Magawo a mkate Gome la XE

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Kupatsa thanzi matenda a shuga mellitus kumatsimikizira kukhala ndi moyo.
Mkhalidwe wamba wamunthu, kuchuluka kwa kuwonongeka kwa mitsempha yake yam'magazi, mtima, impso, mafupa, maso, komanso kuthamanga kwa magazi komanso kutheka kwa khungu la malekezero zimadalira kuchuluka kwa shuga m'magazi a odwala matenda ashuga.

Posamalira tsiku ndi tsiku kuchuluka kwa chakudya, menyu umagwiritsa ntchito mkate wotchedwa - XE. Zimakuthandizani kuti muchepetse mitundu yonse yazogulitsa zamankhwala kuti mukhale njira yodziwika bwino: kuchuluka kwa shuga komwe kungalowe m'magazi a anthu mukatha kudya. Kutengera mtundu wa XE pachinthu chilichonse, mndandanda wazakudya za matenda ashuga tsiku lililonse zimapangidwa.

Kodi gawo la mkate la XE ndi chiyani?

Kugwiritsa ntchito magawo a mkate powerengera zinthu kunapangidwa ndi a Germany a zakudya zaku Karl Noorden koyambirira kwa zaka za m'ma 1900.

Gulu la mkate kapena chakudya ndi kuchuluka kwa mafuta omwe amafunikira magawo awiri a insulini kuti amwe. Nthawi yomweyo, 1 XE imakulitsa shuga ndi 2.8 mmol / L.

Gulu limodzi lamkate limatha kukhala ndi 10 mpaka 15 g ya chakudya cham'mimba. Mtengo wofanana ndi chizindikiro, 10 kapena 15 g shuga mu 1 XE, zimatengera chikhalidwe chovomerezeka mdziko muno. Mwachitsanzo

  • Madokotala aku Russia amakhulupirira kuti 1XE ndi 10-12 g yamafuta (10 g - kuphatikiza michere yazakudya m'zinthuzo, 12 g - kuphatikizapo fiber),
  • ku USA, 1XE ndi magalamu 15 a shuga.
Magawo a mkate ndi kuyerekezera kovuta. Mwachitsanzo, mkate umodzi umakhala ndi 10 g shuga. Komanso chidutswa chimodzi cha mkate ndi wofanana ndi chidutswa cha mkate 1 cm, odulidwa kuchokera pamtundu wamba wa "njerwa".
Muyenera kudziwa kuti kuchuluka kwa 1XE kwa mayunitsi 2 a insulin kumawonetseranso ndipo kumasiyana nthawi ya tsiku. Kuti mutenge gawo lomwelo la mkate m'mawa, magawo awiri a insulin amafunikira, pa nkhomaliro - 1.5, ndipo madzulo - 1 yokha.

Kodi pamafunika magawo angati a buledi?

Kugwiritsa ntchito kwa XE kumadalira moyo wa munthu.

  • Ndi ntchito yayikulu kapena kubwezeretsanso thupi ndi dystrophy, mpaka 30 XE patsiku ndikofunikira.
  • Ndi ntchito yolimbitsa thupi komanso nthawi zonse zolimbitsa thupi - mpaka 25 XE patsiku.
  • Ndi ntchito yokhazikika - mpaka 20 XE.
  • Kwa odwala matenda a shuga - mpaka 15 XE (malingaliro ena azachipatala amalola odwala matenda ashuga mpaka 20 XE).
  • Ndi kunenepa kwambiri - mpaka 10 XE patsiku.
Pa chakudya chimodzi, tikulimbikitsidwa kudya kuyambira 3 mpaka 6 XE (osapitirira 7XE).
Zakudya zambiri zam'mimba zimayenera kudyedwa m'mawa. Anthu odwala matenda ashuga amalimbikitsa kudya zakudya zisanu patsiku. Izi zimakuthandizani kuti muchepetse shuga omwe amalowetsa m'magazi mukatha kudya (kuchuluka kwa chakudya cham'magazi mu chakudya chimodzi kumabweretsa kudumpha kwa glucose m'magazi).

Odwala omwe ali ndi matenda ashuga amalangizidwa kuti azilandira mkate zotsatirazi masana:

  • Chakudya cham'mawa - 4 HE.
  • Chakudya chamadzulo - 2 XE.
  • Chakudya chamadzulo - 4-5 XE.
  • Zovuta - 2 XE.
  • Chakudya chamadzulo - 3-4 XE.
  • Asanagone - 1-2 XE.

Mitundu iwiri ya zakudya idapangidwa kuti ipewe odwala matenda ashuga:

  1. moyenera - akuvomereza kugwiritsa ntchito 15-20 XE patsiku. Ndi mtundu wamagulu oyenera omwe amalimbikitsidwa ndi akatswiri azakudya zambiri komanso madotolo omwe amawonetsetsa matendawa.
  2. chakudya chopatsa mphamvu - chokhala ndi chakudya chochepa kwambiri, mpaka 2 XE patsiku. Nthawi imodzimodzi, malingaliro a chakudya chochepa-carb ndi atsopano. Kuyang'ana odwala pamadyedwe awa kumawonetsa zotsatira zabwino ndikusintha, koma pakadali pano mtundu uwu wa zakudya suwatsimikiziridwa ndi zotsatira za mankhwala ovomerezeka.

Zakudya za mtundu 1 ndi matenda ashuga 2: kusiyana

  • Matenda a shuga amtundu 1 amaphatikizidwa ndi kuwonongeka kwa maselo a beta, amasiya kutulutsa insulin. Ndi matenda amtundu wa 1 shuga, ndikofunikira kuwerengera molondola XE ndi mlingo wa insulin, womwe umayenera kupakidwa zakudya musanadye. Palibe chifukwa chowongolera kuchuluka kwa zopatsa mphamvu ndikuchepetsa kugwiritsa ntchito zakudya zopatsa mphamvu kwambiri. Zogulitsa zokha zomwe zili ndi index yayikulu ya glycemic ndizochepa (zimakomedwa mwachangu ndikuwonjezera kukula kwambiri kwa shuga - msuzi wokoma, kupanikizana, shuga, keke, keke).
  • Matenda a 2 a shuga samayendera limodzi ndi kufa kwa maselo a beta. Ndi nthenda yachiwiri, pali maselo a beta, ndipo amagwira ntchito mopitilira muyeso. Chifukwa chake, zakudya zamtundu wa 2 odwala matenda ashuga zimachepetsa kudya zamafuta kuti chakudya chikhale ndi nthawi yayitali yopumira beta. Pankhaniyi, onse a XE ndi kalori amawerengedwa.

Matenda a calorie

Odwala ambiri omwe amapezeka ndi matenda a shuga a 2 ndi onenepa kwambiri.
  85% ya matenda a shuga a 2 amayambitsidwa ndi mafuta ochulukirapo. Kudzikundikira kwamafuta kumayambitsa kukula kwa shuga pamaso pa chinthu chobadwa nacho. Kuwongolera kunenepa kwambiri matenda ashuga, nako, kumalepheretsa zovuta. Kuchepetsa thupi kumayambitsa kuwonjezeka kwa moyo wodwala matenda ashuga. Chifukwa chake, odwala ambiri omwe ali ndi matenda amtundu wa 2 sayenera kungolamulira XE yokha, komanso zomwe zili ndi zopatsa mphamvu.

Zopatsa mphamvu za calorie zomwe sizikhudza kuchuluka kwa shuga m'magazi. Chifukwa chake, patsiku lolemera limatha kunyalanyazidwa.
Kudya kwa calorie tsiku ndi tsiku kumadaliranso pamakhalidwe ndipo kumasiyana kuyambira 1500 mpaka 3000 kcal. Momwe mungawerengere kuchuluka kwa zopatsa mphamvu zofunika?

  1. Timazindikira chizindikiro cha basal metabolism (OO) mwa njira
    • Kwa amuna: OO = 66 + kulemera, kg * 13.7 + kutalika, masentimita * 5 - zaka * 6.8.
    • Kwa akazi: OO = 655 + kulemera, kg * 9.6 + kutalika, cm * 1.8 - zaka * 4.7
  2. Mtengo womwe wapezeka wa OO wokwanira umachulukitsidwa ndi zochita zanu:
    • Ntchito zapamwamba kwambiri - OO * 1.9.
    • Ntchito yapamwamba - OO * 1.725.
    • Zochita wamba ndi OO * 1.55.
    • Zochita Zochepa - OO * 1,375.
    • Ntchito Zochepa - OO * 1.2.
    • Ngati ndi kotheka, muchepetse thupi, kuchuluka kwa kalori tsiku ndi tsiku kumachepetsedwa ndi 10-20% ya mtengo wokwanira.
Timapereka chitsanzo. Kwa wogwira ntchito muofesi yolemera makilogalamu 80, kutalika kwa 170 masentimita, zaka 45, wodwala yemwe ali ndi matenda osokoneza bongo ndipo amakhala moyo wokhazikika, mawonekedwe a calorie adzakhala 2045 kcal. Ngati atapita kukachita masewera olimbitsa thupi, ndiye kuti zakudya zake zopatsa mphamvu za tsiku ndi tsiku ziziwonjezereka mpaka 2350 kcal. Ngati kuli kofunikira kuti muchepetse thupi, kuchuluka kwa tsiku ndi tsiku kumachepetsedwa kukhala 1600-1800 kcal.
Zomwe zili zomanga thupi, mapuloteni, mafuta, zopatsa mphamvu za zinthu zomalizidwa zimawonetsedwa pa phukusi.
Kutengera izi, mutha kuwerengera kuchuluka kwa zopatsa mphamvu mu bun yolumikizidwa, zakudya zamzitini, mkaka wowotchera kapena madzi. Ubwino wama calories ndi chakudya wamafuta akuwonetsedwa mu 100 g ya malonda. Kuti mudziwe zopatsa mphamvu za calorie za mkate kapena paketi ya makeke, muyenera kuwerengera zopezeka m'thupi chifukwa cha kulemera kwa paketiyo.

Timapereka chitsanzo.
Zopatsa mphamvu za calorie za 158 kcal ndi chakudya cha 2.8 g pa 100 g zimasonyezedwa phukusi la kirimu wowawasa lolemera 450 g.Tiwerengera kuchuluka kwa zopatsa mphamvu phukusi lililonse la 450 g.
158 * 450/100 = 711 kcal
Momwemonso, timakambirana zomwe zimapezeka mu phukusi:
2.8 * 450/100 = 12,6 g kapena 1XE
Ndiye kuti, mankhwalawo ndi otsika-carb, koma nthawi yomweyo-high-calorie.

Matebulo a mkate

Timapereka mtengo wa XE pamitundu yamafuta omwe amagwiritsidwa ntchito kwambiri komanso zakudya zokonzeka.

Dzina la mankhwalaKuchuluka kwa malonda mu 1XE, gZopatsa mphamvu, kcal pa 100 g
Zipatso, Zipatso ndi Zipatso Zouma
Ma apricots owuma20270
Banana6090
Ngale10042
Chinanazi11048
Apurikoti11040
Mavwende13540
Ma tangerine15038
Apple15046
Rabulosi17041
Strawberry19035
Ndimu27028
Wokondedwa15314
Zinthu Zampira
Mkate Woyera (watsopano kapena wowuma)25235
Mkate wa rye-tirigu30200
Oatmeal2090
Tirigu1590
Mpunga15115
Buckwheat15160
Utsi15 g329
Manka15326
Nthambi5032
Wuma pasitala15298
Zamasamba
Chimanga10072
Kabichi15090
Nandolo zobiriwira19070
Nkhaka20010
Dzungu20095
Biringanya20024
Madzi a phwetekere25020
Nyemba30032
Kaloti40033
Beetroot40048
Greenery60018
Zinthu zamkaka
Tchizi100280
Yogurt ya zipatso10050
Yofesedwa mkaka130135
Yogati yopanda mafuta20040
Mkaka, 3.5% mafuta20060
Ryazhenka20085
Kefir25030
Kirimu wowawasa, 10%116
Feta tchizi260
Mtedza
Cashew40568
Kedari50654
Pistachio50580
Maamondi55645
Hazelnuts90600
Walnuts90630
Zopangidwa ndi nyama ndi nsomba *
Ng'ombe Yofiyidwa0180
Ng'ombe ya chiwindi0230
Ng'ombe cutlet, nyama yokazinga yokha0220
Nkhumba zowaza0150
Mwana wa nkhosa0340
Trout0170
Nsomba zamtsinje0165
Salimoni0145
Dzirazosakwana 1156

*Mapuloteni anyama (nyama, nsomba) mulibe chakudya. Chifukwa chake, kuchuluka kwa XE mmenemo ndi zero. Chosiyana ndi mbale za nyama, pokonza zomwe zimagwiritsidwa ntchito popanga zakudya. Mwachitsanzo, mkate wophika kapena semolina nthawi zambiri umawonjezeredwa ku nyama yoboola.

Zophatikiza ndi dzira ndi 0,4 g pa 100 g ya dzira. Chifukwa chake, XE mu mazira siofanana ndi zero, koma ndiyofunikira pang'ono.

Zakumwa
Madzi a lalanje10045
Madzi apulo10046
Tiyi ndi shuga15030
Khofi ndi shuga15030
Compote250100
Kissel250125
Kvass25034
Mowa30030
Maswiti
Marmalade20296
Chokoleti chamkaka25550
Keke ya Custard25330
Ayisikilimu80270

Gome - XE mu zomalizidwa zinthu ndi mbale

Dzina la chotsirizidwaKuchuluka kwa malonda mu 1XE, g
Chofufumitsa25
Ikani keke35
Osatero30
Pancake ndi kanyumba tchizi kapena nyama50
Zingwe ndi tchizi tchizi kapena nyama50
Msuzi wa phwetekere50
Mbatata yophika70
Mbatata zosenda75
Byte Kuku85
Mapiko a nkhuku100
Syrniki100
Vinaigrette110
Masamba kabichi masamba120
Msuzi wa pea150
Borsch300

Mlozera wa Glycemic - ndi chiyani ndipo ndi yofunika bwanji?

Chizindikiro china chilipo ndipo chimagwiritsidwa ntchito kuwerengera mndandanda wa anthu odwala matenda ashuga - index ya glycemic. Uku ndiye kuyamwa kwa chakudya cham'matumbo.

Zogulitsa zomwe zimakhala ndi index yayikulu ya glycemic (uchi, shuga, kupanikizana, msuzi wokoma - chakudya chamafuta wopanda mafuta) zimadziwika ndi kuthira mafuta ambiri. Nthawi yomweyo, shuga wambiri okwanira amapangidwa mwachangu ndikufika pazofunikira kwambiri.

Pazinthu zomwe zimakhala ndi index ya glycemic yotsika (zimakhala ndi mafuta kuwonjezera pa ma carbohydrate), kuchuluka kwa mayamwidwe m'matumbo kumachepetsedwa. Amameza nthawi yayitali ndipo pang'onopang'ono amapatsira glucose m'magazi a anthu (chakudya pang'onopang'ono). Kuchuluka kwa kuchuluka kwa shuga m'magazi sikumachitika, kuchuluka kwa kuvulala kwamitsempha kumatsika, ndipo kuchuluka kwa insulin kumatsika.

Magawo a Mkate ndi Kusinthana kwa Mphamvu ya Anthu

Kagayidwe ka mphamvu ka munthu kamapangidwa kuchokera kuma chakudya, omwe amalowa mkati ndi chakudya. M'matumbo, michere yam'magazi imaphwanyidwa kukhala mashupi osavuta ndikulowetsedwa m'magazi. Mwazi umanyamula shuga (glucose) kupita ku ma cell a thupi. Glucose wama cell ndiye gwero lalikulu lamphamvu.

Mukangodya, shuga ochuluka amapangidwa m'magazi. Shuga wambiri, ndiye kuti insulin yambiri imafunikira. Mu thupi lathanzi, kupanga kwa insulin kumayendetsedwa ndi kapamba. Pa matenda ashuga, munthu ayenera kuwerengetsa kuchuluka kwa insulini yomwe amafunikira kuti alowe m'magazi kuti amwe kuchuluka kwa zakudya zomwe amadya. Pankhaniyi, kumwa mopitirira muyeso komanso kusowa kwa insulini ndizowopsa.

Kugwiritsa ntchito matebulo omwe amapezeka mu chakudya ndi mbale kumakupatsani mwayi wodziwa kuchuluka kwa insulini ndikuyenera kujambula mndandanda wa odwala matenda ashuga.

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