ZAKUDYA NDI ZAKUDYA ZAMTUNDU WOYAMBA WA SHUGA

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Kwa odwala oterowo, palibe zoletsa zovomerezeka pazakudya zomwe sizinawululidwe. Izi zikutanthawuza zama calori komanso kuchuluka kwa mikate yomwe amadya.

Inunso ndinu omasuka kusankha kuchuluka kwamafuta, mafuta ndi mapuloteni angati kudya. Koma kudya ma carbohydrate kumayenera kuchitika m'magawo ochepa, ndipo chifukwa cha izi ayenera kuwerengera.

Kugawidwa kwa zopatsa mphamvu zamagulu ndi zopatsa mafuta masana

Malinga ndi kuchuluka kwa zopatsa mphamvu, zakudya za tsiku ndi tsiku ziyenera kukhala ndi mitengo yapakati pa 1800-2400 kcal.

Amuna ndi akazi siofanana pankhaniyi. Woyamba adalimbikitsa 29 kcal pa kilogalamu iliyonse ya kulemera, ndipo wachiwiri - 32 kcal.

Zakudya zopatsa mphamvu zambiri zimachokera ku chakudya china chake:

50% - chakudya (14-15 XE imapereka chimanga ndi mkate, komanso pafupifupi 2 XE - zipatso);
20% - mapuloteni (nyama, nsomba ndi mkaka, koma okhala ndi mafuta ochepa);
30% - mafuta (zinthu zomwe zalembedwa pamwambapa kuphatikiza mafuta a masamba).

Mitundu yosankhidwa ya insulin mankhwala imatanthauzira mtundu wina wazakudya, koma kugwiritsa ntchito zoposa 7 XE sikuvomerezeka mu chakudya chilichonse.

Ngati ma jakisoni awiri a insulin akuyembekezeka, zakudya zimagawidwa motere:

pa kadzutsa - 4 XE;
pa nkhomaliro - 2 XE;
ndi nkhomaliro - 5 XE;
chakudya chamadzulo masana - 2 XE;
chakudya chamadzulo - 5 XE;
usiku - 2 XE.

Onse 20 XE.

Kugawilidwa kwakadwala kumalimbikitsidwanso kwa anthu odwala matenda ashuga a II. Koma mtengo wake wa caloric ndi XE phindu limafotokozedwa m'miyeso yaying'ono, chifukwa 80% ya odwala omwe ali ndi NIDDM amadziwika ndi kukwana kwathunthu.

Apanso, tikukumbukira kudalira kwa kuchuluka kwa zopatsa mphamvu pamphamvu ya ntchito:

kulimbikira - 2000-2700 kcal (25-27 XE);
ntchito ndi katundu wamba - 1900-2100 kcal (18-20 XE);
makalasi kupatula zolimbitsa thupi - 1600-1800 kcal (14-17 XE).

Kwa iwo omwe akufuna kudya kwambiri, pali njira ziwiri:

kugwiritsa ntchito chakudya chozizira, koma ndi kuwonjezera kwa zinthu zowola;
kukhazikitsidwa kwa mtundu wina wa insulin "yayifupi".

Mwachitsanzo, kuti muthe kudya phula lowonjezera, muyenera kulisoka ndi karoti, sakanizani komanso ozizira. Ndipo musanadye ma dumplings, ndikofunikira kudya saladi watsopano kabichi, yemwe amawuma.

Kuti muwonjezere insulini, muyenera kuwongolera njira, komanso chidziwitso chomwe chili patsamba "Kodi insulin ndi chiyani?" . Muyenera kukumbukiranso: mutha kulipira 1 XE ndi mtundu wina wa mankhwalawo. Zimasiyanasiyana kutengera nthawi ya tsiku, kuyambira magawo 0.5 mpaka 2.0. Pa XE iliyonse yowonjezera, mumafunikira 2 PISCES ya insulin m'mawa, 1.5 PESCES pachakudya chamasana ndi PIECE imodzi madzulo.

Komatu izi ndizofunikira mwapakatikati. Mlingo woyenera kwambiri amasankhidwa payekha, kutengera kuwerengera kwa mita. M'mawa ndi masana, kuyambitsa kuchuluka kwa insulin pa XE kumafunika, chifukwa m'mawa mumakhala shuga wambiri m'magazi. Mutha kuwerengera chifukwa chomwe izi zimachitikira m'nkhaniyi.

Popewa hypoglycemia ya nocturn, gwiritsani ntchito chithunzithunzi cha maola 23 mpaka 24, pogwiritsa ntchito 1-2 XE. Zakudya zolimbikitsidwa momwe mumakhala shuga "wosakwiya": Buckwheat, bulauni mkate. Simuyenera kudya zipatso usiku, chifukwa zimakhala ndi shuga "othamanga" ndipo sizingateteze usiku.

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Kodi kudya pambuyo insulin

Vuto lomwe lidakwezedwa m'mawu oyamba ndilofunika kwambiri: ndizidya liti?

Nthawi zambiri odwala amafunsa kuti: Kodi ndingayambe liti kudya jekeseni wa insulin kapena kumwa mapiritsi? Madokotala nthawi zambiri amayankha molakwika. Ngakhale odwala atalandira "insulin" yayifupi, lingaliro lingaperekedwe: mutha kuyamba kudya pakatha mphindi 15, 30 kapena 45. Malingaliro achilendo. Koma izi sizitanthauza kusowa kwa madokotala.

Kuyambitsa chakudya ndi mwina kapena KUFUNIKIRA - nthawi yomwe imasankha izi ili ndi matanthawuzo osiyanasiyana.

POFUNA Pa ola loyamba, kupewa kuyambika kwa zizindikiro za hypoglycemia. A ZINGA - izi zimatsimikiziridwa ndi magawo ena:

nthawi yomwe kupatsidwa kwa insulin (kapena mankhwala okhala ndi shuga) kumachitika;
zomwe zili ndi shuga wambiri “wosakwiya” (chimanga, buledi) kapena “wofulumira” (malalanje, maapulo) muzinthu;
kuchuluka kwa glucose m'magazi omwe anali asanagwiritse ntchito mankhwalawa.

Kuyambika kwa chakudya kuyenera kupangidwa kuti mafuta azakudya ayambe kumakidwa nthawi yomweyo momwe mankhwalawo amayikidwira. Pochita izi, izi zikutanthauza:

kuchuluka kwa shuga pa nthawi ya kukonzekera kwa mankhwala ndi 5-7 mmol / l - yambani kudya pambuyo pa mphindi 15-20;
ndi shuga msuzi wa 8-10 mmol / l - pambuyo 40-60 Mphindi.

Ndiye kuti, ndi shuga wambiri, ndikofunikira kuti mankhwalawa apereke nthawi kuti athe kutsitsa mulingo uwu, ndipo pokhapokha atayamba kudya.

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Malamulo a chakudya

Tiona kwambiri za mutu wokhudza onse omwe akudwala matenda ashuga, ndi "pasitala" wotchedwa. Kodi odwala oterowo amatha kudya pasitala (dumplings, zikondamoyo, dumplings)? Kodi ndizabwino kudya uchi, mbatata, zoumba, nthochi, ayisikilimu? Endocrinologists amayankha mosiyana ndi izi. Saloledwa kudya zinthu zochuluka motere, ndipo ena amawaletsa kudya, pomwe ena angalole, koma osati pafupipafupi komanso pang'ono ndi pang'ono.

Ndikofunikira kuti mukhale ndi malingaliro kuti chakudya chonse (madongosolo onse) chimatsimikizira liwiro lomwe shuga kuchokera ku "zoletsedwa" zakudya zimalowa m'magazi.

Koma izi ndizomwe zimatha kuwongoleredwa. Izi zikutanthauza kuti:

simungathe kudya pasitala nthawi yomweyo ngati msuzi wofunda ndi mbatata;
musanadye pasitala, muyenera kupanga "chitetezo cushion": muyenera kudya saladi yokhala ndi fiber;
osamwa ayisikilimu ndi khofi wowotcha - chifukwa cha izi, njira ya mayamwidwe imathandizira;
ngati mudadya mphesa, idyani kaloti;
mutatha kudya mbatata, simuyenera kudya mkate, koma kudya zoumba zamphesa kapena madeti, ndibwino kudya pickles kapena sauerkraut.

Mufunsa funso lofunika: kodi ndizotheka?

Timapereka yankho lomveka: mutha! Koma zonse ziyenera kuchitika mwanzeru! Idyani pang'ono pang'onopang'ono, pogwiritsa ntchito zinthu zomwe zimachepetsa kuyamwa kwa shuga. Ndipo abwenzi akuluakulu ndi ogwirizana nawo pamenepa ndi kaloti, kabichi ndi saladi wobiriwira!

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