuti shuga yanu imakwera mwachangu, monga zakudya zochepa zoletsedwa zamatumbo ambiri. Vutoli limatchedwa "zotsatira za malo odyera achi China," ndipo kukumbukira ndizofunikira kwambiri.Onani nkhani yakuti “Chifukwa Chomwe Amayendedwe Ati S shuga Akhoza Kupitilira Pazakudya Zapansi, ndi Momwe Mungakonzekere.” Kudya kwambiri ndi matenda ashuga 1 ndi 2 ndikosatheka kwenikweni. Popewa kudya kwambiri, ndi mtundu wachiwiri wa matenda a shuga ndikofunikira kudya osadya kangapo katatu patsiku, koma kanayi pang'ono. Malangizowa akukhudzanso odwala omwe ali ndi matenda a shuga a 2 omwe samathandizidwa ndi insulin yochepa kapena ya ultrashort.

Mtundu wachiwiri wa matenda ashuga, kudya m'magawo ang'onoang'ono nthawi zambiri kumakupatsani mwayi wowongolera shuga wamagazi ndi gawo lachiwiri la insulin secretion, yomwe imakhalabe yolimba. Zingakhale bwino ngati mungasinthe zakudya zamtunduwu, ngakhale kuti zikuvuta. Nthawi yomweyo, odwala omwe ali ndi matenda amtundu wa 1 ndi mtundu wa 2 omwe amaba jakisoni nthawi iliyonse asanadye ayenera kudya katatu patsiku. Kukhazikika pakati pa chakudya sikwabwino kwa iwo.

Nkhaniyi idakhala yayitali, koma, mwachiyembekezo, ndi yothandiza kwa inu. Tiyeni tiwunike mawu omaliza:

Zakudya zamafuta zochepa zomwe mumadya, shuga yochepa ya magazi imakwera ndipo insulin yochepa imafunikira.
Ngati mumangodya chakudya chamagulu ochepa, ndiye kuti mutha kuwerengera bwino momwe shuga azikhalira mukatha kudya komanso kuchuluka kwa insulini. Izi sizingachitike pothandizidwa ndi chakudya chamagulu ambiri.
Mukapaka insulin pang'ono, mumatha kudziwa zambiri, ndipo ngozi ya hypoglycemia imacheperanso.
Zakudya zamafuta ochepa a shuga zimatanthauzira kuti osadya magalamu 6 a chakudya cham'mawa, osaposa magalamu 12 a chakudya chamadzulo komanso magalamu 6-12 a chakudya chamadzulo. Kuphatikiza apo, chakudya chamaguluchi chimatha kudya chokhacho chomwe chimapezeka m'masamba ndi mtedza kuchokera pamndandanda wazakudya zomwe ziloledwa.
Kuwongolera matenda a shuga ndi zakudya zamafuta ochepa sizitanthauza kuti muyenera kudzipha nokha. Idyani mapuloteni ambiri komanso mafuta abwinobwino achilengedwe kuti mumve zonse, koma osadya kwambiri. Onani nkhani yomwe ili ndi "Njira Yochepa Yopatsa Matenda Ati a shuga: Njira Zoyambirira" kuti muphunzire momwe mungapangire menyu osangalatsa omwe ali ndi michere yambiri, mavitamini, mchere, komanso zinthu zina.
Kudwala magazi ndizosatheka. Werengani momwe zakudya zachi China zikuthandizira komanso momwe mungapewere.
Osaba jakisoni wopitilira 6-7 a insulin jekeseni imodzi. Gawani mulingo waukulu wa insulin m'mabakitoni angapo, omwe amachitidwa nthawi yomweyo mbali zosiyanasiyana za thupi.
Kwa matenda ashuga amtundu wa 2, ngati simumayamwa insulin musanadye, yesani kudya zakudya zazing'ono kangapo patsiku.
Odwala omwe ali ndi matenda amtundu wa 1 ndi mtundu wa 2, omwe amalandila insulin nthawi yayitali musanadye, ayenera kumadyedwa katatu patsiku ndi nthawi yotalikirapo kwa maola 5 ndipo musamadye pakati pa chakudya.

Mudzaona kuti ndizothandiza kusunga nkhaniyi m'mabuku kuti muwerengenso nthawi ndi nthawi. Onaninso zolemba zathu zotsalira pazakudya zamagulu ochepa a shuga. Ndikhala wokondwa kuyankha mafunso anu m'ma ndemanga.

Mapindu ake

Zakudya zotsika mtengo zamatenda amtundu woyamba wa shuga ndi lingaliro labwinobwino lomwe sikuti onse amakono a endocrinologists amachirikiza. Wodwala akatsatira chakudyachi, pang'onopang'ono amasiya mankhwala othandizira, omwe siwothandiza pamakampani opanga mankhwala. Kwa thanzi la anthu, kudya zakudya zamafuta ochepa kumakhala ndi zabwino zambiri:

amathandiza kapamba,
Amachepetsa kukana kwa insulin,
amakhala ndi shuga wabwino nthawi zonse,
amathandizira kuwongolera kunenepa
amathandizira kuyeretsa mitsempha yamagazi "cholesterol" yoyipa,
amakhala ndi magazi abwinobwino,
amachepetsa kuopsa kwa zotengera, impso, dongosolo lamanjenje, fundus.

Zoyipa

Sizovuta kuti munthu amene amakonda kudya shuga ndi zakudya zamagulu azakudya za Bernstein. Poyamba, wodwala matenda ashuga amatha kuthamangitsidwa ndi njala, koma thupi limazolowera kusintha.. Chovuta kwambiri ndi cha odwala omwe ali ndi vuto la impso.Ndi matenda apamwamba a diabetes a nephropathy, zakudya zamagulu ochepa zimatsutsana. Mu 2011, kafukufuku adamaliza ku sukulu yachipatala yaku America yomwe idatsimikizira kuti kudya zakudya zama carb ochepa kumatha kuyambitsa matenda a matenda ashuga. Kuyesaku kunachitika ndi mbewa.

Malamulo a zopatsa thanzi

Mfundo yofunika kwambiri pachakudya chochepa cha carb cha mtundu I shuga ndikuwerengera kuchuluka kwa chakudya. Kulemera kwa saccharides kumatsimikiziridwa payekhapayekha, poganizira za jenda, zaka komanso kulemera kwa munthu, kudya glycemia komanso maola awiri atatha kudya. Asayansi ambiri amakhulupirira kuti ndikofunikira kuti muchepetse zakudya zamafuta 30 30 patsiku. Ogwira ntchito zina azaumoyo salola kuchepa kwakukulu ndipo amalimbikitsa kudya mpaka 70 g yamafuta. Richard Bernstein adapanga izi kwa munthu wamkulu wolemera makilogalamu 64: 6 ga masekisoni m'mawa, 12 g pa nkhomaliro ndi madzulo.

Zakudya zotsika mtengo zamatenda amtundu woyamba wa shuga zimayambira poyesa. Munthu amadya chakudya chololedwa, amayeza shuga ndikutsatira magwiridwe antchito kwa nthawi. Ngati mbale sayambitsa kulumpha mu glycemia, imasiyidwa m'zakudya. Malamulo apakati pamagetsi:

Gawani chakudya chambiri chambiri mu zakudya zitatu.
Konzani mndandandawu sabata pasanadutse ndikukwaniritsa malowo popanda kupatuka. Sikovomerezeka kuti mudzipatse kuchepa - ndiye kuti muyenera kuchepetsa shuga.
Idyani pokhapokha ngati mukumva njala yeniyeni. Kudyetsa magazi ndikoletsedwa! Chochita chilichonse chomwe chimagwiritsidwa ntchito mopitilira muyeso chimayambitsa kudumpha m'magazi.
Tsiku lililonse, muzakudya zonse muyenera kudya michere ndi mapuloteni omwewo. Zogulitsa ziyenera kukhala zosiyanasiyana, koma zophatikiza michere mkati mwake ndizabwino.
Shuga amayenera kulamulidwa mpaka katatu patsiku, nthawi zina usiku. Mukatha kugwiritsa ntchito chatsopano, muyeze mulingo wa glycemia mphindi 5 mutatha kudya, ndiye pambuyo pa mphindi 15, 30, 60. Lembani mndandanda wa zakudya zomwe sizimakhudzana ndi glucose komanso zomwe zimapangitsa kukula. Ndikofunikira kwambiri kuyang'ana chakudya cha "m'malire" cha shuga: msuzi wa phwetekere, tchizi tchizi, walnuts, ndi zina.

Mndandanda wazogulitsa Zosiyanasiyana za Carbon Diabetes

Mndandanda wazinthu zomwe zaloledwa sizikhudzidwa kwambiri pamitundu yosiyanasiyana, koma munthu wodwala matenda ashuga ali ndi zosankha zochepa: muyenera kusintha zakudya, kapena moyo wanu uzikuchulukirachulukira. Zakudya zamafuta ochepa:

nyama ndi nkhuku: ng'ombe, ng'ombe, nkhuku, kalulu, nkhuku,
nsomba zamafuta ochepa komanso zamafuta ochepa: nsomba za pike, trout, pollock, crucian carp, etc.,
zamitundu yonse zam'nyanja,
mazira
masamba obiriwira: kabichi, nyemba, nkhaka, sipinachi, anyezi wobiriwira, anyezi yaiwisi (ochepa kwambiri), tomato watsopano (magawo 2-3), tsabola wowotcha, nyemba zobiriwira, biringanya (kuyesa),
amadyera: katsabola, cilantro, parsley,
bowa
mapeyala
zopangidwa mkaka: kirimu mafuta, yogati yachilengedwe kuchokera mkaka wonse, kefir, tchizi chilichonse, kupatula feta, batala, tchizi (kanyumba ka 1-2), mayeso),
zinthu za soya: mkaka, ufa (wochepa),
zonunkhira zachilengedwe
mtedza: hazelnuts, mtedza wa ku Brazil (osapitirira zidutswa 10 nthawi imodzi),
zakumwa: khofi, tiyi, cola wopanda shuga, mchere ndi madzi oyera wamba.

Katundu Woletsedwa

Zakudya zamafuta othamanga, mafuta owopsa, ndi zinthu zokhala ndi shuga wobisika ndizoletsedwa kwa wodwala wokhala ndi matenda ashuga 1. Mndandanda wazakudya zomwe siziyenera kukhala m'zakudya:

shuga patebulo
maswiti, kuphatikizapo odwala matenda ashuga,
wokondedwa
ufa uliwonse ndi pasitala,
masikono a mkate
chimanga: rye, tirigu, oatmeal, mpunga, chimanga, barele, mapira,
phala la buckwheat
masamba: kaloti, beets, mbatata, tsabola belu, nyemba, nandolo, nyemba, tomato ophika, dzungu,
mafuta a nkhumba zamafuta,
margarine
nsomba zam'phaka, zamzitini, zosuta ndi nsomba zamchere,
zipatso ndi zipatso zilizonse, kuphatikizapo mphesa, maapulo wobiriwira, mandimu, ma buluu,
zipatso zamasamba
chonse, skim, mkaka wokhala ndi mafuta, kirimu wowawasa,
zinthu zonse zotsiriza
sopo zamzitini
viniga wa basamu,
mankhwala okhala ndi shuga mmalo: ndi dextrose, glucose, fructose, lactose, xylitol, chimanga ndi mapulo manyumwa, maltodextrin, malt,
koloko
mowa, zakumwa zoziziritsa kukhosi, mandimu, kompositi, msuzi wa rosehip.

Kusinthira ku chakudya chamafuta ochepa

Kuti muwongolere matenda ashuga amtundu woyamba, muyenera kukonzekera kusinthika kwa dongosolo la zakudya la Bernstein. Phunzirani momwe mungawerengere kuchuluka kwa insulin "yayitali" ndi "yayifupi" kutengera glycemia. Pamene kuchuluka kwa chakudya chamagulu m'thupi kumachepa, shuga azitha ndipo kufunikira kwa insulini kumachepa. Kuti mupewe hypoglycemia, muyenera kusintha mlingo wa jakisoni. Nthawi zonse khalani ndi mapiritsi a glucometer ndi glucose omwe amayankhidwa kuti ayankhe panthawi yake ngati shuga yatsika kwambiri.

Kwa milungu iwiri, muyenera kuchita zowongolera shuga. Pa tebulo, lembani zizindikiro za glycemic, zomwe adadya, kuchuluka kwake, komwe insulin idabayira, yomwe mapiritsi adatengedwa. Munthawi imeneyi, ndikofunikira kudziwa kuti kuchuluka kwa shuga kumachulukitsa 1 g ya chakudya chambiri chomwe amadya. Pang'onopang'ono muchepetseni kuchuluka kwa ma saccharides, poyesa kuchuluka kwa glycemia.

Dziwani kuchuluka kwa mapuloteni omwe muyenera kukwaniritsa. Nthawi yomweyo, muzidalira momwe mukumvera komanso matebulo anu pazomwe amapezeka pamapuloteni / mafuta / ma carbohydrate (BJU) pazogulitsa. Mwachitsanzo, mukuganiza kuti pa nkhomaliro muyenera kudya 50 g ya mapuloteni oyera (pafupifupi 250 g a mapuloteni). Idyani chakudya chambiri ndikuwona kuchuluka kwa momwe chakudya chasinthira, momwe shuga ya magazi idakhalira. Ngati zikuwonetseratu komanso kukhala bwino sizikugwirizana ndi inu, muchepetse kapena kuwonjezera kuchuluka kwa mapuloteni ndikusintha mlingo wa insulin.

Zomwe muyenera kuganizira mukamapanga menyu

Pokonzekera chakudya, ndikofunikira kuganizira zazikulu zitatu zomwe zikupanga zotsalazo:

Glycemic index (GI) ndi digito yomwe imawonetsa kuchuluka kwazomwe mtundu wina umakweza pamisempha. Kwambiri mtengo (okwanira 100), ndiwokwera kuthekera kwa chakudya kuchulukitsa glycemia.
Insulin Index (II) ndi chisonyezo chomwe chikuwonetsa kuchuluka kwa timadzi tambiri timene timafunikira kuti shuga ya magazi ikhale yabwinobwino atatha kudya chinthu china.
Mtengo wazakudya - kulemera kwa BZHU mu 100 g ya chinthu.

Wodwala wodwala matenda a shuga 1 ayenera kudziwa kuti mankhwalawa amawonjezera GI ya malonda. Masamba osaphika amakhala ndi mitengo yotsika, ndipo izi ziyenera kuganiziridwa mukamawerenga kuchuluka kwa insulin. Wodwala amatha kudya yophika m'madzi ndi nthunzi, yophika, yopatsa chakudya. Anthu ambiri odwala matenda ashuga zimawavuta kuchotsa zonenepetsa mu shuga mukatha kudya chakudya cham'mawa. Kuti muthane ndi vutoli, m'mawa muyenera kudya zakudya zophatikiza kawiri kuposa chakudya chamasana ndi chakudya chamadzulo, kapena osaphatikiza ma sakelamenti pachakudya cham'mawa chonse. Chakudya chamadzulo chisakhale mosachedwa kuposa 18:30.

Zomwe zimatha kutheka ndi matenda ashuga

Mndandanda wazomwe zingatheke ndi matenda ashuga, ndi zakudya zamtundu wanji zomwe zimaloledwa ndizochuluka ndipo zimapangitsa kuti aliyense wa omwe ali ndi matenda ashuga asankhe. Mndandanda wazipatso izi ukuphatikiza:

Zipatso za malalanje
Maapulo ena
plums
mavwende
mavwende.

Mokulira, chipatso chake chimakhala chambiri, ndizothandiza kwa matenda ashuga. Ndikofunika kufunsa dokotala musanayambe kugwiritsa ntchito izi kapena malonda, omwe angakuuzeni zomwe zingatheke komanso zomwe sizingachitike. Kupatula apo, chakudya ndikofunikira kwambiri pa thanzi lonse la odwala matenda ashuga.
Ngati tizingolankhula zamasamba, ndiye kuti mndandanda wazomwe ndizotheka kudya ndizopatsa chidwi, chifukwa pafupifupi mitundu yonse yodziwika imaphatikizidwa: kuyambira phwetekere ndi mbatata mpaka anyezi ndi adyo. Komabe, ziyenera kudziwika kuti kugwiritsa ntchito kwawo ndikofunikira kuti athe kuchepetsa, chifukwa alibe magulu onse a mavitamini, mapuloteni ndi ma amino acid omwe amafunikira aliyense wa odwala matenda ashuga.

Chofunikanso kwambiri ndi kugwiritsa ntchito masamba ndi zipatso zonse mu shuga mukaphika.

Izi sizingosunga katundu wawo onse opindulitsa, komanso zimapangitsa kuti muchepetse kuchuluka kwa masanjidwe achilengedwe. Chifukwa chake, chakudya chophika mkate ndichopindulitsa kwambiri kwa odwala matenda ashuga, chifukwa chimasintha chitetezo chathupi, chimapangitsa kuti metabolism ichite mwachangu. Simungapeputse phindu lake, chifukwa ndizosatheka kulakwitsa chifukwa zinthu zophika buledi ziyenera kudyedwa mosamala.
Pankhaniyi, malamulo omwe aperekedwa pamwambapa ndiothandiza. Chifukwa chake, zinthu za ufa zomwe zimatha kudyedwa tsiku lililonse ndizomwe zimakhala ndi shuga. Koma, nthawi yomweyo, ziyenera kupangidwa kuchokera ku ufa wa chimunthu, makamaka rye kapena chinangwa.
Simungadye mkate wopanda chizolowezi ndimatenda a shuga, chifukwa amakhala ndi sucrose yambiri, yomwe imatha kukhudza thanzi la insulin.
Ngati tikunena za kuphika, ndiye, zoona, kugwiritsa ntchito kwake ndikololedwa, koma nthawi yomweyo sikuyenera kukhalanso:

shuga lachilengedwe
zowonjezera zilizonse (vanila, chokoleti),
zipatso zokoma.

Maswiti a anthu odwala matenda ashuga ayenera kukhala okoma momwe angathere. Pokhapokha ngati sangasungire katundu wawo wopindulitsa, ndipo akhoza kudyedwa. Akatswiri amati maswiti omwe amaphika pawokha ndi othandiza kwambiri kwa matenda ashuga.
Izi ndizowona pazifukwa zingapo, makamaka, wodwalayo amatha kuyang'anira zomwe ndizowonjezera zomwe zimaphikidwa kuphika. Amatha kuwaphika mogwirizana ndi kukoma kwake ndi kuwonjezera chilichonse chomwe angathe ndipo akufuna kudya payekha.

Malamulo akudya

Kuphatikiza pa mndandanda wazomwe zololedwa kudya ndi matenda ashuga, ndikofunikira kutsatira malamulo a momwe izi zimayenera kudya. Simungathe kudya kwambiri m'mawa komanso musanagone. Izi zikugwira ntchito kwa anthu onse, koma makamaka odwala matenda ashuga.

Pezani zakudya zowonjezera ndi masewera olimbitsa thupi ndipo idyani pang'ono.

Ndikofunika kuphatikiza masamba ndi zipatso zina. Simungadye zakudya zomwezo masana. Zosankha ziyenera kukhala zosiyanasiyana monga momwe zingathere, kuphatikiza mavitamini ndi michere yamagulu osiyanasiyana.
Zosungazo sizitha kupanga zokha, ziyenera kuvomerezedwa kapena kufotokozedwa kwathunthu ndi endocrinologist kapena kungopeza dokotala. Ichi chidzakhala chitsimikizo kuti zinthu zonse, kuphatikizapo maswidi a odwala matenda ashuga, zimakhala zothandiza nthawi zonse ndipo zimabweretsa phindu mthupi la wodwalayo.

Chifukwa chiyani kudya zakudya zochepa zamafuta 1 ndi matenda ashuga a 2

M'nkhani ya lero, padzayamba pakhala zonama. Kenako timayika chiphunzitsochi pofotokoza njira yabwino yochepetsera shuga m'magazi a 1 ndikuyimira matenda ashuga a 2. Simungangochepetsa shuga yanu kukhala yabwinobwino, komanso kukhalanso yokhazikika. Ngati mukufuna kukhala ndi moyo wautali komanso kupewa zovuta za matenda ashuga, ndiye kuti muvutike kuwerenga zolemba zanuzo.

Timalimbikitsa kuwongolera matenda a shuga amtundu woyamba 1 ndi mtundu wocheperako wama carb, ndikuwonjezera ndi insulin yocheperapo ngati pakufunika. Izi ndizosiyana kwathunthu ndi njira zachikhalidwe zomwe zimagwiritsidwabe ntchito ndi madokotala.

Idyani zakudya zopatsa thanzi komanso zopatsa mphamvu zamagulu ochepa, zomwe zimathandizadi ndi matenda a shuga a mtundu woyamba 1,
Sungani shuga m'magazi anu mwachizolowezi, siyani kuthamanga,
Chepetsani mulingo wa insulin kapena musiye mtundu wa shuga wachiwiri,
Nthawi zambiri amachepetsa chiwopsezo cha matenda owopsa a shuga,
... ndi zonsezi popanda mapiritsi ndi zakudya zowonjezera.

Simuyenera kuchita chidziwitso chamankhwala okhudzana ndi matenda a shuga omwe mungapeze m'nkhaniyi komanso patsamba lathu. Pimani shuga wanu wamagazi pafupipafupi ndi mita ya shuga m'magazi - ndipo muwone ngati malangizo athu akukuthandizani kapena ayi.

Maphikidwe a chakudya chamafuta ochepa a mtundu 1 ndi matenda ashuga 2 amapezeka pano.

Ndi zipatso ziti zomwe zimaloledwa kudya ndi shuga?

Matenda a shuga ndi matenda amtundu wa endocrine omwe amayamba chifukwa chosakwanira kupanga insulin kapena kusagwira bwino minofu yake. Potere, kagayidwe kameneka kamasintha kwambiri.

Choyamba, kusintha kosinthika kwa chakudya kumakhala kovuta. Shuga samatengeka mokwanira ndi thupi, kukhazikika kwake m'magazi kumawonjezereka, ndipo zochulukazo zimachotsedwamo limodzi ndi mkodzo.

Glycemic Product Index

Zogulitsa zamitundu yosiyanasiyana zimakhudza shuga wamagazi. Mndandanda wamtundu wa glycemic umawonetsa kuchuluka kwa kuwonongeka kwa chakudya chamafuta kumachitika. Kukwera kwa GI, komwe kumagwira ntchito kwambiri ndikulimbikitsa kwa zinthuzo ndikutulutsa shuga m'magazi.

Mwa munthu wathanzi, kudumphadumpha mu shuga kumayambitsa kuyankha msanga kwa kapamba, yemwe amathandiza kupewa hyperglycemia. Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri, matendawa amakula molingana ndi zomwe zikuchitika. Chifukwa cha kusazindikira kwenikweni kwa insulin ndi minofu ya thupi, zimakhala zosatheka kutseka kukula kwa shuga.

Zakudya zokhala ndi GI yotsika sizimakhudza gawo la magazi m'magayidwe amishuga, ndipo mwa anthu athanzi samayambitsa kusintha kulikonse.

Pophika kapena kuwira zakudya zokha ndiye kuti mndandanda wawo wa glycemic wosonyezedwa patebulowo ukhoza kusungidwa momwe anali woyamba. Ngakhale izi sizimachita nthawi zonse. Mwachitsanzo, kaloti yaiwisi ali ndi GI - 30 magawo, ophika - 50.

Zipatso zololedwa kwa odwala matenda ashuga

Odwala omwe ali ndi vuto lililonse la shuga ayenera kudya masamba, zitsamba zatsopano, zipatso. Ali ndi mafuta amchere, mavitamini, ochepa mafuta. Komabe, kutali ndi chilichonse kuyenera kuyambitsidwa mu zakudya za odwala matenda ashuga.

Ndikofunikira, choyamba, kuganizira g index ya mankhwala, ndipo chachiwiri, sitiyenera kuyiwala za kukula kwamagawo kovomerezeka. Ngakhale chipatso chomwe chimakhala choyenera glycemia chimatha kukhala chowopsa ngati chitha kugwiritsidwa ntchito mopitirira muyeso.

Ndi shuga, zipatso zomwe zili ndi GI yotsika komanso yapakati zimaloledwa. Wowawasa ndi okoma ndi wowawasa mitundu ayenera kusankhidwa.

Pazosankha za matenda ashuga, mutha kulowa:

Zipatso zimakhala ndi zinthu zambiri zogwira ntchito, kuphatikizapo mavitamini. Iwo imathandizira kudutsa kagayidwe kachakudya, kuphatikizapo kusintha kwa chakudya.

Thupi la wodwalayo liyenera kuthandizidwa ndi zinthu zachilengedwe zofunikira zomwe zimapangidwa ndi michere yambiri. Maapulo mumakhala mavitamini C ambiri, chitsulo, potaziyamu, ndi fiber. Muli pectin, yemwe ali ndi katundu woyeretsa magazi ndikuwongolera zomwe zili ndi shuga.

Chifukwa chake, maapulo amatha kukhala ndi zotsatira zochizira odwala matenda ashuga, omwe ndi:

Limbitsani chitetezo cha mthupi. Thupi la wodwala yemwe ali ndi matenda ashuga limafooka ndipo pamapeto pake amalephera kukana matenda osiyanasiyana. Chifuwa chachikulu, kutupa kwamkodzo kwamatumbo kumatha kulumikizana ndi matenda akuluakulu.
Sungani ziwiya zoyera. Pectin samangoyang'anira shuga wamagazi, komanso amatsuka mafuta m'thupi. Izi zimathandiza kupewa matenda amtima, amachepetsa chiopsezo cha matenda a mtima ndi mikwingwirima.
Limbikitsani chimbudzi. Maapulo ali ndi ma acid ambiri athanzi omwe amathandizira kugaya chakudya, makamaka zakudya zamafuta.

Pazifukwa zina, anthu ambiri amaganiza kuti maapulo acidic ochulukirapo amakhala ndi shuga wochepa. Komabe, malingaliro awa ndi olakwika. Ndi zakuti zipatso zokoma zimakhala ndi dongosolo la kukula kosaphatikizika ndi ma organic acid (malic, citric, tartaric), kuphatikizika komwe zipatso zosiyanasiyana zimasiyana kuchokera ku 0.008% mpaka 2.55%.

Amapichesi ali ndi potaziyamu wokwanira, yemwe amachotsa katundu pamisempha ya mtima, amathandiza kupewa arrhythmias, amachepetsa kutupa ndi kutsitsa magazi. Chipatsochi chimakhala ndi makangaza. Izi zimayang'anira kagayidwe kazakudya komanso kuchuluka kwa shuga m'magazi.

Chromium imakulitsa chiwopsezo cha minyewa kupita ku insulin, imathandizira kulumikizana kwawo ndipo potero imachepetsa kufunika kwa thupi kwa enzyme.Kuperewera kwa chromium m'thupi kumatha kuyambitsa vuto longa matenda a shuga.

Ma apricots ali ndi shuga wambiri ndipo amakhulupirira kuti sayenera kudyedwa ndi anthu omwe ali ndi matenda ashuga a 2. M'malo mwake, zipatso ziwiri kapena zitatu zomwe zimadyedwa masana sizivuta wodwala. M'malo mwake, ma apricots ali ndi machiritso ena ndi prophylactic.

Zipatso zimapereka chitetezo chodalirika kwa impso. Amakhala ndi potaziyamu yambiri, yomwe imalimbikitsa hydration. Izi zimathandizira kwambiri ntchito ya impso, komanso zimathandizira kutsitsa magazi.

Apricots amathandiza kupewa kukalamba usanakwane. Vitamini A, yemwe amakhala ndi zipatso zambiri, imathandizira njira zosinthira m'maselo, omenyana ndi ma free radicals. The trace element vanadium imakulitsa chidwi cha insulini, potero zimalepheretsa kutenga matenda.

Mapeyala okoma sayenera kugwiritsidwa ntchito pa matenda ashuga. Nthawi zina, zipatsozi ndizothandiza kwa odwala. Peyala imakhala ndi ulusi wambiri, womwe umathandiza kuchotsa mafuta m'thupi ambiri, amachepetsa chiopsezo chopanga miyala mu ducts ya bile, imathandizira matumbo, imapereka kukhumudwa kwakutali.

Pali zipatso zambiri za zipatso. Amathandizira pakupanga mahomoni a chithokomiro. Koma zinthuzi zimayang'anira njira zonse zofunika mthupi. Cobalt imathandizira ndikufulumizitsa kuyamwa kwa chitsulo, popanda momwe hemoglobin kaphatikizidwe ndi hemopoiesis yachilendo ndizosatheka.

Peyala ndi mankhwala ochepera kalori ndipo amangokhala milungu ya anthu omwe amasamala za awo. Iye, mosiyana ndi maapulo, samayambitsa kukulira chilimbikitso. Ili ndi ma organic acid ochepa kwambiri, omwe ndi zoyipa zowonjezera katulutsidwe ka m'mimba.

Kuphatikiza apo, mapeyala ali ndi zabwino zingapo zomwe sizingasinthidwe, mndandanda womwe umaperekedwa pansipa:

Kuthana ndi kukhumudwa. Mafuta osasunthika, omwe ali mbali ya chipatso, amachepetsa nkhawa m'mitsempha, amasangalala, amathandizira kuthetsa kukhumudwa.
Khalani ndi diuretic. Chifukwa chake, liyenera kugwiritsidwa ntchito pa matenda a impso.
Muli ndi silicon wambiri. Katunduyu ndiwothandiza kwambiri pakumalumikizana, chifukwa amathandizira kubwezeretsa cartilage.

GI ya mphesa ndi yaying'ono kwambiri mwakuti ngakhale chipatso chachikulu chomwe chimadyedwa sichingayambitse shuga. Kuphatikiza apo, zinthu zomwe zili m'chipatso zimathandizira kuchepa kwa shuga. Chifukwa cha izi, mphesa za mphesa zimatha kugwiritsidwa ntchito bwino kupewa matenda ashuga.

Zothandiza pa mphesa:

Fiber yayikulu. Zimathandizira kuti chimbudzi chichepetse komanso kuti muchepetse chakudya pang'onopang'ono. Zotsatira zake, kuchuluka kwa shuga m'magazi kumakula pang'onopang'ono ndipo kumatha kulowa mu thupi.
Kupezeka kwa antioxidant naringin. Zimawonjezera kukhudzika kwa minofu ku insulin. Glucose imalowa m'maselo ndikukhala gwero lamphamvu, m'malo modziunjikira m'magazi.
Kulowa pakupanga potaziyamu ndi magnesium. Anthu odwala matenda ashuga nthawi zambiri amadwala matenda oopsa. Zinthu izi zimathandiza kutsitsa magazi.

Ndi zipatso ziti zomwe sizingadye ndi shuga?

Anthu omwe ali ndi matenda ashuga sayenera kudya malalanje, ma tangerine, popeza ali ndi shuga wambiri. M'pofunikanso kuchepetsa kugwiritsa ntchito mphesa.

Mphesa zabwino kwambiri ndi zoumba (20 g zamasamba pa 100 g yazinthu).

Ndikwabwino kusiya. Pang'ono pang'ono shuga mu mitundu yakuda ndi yofiira (14 g / 100 g). Zomwe zili zazing'ono kwambiri zimakhala mphesa zoyera (10 g / 100 g). Koma potaziyamu mumitundu yotereyi ndiyotsikanso.

Mavwende ndi vwende la shuga

Mafuta ndi vwende zimawonekera patebulo lathu lokha miyezi yochepa chaka. Kununkhira kwawo komanso kubiriwira kumakopa osati ana okha, koma achikulire onse popanda kusiyanasiyana. Chifukwa chake, ndizovuta kwambiri kukana zazomwe zimachitika munyengo, zomwe zimapindulitsanso thupi.

Kwa nthawi yayitali, madokotala ankakayikira ngati zingatheke kugwiritsa ntchito chivwende ndi vwende chifukwa cha anthu odwala matenda ashuga, chifukwa zimakhala ndi zopatsa mphamvu zambiri m'mimba. Komabe, kafukufuku waposachedwa awonetsa kuti kugwiritsa ntchito moyenera mankhwalawa ndizothandiza kwambiri kwa odwala.

Anthu odwala matenda ashuga amaloledwa kudya mavwende. Koma kuchuluka kwa tsiku ndi tsiku kuyenera kukhala kochepera kuposa kwa munthu wathanzi, ndikukhala pafupifupi magalamu 300 a zamkati. Popeza nyengoyi imangokhala miyezi iwiri yokha, muyenera kuwunika menyu panthawiyi ndikupatula zakudya zomwe zili ndi chakudya chamagulu ambiri. Chifukwa chake, kuyambitsidwa kwa mavwende mu zakudya kumatha kulipiriridwa.

Musanachite izi, muyenera kufunsa dokotala. Vwende alibe mavitamini ndi michere yonse yofunikira kuchirikiza ndi kulimbikitsa thupi.

Watermelon ili ndi zida zabwino kwambiri za diuretic, zomwe zimakuthandizani kuti muchotse kutupa, kutsitsa magazi kwambiri, kuchepetsa kutentha.

Ndi anthu ochepa omwe amadziwa, koma wachibale wapafupi kwambiri wa vwende ndi nkhaka. M'mbuyomu, adawalamulira kuti atopa odwala kuti abwezeretse thupi. Inde, vwende lili ndi kuchuluka kwa chakudya chamafuta ambiri m'mimba.

Melon ali ndi GI yayikulu komanso mashuga am'mimba osavuta, kotero sangadyedwe ndi matenda a shuga ambiri. Gawo laling'ono la fungo lonunkhira la uchi silingadzetse vuto kwa wodwalayo, ngati mutalingalira moyenera kuphatikiza pazogulitsa ndi kuchuluka kwa chakudya chamagulu omwe amakhala nawo.

Melon ali ndi diuretic katundu ndipo amatchinga mchenga kuchokera impso ndi kwamkodzo thirakiti, amachotsa mchere wa uric acid. Muli michere yambiri, yomwe imachotsa cholesterol yambiri mthupi.

Mbewu za Melon zimagwiritsidwa ntchito ngati mankhwala wowerengeka kuchiza matenda ashuga. Ndikukwanira kupera iwo mu chopukusira cha khofi, kuthira madzi otentha (1 tbsp. L / 200 ml ya madzi), kunena ndikuziziritsa, ndikumwa pamimba yopanda kanthu musanadye. Ndipo kotero bwerezani katatu patsiku.

Malangizo pakugwiritsira ntchito misuzi yazipatso ndi zipatso zouma

Ndiwotsika zipatso zochepa chabe zomwe zimakhala zotetezeka kwa odwala matenda ashuga. Nthawi zambiri, zakumwa zoterezi zimakhala ndi shuga wambiri.

Nayi zina mwazomwe timatha kuziona kuti ndi zotetezeka kwa anthu odwala matenda ashuga:

Mu shuga mellitus, timadziti tamitengo ta zipatso tomwe timagulidwa kudzera pa netiweki ndizoletsedwa. Nthawi zambiri zimakhala ndi zophatikiza zingapo zopangira ndi shuga.

Zolemba kanema zamomwe mungakwaniritsire kuchepetsa kuchepa kwa shuga m'magazi:

Zipatso zouma sizilangizidwa kwa odwala matenda ashuga. Mwa iwo, kuchuluka kwa glucose ndikwapamwamba kwambiri kuposa zipatso zachilengedwe. Madeti owuma, nkhuyu, nthochi, mapeyala, papaya, carom ndizotsutsana kwambiri.

Mutha kupanga zakumwa kuchokera ku zipatso zouma. Kuti muchite izi, Pre-zilowereni zipatso m'madzi ozizira kwa maola osachepera 6. Ndiye kuphika ndi kuwonjezera kwa zotsekemera.