Kodi shuga ayenera kudya chiyani: 8, 10, kodi izi ndizabwinobwino?

Irina: Masana abwino! Ndili ndi zaka 56. Shuga m'mawa wopanda kanthu nthawi zambiri amakhala 3.4 - 3.7 (Nthawi zambiri ndimadzuka ndimutu woonda. Ndimadya m'mawa nthawi yomweyo, koma patatha ola limodzi ndi theka shuga atatha kudya 3. Nthawi zambiri ola limodzi ndi theka mukatha kudya kadzutsa - 3,3-3.9. Chakudya cham'mawa nthawi zambiri chimakhala ndi oatmeal m'madzi ndi mbewu zochepa, khofi kapena chicory wokhala ndi tebulo limodzi. stevia ndi kuwonjezera kwa mkaka wamafuta ochepa, sangweji (mtengo wa chinangwa) ndi batala ndi tchizi ndi mipiringidzo iwiri ya chokoleti cha mkaka. Kupitilira apo masana, zonse zili bwino: Sikuti ndimadya chakudya chamasana masana, kupatula chakudya chokhacho chachiwiri komanso chachiwiri (mutatha kadzutsa kachiwiri, shuga satsika). Nthawi yomweyo, ndinazindikira: mukamadya maswiti (chidutswa cha keke, maswiti), shuga pambuyo pa maola 2 - 10.5 - 11.2.
Glycated hemoglobin - 6.1, c-peptide ndi insulin - chizenera. Matenda a shuga ndi endocrinologist sanakhazikitsidwe, akangomwa shuga wopanda m'mimba ndimwazonse, mayi anga anali ndi matenda osokoneza bongo a 2 degree.
Kodi chingakhale chiyani? Kugona kwanga nthawi zambiri kumakhala maola 7. Zikomo

Irina, kuweruza ndi zomwe tafotokozazi, mwakweza pang'ono glycated hemoglobin ndi shuga wokwanira pambuyo pofundira wama carbohydrate (atatha kudya zakudya zam'mimba, ayenera kukhala otsika). Muyenera kukhala ndi matenda ashuga.

Asanayambike matenda a shuga a mtundu wachiwiri, prediabetes nthawi zambiri imachitika - mkhalidwe womwe kuchuluka kwa glucose m'magazi ndikokwera kwambiri kuposa masiku onse, komabe osakwanira kuti shuga adziwe.

Madokotala nthawi zina amatcha prediabetes kuti ndikuphwanya kukhululuka kwa glucose kapena kusala kudya pang'ono kwa glycemia, kutengera mayeso omwe adapezeka. Matenda a shuga amawonjezera chiwopsezo cha matenda amtundu wa 2 m'tsogolo.

Zotsatira zakuyesa zomwe zikuwonetsa kukhalapo kwa prediabetes ndi izi:

• HbA1c - 5.7% - 6.4% (muli 6.1%, yomwe ili pamtunduwu).
• Kusanthula kwa shuga wamagazi - 5.6 - 7.0 mmol / L. (apa muli ndi zisonyezo zabwino, ngakhale zotsika).
• Mayeso a kulolerana a glucose - 7.8 - 11.1 mmol / L. Ndi kuyesedwa uku, mumamwa chakumwa chokoma, ndipo patatha maola awiri, yeretsani shuga. Mulinso ndi vuto lofanana ndi lokoma - shuga amakwera pamlingo wa prediabetes (ndipo mwina - mtundu 2 shuga).

Ndingakulangizeni chiyani? Apanso, pitani kwa a endocrinologist ndipo mupemphe kuti mupatsenso magazi kuti mupatse magazi a glycated hemoglobin, kuyezetsa magazi posachedwa kwa shuga ndikupita kukayezetsa magazi. Musayambitse vutoli, chifukwa prediabetes imatha kusintha msanga mtundu wa 2 shuga. Ndipo prediabetes imatha kuyendetsedwa ndi zakudya.

Lazareva T.S., endocrinologist wa gulu lapamwamba kwambiri

Mwazi wamagazi mukatha kudya

Mwa anthu omwe alibe matenda ashuga, kuchuluka kwa shuga m'magazi kumatha kuwonjezeka ndikatha kudya. Izi ndichifukwa chopanga shuga kuchokera ku zopatsa mphamvu kuchokera pakudya. Amapereka mphamvu zosasunthika, zomwe ndizofunikira pantchito yathunthu ya thupi lonse.

Koma glycemia imatha kukhudzidwa ndi vuto la kuchepa kwa chakudya. Komabe, nthawi zambiri chizindikiro cha glucose m'magazi sichisintha kwambiri, ndipo zimasintha msanga.

Mlingo wabwinobwino wa shuga mwa munthu wathanzi umachokera ku 3.2 mpaka 5.5 mmol / L. Zizindikiro izi zimayezedwa pamimba yopanda kanthu. Kutengera zaka, amatha kusiyanasiyana:

1. mpaka zaka 14 - 2.8-5.6 mmol / l,
2. kuchuluka kwa shuga m'magazi amuna asanakhale ndi zaka 50 ndi 4.1-5.9 mmol / l,
3. wamkulu kuposa zaka 60 - 4.6-6.4 mmol / l.

Zosafunikira kwenikweni ndi zaka za ana. Kwa mwana mpaka chaka, Zizindikiro 2.8-4.4 amaonedwa kuti ndi abwinobwino, mpaka zaka 14 - 3,3-5.6 mmol / l.

Ola limodzi mutatha kudya, kuchuluka kwa glycemic sikuyenera kupitirira 5.4 mmol / L. Nthawi zambiri mwa munthu wathanzi, zotsatira za kafukufuku zimachokera ku 3.8-5.2 mmol / L. Pambuyo pa maola 1-2 mutatha kudya, kuchuluka kwa glucose kumatha kukwera mpaka 4,6 mmol / L.

Ndipo kuchuluka kwa glycemia mwa amayi apakati kuyenera kukhala kotani? Mulingo wa shuga wamagazi mwa akazi omwe ali ndi udindo ndi 3.3-6.6 mmol / l. Ngati glucose okhutira panthawi yomwe ali ndi pakati akukula nthawi zonse, ndiye kuti titha kulankhula zamtundu wa shuga.

Chofunikanso ndi kuthekera kwa thupi kuyamwa glucose. Chifukwa chake, aliyense ayenera kudziwa momwe shuga amasinthira mukatha kudya tsiku lonse:

• usiku kuyambira 2 mpaka 4 maola - oposa 3.9 mmol / l,
• musanadye kadzutsa - 3.9-5.8,
• asanadye nkhomaliro - 3.9-6.1,
• asanadye - - 3.9-6.1.

Amakhulupirira kuti atatha kudya, shuga m'magazi amakhudzidwa ndikudya zakudya zomwe zimakhala ndi mafuta ochulukirapo. Akaphwanya, pamakhala kuchuluka kwa shuga mpaka 6.4-6.8 mmol / L. Ngakhale kuti kuphatikiza kwa glucose panthawiyi kumatha kuwonjezeka pafupifupi nthawi 2, zizindikirozo zimatha kukhala zofanana mwachangu kwambiri.

Kodi ndi shuga wanji amene amawonedwa wabwinobwino mwa amayi pambuyo pa 50? Ndi zaka, ziwonetsero zakuchepera kwa glycemia zimakula pang'onopang'ono. Izi zimachitika chifukwa cha kusintha kwa mahomoni komanso kusamba kwa kusintha kwa thupi. Chifukwa chake, magazi a capillary azimayi omwe adapulumuka msambo ndi 3.8-5.9 mmol / l, ndipo venous - 4.1-6.3 mmol / l.

Ndipo ndimtundu wanji wa shuga womwe umawonedwa ngati wabwinobwino kwa wodwala yemwe wadya chakudya? Kwa anthu omwe ali ndi matenda otere, miyezoyi imachokera ku 7 mpaka 8 mmol / l.

Komanso, mukamayeza zizindikiro za glycemic mukatha kudya, prediabetes imatha kupezeka. Kukhalapo kwa boma loteroko kukuwonetsedwa ndi zotsatira kuchokera pa 7.7 mpaka 11 mmol / L.

Ndi shuga yemwe amadalira insulin, shuga m'magazi atatha kudya amatha kukwera 11.1 mmol / L.

Kodi glycemia amayeza bwanji?

Kuti mudziwe kuchuluka kwa shuga komwe kumayenera kukhala m'magazi komanso zomwe zingakhale zake, ngati mungapereke magazi a shuga kuchipatala chilichonse. Mwa izi, njira zitatu zimagwiritsidwa ntchito: orthotoluidine, ferricyanide, gluidose oxidase.

Njirazi ndi zosavuta koma zothandiza kwambiri. Zimakhazikitsidwa ndimomwe zimapangidwira ndi shuga m'magazi. Zotsatira zake, yankho limapangidwa, lomwe limayesedwa pa zida zapadera, kuwongola kwa mtundu wake kuwululidwa, ndikuti izi ndizowonetsa zochulukirapo.

Zotsatira zimawonetsedwa mg mg pa 100 ml kapena magawo a zinthu zosungunuka - mmol pa lita. Kusintha mamiligalamu kukhala mmol / L, chiwerengerochi chikuchulukitsidwa ndi 0.0555. Ndizofunikira kudziwa kuti shuga atatha kudya mukamagwiritsa ntchito njira ya Hagedorn-Jensen ndiwokwera pang'ono kuposa njira zina.

Pali malamulo angapo otenga magazi a shuga:

1. biomaterial imachotsedwa chala kapena mtsempha mpaka 11:00 pamimba yopanda kanthu,
2. Maola 8 mpaka 12 mayeso musanadye,
3. kumwa mowa saloledwa, madzi okha.

Magazi a venous akapimidwa, chiwopsezo chololedwa chitha kufika pa 12%. Izi ndizabwinobwino ngati mulingo wa glycemia m'mapilillaries uchoka pa 3,3 mpaka 5.5 mmol / L, ndipo mu Vienna shuga 6, koma osapitirira 7 mmol / L.

Mukamamwa magazi onse a capillary ndi venous, mumasiyana maulangizi. Ngati shuga ali 10 kapena kuposerapo, ndipo m'mawa musanadye, ndi oposa 7 mmol pa lita imodzi, izi zikuwonetsa kukhalapo kwa matenda ashuga.

Ndi zotsatira zokayikitsa, ngati palibe zizindikiro zoopsa, koma zopweteketsa zilipo, kuyesa kwa kupsinjika kumachitika ndi shuga. Chomwe chimatsimikizira izi:

• magazi akusala amayesedwa,
• Kenako amamwa yankho la glucose (75 g),
• pambuyo pa mphindi 30, 60 ndi 120, muyeso wobwereza wa shuga umachitika.

Pa phunziroli, ndizoletsedwa kumwa madzi, kusuta, kudya komanso kufinya thupi. Zotsatira zoyesedwa zimamasuliridwa motere: zomwe zimakhala m'magulu musanayambe madzi kuti zikhale zabwinobwino kapena zotsika.

Pankhani ya kulolerana kwa shuga, mayankho a maphunziro apakatikati m'magazi ndi 11.1 mmol / l, ndipo m'magazi a venous 9-10 mmol pa lita. Nthawi zambiri, shuga wambiri amakhalanso kwa maola ena awiri pambuyo phunziroli, zomwe zimawonetsa kuti shuga siyakudya.

Kuti muyeze mayeso amtundu wa glycemia, muyenera kupeza glucometer. Amagwiritsidwa ntchito motere: cholembera chomwe chimagwiritsidwa ntchito kupangira pakhungu, ikani singano ndikusankha kuya kwakapena.

Mutayatsa chida, chidziwitso chikawonekera pazenera kuti chakonzeka kugwiritsa ntchito, khungu lomwe limamwetsedwa ndi mowa limatsitsidwa. Kenako, dontho la magazi limayikidwa pa mzere.

Pakapita kanthawi, chipangizocho chimapereka zotsatira zolondola. Mu mtundu woyamba wa shuga, glucometer iyenera kugwiritsidwa ntchito mpaka 4 pa tsiku. Ndi matenda omwe amadzimira pawokha a insulin, ndimayetsa kuchuluka kwa shuga m'magazi kawiri patsiku (shuga amawayeza mutatha kudya musanayambe kumwa).

Ndi glycemia yosalamulirika, ndikofunikira kuwonjezera kuchuluka kwa shuga ndikuwunika shuga katatu tsiku lililonse pafupipafupi:

1. musanadye
2. mutatha kudya pambuyo pa mphindi 120,
3. pambuyo 5 maola
4. pamimba yopanda kanthu
5. m'mawa ndi usiku.

Zizindikiro zikafika zachilendo, pafupipafupi ma miyeso amasinthidwa pogwiritsa ntchito mankhwala a insulin kapena pakamwa. Koma chochita ndi matenda a hyperglycemia ndi hypoglycemia ndi chiyani? Ndipo maiko awa amadziwika ndi chiyani?

Chifukwa chiyani hyperglycemia ndi hypoglycemia zimachitika mutatha kudya ndipo zimawoneka bwanji?

Masewera a shuga akatha kudya akangokhala osakhazikika, izi zimawonetsa kuperewera kwa hyperglycemia. Ngati shuga atakwera, zizindikiro monga ludzu, polydipsia, ndi pakamwa lowuma zimachitika.

Atadwala matenda ashuga kwambiri, matendawo amadwalanso ndipo amayamba kusanza, kusanza, chizungulire, ndi kufooka. Nthawi zina munthu amasiya kugona ndipo amagwa. Ngati njira zochiritsira nthawi yake sizinatengedwe, ndiye kuti zakupha nzotheka.

Mkulu wa glucose akamakwera, zotsatira zina zimayamba, mwachitsanzo, kusagwira bwino ntchito kwa chitetezo cha mthupi, chifukwa cha zomwe thupi limayamba kulimbana ndi tizilombo toyambitsa matenda. Njira zamatsenga zimasokonekera, chifukwa chomwe munthu akukulira msanga.

Zovuta zina za shuga wambiri ndi:

• kuwola kwa mano
• Kukula mwachangu kwamatenda oyamba ndi yisiti, makamaka wamkazi
• toxosis wamkulu pa nthawi yobereka,
• kukula kwa matenda a ndulu,
• chiopsezo cha eczema mwa ana,
• appendicitis.

Mukatha kudya, kutsekemera kwa glucose sikung kuwonjezera, komanso kugwa. Kupezeka kwa hypoglycemia kumathandizira kufa ndi njala komanso matenda osiyanasiyana omwe amachititsa kuchepa kwa shuga m'magazi.

Zizindikiro za dziko la hypoglycemic - kunjenjemera, khungu, khungu, nseru, nkhawa, kusowa kwa chidwi, palpitations, mantha. Kugwa kovuta kwa shuga kumadziwika ndi chizungulire, kupenyerera komanso kuwoneka, mutu, kusokoneza, kukokana, mantha, malaise, ndi chisokonezo.

Chimodzi mwazifukwa zomwe shuga imatsikira ndizakudya zopanda thanzi, pomwe zakudya zamafuta ochepa zimakudya kwambiri. Chifukwa chake, kuti glycemia isinthe, ndikofunikira kudya zakudya zopatsa mphamvu (zipatso zotsekemera, chokoleti chamdima) ndikubwerezanso zakudya zanu mtsogolomo.

Komanso, mukamawerenga kuchuluka kwa glycemia pambuyo pa mphindi 60 mutatha kudya ndi ochepera 2.8 mmol / L, ndipo mwa azimayi - 2.2 mmol / L - izi zikuwonetsa insulin, yomwe ndi mapangidwe ngati chotupa omwe amapanga ndi kuchuluka kwa insulin chifukwa cha kapamba. Pankhaniyi, mayeso owonjezera, kuphatikizapo maphunziro kuti azindikire chotupacho, ndiofunikira.

Koma hypoglycemia atatha kudya ndizosowa kwambiri. Nthawi zambiri, makamaka ndi matenda ashuga, munthu amakhala ndi hyperglycemia.

Chifukwa chake, ndikofunikira kudziwa momwe mungaimire izi munthawi yake komanso kupewa zomwe zingawononge moyo wanu.

Zoyenera kuchita ndi shuga wambiri mutatha kudya?

Musanachepetse kuchuluka kwa shuga, muyenera kufunsa dokotala. Zowonadi, pankhani iyi ndikofunikira kuganizira mawonekedwe a chamoyo, momwe zimakhalira, zotsatira zoyesa ndi zina zambiri.

Ndi kuwonjezeka kwadzidzidzi komanso kwamphamvu kwa shuga mumtsinje wamagazi, njira zotsatirazi zikuthandizira - kumwa mankhwala ndi mankhwala azitsamba (zitsamba, zipatso, chimanga) zomwe zimayendetsa glycemia, insulin ndi mankhwala othandizira. Kukana kusiya mankhwala osokoneza bongo (fodya, mowa) kudzathandizanso kuti shuga akhale m'thupi mwake pakapita nthawi.

Kodi kudya hyperglycemia ndikofunikira bwanji? Anthu athanzi omwe ali ndi thanzi labwino, kuphatikiza odwala omwe ali ndi prediabetes komanso shuga yofatsa, amatha kusintha thanzi lawo ngakhale osamwa mankhwala.

Zakudya zomwe zimawoneka kuti ndizothandiza kwa anthu onse zimathandizanso odwala matenda ashuga. Ambiri aiwo ali ndi chisonyezo chotsika cha glycemic, amadzimbidwa kwa nthawi yayitali mthupi, osapangitsa kudumpha kwa insulin.

Chifukwa chake, ndi shuga wambiri ndikofunikira kuti muchepetse kugwiritsa ntchito zinthu zophika buledi kuchokera ku ufa wa premium. Mikate yonse ya tirigu ndi fiber zimakonda. Zakudya zotere sizimayambitsa kukwera kwakukula kwa glucose wamagazi ndipo zimayikiridwa kwa nthawi yayitali.

Kodi mungadye zakudya zochuluka bwanji nthawi imodzi? Muyenera kudya pafupipafupi, m'magawo ang'onoang'ono. Kuphatikiza apo, chakudya chochepa sichofunikira kwa odwala matenda ashuga okha, komanso kwa munthu wathanzi. Kupanda kutero, adzakhala pachiwopsezo chotenga matenda a shuga.

Ndipo kuti muwonjezere nthawi pakati pa kudya, popeza kuti zakudya zazing'ono zomwe zimapangidwa pafupipafupi zimapangitsa kuti insulini itheke komanso kukwera kwambiri kwa shuga, muyenera kupatsa thanzi zakudya zomanga thupi ndi mapuloteni. Amakhutitsa thupi kwa nthawi yayitali komanso amakwaniritsa njala.

Ndi hyperglycemia, muyenera kudya masamba ndi zipatso zomwe zimakhala ndi michere, michere ndi mavitamini tsiku lililonse. Amaloledwa kudya zakudya za asidi acid zokwanira kawiri patsiku, zomwe zimapangitsa kuti shuga azikhala wokhazikika.

Kwa odwala matenda ashuga, timadzi tokometsera tatsopano kuchokera ku beets wofiira ndi mbatata ndizothandiza kwambiri. Zakumwa zimalimbikitsidwa kumwa m'mawa uliwonse kuchuluka kwa milliliters 70-100. Ndipo misuzi yazipatso imakhala bwino ndikamadya apulo wobiriwira komanso lalanje.

Zakudya zina zimayambitsa hyperglycemia. Zakudya zotere zimakhudza shuga m'magazi ngakhale maola 8 atatha kudya. Ndi chiwopsezo chachikulu cha hyperglycemia m'zakudya, sipayenera kukhala shuga, komanso:

1. mpunga woyera
2. nyama zamafuta
3. zipatso zouma (maapulo owuma, nkhuyu, deti),
4. masoseji,
5. nthochi.

Njira zochizira hyperglycemia

Ndi kuwonjezeka kwa shuga m'magazi, tikulimbikitsidwa kumwa kulowetsedwa kwa masamba a bay. Amakonzedwa motere: Masamba 8 amathira 500 ml ya madzi otentha ndikuumirira maola 6. Amamwa asanadye osakwanira 50 ml nthawi imodzi katatu patsiku.

Ndi cholinga chomwecho, tengani decoction wa hawthorn wa matenda ashuga. Kuphatikiza apo, zipatsozo zimatha kukololedwa palokha. Zipatso zimaphatikizidwa kwa tiyi kapena kupangidwa kuchokera kwa iwo. Mowa wokhala ndi hawthorn sikuti umangotithandizanso kugwira ntchito, komanso umathandizira pakukakamizidwa, mtima wam'mimba komanso mtima.

Ndi shuga wambiri, ndikofunikira kumwa tiyi wazitsamba ndi mankhwala. Chithandizo cha mankhwala cha antiglycemic ndi chicory. Muli ndi insulin yachilengedwe, yomwe imafunika kwa anthu ambiri odwala matenda ashuga, komanso imawonjezera mphamvu yamatenda ndikuyambitsa magazi.

Zithandizo zina zachikhalidwe zomwe zimachepetsa shuga mwachilengedwe:

• Madzi a burdock ndi decoction kuchokera pamizu ya mbewu,
• kulowetsedwa kwa masamba a nyemba (okonzedwa ngati msuzi wa laurel),
• decoction wa mtedza magawo,
• kulowererapo tsamba
• decoctions wa nettle, chowawa, chomera cha St.

Mu matenda a shuga, ndikofunika kumwa kulowetsedwa kwa mabuliberiya, okhala ndi glycosides ndi ma tannins. Kuti akonze mankhwalawo, chomera chophwanyika (1 tsp) chimathiridwa ndi 250 ml ya madzi otentha, chotsimikiziridwa kwa theka la ola ndikusefa. Mankhwalawa amatengedwa katatu patsiku chikho 1/3.

Ngati zalephera mu kagayidwe kachakudya, ndikofunikira kugwiritsa ntchito nkhaka zatsopano zomwe zimakhala ndi insulin yachilengedwe. Kuphatikiza apo, masamba obiriwira amachepetsa chilako, osakulolani kuti mupeze mapaundi owonjezera.

Zambiri pa glycemia wabwinobwino zimaperekedwa kanema munkhaniyi.