Zolemba za zakudya zamtundu woyamba wa shuga

Kuchokera munkhaniyi muphunzira momwe mungadye ndi matenda amtundu wa 1 shuga, zakudya zomwe zingadyedwe popanda zoletsedwa, komanso zomwe zaletsedwa kudya. Muphunzira momwe mungawerengere zigawo zama buledi ndi zakudya zama carb otsika.

Nthawi zina odwala omwe amakumana ndi matenda ngati mtundu woyamba wa matenda a shuga amakhulupilira kuti sikokwanira kudya shuga kuti mulingo wake m'magazi motsogozedwa ndi insulin umachepa ndikukhalabe wabwinobwino.

Koma zakudya zomwe zili ndi matenda a shuga 1 siziri konse izi. Mwazi wamagazi umachuluka ndi kuwonongeka kwa chakudya chamagulu. Chifukwa chake, kuchuluka kwa chakudya chamafuta omwe munthu amadya masana kuyenera kufanana ndi zomwe amapangira insulin. Thupi limasowa timadzi tomweti kuti tithane ndi shuga. Mwa anthu athanzi, amapanga maselo a beta a kapamba. Ngati munthu wadwala matenda amtundu woyamba, ndiye kuti chitetezo cha mthupi chimayamba kuukira maselo a beta. Chifukwa cha izi, insulin ikutha kupangidwa ndipo chithandizo chiyenera kuyambitsidwa.

Matendawa amatha kuthandizidwa ndimankhwala, masewera olimbitsa thupi komanso zakudya zina. Mukamasankha zomwe mungadye shuga 1, muyenera kuchepetsa zakudya zanu zamagulu azakudya.

Zakudya za matenda amtundu wa 1 amaletsa kugwiritsa ntchito zakudya zamafuta othamanga. Chifukwa chake, kuphika, maswiti, zipatso, zakumwa za shuga sizimaphatikizidwa pamenyu kuti shuga ya magazi isakwere kuposa yofananira.

Zakudya zopatsa mphamvu zomwe zimatsikira kwa nthawi yayitali ziyenera kukhalapo m'zakudya, koma kuchuluka kwawo sikokwanira. Ili ndiye ntchito yayikulu: kusintha zakudya za matenda amishuga amtundu 1 kuti insulini yomwe yatengedwa ilimbane ndi shuga m'magazi omwe amapezeka pazinthu zomwe zidapangidwa. Nthawi yomweyo, masamba ndi zakudya za mapuloteni ziyenera kukhala maziko a menyu. Kwa odwala omwe ali ndi matenda a shuga 1, zakudya zosiyanasiyana zimapangidwa ndi mavitamini ndi michere yambiri.

Kodi gawo la mkate ndi chiyani?

Kwa odwala matenda ashuga, muyeso wa 1 XE (mkate) unapangidwa, wofanana ndi 12 g wamafuta. Monga momwe ambiri a iwo amapezeka mu theka la mkate. Kwa muyezo tengani chidutswa cha mkate wa rye wolemera 30 g.

Ma tebulo adapangidwa momwe zida zazikulu ndi mbale zina zidasinthidwa kale kukhala XE, kotero kuti ndizosavuta kupanga menyu wa matenda ashuga a 1.

Potengera tebulo, mutha kusankha zomwe zimapangidwira matenda a shuga ndikutsatira zakudya zomwe zimagwirizana ndi mlingo wa insulin. Mwachitsanzo, 1XE ndi yofanana ndi kuchuluka kwa chakudya cham'madzi 2 2. spuniful wa buckwheat phala.

Patsiku, munthu amatha kudya pafupifupi 17-28 XE. Chifukwa chake, kuchuluka kwa chakudya kwam'magazi kuyenera kugawidwa m'magawo asanu. Pa chakudya chimodzi simungadye zoposa 7 XE!

Zomwe mungadye ndi shuga

M'malo mwake, zomwe mungadye ndi shuga 1 sizovuta kudziwa. Ndi matenda amtundu wa 1 shuga, zakudya ziyenera kukhala zochepa-carb. Zinthu zomwe zili ndi shuga wambiri m'magabo (zosakwana 5 g pa 100 g ya mankhwala) sizimaganiziridwa kuti XE. Izi ndi pafupifupi masamba onse.

Mlingo wocheperako wamafuta omwe amathanso kudyedwa nthawi 1 amathandizidwa ndi masamba omwe amatha kudya popanda malire.

Mndandanda wazinthu zomwe simungathe kuzilinganiza mukamalemba zakudya za odwala omwe ali ndi matenda a shuga 1:

• zukini, nkhaka, dzungu, sikwashi,
• sorelo, sipinachi, saladi,
• anyezi wobiriwira, radishi,
• bowa
• tsabola ndi tomato
• kolifulawa ndi kabichi yoyera.

Kukwaniritsa njala mwa munthu wamkulu kapena mwana kumathandizira zakudya zama protein, zomwe zimayenera kudyedwa pang'ono panthawi ya kadzutsa, nkhomaliro komanso chakudya chamadzulo. Zakudya za odwala matenda ashuga a mtundu wa 1 ayenera kukhala ndi zinthu zomanga thupi. Izi ndizofunikira makamaka popanga menyu wazakudya za mtundu woyamba wa 1 mwa ana.

Pa intaneti mutha kupeza matebulo atsatanetsatane a XE, omwe ali ndi mndandanda wazakudya zopangidwa kale. Mutha kupezanso malangizo pazomwe mungadye ndi matenda ashuga kuti zitheke kupanga mndandanda wa anthu odwala matenda ashuga.

Ndikofunika kuti mupange mndandanda wazakudya wodwala wokhala ndi matenda amtundu wa 1 tsiku lililonse ndi maphikidwe kuti muchepetse nthawi yonse yophika.

Podziwa kuchuluka kwa zopatsa mphamvu zamafuta mu 100g, gawani manambala ndi 12 kuti mupeze kuchuluka kwamagulu amkate mchigulachi.

Momwe mungawerengere kuchuluka kwa chakudya chamafuta

1XE imakulitsa shuga wa plasma ndi 2,5 mmol / L, ndipo 1 U ya insulin imatsitsa ndi avareji a 2.2 mmol / L.

Nthawi zosiyanasiyana masana, insulin imachita mosiyanasiyana. M'mawa, mlingo wa insulin uyenera kukhala wokwera.

Kuchuluka kwa insulini kuti muthe kukonzanso glucose omwe amachokera ku 1 XE

Musapitirire muyeso wa insulin musanapume ndi dokotala.

Momwe mungapangire chakudya malinga ndi mtundu wa insulin

Ngati 2 pa tsiku wodwalayo wavulala insulin ya nthawi yayitali, ndiye kuti m'mawa amalandira Mlingo 2/3, ndipo madzulo ndi gawo limodzi lokha.

Mankhwala othandizira pakudya amawonongeka motere:

• kadzutsa: 2-3 XE - atangoyendetsa insulin,
• nkhomaliro: 3-4XE - 4 mawola jakisoni,
• nkhomaliro: 4-5 XE - maola 6-7 jekeseni,
• chakudya chamadzulo: 2 XE,
• chakudya chamadzulo: 3-4 XE.

Ngati insulin ya nthawi yayitali imagwiritsidwa ntchito kawiri pa tsiku, ndikuchita kochepa katatu patsiku, ndiye kuti katatu patsiku chakudya chimayikidwa:

• kadzutsa: 3 - 5 HE,
• nkhomaliro: 2 XE,
• nkhomaliro: 6 - 7 XE,
• chakudya chamadzulo cha: 2 XE,
• chakudya chamadzulo chizikhala: 3 - 4 XE,
• chakudya chachiwiri: 1 -2 XE,

Momwe mungathane ndi njala

Maselo amalandila zakudya zomwe amafunikira ngati insulini itha kuthana ndi kuchepa kwa chakudya. Mankhwala akapanda kuthana ndi kuchuluka kwa zakudya zomwe zimakhala ndi ma carbohydrate, shuga amawonjezeka kuposa zomwe zimachitika ndipo amadetsa thupi.

Munthu amayamba kumva ludzu komanso njala yayikulu. Zimakhala zozungulira: wodwalayo amayamba kudya komanso akumva njala.

Chifukwa chake, ngati mutadya chakudya chamadzulo mukafuna china chofunikira kudya, ndiye kuti muyenera kuyembekezera ndi kuyeza mulingo wamagazi a plasma. Sayenera kukhala yapamwamba kuposa 7.8 mmol / l itatha maola awiri mutadya.

Malinga ndi zotsatira za kusanthula, mutha kudziwa kuti ndi chiyani: kusowa kwa chakudya chamagulu, kapena kuchuluka kwa shuga m'magazi, ndikusintha zakudya zopatsa thanzi.

1. Hyperglycemia

Vutoli limachitika ngati insulini silingathe mphamvu yowonjezera yamafuta. Kuwonongeka kwa mapuloteni ndi mafuta kumayambira ndikupanga matupi a ketone. Chiwindi sichikhala ndi nthawi yokuzikonzera, ndipo amalowa impso ndi mkodzo. A urinalysis amawonetsa kuchuluka kwa acetone.

• ludzu lamphamvu, losathetseka
• khungu lowuma ndi zowawa m'maso,
• kukodza pafupipafupi
• kuchiritsa bala
• kufooka
• kuthamanga kwa magazi
• arrhasmia,
• masomphenya osalala.

Mkhalidwewo umayambitsidwa ndi kulumpha mu shuga m'magazi mpaka kukwera kwambiri. Munthu amamva chizungulire, kusuwa, kugona. Mkhalidwe wodwala umafunikira kuchipatala mwachangu.

2. Hypoglycemia

Kuperewera kwa shuga kumapangitsanso maonekedwe a acetone mthupi. Vutoli limachitika chifukwa cha kuchuluka kwa mankhwala a insulin, kufa ndi njala, kutsegula m'mimba, kusanza, madzi am'mimba, kutentha kwambiri, mutatha mphamvu yayikulu thupi.

• kukopa kwa pakhungu
• kuzizira
• kufooka
• chizungulire.

Vutoli limafunikira kuchipatala mwachangu, chifukwa kufa ndi maselo aubongo kungayambitse kusuwa.

Ngati shuga ali pansi pa 4 mmol / l, ndiye kuti wodwalayo atenge piritsi la glucose, chidutswa cha shuga woyengedwa kapena kudya maswiti.

Zakudya ndi zakudya zoyambirira

1. M'pofunika kusamala mosamala za kadyedwe. Payenera kukhala zakudya zisanu patsiku. Nthawi yomaliza patsiku kudya ndi matenda a shuga ndikulangizidwa osapitirira 8 pm.
2. Osadumpha chakudya.
3. Zakudya za matenda amtundu wa 1 shuga zizikhala ndi mavitamini ndi michere yambiri. Inde, zakudya ziyenera kukhala zamagulu azakudya kuti zisadzaze kwambiri kapamba ndi zinthu zovulaza.
4. Ndikofunikira kuwerengera kuchuluka kwa chakudya chamafuta nthawi iliyonse pachakudya, pogwiritsa ntchito zikhalidwe za XE (mikate ya mkate) ndi malingaliro a madokotala omwe anganene zomwe mungadye ndi shuga.
5. yang'anirani shuga wamagazi anu ndikusintha moyenera zakudya zina. Mlingo wa shuga m'mawa uyenera kusungidwa pa 5-6 mmol / L.
6. Tiyenera kuphunzira kuzindikira momwe tikumvera kuti titenge shuga kapena piritsi la glucose yokhala ndi zizindikiro za glycemia. Miyezo ya shuga siyenera kutsikira mpaka 4 mmol / L.

Malonda Oletsedwa a shuga:

• maswiti muzakumwa (tiyi ndi khofi wokhala ndi shuga, koloko yokoma, timadziti ndi timadzi tokonzedwa mu mafakitale, ndi zina).
• muffin ndi zipatso zotsekemera.

Konzani musanadye kuchuluka kwa chakudya chamagulu (monga magawo a mkate) omwe amadya, popeza insulin imadyedwa musanadye.

Ndi zinthu ziti zomwe zizikhala pamenyu

• Tchizi ndi kashiamu wotsika kwambiri,
• Porridge, monga gwero lamphamvu: burwheat, barele la ngale, tirigu, oat, barele,
• Zopangira mkaka: kefir, yogati, whey, mkaka wowotchera, yogati,
• Nsomba, nyama,
• Mazira
• Masamba ndi batala,
• Mkate wowala ndi zipatso zazing'ono,
• Masamba ndi masamba azamasamba.
• Zopanda zopanda shuga ndi msuzi wa rosehip.

Zakudya izi zimapatsa maselo anjala chakudya chopatsa thanzi ndikuthandizira kapamba. Ayenera kukhala pamndandanda wa matenda ashuga 1 kwa sabata limodzi. Maphikidwe ophika akhale osavuta.

Zosankha zachitsanzo za matenda ashuga 1 tsiku

Matendawa amatha kutha kuthandizidwa ngati zakudya zikutsatiridwa moyenerera matenda a shuga 1 ndipo insulin itengedwa nthawi. Ngati shuga, chifukwa cha izi, ikhoza kukhala yabwinobwino, ndiye kuti simungachite mantha ndi zovuta za matendawa, ndikukhala ndi moyo wonse.

Mtundu woyamba wa shuga: zakudya ndi zakudya, kodi insulini ndi iti?

Chithandizo cha matenda a shuga amtundu woyamba amakhala ndikuwunika zinthu zosiyanasiyana zomwe zimapangitsa kuti magazi azikhala ndi shuga. Kuphatikiza pa chithandizo chamankhwala, insulin ikalowetsedwa m'thupi la wodwalayo, gawo lofunikira pakuwongolera matenda ndilabwino.

Kuphatikiza pakuwonetsa zilembo za shuga, kudya zakudya zamtundu 1 ndi matenda amtundu wa 2 kumatha kulepheretsa kukula kwa hypoglycemia (kuchepa kwadzidzidzi m'magazi a magazi). Zakudya zotere sizimatanthauzanso kufa ndi njala, zimatengera pakugwiritsa ntchito zakudya zamafuta ochepa omwe amakhala ndi michere yambiri komanso mavitamini.

Kuphatikiza apo chithandizo chamankhwala ochiritsira matenda a shuga 1 amakuthandizani kuti muchepetse matenda komanso kuti musamamwe jakisoni wambiri, ndizofunika chifukwa zimathandiza kuti muchepetse kunenepa. Izi ndizofunikira kwa anthu odwala matenda ashuga a 2, nthawi zambiri onenepa.

Zakudya za odwala omwe ali ndi matenda amtundu wa 1 saiperekanso njira zoletsa, kupatula shuga ndi zinthu zomwe zili. Koma polemba mndandanda, ndikofunikira kulingalira za kupezeka kwa matenda olimba ndi kuchuluka kwa zochita zolimbitsa thupi.

Komabe, ndichifukwa chiyani odwala matenda ashuga ayenera kutsatira malamulo ena azakudya ndikudya zakudya za anthu ashuga? Asanadye chilichonse, odwala amafunika kubaya insulin. Kuperewera kwa mahomoni kapena kuchuluka kwake mthupi kumapangitsa kuti thupi liziwonongeka komanso kumapangitsa kuti pakhale zovuta.

Zotsatira za kuchepa kwa kayendetsedwe ka matenda ndi hyperglycemia ndi hypoglycemia. Mkhalidwe woyamba umachitika pamene insulini ilibe nthawi yopangira chakudya chamthupi ndi kuwonongeka kwa mafuta ndi mapuloteni kumachitika, chifukwa chomwe ma ketoni amapangidwa. Ndikakhala ndi shuga wambiri, wodwalayo amakhala ndi zizindikiro zingapo zosasangalatsa (arrhythmia, kuchepa mphamvu, kupweteka kwa m'maso, nseru, kuthamanga kwa magazi), ndipo pokhapokha pakufunika kuchitapo kanthu mwachangu, akhoza kuyamba kudwala.

Ndi hypoglycemia (kuchepa kwa kuchuluka kwa glucose), matupi a ketone amapangidwanso m'thupi, omwe amayamba chifukwa cha kuchuluka kwa insulin, njala, kuchuluka kwa thupi komanso kuchepa thupi. Vutoli limadziwika ndi kuzizira, kufooka, chizungulire, khungu la khungu.

Ndi hypoglycemia yayikulu, kugonekedwa kwachangu kwa wodwala ndikofunikira, popeza amatha kugwa ndikufa.

Kodi kufunikira kwa chakudya chamagulu ndi chakudya chamagulu a odwala matenda ashuga ndi kotani?

Zakudya za tsiku ndi tsiku za matenda amtundu uliwonse ziyenera kukhala ndi mapuloteni, mafuta (20-25%) ndi chakudya chamagulu (mpaka 60%). Kuti shuga m'magazi asamuke, akatswiri azakudya salimbikitsa kudya zakudya zokazinga, zokometsera komanso zamafuta. Lamuloli ndilofunika makamaka kwa odwala matenda ashuga omwe ali ndi matenda am'mimba.

Koma kafukufuku patsiku lakulimbana ndi matenda ashuga, adapangitsa kuti amvetsetse kuti zonunkhira ndi mafuta ochepa ndizovomerezeka mu hyperglycemia. Koma zopatsa mphamvu zam'thupi sizitha kudya ndi shuga. Chifukwa chake, ndikofunikira kumvetsetsa kuti chakudya chamagulu amtundu wanji ndi mitundu iti yomwe amagawidwa.

M'malo mwake, chakudya chopatsa thanzi ndi shuga. Mtundu wake umasiyanitsidwa ndi kuthamanga kwa kugaya thupi ndi thupi. Pali mitundu yamankhwala yotere:

1. Pang'onopang'ono. Amakonzedwa m'thupi m'mphindi 40-60, popanda kusinthasintha mwadzidzidzi komanso mwamphamvu mu glucose m'magazi. Muli zipatso, masamba, chimanga ndi zakudya zina zomwe zimakhala ndi fiber, pectin ndi wowuma.
2. Zing'ambike mosavuta. Amatengedwa ndi thupi m'mphindi 5-25, chifukwa chomwe kuchuluka kwa glucose m'magazi kumakwera mwachangu. Amapezeka m'mazipatso okoma, shuga, uchi, mowa, zakudya ndi mafuta ophikira.

Zosafunikira kwenikweni pakupanga mndandanda wa anthu odwala matenda ashuga amawerengera magawo a mkate, omwe amakupatsitsani kudziwa kuchuluka kwa mafuta omwe ali m'zinthu zina. XE imodzi ndi magalamu 12 a shuga kapena 25 magalamu a mikate yoyera. Anthu odwala matenda ashuga amatha kudya mikate 2.5 ya mkate patsiku.

Kuti mumvetsetse kudya bwino ndi matenda a shuga a mtundu woyamba, ndikofunikira kuganizira zovuta za insulin, chifukwa momwe zimakhalira nthawi yake. Kuchuluka kwa mahomoni kuti agwirizane ndi shuga omwe amapezeka 1 XE m'mawa ndi - 2, pa nkhomaliro - 1.5, madzulo - 1. Kuti mupewe kuwerengera XE, gome lapadera limagwiritsidwa ntchito, lomwe limawonetsa magawo a mkate wazinthu zambiri.

Kuchokera pazomwe tafotokozazi, zikuwonekeratu kuti mungathe kudya ndi kumwa kwa iwo omwe ali ndi matenda ashuga. Zakudya zomwe zimaloledwa ndizakudya zama carb ochepa, zomwe zimaphatikizapo tirigu, mkate wa rye komanso kuwonjezera kwa chinangwa, chinangwa (buckwheat, oatmeal), pasitala yapamwamba kwambiri.

Ndizopindulitsa kwa odwala matenda ashuga kudya nyemba, sopo wowonda kapena msuzi ndi mazira, koma kamodzi patsiku. Zopangidwazo ndi mkaka wopanda mafuta, kefir, tchizi chokoleti, tchizi, wowawasa wowawasa, komwe tchizi chokoma, tchalitchi cha casseroles ndi cheesecake amakonzedwa.

Ndipo ndi zakudya ziti zomwe odwala matenda ashuga angadye kuti akhale osalala? Mndandanda wa zakudya zotere umayendetsedwa ndi masamba (kaloti, kabichi, beets, dzungu, tsabola belu, biringanya, nkhaka, zukini, tomato) ndi masamba. Mbatata zimatha kudyedwa, koma pang'ono m'mawa.

Zakudya zina zomwe zimalimbikitsidwa za odwala matenda ashuga amtundu 1 ndi zipatso zouma komanso zipatso:

Chinanso chomwe mungadye ndi shuga? Zakudya zololedwa zomwe zimayenera kuphatikizidwa m'zakudya ndi nsomba zopendekera (pike perch, hake, tuna, cod) ndi nyama (nkhuku, ng'ombe, nkhuku, kalulu).

Zakudya zotsekemera za confectionery zimaloledwa kudya, koma zochepa komanso ndi zina zamafuta. Mafuta amaloledwa - masamba ndi batala, koma mpaka 10 g patsiku.

Ndi matenda a shuga, mumatha kumwa zitsamba, zakuda, tiyi wobiriwira komanso khofi wopanda shuga. Madzi osagwiritsidwa ntchito ngati mchere, mchere wa phwetekere, msuzi wa rosehip akulimbikitsidwa. Madzi kapena ma compotes ochokera ku zipatso zouma ndi zipatso amaloledwa.

Ndipo odwala matenda ashuga sangadye chiyani? Ndi matendawa, ndizoletsedwa kudya confectionery ndi makeke. Odwala omwe amadalira insulin samadya shuga, uchi ndi maswiti omwe ali nawo (kupanikizana, ayisikilimu, maswiti, chokoleti, mipiringidzo ya maswiti).

Nyama yamafuta (mwanawankhosa, nkhumba, tsekwe, bakha), nyama zosuta, nsomba zakumwa ndi zokhala mchere - izi siziphatikizidwenso. Zakudya siziyenera kukazinga ndi mafuta, chifukwa mafuta amanyama, yogati, wowawasa wowawasa, mkaka wophika, mafuta anyama, mafuta anyama ndi msuzi wolemera ayenera kusiyidwa.

Kodi ndi chiyani chomwe sichingadyedwe ndi anthu omwe amadalira insulin ambiri? Zakudya zina zoletsedwa za shuga:

1. zokhwasula-khwasula
2. mpunga, semolina, pasitala wotsika kwambiri,
3. zonunkhira
4. kuteteza
5. zipatso zokoma ndi zipatso zouma (nthochi, mphesa, nkhuyu, madeti, Persimmons).

Koma sikuti zakudya zapamwambazi ndi zoletsedwa. Zakudya zina zamtundu wa matenda ashuga 1 zimaphatikizapo kukana mowa, makamaka zakumwa zoledzeretsa, zakumwa zoledzeretsa ndi mafuta.

Zakudya za matenda amtundu 1 samangodya zakudya zovomerezeka zokha. Ndikofunikanso kutsatira mosamalitsa chakudyacho.

Payenera kukhala zosakudya zisanu ndi chimodzi pa tsiku limodzi. Kuchuluka kwa chakudya - magawo ang'onoang'ono.

Zomaliza snack ndizotheka palibe pasanafike 8 pm. Zakudya siziyenera kudumphidwa, chifukwa izi zimatha kudzetsa hypoglycemia, makamaka ngati wodwala wavulala ndi insulin.

M'mawa uliwonse muyenera kuyeza shuga. Ngati zakudya zamankhwala zamatenda a shuga 1 zimapangidwa molondola ndipo malingaliro onse amatsatiridwa, ndiye kuti kuchuluka kwa glucose m'magazi a sutra pamaso pa jakisoni wa insulin sikuyenera kupitirira 6 mmol / l.

Ngati kuchuluka kwa shuga ndikwabwinobwino, chakudya cham'mawa chimavomerezedwa pambuyo pa mphindi 10 mpaka 10 Masewera a shuga atakhala 8-10 mmol / l, chakudya chimasinthidwa kwa ola limodzi, kuti akwaniritse njala amagwiritsa ntchito saladi ndi masamba kapena apulo.

Ndi matenda a mtundu woyamba 1, ndikofunikira kuti musangotsatira zakudya zokha, koma potengera zakudya, sinthani insulin. Kuchuluka kwa chakudya chamafuta kumakhudza kuchuluka kwa mankhwalawa omwe amaperekedwa.

Ngati insulin yapakatikati imagwiritsidwa ntchito, ndiye kuti imabayidwa kawiri patsiku (mutadzuka, musanagone). Ndi mankhwala a insulin amtunduwu, chakudya cham'mawa choyamba chimawonetsedwa, chifukwa mahomoni omwe amaperekedwa usiku amatha tsopano kugwira ntchito.

Maola 4 atatha kuperekera insulin amaloledwa kudya zolimba. Mgonero woyamba uyeneranso kukhala wopepuka, ndipo mutatha jakisoni wa mankhwalawa mutha kudya kwambiri.

Ngati mtundu wa mahomoni monga insulin wautali, womwe umalowetsedwa m'thupi kamodzi patsiku, umagwiritsidwa ntchito pochiza matenda ashuga, ndiye kuti insulin iyenera kugwiritsidwa ntchito tsiku lonse. Pogwiritsa ntchito njira iyi ya insulin, chakudya chachikulu chimakhala choperewera, ndikuziziritsa kukhosi, kuti wodwala asamve njala.

Chofunikanso kwambiri pakachulukidwe ka mishuga ya shuga ndi masewera. Chifukwa chake, kuwonjezera pa mankhwala a insulin komanso zakudya, kwa matenda a shuga 1, muyenera kuchita masewera olimbitsa thupi kapena kuyenda kwa mphindi 30 patsiku.

Kwa iwo omwe ali ndi matenda a shuga 1, zakudya za tsiku limodzi zimawoneka motere:

• Chakudya cham'mawa. Porridge, tiyi wokhala ndi shuga wogwirizira, mkate.
• Chakudya chamadzulo Ma cookies a Galetny kapena apulosi wobiriwira.
• Chakudya chamadzulo Msuzi wamasamba, buledi, kabichi wodutsa, msuzi, cutlet yonyowa.
• Chakudya chamadzulo. Zipatso zonona, tiyi wa zitsamba wosakhazikika tchizi.
• Chakudya chamadzulo Nyama yophika kapena nsomba, masamba.
• Chakudya chachiwiri. Galasi la kefir.

Komanso, kwa odwala matenda ashuga a 1 zovuta, kuchepetsa kudya kwakanthawi No. 9 Malinga ndi malamulo ake, zakudya za tsiku ndi tsiku zimawoneka motere: chakudya cham'mawa ndi mkaka wopanda mafuta, tchizi komanso tchizi wopanda shuga. Musanadye, mungamwe kapu yamadzi oyera ndi mandimu.

Chakudya cham'mawa, barele, barele, ng'ombe kapena nkhuku. Pa nkhomaliro, mumatha kudya masamba a borsch, nyama yophika, soya kapena zipatso ndi mabulosi odzola.

Malalanje kapena apulo ndi oyenera ngati akudya. Chakudya chamadzulo chabwino chimakhala nsomba yophika, saladi wokhala ndi kabichi ndi kaloti wokazinga ndi mafuta a azitona. Kawiri pa tsiku mumatha kumwa zakumwa ndi kudya zotsekemera ndi zotsekemera (sucrose, fructose).

Pogwiritsa ntchito mndandanda wazinthu zololedwa, wodwala matenda ashuga amatha kupanga menyu sabata limodzi. Koma ndikofunikira kukumbukira kuti mukamatsata zakudya simuyenera kumwa zakumwa zoledzeretsa komanso zakumwa za shuga.

Ngati matenda ashuga apezeka mwa mwana, ndiye kuti zakudya zake ziyenera kusintha. Madokotala amalimbikitsa kuti asinthe kukhala ndi chakudya chamagulu, komwe kuchuluka kwa chakudya chamthupi sikupitirira 60%. Njira yabwino yothandizira pakudya pa matenda a shuga 1 amtundu wa ana ndi kudya No. 9.

Kawirikawiri zakudya za ana zotsekemera monga chokoleti, kusunga, masikono, maswiti, makeke ndi makeke a mwana yemwe ali ndi matenda ashuga ndizoletsedwa. Kwa matenda amtundu wa 1 shuga, menyu amapangira ana tsiku lililonse, kuphatikiza mbale zamasamba (kaloti, nkhaka, kabichi, tomato), nyama yopendekera (nkhuku, nyama yam'madzi), nsomba (cod, tuna, hake, pollock),

Za zipatso ndi zipatso, tikulimbikitsidwa kudyetsa mwana ndi maapulo, mapichesi, sitiroberi, rasipiberi, yamatcheri. Ndipo pokonzekera zakudya za ana, ndikofunikira kugwiritsa ntchito zotsekemera (sorbitol, fructose),

Koma musanasinthe mwana wanu kukhala ndi zakudya zamafuta ochepa, muyenera kusintha glycemia. Tiyeneranso kuteteza ana kuti asamatopetse kwambiri komanso kuti asakhale ndi nkhawa. Ndikulimbikitsidwa kuti zochitika zamasewera ziziphatikizidwanso mu ndandanda ya tsiku ndi tsiku pamene wodwala azolowere zakudya zatsopano.

Ndipo zakudya ziyenera kukhala chiyani mukamathandizira ana amtundu wa shuga 1? Ndikulimbikitsidwa kuti mwana adyetsedwe mkaka wa m'mawere osachepera chaka choyamba cha moyo. Ngati mkaka wa m`mawere sizingatheke pazifukwa zina, zosakaniza ndi shuga wochepa zimagwiritsidwa ntchito.

Ndikofunikanso kutsatira njira yodyetsera. Ana osakwana chaka chimodzi amapatsidwa zakudya zowonjezera malinga ndi dongosolo linalake. Poyamba, menyu ake amakhala ndi timadziti ndi masamba osenda. Ndipo amayesa kuphatikiza chimanga m'zakudya zam'mimba za shuga pambuyo pake.

Mfundo za kapezedwe ka zakudya za matenda am'mimba 1 zafotokozedwa mu kanema m'nkhaniyi.

Chithandizo cha matenda a shuga amtundu woyamba chimaphatikizapo njira zingapo, makamaka, kutsatira zakudya zapadera, zomwe zimathandiza wodwala matenda ashuga kuti azikhala momasuka popanda kusewera m'magazi a magazi. Chifukwa chake, za momwe tingadyere ndi matenda oopsa, tikambirana m'nkhaniyi.

Mfundo yofunika kwambiri yazakudya chamagulu amishuga amtundu 1 ndikupatsa phindu menyu ndi zakudya zomwe zimakhala ndi chakudya chokhala ndi index ya glycemic yotsika. Kuti muchite izi, mutha kuyang'ana patebulo lotsatirali:

Musanayambe kudya, muyenera kuwerengera kuchuluka kwa chakudya chamafuta am'matimuwo, pogwiritsa ntchito mitundu ya mkate, malinga ndi njira yotsatira yomwe idasiyanitsidwe:

1 chl. mayunitsi = 12 g shuga kapena 1 chl. mayunitsi = 25 g mkate.

Madokotala amalola odwala kudya zosaposa,5,5 mkate tsiku lililonse.

Mutha kudziwa momwe mungawerengere molondola magawo a mkate poonera kanema wapadera:

Ndikofunikira kudziwa kuwerengera magawo a mkate, chifukwa ndi kuchuluka kwake komwe kumakhudza mlingo wotsatira wa insulin kuti "uzimitsa" shuga wamagazi. Kuphatikiza apo, osagwiritsa ntchito insulin yokha tsiku lililonse, komanso kuchuluka kwa insulin "yayifupi" yomwe wodwala amatenga asanadye) zimadalira zomwe zikuwonetsa.

Zakudya zotsatirazi zimaloledwa m'thupi la odwala matenda ashuga:

• mkate wa rye
• msuzi pa msuzi wamasamba kapena msuzi wopangidwa ndi mitundu yochepa yamafuta ndi nyama,
• ng'ombe
• ng'ombe
• mabere a nkhuku
• masamba ochokera mndandanda wololedwa,
• mazira (osaposa zidutswa ziwiri patsiku),
• nyemba
• wholemeal pasitala (munthawi yomweyo ndikofunika kuchepetsa kuchuluka kwa mkate womwe amadyedwa patsiku),
• mkaka ndi kefir,
• tchizi tchizi (kuyambira magalamu 50 mpaka 200 patsiku),
• khofi wofooka
• tiyi
• timadziti tothira kumene kuchokera ku maapulo kapena malalanje,
• mafuta ndi masamba (makamaka amagwiritsidwa ntchito kuphika).

Kwa odwala omwe ali onenepa kwambiri, akatswiri azakudya zamagetsi amalimbikitsa kuphatikiza kabichi (mwatsopano ndi wokometsedwa), sipinachi, nandolo zobiriwira, ndi nkhaka ndimatomayi muzakudya zawo. Izi zimathandizira kukhutiritsa kumverera kwaanjala kwa nthawi yayitali.

Kusunga ntchito ya chiwindi, yomwe nthawi zambiri imatsutsidwa ndi matenda omwe afotokozedwa, ndikofunikira kuti azidalira zinthu monga kanyumba tchizi, soya, oatmeal.

Pali zinthu zingapo zomwe amalemba odwala matenda ashuga amodzi:

• chokoleti (nthawi zina, chokoleti chamdima chimaloledwa, ngati chivomerezedwa ndi adokotala),
• maswiti ndi maswiti,
• maswiti a ufa
• ankasuta nyama
• zokometsera, zonunkhira komanso zopatsa mphamvu
• mizimu
• koloko
• nthochi, chivwende, vwende,
• masiku ndi zoumba,
• mbatata yophika, kaloti, beets, zukini,
• mpunga ndi semolina
• shuga
• maapulo
• ayisikilimu
• kupanikizana
• zopangidwa mkaka ndi mafuta ambiri.

Nthawi zina, zinthu zoletsedwa zimaloledwa pamenyu, ngati kuvomerezedwa ndi adokotala.

Zakudya za tsiku ndi tsiku za anthu odwala matenda ashuga zimapangidwira ma calories mpaka 1400 kcal, omwe amakupatsani mwayi wochepetsera kulemera ngati wodwala akuvutika kwambiri ndi kunenepa. Ngati palibe mavuto otere, ndiye kuti mutha kuwonjezera kuchuluka kwa ma servings kutengera zosowa zanu.

• Chakudya choyamba: 0.1-0.2 makilogalamu a barele ya balere, 50 magalamu a tchizi wolimba, chidutswa cha mkate wa rye ndi tiyi wopanda shuga kapena khofi ofooka (mutha kuwonjezera zonona zamafuta ochepa).
• Chakudya chachiwiri: 0,5-0.2 makilogalamu a letesi kuchokera kumasamba aliwonse ovomerezeka, 0,5 makilogalamu a borsch pa msuzi wamafuta ochepa, zodulira ziwiri, limodzi ndi 0,5 makilogalamu a kabichi wowotcha, kagawo ka mkate wa rye.
• Chakudya chamasana pambuyo chakudya chamasana: 100 magalamu a tchizi tchizi kapena 3 tchizi, 100 magalamu a zakudya (popanda shuga).
• Chakudya chamadzulo: 130 magalamu a saladi wa masamba ndi 0,5 makilogalamu a nyama yoyera yophika. Hafu ya ola asanagone, mutha kumwa kapu ya kefir yamafuta ochepa.

• Chakudya choyamba: Omelet wa mazira awiri, magalamu 60 a nyama yamchere yophika, kagawo ka mkate wa rye ndi phwetekere imodzi, yopangidwa kuchokera ku zakumwa zopanda shuga kapena khofi yofooka.
• Chakudya chamadzulo: 170 magalamu a saladi kuchokera kumasamba aliwonse ololedwa, magalamu 100 a chifuwa cha nkhuku (yophika kapena yophika), magalamu 100 a mapira a dzungu (popanda kuwonjezera mpunga).
• Chakudya chamasana pambuyo chakudya chamasana: Chipatso chimodzi cha mphesa ndi kapu ya kefir wopanda mafuta.
• Chakudya chamadzulo: 230 magalamu a kabichi wowotchera, magalamu 100 a nsomba yophika.

• Chakudya cham'mawa: 200 magalamu a nyama yophika kabichi (popanda kuwonjezera mpunga), kagawo ka mkate ndi tiyi wopanda tanthauzo wopanda shuga.
• Chakudya chachiwiri: 100 magalamu a saladi kuchokera kumasamba aliwonse ololedwa, magalamu 100 a spaghetti kuchokera ku ufa wa mamayimidwe, magalamu 100 a nyama yophika kapena nsomba, theka la kapu yatsopano yophika madzi kuchokera kumaapulo (omwe ali ndi zotsekemera).
• Chakudya chamasana pambuyo chakudya chamasana: tiyi wopanda zipatso wopanda shuga ndi lalanje limodzi.
• Chakudya chamadzulo: 270 magalamu a kanyumba tchizi casserole.

• Chakudya choyamba: 200 magalamu a oatmeal ndi magawo a zipatso zatsopano kuchokera pamndandanda wololedwa, 70 magalamu a tchizi wolimba ndi tiyi wopanda shuga.
• Chakudya chamadzulo: 170 magalamu a zovuni, 100 magalamu a broccoli, buledi wa rye, 100 magalamu a nyama yoonda.
• Chakudya chamasana pambuyo chakudya chamasana: tiyi wopanda shuga ndi magalamu 15 a makeke osapsa (biscuit).
• Chakudya chamadzulo: 170 magalamu a nkhuku kapena nsomba, magalamu 200 a nyemba zobiriwira, tiyi wopanda shuga.

• Chakudya choyamba: 100 magalamu a maulesi aulesi, 0,5 makilogalamu a kefir ndi apulo imodzi kapena ma apricots / prunes zouma.
• Chakudya chachiwiri: 200 magalamu a saladi kuchokera kumasamba aliwonse ololedwa, 0,5 makilogalamu a mbatata zophika, 0,5 kg ya compote wopanda shuga.
• Zakudya musanadye: 100 magalamu a dzungu lopaka, 200 magalamu a zakumwa zosapsa.
• Chakudya chamadzulo: Magalamu 100 a cutlets opopera, 0,5 makilogalamu a saladi kuchokera kumasamba aliwonse ololedwa.

• Chakudya choyamba: 30 magalamu a mchere wowuma pang'ono, dzira limodzi ndi tiyi wopanda shuga.
• Chakudya chamadzulo: 0.1-0.2 makilogalamu kabichi wozaza (popanda kuwonjezera mpunga), 0,5 makilogalamu a borscht pa msuzi wamafuta ochepa, kagawo ka mkate wa rye.
• Chakudya chamasana pambuyo chakudya chamasana: Mikate iwiri ndi magalamu 150 a kefir otsika mafuta.
• Chakudya chamadzulo: 0,5 makilogalamu a nkhuku yophika kapena yophika, magalamu 100 a nandolo zatsopano, magalamu 170 a ma biringanya ophikira.

• Chakudya choyamba: 200 magalamu a phala la buckwheat ophika m'madzi, nkhuku yowotchera, tiyi wopanda shuga kapena khofi wopanda mphamvu.
• Chakudya chamadzulo: 200 magalamu a msuzi wa kabichi kapena msuzi wamasamba, zidutswa ziwiri za nkhuku, 0,5 makilogalamu a nyemba zosawoneka bwino msuzi wa phwetekere ndi kagawo ka mkate wa rye.
• Chakudya chamasana pambuyo chakudya chamasana: 100 magalamu a plums mwatsopano komanso kuchuluka kofanana ndi mafuta otsika kanyumba tchizi.
• Chakudya chamadzulo: 170 magalamu a kefir otsika mafuta ndi magalamu 20 a ma cookie osapsa (biscuit), apulo imodzi.

Njira yodyetsedwerayi masiku 7 imalola kugwiritsa ntchito mankhwala osiyanasiyana azitsamba, msuzi wa rosehip ndi wofunikira kwambiri. Zitsamba zophatikizira ndi infusions zimatha kuledzera nthawi iliyonse, chinthu chachikulu sikuti kuphatikiza zowonjezera zilizonse mu mawonekedwe a shuga kapena uchi.

Popeza mndandanda wam'mawa uno wa anthu odwala matenda ashuga umaphatikizapo zakudya zopumula komanso zodyera, palibe chifukwa chodyera chachiwiri. Koma, ngati pakati pa chakudya cham'mawa ndi chamasana kumakhala kusamva bwino kwa njala, ndiye kuti simukuyenera kuvutika - mutha kuluma ndi saladi yemweyo kapena kudya yogati yachilengedwe ndi chipatso chimodzi.

Ngati mukufuna njira zina zochizira matenda amtundu wa shuga 1 (kupatula zakudya), tikukulimbikitsani kuti muzidziwitsa njira zina.

Zakudya nambala 9 - njira yodziwika kwambiri yopezera shuga. Lamulo lofunikira ndikuchepetsa kuchuluka kwa mchere pang'ono, komanso kuphika mbale zophika, kuphika kapena kuphika. Muyenera kukana kutumiza komanso kusoka, koma popeza zakudya zamtunduwu sizokhwimitsa zinthu, nthawi zina mumatha kudzipatula.

Makina azakudya za tsiku limodzi amawoneka motere:

• Chakudya cham'mawa. Tiyi wopanda shuga granured, tchizi tchizi chokhala ndi mafuta ochepa ndi mkaka womwewo.
• Chakudya cham'mawa chachiwiri. Barele phala ndi nyama.
• Chakudya chamadzulo Borsch, yomwe ikuphatikiza kabichi watsopano (yophika mu msuzi wa masamba), zakudya odzola, gawo la nyama yophika kapena soya.
• Chakudya chamadzulo. Apulo imodzi kapena lalanje limodzi.
• Chakudya chamadzulo Nsomba yophika kapena yophika (yophika wopanda batter) mu msuzi wa mkaka, saladi watsopano wa kabichi watsopano yemwe amakonda mafuta.

M'malo mwa shuga ndi chakudya No. 9, mutha kugwiritsa ntchito fructose, sucrose ndi zotsekemera zina.

Mutha kusintha zakudya zanu pogwiritsa ntchito mindandanda yazakudya zomwe zimaloledwa kukhala ndi shuga.

Ngati matenda ashuga apezeka mwa mwana, akatswiri ena amalimbikitsa kuti asinthe zakudya zina zopatsa thanzi, pomwe zimapatsa zakudya zomwe zimapanga 60% yazakudya zonse. Koma, zotsatira za chakudya choterocho ndikumalumpha m'magazi amwazi kuchokera pamwamba kwambiri mpaka kutsika kwambiri, zomwe zimakhudza thanzi la ana. Chifukwa chake, ndibwino kuti ana azitsatira zakudya zomwezo No. 9, pomwe kuchuluka kwa chakudya chamafuta kumachepetsedwa.

Kupanga mndandanda wa mwana, mutha kugwiritsa ntchito zinthu zotsatirazi:

• Masamba opangira masamba - nkhaka, phwetekere, kabichi, kaloti watsopano.
• Dengu la zipatso ndi zipatso - pichesi, rasipiberi, chitumbuwa, sitiroberi, apulo.
• Dengu la nyama - nyama yamchere yotsika, nkhuku.
• Maswiti a Fructose ndi sorbitol.

Ndi zoletsedwa kuti mwana azipereka chokoleti, kupanikizana, zinthu zophika buledi zopangidwa ndi ufa woyera.

Mwana asanayambe kudya zakudya zamagulu ochepa, ndikofunikira kusamalira ma nuances awa:

• Kuti muthane ndi kupewa hypoglycemia, pazofunikira nthawi zonse maswiti kapena makeke.
• Pakusintha kwa zakudya zokhala ndi matenda ashuga, mwana amafunika kuyeza shuga wamagazi pafupipafupi - asanadye, mphindi 60 atatha kudya, asanagone. Pafupifupi, zimapezeka kuti mwana amafunika kuyeza shuga osachepera 7 patsiku, izi zimakupatsani mwayi wosankha mlingo woyenera kwambiri wa insulini ndikuchepetsa malinga ndi zomwe akuwonetsa.
• Mwana atayamba kudya malinga ndi kadyedwe kakudya No. 9, ndikofunikira kuti mumuteteze kupsinjika, kuchita masewera olimbitsa thupi mwamphamvu, chifukwa izi zimatha kuyambitsa mphamvu zambiri mwa iye, zomwe adzayimitsidwa ndi chakudya. Chakudya chikakhala chizolowezi, mutha kuyamba kuchita masewera olimbitsa thupi.

Werengani zambiri za mawonekedwe a shuga 1 a ana - werengani apa.

Ndikulimbikitsidwa kuti ana, omwe zakudya zawo zimadalira amayi awo, azisungidwa kuyambira nthawi yayitali. Mabere omwe ali ndi vuto la mtundu woyamba wa shuga, motero, amatha kulandira zakudya zoyenera komanso zopatsa thanzi nthawi yayitali.

Ngati pazifukwa zina kuyamwa kumakhala kosatheka, ndiye kuti kwa ana anu muyenera kugula zosakaniza zapadera zomwe zimakhala ndi shuga.Ndikofunikira kwambiri kuyang'anira nthawi yomweyo pakudya.

Zakudya zopatsa thanzi kwa odwala achichepere zimatha kuyambitsidwa mpaka chaka chimodzi molingana ndi njirayi: choyambirira, mwana amadyetsedwa ndi zakumwa zamasamba ndi timadziti, koma chimanga, momwe mumakhala mafuta ochulukirapo, amabwera mu chakudya chamwana chakumapeto.

Matenda a shuga si sentensi, koma njira ya moyo, madokotala akutero. "Nenani" matenda anu a shuga - zotheka! Ndikofunika kungoyang'anira kuchuluka kwa shuga m'magazi, kubayitsa jakisoni wa insulin ndikusankha zakudya zoyenera malinga ndi glycemic index yawo:

Ngati mukufuna kudziwa zambiri zokhudzana ndi matenda amtundu 1, nkhani ino ikuthandizani.

Tsoka ilo, shuga ndi matenda osachiritsika, koma kuti asavutike, ndikofunikira kutsatira malamulo a chithandizo, komanso kudya moyenera. Izi zimathandiza wodwalayo kuti azikhala wokhazikika komanso wamphamvu, komanso kupewa zovuta.

1. 
   Mikhail, matenda a shuga a Rodionov ndi hypoglycemia. Dzithandizeni / Rodionov Mikhail. - M: Phoenix, 2008 .-- 214 p.
2. 
   Tsonchev Laboratory diagnostic matenda amisempha / Tsonchev, ena V. ndi. - M.: Sofia, 1989 .-- 292 p.
3. 
   Brusenskaya I.V. (wopangidwa ndi) Zonse zokhudza matenda ashuga. Rostov-on-Don, Moscow, Nyumba Yofalitsa ya Phoenix, ACT, 1999, masamba 320, makope 10,000
4. Akhmanov M. Matenda a shuga si sentensi. Za moyo, tsogolo ndi chiyembekezo cha odwala matenda ashuga. SPb., Nyumba yosindikiza "Nevsky Prospekt", 2003, masamba 192, kufalitsa makope 10,000.
5. Kennedy Lee, Basu Ansu Diagnosis ndi chithandizo cha endocrinology. Njira yovuta, GEOTAR-Media - M., 2015. - 304 p.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.