Momwe mungalemere kulemera kwa mtundu 1 ndi matenda ashuga 2

Kodi ndichifukwa chiyani odwala ena omwe ali ndi matenda a shuga amachepa kwambiri, pomwe ena, m'malo mwake, akulemera msanga komanso akuvutika ndi kunenepa kwambiri? Zonsezi ndi za pathogenesis yamitundu yosiyanasiyana yamatenda.

Monga lamulo, anthu omwe ali ndi mtundu woyamba wa matenda ashuga, omwe samatulutsa insulin, amayamba "kusungunuka" pambuyo poyambira matenda.

Matenda a shuga odwala matenda am'mimba amadziwika ndi matenda ambiri am'mimba, makamaka, kukula kwa ludzu lalikulu, kulimbikitsidwa kwamkodzo, kupuwala, komanso kuwoneka pakhungu ndi ma presthesias. Kuphatikiza apo, matendawa amakhudza kulemera kwa munthu kuyamba mwamphamvu komanso zikuwoneka ngati popanda chifukwa chochepera.

Nthawi zina kuwonda kumeneku kumatha kukhala mpaka 20 kg pamwezi popanda kuchita zolimbitsa thupi komanso kusintha kwa zakudya. Chifukwa chiyani anthu odwala matenda ashuga amachepetsa thupi? Kuchepetsa thupi mwadzidzidzi kumakhala kofala kwambiri kwa odwala omwe ali ndi matenda a shuga.

Ndi matenda a shuga amayamba kunenepa kapena kuchepa thupi?

Kuchepetsa msanga matenda ashuga kumatha kuyambitsa matenda ena akuluakulu. Choyamba, pali kuphwanya njira zonse za metabolic, ndipo chachiwiri, thupi limayamba kubwereka mphamvu kuchokera ku minofu minofu, kenako kuchokera kumisika yamafuta.

Kuchepetsa thupi mwadzidzidzi ndi njira yowopsa yomwe imayambitsa kusokonezeka kwa magwiridwe antchito amthupi, kusakhazikika kwa machitidwe a enzymatic ndi metabolism.

Kuchepetsa thupi mu shuga ndi chifukwa chotsatirachi:

kuperewera kwa zakudya m'thupi
kuphwanya kwamphamvu chakudya,
kuwonongeka kwamapuloteni, mafuta ndi chakudya,
ndalama zambiri.

Chizindikiro cha matenda a shuga ndi kuchepetsa thupi komanso kudya zakudya zabwino komanso zopatsa thanzi. Zochitika zovuta ndi zovuta zamaganizidwe zimatha kukulitsa vutoli.

Kuchepetsa thupi ndi chizindikiro cha matenda 1 a shuga, pomwe thupi satulutsa insulin. Izi ndizotsatira za autoimmune reaction momwe ma pancreatic cell amadziwika kuti ndi achilendo.

Zomwe zimayambitsa kunenepa kwambiri mu shuga zimayenderana ndi chibadwa chamunthu, moyo wawo, komanso zaka. Malinga ndi ziwerengero, makumi asanu ndi atatu mphambu makumi asanu ndi anayi lekholong za odwala omwe ali ndi matenda a shuga a 2 amapezeka kuti ali ndi kunenepa kwambiri.

Kulemera kumawonedwa mwa anthu omwe amamwa insulin. Njira yotsatirayi imawonedwa: mukamamwa insulini kwambiri, glucose yambiri imamizidwa ndi maselo amthupi. Zimapezeka kuti glucose samachotsedwa m'thupi, koma amasinthidwa kukhala minofu ya adipose, yomwe ndiyomwe imapangitsa kulemera.

Kulemera kwambiri ndikofunikira kuti muchepetse kunenepa kwambiri. Ngati vutolo lanyalanyazidwa, wodwalayo angayambe kudwala matenda otupa.

Chifukwa chake, vuto la kuchepa thupi kwambiri m'matenda a shuga liyenera kuthetsedwa munthawi yake. Ndikofunikira kwambiri kuzizindikira pa nthawi.

Ngati kulemera kwa wodwala kukucheperachepera, muyenera kufunafuna chithandizo kuchokera kwa akatswiri odziwa ntchito posachedwa. Kutsitsa glucose wanu kumathandizira kuwotcha minofu. Izi nthawi zambiri zimabweretsa kufotokozera kwathunthu kwa m'munsi malekezero, minofu subcutaneous.

Kuti muthane ndi vutoli, ndikofunikira kuyeza miyezo ya shuga ndi kunenepa kwambiri. Kupanda kutero, kutopa kwa thupi kumatha kuchitika. M'mavuto akulu, kukonzekera kwa mahomoni ndi zina zopatsa mphamvu zimaperekedwa kwa wodwala (popeza chiwopsezo cha kukhala ndi ketoacidosis ndichokwera kwambiri).

Ndi mankhwala ati omwe andithandizire kukhala bwino?

Kuchepetsa thupi kwambiri m'magazi a shuga ndi chizindikiro cha kukula kwa mawonekedwe ake ophatikizika, omwe amathandizidwa ndi kusintha kwa ziwalo zam'kati, zomwe zimayambitsa kutopa kwathunthu komanso kuwonongeka kwakukulu pakukhala bwino kwa odwala.

Kusintha koteroko mthupi la wodwalayo kukuwonetsa kuti sangathenso kuwongolera njira za metabolic popanda thandizo lakunja, chifukwa chake, akufunika kuwongoleredwa kowonjezereka.

Kuti muchepetse kulemera, mapiritsi a zakudya amapezeka. Mankhwalawa ali ndi zabwino zingapo, koma amakhalanso ndi contraindication ndi zovuta zake. Ndiye chifukwa chake, musanayambe chithandizo, funsani kwa dokotala ndikuwonetsetsa kuti mwatsimikiza.

Chidwi chotchuka kwambiri ndi Siofor. Mapiritsi ochedwa kutulutsidwa kwa Glucophage amathandiza kwambiri wodwalayo, koma nthawi yomweyo amakhala ndi mtengo wokwera.

Mankhwalawa amathandizira chidwi cha maselo amthupi kupita ku insulin, yomwe imapangitsa kuchepa kwa kuchuluka kwake m'magazi. Amalepheretsa kudziunjika kwakukulu kwamafuta ndikuthandizira njira yolemeretsa.

Zomwe zimagwira pamapiritsi ndi metformin. Mankhwala amatengedwa ndi zakudya. Siofor amachepetsa shuga. Nthawi zambiri, madokotala amapereka mankhwala kwa odwala matenda ashuga omwe matendawa adayamba chifukwa cha kunenepa kwambiri.

Siofor amachita ntchito ziwiri zofunika:

Zimabwezeretsa kukhudzidwa kwa insulin.
Amachepetsa kulemera.

Monga tingaonere kuchokera pakaunikidwe, ndikayamba kugwiritsa ntchito mapiritsi, kulakalaka maswiti kumachepa. Kuphatikiza apo. Siofor ndi chitetezo chabwino ku zovuta za hypoglycemia, zomwe zingakhale zowopsa kwa wodwala.

Ngakhale odwala omwe samatsata zakudya, limodzi ndi Siofor amachepetsa thupi, ngakhale osathamanga kwambiri, koma zotsatira zake zimakhala. Musaiwale kuti mapiritsiwa adapangidwa makamaka kwa odwala matenda ashuga. Ngati ayamba kutenga anthu athanzi, izi zimabweretsa zovuta za metabolic.

Ngati chakudya chokwanira chochita zolimbitsa thupi sichithandiza kulemera, amakonzekera odwala mwapadera. Diabeteson MB ali m'gululi.

Zisonyezero pakugwiritsa ntchito - kusowa kwa mphamvu ya mankhwala, zakudya zamtundu, kuchepa pang'onopang'ono m'thupi. Diabeteson MB imakhazikitsidwa makamaka kwa odwala akuluakulu.

Mlingo woyenera umagwiritsidwa ntchito pakudya cham'mawa. Mlingo woyambirira ndi 30 mg, umatsimikiziridwa ndi dokotala kutengera kuchuluka kwa shuga m'magazi a wodwalayo.

Momwe mungalemere kulemera kwa mtundu 1 ndi shuga 2?

Ngati mukufuna kubwezeretsa kulemera, ndiye kuti muyenera kusintha zomwe mumadya:

idyani pafupipafupi, koma pang'ono. Idyani zakudya zitatu zocheperako,
Zakudya zomwe zimadyedwa ziyenera kukhala ndi thanzi labwino kwambiri. Idyani zamasamba ambiri, zipatso, mkaka, chimanga, mtedza, nyama yokonda,
Osamamwa madzi nthawi yomweyo musanadye. Sungani pafupifupi theka la ola,
monga Zakudya zamkati, idyani zakudya izi: avocado, zipatso zouma, tchizi, mtedza,
onjezani chakudya chamafuta omwe amadya. Apa tikulankhula za zovuta zam'mimba, osati zovuta kugaya. Zakudya zomanga thupi “zabwino” zimapatsa thupi mphamvu, ndipo sipadzakhala kulumpha mu shuga: zinthu zonse zambewu, nyemba, yogati, mkaka,
mafuta azithandizanso kunenepa. Pali mafuta a polyunsaturated ndi monounsaturated, koma mulibe ma trans. Idyani mtedza, njere, mapeyala. Gwiritsani ntchito mafuta ophika azitona ndi operewera kuphika.

Zonse zimatengera momwe munthu aliri, kotero ndikofunikira kukhazikitsa cholinga ndikupita:

Choyamba, dziwani kuti kulemera kwanu kuyenera kukhala chiyani kwa inu. Chifukwa choti anthu ambiri ali ndi lingaliro losamveka la kunenepa kwambiri, amakonda zolakwika. Onetsetsani kuti mwawerengera kuchuluka kwamasamba anu,
sinthani zakudya zanu zopatsa mphamvu. Ngati mukufuna kunenepa, ndiye kuti zakudya ziyenera kukhala zopatsa mphamvu kwambiri,
zolimbitsa thupi zolimbitsa. Kuchita masewera olimbitsa thupi kumathandizira kumanga minofu, zomwe zimapangitsa kuti munthu akhale wonenepa. Komanso, mukaphunzitsidwa, kulakalaka kudya kumatha.

Musaiwale kuti ngati musintha zakudya zanu, ndiye kuti onetsetsani kuchuluka kwa shuga. Sizikudziwika kuti izi kapena kusinthaku kungakhudze bwanji thanzi lanu. Funsani dokotala wanu za zomwe muyenera kuchita kuti muchepetse kunenepa.

Ndikofunikira kuti thupi lilandire kuchuluka kwa zopatsa mphamvu. Sikulimbikitsidwa kuti tidumphe chakudya kamodzi.

Kupatula apo, izi zitha kubweretsa kuwonongeka kwa pafupifupi 500 calories patsiku. Simungadumphe chakudya cham'mawa komanso chakudya chamadzulo.

Pankhaniyi, muyenera kukonzekera tsiku lililonse. Mu shuga, muyenera kudya pafupipafupi - nthawi 6 pa tsiku.

Ndi zakudya ziti zomwe odwala matenda ashuga ochepa ayenera kudya?

Pali maupangiri ena omwe amakuthandizani kuti muchepetse kulemera kwa matenda amtundu 1 komanso matenda a shuga. Zosankha ziyenera kuphatikizapo zakudya zomwe zili ndi index yotsika ya glycemic, ndiye kuti shuga sangakweze kwambiri.

Ndikofunika kugwirizanitsa chakudya ndi dokotala. Katswiri angakuthandizeni kupanga zakudya popanda kuvulaza thanzi lanu.

Ngati mwatopa, ndikofunika kudya uchi, mkaka wa mbuzi watsopano. Zinthu izi zimakhala ndi machiritso, zimamveka bwino m'thupi. Mukapeza kulemera kwa thupi patsiku, kuchuluka kwa mafuta sikuyenera kupitirira 25%. Komanso, kuchuluka kwawo kuyenera kugawidwa kuzakudya zonse zomwe zilipo.

Anthu odwala matenda ashuga omwe amalimbitsa thupi amatha kudya mbale zam'mphepete (tirigu, oat, buckwheat, komanso mpunga, barele wa ngale). Ponena zamasamba atsopano, gululi limaphatikizapo tomato, nkhaka zatsopano, nyemba zobiriwira, ndi kolifulawa watsopano.

Njira yazakudya

Kuti mukhale ndi mafuta okhazikika komanso osasunthika, chakudya chamagulu amavomerezeka. Izi zimabweretsa zotsatira zomwe mukufuna. Kupeza zochuluka chifukwa cha izi sizingachitike.

Zakudya zopatsa mphamvu zamafuta zimayenera kuchitika motsatira malamulo awa:

ntchito ikuyenera kukhala yunifolomu maola 24 onse. Ndikofunika kuti mudye kwambiri chakudya cham'mawa, chakudya chamasana komanso chakudya chamadzulo kuti muchepetse zakudya zamafuta awa.
Zakudya zazikulu ziyenera kukhala mpaka 30% ya zakudya zopatsa mphamvu za calorie tsiku lililonse (
chisamaliro chapadera chiyenera kulipidwa pazakudya zowonjezera. Chakudya cham'mawa chachiwiri, chakudya cham'mawa chimayenera kukhala 10-15% pazomwe zimachitika tsiku lililonse.

Monga mukudziwa, kulemera mothandizidwa ndi zakudya zama calorie ambiri sizovuta. Komabe, njira yakulemera imeneyi siili yoyenera kwa odwala matenda ashuga.

Kupatula apo, kugwiritsa ntchito mafuta, mitundu yambiri yosungirako imakhumudwitsa kagayidwe, komanso kumachepetsa kupanga insulin. Pazakudya za tsiku ndi tsiku, mafuta amayenera kukhala 25%, chakudya - mpaka 60%, mapuloteni - 15%. Kwa odwala okalamba, kuchuluka kwa mafuta kumatsitsidwa mpaka 45%.

Kukana madzi musanadye

Amakhulupirira kuti asanadye madzi sangamwe. Zilidi. Makamaka, chiletso ichi chimagwira ntchito kwa odwala matenda ashuga.

Gululi la odwala silingakulitse matenda am'mimba, chifukwa kumwa ozizira musanadye kumakhudzanso chimbudzi.

Zomwe Zimapangitsa Kuti Tichepetse Mwadzidzidzi Matenda A shuga

Type 2 shuga mellitus nthawi zambiri amapezeka mwa anthu achikulire, ndipo chimodzi mwazomwe zimapangitsa ndi kumwa kwambiri zakudya zamafuta, kuphatikizapo shuga, zomwe zimayenderana ndikuwonjezera kulemera. Zikatero, chimodzi mwazomwe chimayambitsa matenda a antidiabetesic ndikofunikira kuti muchepetse kulemera kwa odwala matenda ashuga, omwe amathandiza kuwongolera katundu mthupi (mtima, mitsempha yamagazi, mafupa ndi mafupa). Koma kafukufuku wautali wa matendawa adawonetsa peresenti ya zovuta zina zomwe zimachitika, pomwe wodwala wodwala matenda ashuga ayamba kuchepa kwambiri.

Nthawi zambiri kuwonetseredwa kwamankhwala kumeneku kumakhudza anthu odwala matenda ashuga a zaka zapakati kapena zazing'ono, kukhala ndi moyo wakhama, wosagwirizana ndi kunenepa komanso kusachita masewera olimbitsa thupi. Chomwe chimataya ma kilogalamu mu shuga sichikhala vuto lopanga insulin, koma kufooka kwa maselo am'mimba kuti amutengere uku akuwonetsetsa kuti glucose ayenda kuchokera m'magazi. Vuto lofananalo limakhudza pafupifupi 20% ya odwala onse omwe ali ndi matenda amtundu wa 2, ndipo mankhwala amakono akuwonetsa zinthu zomwe zimayambitsa kukana insulini pakusakwanira kwa kapamba:

zaka pafupifupi 40 ndi okulirapo
kusuta
kumwa mowa
ochepa matenda oopsa
kudya kwambiri.

Kutuluka kwa insulin kukaniza kumatha kuchitika pawiri: inactivation (kuwonongeka) kwa insulin kapena kuwonongedwa mwachindunji kwa zolandilira zomwe zimazindikira insulini pamitsempha yama cell ofanana mu minofu. Njira yoyamba imakhazikika chifukwa cha kudya mwachangu kwambiri kwa insulin yomwe imapangidwa m'chiwindi, pomwe imawonongeka. Kupatuka kwachiwiri kumachitika pamene ma antibodies amawona ma insulin receptors mu nembanemba ngati ma antigen, motero amawakonda (awa ndi autoimmune pathology).

Njira ina, kutsika pang'onopang'ono kwa kulemera kwa thupi kumachitika chifukwa chakuti minofu yathupi sililandira glucose wokwanira yemwe amatengedwa ndi insulin. Zotsatira zake, thupi sililandira gwero lokha lamphamvu (lophatikizidwa pakadali pano ndi mkodzo), ndichifukwa chake limayamba kugwiritsa ntchito mafuta osungidwa mkati kuti likhalebe lofunikira. Izi, motere, zimatsogolera kutsika kwamafuta m'miyeso yochepa kwambiri, yomwe imadziwonetsera kunja monga kuwonda.

Kulemera koyenera - chifukwa chiyani kuwongolera ndikofunikira?

Anthu omwe ali ndi matenda amtundu wa 1 ayenera kuchita izi kuti apewe kuchepa kwa madzi m'thupi komanso kukula kwa dystrophy. Zovuta zimayamba chifukwa glucose yemwe amalowa m'magazi samalowa m'maselo, koma amamuchotsa mkodzo, pomwe thupi limatsalira lopanda mphamvu. Kuti apange, amayamba kuphwanya glycogen ya chiwindi ndi minofu ndikusunga mafuta, pomwe munthuyo amayamba kuchepa thupi msanga.
Kwa iwo omwe ali ndi matenda a shuga a 2 komanso onenepa kwambiri, kubwereranso kwazomwe kumathandiza kuthetsa matendawa (kunenepa kwambiri ndi chimodzi mwazinthu zomwe zimakhala ngati insulin zosaganizira komanso matenda a shuga), komanso zimalepheretsa chitukuko cha atherosclerosis, chomwe chimayambitsa kulowerera kwa myocardial kapena sitiroko.

Kodi izi zingakhale bwanji zowopsa?

Owerenga mabakera anena zowona zonse zokhudza matenda ashuga! Matenda a shuga amapita pakatha masiku 10 ngati mumamwa m'mawa. »Werengani zambiri >>>

Kuopsa kwa kuchepa thupi mwadongosolo kumakhalapo chifukwa sikuti kumaonedwa ngati chizindikiro chowopsa, kapena choipitsitsa - chimadziwika bwino munthawi yamalingaliro amakono okongola za munthu. Zotsatira zake, zoyipa zoyipa zimayambitsa zochitika zomwe wodwalayo amakumana ndi zotsatirapo za kuchepa thupi - mawonetsedwe angapo azachipatala a chikhalidwe chosalimbikitsa.

Kupanga kwa kufalikira kwa lipids zokhala ndi madzi osafunikira pakalibe kuchuluka kokwanira kwa chakudya cham'mimba kumatchedwa ketosis, ndipo nthawi zambiri ketosis (kumeza kwa matupi a ketone m'magazi chifukwa chakuwonongeka kwamafuta) imawonedwa ngati yachilendo. Mavuto amayamba pamene kusowa kwa glucose mu minofu kukupitilira gawo lovomerezeka, chifukwa chake ziwalo zingapo, makamaka ubongo, zimayamba kumva njala. Chowonadi ndi chakuti matupi a ketone satha kuwapatsa mphamvu, motero gluconeogenesis (yosagwira ntchito nthawi zonse) kapena kuwonjezeka kwa kuchuluka kwa matupi a ketone m'magazi kuti asinthitse ziwalo zina zonse ndi machitidwe ena kuzinthu zina zamagetsi kukhala mayankho a thupi.

Kukula kwa njirayi kumatha kuyambitsa matenda achilengedwe monga ketoacidosis, omwe amadziwika ndi zingapo mwatsatanetsatane:

hyperglycemia mpaka 15 mmol / l ndi kupitilira,
glucosuria mpaka 50 g / l ndi kupitilira
ketonemia
ketonuria.

Ngati wodwala matenda ashuga samathandizidwa panthawiyi, amakhala ndi vuto: kufooka, polyuria, kugona, kusowa chilimbikitso, kusanza, komanso kununkhira kwa acetone mkamwa. Zikakhala choncho, wodwalayo amafunikira kuchipatala msanga, chifukwa kukomoka kwa ketoacidotic ndi chimodzi mwazomwe zimapangitsa kuti anthu azidwala matenda ashuga.

Kuchepetsa thupi ndi matenda ashuga?

Chotsani zakudya zomwe zimachulukitsa shuga muzakudya zanu. Izi zimaphatikizapo zinthu monga chimanga, mpunga, barele, komanso mkate, mbatata, maswiti, shuga, kaloti, beets,
Idyani mazira ambiri, nsomba zam'madzi, masamba, nyama, zitsamba, nyemba,
Chitani masewera mwamasewera. Kuthamanga, kuyenda, kusambira, katundu wamagetsi okhala ndi dumbbells ndi bar ndizoyenera. Mitundu imodzimodzi ya katundu ndi yoyenera kwa anthu omwe ali ndi mtundu woyamba wa 2 komanso wa 2,
Idyani kangapo ka 5 kapena 6 pa tsiku, ndikupangirani 200 20000 ml,
Imwani oposa 2 malita amadzimadzi. Pazonse, muyenera kumwa madzi ngakhale mawonekedwe a ludzu.
Komanso zokometsera, zonunkhira, zakudya zamchere, margarine ndi batala, masamba osankhidwa, pasitala, soseji, mayonesi, mafuta amkaka, mowa uyenera kuchotsedwa muzakudya.

Potency ndi matenda ashuga. Momwe matendawa amakhudzira thupi laimuna owerengedwa apa.

Kodi shuga ayenera kulowedwa ndi fructose? Pindulani ndi kuvulaza.

Kodi kulemera shuga?

Kuwalimbikitsa anthu odwala matenda ashuga momwe angachiritsire, nthawi zonse muyenera kuganizira zovuta za matenda awo ndi zovuta zina, chifukwa njirayi ingathe kuvulaza. Poyamba, chithandizo chilichonse chamankhwala chokhudza kulemera kwa thupi chiyenera kuyamba ndikuchotsa kapena kubwezeretsa zomwe zimayambitsa matenda, apo ayi kuyesayesa konse kungakhale kopanda phindu. Tikulankhula, za zamankhwala, momwe munthu angapangire wodwala zakudya zapadera.

Kuphatikiza chithandizo choyenera komanso zakudya zoyenera ziyenera kuthandizidwa ndi zochitika zina zolimbitsa thupi monga wodwala matenda ashuga (mutha kungoyamba kudya kwambiri kwinaku mukukhalabe ndi moyo).

Kulemera kwambiri kuyenera kukhala koyenera komanso pang'onopang'ono, chifukwa kusinthasintha kwadzidzidzi m'thupi lanu kumakhala kovulaza thupi. Chakudyacho chikuyenera kuperekedwa ndi adokotala, omwe aziganizira momwe wodwalayo alili, kuopsa kwa matenda ake a shuga komanso kupezeka kwa zovuta zina. Ndi njira yoyenera, zolemerazi zibwerera mwakale pakatha mwezi umodzi ndi theka, koma pofika nthawi imeneyi zidzakhala zofunikira kusamalira kuchepa kwapang'onopang'ono kwa kusintha kosangalatsa pokomera kusungabe zomwe zachitika kuti wodwalayo asasanduke wonenepa.

Ndi zinthu ziti zomwe ndibwino kusankha?

Popeza kuti vuto la hyperglycemia mu shuga silitha, kuyesa kulemera ndi maswiti, makeke kapena ma muffins ndiyo njira yolakwika. Momwemonso, sichingakhale cholakwika kusamutsa wodwalayo chakudya chamafuta ambiri, chifukwa izi zimatha kuwonjezera zovuta zomwe zilipo m'mimba ndi m'mimba. Njira yanzeru ingakhale kuyamba ndi zakudya zosasamalidwa bwino: chimanga chaching'ono cha carb, zinthu zamkaka zamafuta olimbitsa thupi, nsomba zodonthetsa nkhuku komanso pafupifupi nkhuku zosafunikira.

Mukakhazikitsa njira yoyenera ndikukonzekeretsa thupi, mutha kuthandizira chakudyacho ndi nyama yamwana wamphesa ndi mwanawankhosa, mazira a nkhuku, mtedza, bowa ndi zopangira tirigu. Onetsetsani kuti chakudyacho chikuyenera kukhala ndi masamba ndi zipatso zokwanira, chifukwa thupi lofooka limayenera kubwezeretsanso mavitamini ndi michere, kulimbikitsa chitetezo chokwanira m'njira.

Kunenepa kwambiri

Mukazindikira momwe mungakulire kulemera ndi matenda ashuga amitundu iwiri, mutha kuyang'ana zitsanzo zina za momwe chakudya cham'mawa, chakudya cham'mawa komanso chakudya chamadzulo chitha kuphatikizidwira.

Musanakhale ndi kulemera kwa matenda ashuga amtundu wa 2, muyenera kufunsa katswiri wazomwe angapangire mapulani olimbitsa thupi ndikukhala ndi cholinga chomaliza malinga ndi msinkhu, kutalika, komanso jenda.

Kenako, mutha kupitiriza kupanga zosankha, zomwe zitha kuwoneka motere:

chakudya cham'mawa: dzira lophika, granola, tiyi wopanda shuga,
nkhomaliro: kapu yomwera yogati kapena zipatso zingapo zotsekemera ndi zingapo,
nkhomaliro: phala la mpunga, bere la nkhuku kapena mwendo, saladi watsopano wamasamba, compote,
chakudya chamadzulo: kapu ya kefir kapena ryazhenka, makeke a oatmeal,
chakudya chamadzulo: nyama yamasamba yokhala ndi nyama yamchere yochepa, chidutswa cha mkate wa rye, kapu yamadzi,
chakudya chachiwiri: zipatso kapena zipatso, yogati.

Matenda a shuga omwe amauzidwa ndi DIABETOLOGIST ndi odziwa Aleksey Grigorievich Korotkevich! ". werengani zambiri >>>

Pakati pa mbewu monga mpunga, buluwheat ndi barele wa pearl ndizothandizanso komanso zothandiza pakulemera. Zakudya zofunikira sabata iliyonse ziyenera kuphatikiza nsomba zowiritsa kawiri kapena zowotchera za mitundu yochepa yamafuta, masamba ophika ndi ophika, tchizi chofufumitsa komanso zonona wowawasa wopanda mafuta, nyemba ndi pasta kuchokera ku tirigu wa durum. Musaiwale kuti pa nkhomaliro wodwala amayenera kuphunzitsidwa maphunziro oyamba mwachitsanzo, msuzi wa msuzi wa nkhuku, womwe umakwanira ndikupereka kuchuluka kwa zopatsa mphamvu. Monga mchere, mutha kugwiritsa ntchito makonzedwe osiyanasiyana opangira zipatso, soufflés ndi mousses osagwiritsa ntchito shuga, podalira kutsekemera kwa zipatsozo ndi zipatso zawo (kapena okometsa).

Momwe mungachepetse kulemera kwa shuga?

Poyamba, ndikwabwino kutembenukira kwa endocrinologist kapena wathanzi. Zakudya ziyenera kukonzedwa bwino komanso moyenera. Chakudya chimayenera kumumwa nthawi yomweyo.

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Ngati mukufuna kusintha kulemera, ndiye kuti gwiritsani ntchito zakudya zamagulu akakhala ndi glycemic index:

kupatula pa zakudya zanu yokazinga, mafuta, zokometsera, osuta, mowa,
gwiritsani ntchito zotsekemera m'malo mwa shuga,
chepetsa kudya kwanu mafuta ndi chakudya chamafuta,
idyani yokazinga, yopanda kapena yophika.

Kodi wodwala matenda ashuga amalemera bwanji?

Nthawi zambiri, anthu odwala matenda ashuga a mtundu woyamba amakhala ndi vuto lakuchepa kwambiri, pomwe insulin m'thupi imasiya kupangidwa. Matendawa amatengedwa kuti ndi osachiritsika chifukwa chake njira zomwe zimayang'anira kuwongolera thupi ndizofunikira kuti magazi azikhala bwino, omwe atatha kudya sayenera kupitirira 6,5 mamililita / lita.

Werengani ma calorie omwe amafunikira kuchepera kwa thupi,
Sinthani zakudya, idyani katatu patsiku m'magawo ang'onoang'ono,
Yang'anirani kuchuluka kwa mafuta / protein / carbohydrate omwe amalowa mthupi. Chiwongola dzanja chawo ndi 25% / 15% / 60%.
Idyani zakudya zamanyowa,
Muchepetse zakudya zotsekemera komanso zonona.

Porridge: buckwheat, barele ya ngale,
Mtedza
Khofi ndi tiyi wopanda shuga,
Maapulo, mapeyala, mandimu, malalanje, maula,
Kaloti, zukini, anyezi, beets,
Ma compote, madzi amchere,
Uchi wachilengedwe.

Ma bomba, ma muffins, ma pie ndi makeke ena, kupatula yisiti wopanda yisiti,
Chocolate, maswiti, shuga, makeke,
Nsomba ndi nyama
Pasitala, zakudya zosavuta.
Kumwa mowa ndi kusuta ndudu ndikosayenera kwambiri.

Kuwongolera kunenepa kwambiri ndi imodzi mwazinthu zazikulu za onse odwala matenda ashuga. Zimakuthandizani kuti mulingo wama glucose ukhale wabwinobwino, kupewa matenda opatsirana, ndipo nthawi zina zimapangitsa kuchira kwathunthu. Malinga ndi akatswiri, nthawi zina anthu omwe ali ndi matenda a shuga a 2 amafunika kuchepetsa thupi basi ndipo matendawa amayamba.

Kodi ndiyenera kulemera kwambiri?

Ambiri omwe ali ndi matenda ashuga, akuphunzira za zotsatira za kuchepa thupi mwadzidzidzi, akuyesera kuti abwerere ku kulemera kwawo koyamba komanso kunenepa.

Koma kodi zoterezi ndizoyenera kutero?

Mwachilengedwe, odwala matenda ashuga ayenera kuwongolera kunenepa kwawo. Ndikofunika kukumbukira kuti kuchepa kwake kumayambitsa matenda a cachexia, impso ndi chiwindi, kuchepa kwa mawonekedwe komanso kupitirira patsogolo kwa matenda ashuga a polyneuropathy.

Komabe, simuyenera kupeza mapaundi ambiri mwachangu, kuphatikiza zakudya zanu ndi zomanga thupi. Kuchita zotere kumangokulitsa kuchuluka kwa shuga m'magazi ndikuchulukitsa njira ya matenda a shuga, zomwe zimapangitsa kuti zovuta zake zithe.

Malangizo Ochepetsa

Kuchepetsa thupi kwambiri m'matenda a shuga a 2 ndizowopsa.

Zina mwazovuta kwambiri ndikupanga ketoacidosis, kuwonetsa kwa minyewa yam'munsi komanso kutopa. Kuti achepetse kulemera kwa thupi, madokotala amatipatsa mphamvu zolimbitsa thupi, mankhwala a mahomoni ndi zakudya zoyenera.

Ndi chakudya chopatsa thanzi chomwe chimaphatikizapo zakudya zomwe zili ndi mavitamini, ma amino acid, michere ndi micro yambiri, zimathandizira kuwonjezeka pang'onopang'ono kwa thupi komanso kulimbitsa chitetezo cha thupi.

Lamulo lalikulu la zakudya zabwino za anthu odwala matenda ashuga ndi kuchepetsa kuchuluka kwa chakudya chamafuta ndi mafuta. Odwala amangofunika kudya zakudya zomwe zimakhala ndi index ya glycemic yotsika.

Chakudya chapadera chimaphatikizanso kugwiritsa ntchito zakudya:

mkate wa ndani
zopangidwa mkaka (zopanda mafuta),
mbewu zonse za tirigu (barele, tambula),
masamba (nyemba, mphodza, kabichi, tomato, nkhaka, radish, letesi),
Zipatso zosatsirika (malalanje, mandimu, pomelo, nkhuyu, maapulo wobiriwira).

Chakudya cha tsiku lililonse chimayenera kugawidwa m'magawo asanu ndi limodzi, ndipo akhale ochepa. Kuphatikiza apo, ndi kutopa kwambiri kwa odwala, tikulimbikitsidwa kutenga uchi wochepa kuti ubwezeretse chitetezo chamthupi.

Wodwala matenda ashuga ayenera kupanga menyu kuti magawo a mafuta mu kuchuluka kwa chakudya afike 25%, kaboni - 60%, ndi mapuloteni - pafupifupi 15%. Amayi oyembekezera amalangizidwa kuti awonjezere kuchuluka kwa mapuloteni muzakudya zawo mpaka 20%.

Katundu waku chakudya umagawanidwa tsiku lonse. Gawo la zopatsa mphamvu zomwe zimadyedwa panthawi ya chakudya chachikulu ziyenera kuchokera 25 mpaka 30%, ndipo panthawi yazakudya - kuyambira 10 mpaka 15%.

Kodi ndizotheka kuchiritsa kukhumudwa kotero pakudya chakudya chokha? Ndizotheka, koma zopatsa thanzi ziyenera kuphatikizidwa ndi masewera olimbitsa thupi a matenda ashuga, izi zimakhala ndi zotsatira zake mwachangu komanso zowonjezereka. Zachidziwikire kuti, wodwala akamafuna kulemera thupi, si bwino kumangodzilimbitsa mtima pogwiritsa ntchito masewera olimbitsa thupi kwambiri.

Koma kuyenda mpaka mphindi 30 patsiku kumangopindulitsa. Kuyenda mokhazikika kwa thupi kumathandizira kulimbitsa minofu, kukonza kupuma ndi mtima.

Tiyenera kukumbukira kuti chamoyo chathanzi "chimanenepa" kwanthawi yayitali. Chifukwa chake, muyenera kukhala oleza mtima ndikutsatira malangizo onse a dokotala.

Ndi matenda a shuga, zakudya zoyenera, zomwe zimakhazikitsidwa pakumwa zakudya zopatsa thanzi, zimathandizira kubwezeretsa thupi.

Pankhaniyi, wodwalayo amayenera kuyang'anira kudya kwake ndikumvetsera mndandanda wazakudya za glycemic, kupereka zokonda zokhazo zomwe zimakhala zotsika.

Ndikofunika kukumbukira kuti kutsika kwa GI, shuga wocheperako amene amapatsa magazi. Kuphatikiza apo, odwala matenda ashuga ayenera kudya zakudya zopatsa mphamvu zambiri komanso kudya zakudya zomwe zimapangitsa kupanga insulin, kuphatikiza adyo, mafuta opendekera, ma brussels, uchi ndi mkaka wa mbuzi.

Kuti muchepetse, muyenera kudya pafupipafupi komanso pang'ono (kangapo pa 6) tsiku. Zakudya zomanga thupi zimayenera kudyedwa pang'ono komanso moyenera tsiku lonse.

Zosintha zachitsanzo

Zakudya za anthu odwala matenda ashuga sizosiyanasiyana. Koma kudya koteroko ndikofunikira kuti akhale ndi kulemera ndi mawonekedwe, kusintha momwe zimakhalira, komanso kupewa kutengera zovuta za matenda.

Kuti mumvetsetse zovuta zomwe zimapangitsa kuti muchepetse kuchepa thupi kwa odwala omwe ali ndi matenda ashuga, ndikofunikira kumvetsetsa ubale pakati pa shuga, magazi ndi shuga wokha.

Mwazi wa shuga wamagazi umadalira zakudya zomwe zimakhala ndi zakudya. Mwazi wamagazi ukuwonjezeka molingana ndi kuchuluka kwa chakudya chodyedwa: chakudya chamafuta kwambiri, chimasweka mofulumira m'matumbo, mofulumira shuga amalowa m'magazi.

Poyankha kuchuluka kwa shuga m'magazi, thupi limasainira kapamba kuti apange insulin inayake ndikuyitulutsa m'magazi. Pamene insulini ilowa m'magazi, imamanga shuga ndikuipereka ku maselo a thupi kutengera zosowa: pakulimbitsa thupi, shuga imaperekedwa m'maselo a minyewa ndi ubongo, kuwapatsa mphamvu, ngati thupi silikufunika mphamvu yowonjezera, shuga imaperekedwa kwa maselo amafuta (depot yamafuta), pomwe amaikhazikitsa.

Chifukwa chake, ngati thupi lifunika mphamvu, shuga lidzadulidwa ndi maselo ndikugwiritsa ntchito, apo ayi shuga adzawonjezera kuchuluka kwa thupi.

Vuto la kuchepa thupi mwa anthu odwala matenda ashuga limachitika chifukwa chakuti kuchuluka kwa shuga m'magazi kumawonjezeka pafupipafupi, chifukwa thupi silingayendetse shuga moperewera chifukwa chosowa insulini. Chifukwa chake, kutsika kwa shuga kuchokera m'magazi kupita ku depot ya thupi sikumayima, zomwe zimapangitsa kuwonjezeka kwa thupi.

Pomaliza

Matenda a shuga amakhudza kulemera kwa wodwalayo. Chifukwa chake, ndi fomu yodalira insulin, nthawi zambiri, kuchepa thupi kumachitika, ndipo ndi fomu yodziyimira payokha, kudzikundikira kwamafuta.

Ngati mukufuna kukhala bwino, idyani zakudya zopatsa mphamvu zambiri zopatsa thanzi zamafuta ambiri komanso zomanga thupi. Ngati cholinga chanu ndi kuchepa thupi, ndiye kuti onetsetsani kuchuluka kwa zopatsa mphamvu, komanso mafuta ndi chakudya.

Mulimonsemo, musaiwale za zinthu zoletsedwa, kuphatikizapo mafuta, zonunkhira, zokazinga, kusuta.

Zakudya zoyenera ndizofunikira kwambiri thanzi la odwala matenda ashuga okha, komanso la munthu aliyense. Ganizirani za thupi lanu lero, kudya zakudya zopatsa thanzi, ndipo adzakuthokozani mawa, kupatsa thanzi komanso mphamvu!