Zakudya za anthu odwala matenda ashuga ndi njira yayikulu yothandizira (kupewa) matendawa, kupewa zovuta komanso zovuta. Kodi mumasankha zakudya ziti, zomwe zimachitika zimadalira. Muyenera kusankha zakudya zomwe muzidya ndi zomwe simumazipatula, kangati patsiku komanso nthawi yanji, komanso ngati mungawerengere zopatsa mphamvu. Mlingo wa mapiritsi ndi insulin amasinthidwa ku zakudya zomwe zasankhidwa.
Zakudya za shuga: zomwe odwala ayenera kudziwa
Zolinga zakuchiza matenda amtundu wa 2 komanso mtundu wachiwiri wa shuga ndi:
- kukhala ndi shuga m'magazi panthawi yovomerezeka;
- kuchepetsa chiopsezo cha matenda a mtima, stroko, zovuta zina;
- kukhala ndi khazikika, kukana chimfine ndi matenda ena;
- kuchepa thupi ngati wodwala wakulemera kwambiri.
Kuchita masewera olimbitsa thupi, mankhwala, komanso jakisoni wa insulin kumathandiza kwambiri kukwaniritsa zolinga zomwe tafotokozazi. Komabe, zakudya zimabwera poyamba. Webusayiti ya Diabetes-Med.Com imagwira ntchito yolimbikitsa kudya zakudya zamagulu ochepa pakati pa odwala olankhula Chirasha okhala ndi matenda amtundu wa 1 komanso a 2. Zimathandizadi, mosiyana ndi zakudya 9. Zambiri patsamba lino ndizotengera zomwe dokotala wotchuka waku America, Richard Bernstein, yemwe adakhala ndi matenda ashuga amtundu woyamba kwa zaka zopitilira 65. Iye, wopitilira zaka 80, akumva bwino, akuchita maphunziro akuthupi, akupitilizabe kugwira ntchito ndi odwala komanso kufalitsa nkhani.
Onani mndandanda wazakudya zoletsedwa komanso zoletsedwa zamagulu ochepa a chakudya. Zitha kusindikizidwa, kupachikidwa mufiriji, kunyamulidwa nanu.
Pansipa pali kufananizidwa mwatsatanetsatane kwa zakudya zamagulu ochepa zamagulu a shuga omwe ali ndi "koyenera", zakudya zochepa zopatsa mphamvu No. 9. Zakudya zamafuta ochepa zimakupatsani shuga wabwino wamagazi, monga mwa anthu athanzi - osapitilira 5.5 mmol / l mukatha kudya, komanso m'mawa m'mimba yopanda kanthu. Izi zimateteza odwala matenda ashuga kuti asadwale mtima. Glucometer amawonetsa kuti shuga ndiwabwinobwino, atatha masiku awiri ndi atatu. Mtundu wa 1 ndi matenda a shuga a 2, mankhwalawa a insulin amachepetsa nthawi 2-7. Odwala omwe ali ndi matenda amtundu wa 2 amatha kusiya mapiritsi owononga.
| Maganizo olakwika | Zowona |
|---|---|
| Palibe zakudya zapadera za odwala matenda ashuga. Mutha kudya ndipo muyenera kudya pang'ono chilichonse. | Mutha kudya zakudya zilizonse pokhapokha ngati mulibe nkhawa chifukwa cha zovuta za matenda ashuga. Ngati mukufuna kukhala ndi moyo wautali komanso wathanzi, muyenera kuchepetsa zakudya zomwe mumadya. Palibenso njira ina yopeweka kupopera shuga mutatha kudya. |
| Mutha kudya chilichonse, kenako ndikuthimitsa shuga ndikumwa mapiritsi kapena insulini | Ngakhale mapiritsi ochepetsera shuga kapena jakisoni a milingo yayikulu ya insulin samathandizira kuti pasakhale shuga pakudya, komanso momwe amadumpha. Odwala amatenga nthawi yayitali mtima wamatenda a shuga. Kwambiri mlingo wa mapiritsi ndi insulini, nthawi zambiri hypoglycemia imachitika - shuga m'magazi ndi otsika kwambiri. Uwu ndi vuto loopsa komanso loopsa. |
| Anthu odwala matenda ashuga amatha kudya shuga pang'ono | Shuga wa tebulo, kuphatikizapo bulauni, ndi imodzi mwazakudya zoletsedwa kuchokera ku chakudya chamagulu ochepa. Mitundu yonse yazakudya zomwe zilimo ndizoletsedwa. Ngakhale magalamu ochepa a shuga amachulukitsa kuchuluka kwa shuga m'magazi a odwala matenda a shuga. Dziyang'anireni ndi glucometer ndikuwona nokha. |
| Mkate, mbatata, mbewu monga chimanga, pasitala - zinthu zoyenera komanso zofunika | Mkate, mbatata, chimanga, pasitala ndi zinthu zina zilizonse zadzaza ndi mafuta mwachangu kwambiri zimachulukitsa kuchuluka kwa shuga m'magazi. Musayandikire zakudya zonse zomwe zili pamndandanda woletsedwa wamagulu ochepa a chakudya chamagulu 1 ndi matenda a shuga. |
| Zakudya zomanga thupi zovuta komanso zopatsa thanzi sizabwino | Zomwe zimatchedwa zovuta za carbohydrate sizili zovulaza kuposa zosavuta. Chifukwa iwo mwachangu komanso mochuluka amawonjezera shuga wamagazi mwa odwala omwe ali ndi matenda ashuga. Pangani shuga wanu mutatha kudya ndi glucometer - mudzionere nokha. Mukamapanga menyu, osangoyang'ana pa index ya glycemic. Sungani mndandanda wazinthu zololedwa ndi zoletsedwa, ulalo womwe umaperekedwa pamwambapa, ndipo gwiritsani ntchito. |
| Nyama yamafuta, mazira a nkhuku, batala - yoyipa mtima | Kafukufuku yemwe adachitika pambuyo pa chaka cha 2010 awonetsa kuti kudya mafuta azinyama osakwaniritsidwa sikuti kumakulitsa chiwopsezo cha matenda a mtima. Idyani mafuta onenepa, mazira a nkhuku, tchizi cholimba, batala. Ku Sweden, malingaliro aboma amatsimikizira kale kuti mafuta a nyama ndi otetezeka pamtima. Potsatira mzerewu ndi maiko ena akumadzulo, kenako olankhula Chirasha. |
| Mutha kudya margarine chifukwa ilibe cholesterol | Margarine amakhala ndimafuta a trans, omwe ndi owopsa pamtima, mosiyana ndi mafuta achilengedwe ochokera ku nyama. Zakudya zina zomwe zimakhala ndi mafuta a trans zimaphatikizapo mayonesi, tchipisi, zinthu zophika fakitale, ndi zakudya zilizonse zopukutidwa. Aperekeni. Konzani chakudya chopatsa thanzi kuchokera ku zinthu zachilengedwe, popanda mafuta ndi zina zowonjezera zamankhwala. |
| CHIKWANGWANI ndi mafuta amaletsa shuga mutatha kudya | Ngati mumadya zakudya zomwe zimadzaza ndi michere, ndiye kuti fiber ndi mafuta zimalepheretsa kuchuluka kwa shuga mutatha kudya. Koma izi, mwatsoka, ndizochepa. Sichimapulumutsa kuchokera ku kulumikizidwa kwa glucose wamagazi ndi kukula kwa zovuta zamagazi a shuga. Simungagwiritse ntchito zophatikizidwa pamndandanda woletsedwa pansi pa mtundu uliwonse. |
| Zipatso ndizathanzi | Mtundu wachiwiri wa matenda ashuga ndikulemba zipatso 1, komanso kaloti ndi beets, zimawononga kuposa zabwino. Kudya zakudya izi kumawonjezera shuga ndipo kumapangitsa kuti muchepetse kunenepa. Pewani zipatso ndi zipatso - khalani nthawi yayitali komanso wathanzi. Pezani mavitamini ndi michere kuchokera ku masamba ndi zitsamba zomwe zimaloledwa kudya zakudya zamagulu ochepa. |
| Fructose ndi yopindulitsa, siziwonjezera shuga | Fructose amachepetsa chidwi cha zimakhala kuti apange insulini, amapanga "zinthu zomaliza za glycation", zimawonjezera cholesterol "yoyipa" m'magazi, komanso uric acid. Zimapangitsa gout ndikupanga miyala ya impso. Mwina zimasokoneza kayendetsedwe ka kusowa kwa chakudya muubongo, kumachepetsa maonekedwe. Osamadya zipatso ndi zakudya za "matenda ashuga". Amachita zovulaza kuposa zabwino. |
| Zakudya Zapulogalamu Zakudya Zimayambitsa Kulephera Kwachiwiri | Kulephera kwamankhwala kwa odwala omwe ali ndi mtundu woyamba 1 ndi shuga 2 kumayambitsa shuga yokhala ndi magazi, osati mapuloteni. Ku US komwe ng'ombe zimabzalidwa, anthu amadya mapuloteni ambiri kuposa momwe zimapezeka kuti ng'ombe zimapezeka zochepa. Komabe, kufala kwa kulephera kwa impso ndi chimodzimodzi. Sinthani shuga lanu ndi chakudya chamafuta ochepa kuti muchepetse kukula kwa impso. Werengani nkhani yakuti: “Zakudya za impso ndi matenda a shuga.” |
| Mufunika kudya zakudya zapadera za anthu odwala matenda ashuga | Zakudya za anthu odwala matenda ashuga zimakhala ndi fructose monga zotsekemera m'malo mwa shuga. Chifukwa chomwe fructose imakhala yoyipa - tafotokozazi. Komanso, zakudya izi nthawi zambiri zimakhala ndi ufa wambiri. Musayandikire zakudya zilizonse zokhudzana ndi matenda ashuga. Zimakhala zokwera mtengo komanso zopanda thanzi. Komanso, kwa odwala omwe ali ndi matenda a shuga a 2, ndikosayenera kugwiritsa ntchito zotsekemera zilizonse. Chifukwa shuga mmalo, ngakhale omwe alibe kalori, musalole kuti muchepetse kunenepa. |
| Ana amafunikira chakudya chamafuta kuti chitukule | Zakudya zomanga thupi sizofunikira, mosiyana ndi mapuloteni ndi mafuta. Ngati mwana yemwe ali ndi matenda a shuga 1 amatsata zakudya zoyenera, ndiye kuti adzakula ndikukula chifukwa cha kuchuluka kwa shuga. Komanso, pampu ya insulin siyothandiza. Kuti atsimikizire khanda labwinobwino la mwana wotere, amafunika kusamutsidwira ku chakudya champhamvu chochepa kwambiri. Ana ambiri odwala matenda ashuga a mtundu woyamba akukhala kale ndipo akutukuka, chifukwa cha chakudya chochepa kwambiri, m'maiko olankhula Kumadzulo ndi Russia. Ambiri amatha kulumpha insulin. |
| Zakudya zamafuta ochepa zimabweretsa hypoglycemia | Zakudya zamafuta ochepa zimatha kupangitsa kuti mukhale ndi hypoglycemia ngati simupatsa kuchepetsa mapiritsi ndi insulin. Mapiritsi a 2 matenda a shuga omwe angayambitse hypoglycemia ayenera kuthetsedweratu. Kuti mumve zambiri, onani "Mankhwala a shuga." Momwe mungasankhire mlingo woyenera wa insulin - phunzirani zomwe zili pansi pa mutu "Insulin". Mlingo wa insulin umachepetsedwa ndi 2-7 nthawi, motero chiwopsezo cha hypoglycemia chimachepetsedwa. |
Zakudya nambala 9 za matenda ashuga
Zakudya nambala 9, (yotchedwanso tebulo nambala 9) ndizakudya chotchuka m'maiko olankhula Chirasha, omwe amawerengedwa kwa odwala omwe ali ndi shuga wambiri komanso wowonda, komanso olemera kwambiri. Zakudya nambala 9 ndizoyenera. Kutsatira izi, odwala amamwa magalamu 300-350 a chakudya tsiku, 90-100 magalamu a mapuloteni ndi magalamu 75-80 a mafuta, omwe pafupifupi 30% ndi masamba, osasakanizidwa.
Chomwe chili pachakudya ndicho kuchepetsa kuchuluka kwa zopatsa mphamvu, kuchepetsa kudya zamafuta a nyama ndi chakudya "chosavuta". Shuga ndi maswiti samachotsedwa. Amasinthidwa ndi xylitol, sorbitol kapena zotsekemera zina. Odwala amalangizidwa kuti azidya mavitamini ambiri ndi fiber. Zakudya zomwe zimalimbikitsidwa ndi tchizi tchizi, nsomba zamafuta ochepa, masamba, zipatso, buledi wopanda nzeru, masamba onse.
Zakudya zambiri zomwe amadya # 9 amalimbikitsa kuwonjezera shuga m'magazi kwa odwala matenda ashuga motero zimakhala zovulaza. Mwa anthu omwe ali ndi matenda a metabolic kapena prediabetes, chakudyachi chimayambitsa njala. Thupi limachepetsa kagayidwe poyankha kuchepetsa kudya kwa calorie. Kusokoneza kwa zakudya kumakhala kosapeweka. Pambuyo pake, ma kilogalamu onse omwe adatha kuchotsedwa mwachangu amabwerera, komanso ndi zowonjezera. Webusayiti ya Diabetes-Med.Com imalimbikitsa kudya zakudya zamafuta ochepa m'malo mwa chakudya # 9 cha odwala 1.
Angati zopatsa mphamvu patsiku kuti muzidya
Kufunika ochepetsera zopatsa mphamvu, kumva kwamphamvu kwa njala - izi ndi zifukwa zomwe nthawi zambiri odwala matenda ashuga amamasuka kudya. Kuti muchepetse shuga m'magazi ndi chakudya chamafuta ochepa, simuyenera kuwerengera zopatsa mphamvu. Kuphatikiza apo, kuyesa kuchepetsa kuchuluka kwa zopatsa mphamvu ndizovulaza. Izi zimatha kudwala matendawa. Yesani kusadya kwambiri, makamaka usiku, koma idyani bwino, musafe ndi njala.
Zakudya zamafuta ochepa zimafunikira kusiya zakudya zambiri zomwe mumakonda kale. Komabe ndizosangalatsa komanso zokoma. Odwala omwe ali ndi metabolic syndrome komanso matenda a shuga amatsatira mosavuta kuposa zakudya zamafuta ochepa ". Mu 2012, zotsatira za kafukufuku woyerekeza wama korigenic wotsika komanso mafuta ochepa otsika zimafalitsidwa. Phunziroli linakhudza odwala 363 ochokera ku Dubai, 102 mwa iwo omwe anali ndi matenda a shuga a 2. Odwala omwe amatsatira zakudya zopatsa mphamvu zamankhwala ochepa, kuwonongeka kunali kosachepera 1.5-2.
Ndi zakudya ziti zomwe zili ndi thanzi komanso zomwe zili zovulaza?
Zambiri Zoyambira - Mndandanda wa zakudya zoletsedwa komanso zoletsedwa zamagulu ochepa a chakudya. Zakudya za odwala omwe ali ndi matenda ashuga ndizovuta kwambiri kuposa zosankha zina zokhudzana ndi zakudya zamagulu ochepa a carbo - zakudya za Kremlin, Atkins ndi Ducane. Koma matenda ashuga ndi matenda oopsa kwambiri kuposa kunenepa kwambiri kapena metabolic syndrome. Itha kuwongoleredwa bwino pokhapokha ngati zinthu zoletsedwa zikusiyidwa popanda kupangira tchuthi, mulesitilanti, popita maulendo ndi kuyenda.
Mankhwala omwe alembedwa pansipa ndi HARMFUL kwa ashuga:
- chiwopsezo cha bulauni;
- pasitala wokula tirigu
- buledi wa tirigu wathunthu;
- oatmeal ndi masamba ena aliwonse amchere;
- chimanga
- ma bulosi ndi zipatso zina zilizonse;
- Yerusalemu artichoke.
Zakudya zonsezi zimadziwika kuti ndizabwino komanso zathanzi. M'malo mwake, amadzaza ndi zakudya zamafuta, zimawonjezera shuga m'magazi motero zimapweteketsa kuposa zabwino. Osamadya.
Ma tiyi azitsamba a shuga ndi osathandiza kwenikweni. Mankhwala enieni oopsa nthawi zambiri amawonjezeredwa ku mapiritsi a clandestine omwe amalimbikitsa mphamvu zazimuna popanda kuchenjeza ogula. Izi zimapangitsa kulumpha mu kuthamanga kwa magazi ndi zovuta zina mwa abambo. Momwemonso, mu tiyi wazitsamba ndi zakudya zamagulu a shuga, zinthu zina zomwe zimachepetsa shuga ya magazi zimatha kuwonjezeredwa mosaloledwa. Pankhaniyi, tiyi awa amathetsa kapamba, chifukwa cha hypoglycemia.
Mafunso ndi mayankho okhudza Zakudya Zochepa Zakudya Zam'mafuta - Kodi ndingadye zakudya za soya? - Onani ndi ...
Wolemba Sergey Kushchenko Disemba 7, 2015
Momwe mungadye ngati muli onenepa kwambiri
Zakudya zamagulu ochepa zimatsimikizika kuti muchepetse shuga, ngakhale wodwalayo akulephera kuchepetsa thupi. Izi zimatsimikiziridwa ndi machitidwe, komanso zotsatira za maphunziro ang'onoang'ono. Mwachitsanzo, onani nkhani yofalitsidwa mu magazini ya Chingerezi ya Nutrition and Metabolism mu 2006. Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri, kudya tsiku lililonse kwamatumbo kunakhala ochepa 20% ya kuchuluka kwa kalori. Zotsatira zake, hemoglobin yawo yokhala ndi glycated inatsika kuchoka pa 9,8% mpaka 7.6% popanda kuchepa kwa thupi. Webusayiti ya Diabetes-Med.Com imalimbikitsa zakudya zopatsa mphamvu zamagulu ochepa. Zimapangitsa kuti magazi azikhala bwino, monga mwa anthu athanzi, komanso mwa odwala ambiri kuti achepetse thupi.
Simuyenera kuchepetsa mafuta pakudya kwa wodwala yemwe ali ndi matenda ashuga. Idyani zakudya zama protein zomwe zili ndi mafuta ambiri. Ichi ndi nyama yofiira, batala, tchizi cholimba, mazira a nkhuku. Mafuta omwe munthu amadya samachulukitsa thupi komanso samachepetsa thupi. Komanso, safunikira kuchuluka kwa mankhwala a insulin.
Dr. Bernstein adayesera izi. Anali ndi odwala 8 a matenda a shuga 1 omwe amafunikira kuti akhale bwino. Amawamwetsa mafuta tsiku lililonse kwa milungu 4, kuwonjezera pa chakudya chokhazikika. Palibe wodwala aliyense amene anali ndi kulemera konse. Zitatha izi, polimbikitsidwa ndi Dr. Bernstein, odwala adayamba kudya mapuloteni ambiri, ndikupitiliza kuchepetsa kuchuluka kwawo kwa chakudya. Zotsatira zake, awonjezera minofu.
Zakudya zamagulu ochepa zimapangitsa shuga m'magazi onse odwala matenda ashuga, ngakhale sizithandiza aliyense kuchepa thupi. Komabe, njira yabwino kwambiri yochepetsera thupi kulibe. Zakudya zamafuta ochepa komanso "mafuta ochepa" amagwira ntchito moipa kwambiri. Nkhani yotsimikizira izi idasindikizidwa mu magazini ya Diabetesic Medicine mu Disembala 2007. Phunziroli lidakhudza odwala 26, theka la omwe ali ndi matenda a shuga a 2, ndipo theka lachiwiri ndi metabolic syndrome. Pambuyo pa miyezi itatu, mu gulu lamagulu ochepa a chakudya, kuchepa kwapakati kwa thupi kunali 6.9 makilogalamu, ndipo m'gululo lama calorie otsika, ndi 2.1 kg okha.
Mtundu wachiwiri wa matenda ashuga
Zomwe zimayambitsa matenda amtundu wa 2 shuga ndizovuta zamtundu wa insulin - kukana insulini. Odwala, nthawi zambiri osati kutsitsidwa, koma kuchuluka kwa insulin m'magazi. Muzochitika zotere, kusunga zakudya zoyenera komanso kumwa jakisoni wa insulin - izi zimangokulitsa vutolo. Zakudya zamafuta ochepa a shuga 2 zimakuthandizani kuti muchepetse shuga ndi insulini m'magazi, tengani insulin yolamulidwa.
Zakudya zama calorie otsika kwambiri a matenda a shuga a 2 sizithandiza, chifukwa odwala safuna kupirira nthawi zonse atakhala ndi njala, ngakhale ali ndi ululu wovuta. Pakapita nthawi, pafupifupi chilichonse chimayamba kudya. Izi zimakhala ndi zowononga thanzi. Komanso, thupi poyankha kukhazikitsidwa kwa calorie kumachepetsa kagayidwe. Zimakhala zosatheka kuti muchepetse thupi. Kuphatikiza paanjala yodwala, wodwalayo amamva kuwawa, kufunitsitsa kupuma.
Chakudya chamafuta ochepa ndi chipulumutsi kwa anthu odwala matenda ashuga a 2. Zili ndi chitsimikiziro chosintha shuga m'magazi, ngakhale mutakhala kuti simuchepetsa thupi. Mutha kukana mapiritsi oyipa.Odwala ambiri safuna jakisoni wa insulin. Ndipo kwa iwo omwe akuwafuna, mlingo umachepetsedwa kwambiri. Pangani shuga wanu pafupipafupi ndi glucometer - ndipo onetsetsani kuti zakudya zamafuta ochepa sizigwira ntchito, ndipo chakudya 9 sichoncho. Izi zikutsimikiziranso kusintha kwa thanzi lanu. Zotsatira zamagazi a cholesterol ndi triglycerides zimasinthidwa.
Mtundu wa 1 shuga wodwala
Chithandizo chamankhwala chimalimbikitsa kuti odwala matenda ashuga amtundu woyamba azidya ngati anthu athanzi. Awa ndi upangiri woyipa womwe udapangitsa anthu olumala kupha anthu miyandamiyanda. Kuti abweretse shuga wambiri mutatha kudya, madokotala amapereka mankhwala akuluakulu a insulin, koma samathandiza kwambiri. Popeza mudaphunzira za zakudya zamafuta ochepa, mumakhala ndi mwayi wopewa kulumala komanso kufa msanga. Matenda a shuga a Type 1 ndi matenda oopsa kwambiri kuposa matenda a shuga a mtundu wachiwiri. Koma zakudya, zomwe zimavomerezedwa mwalamulo, sizokhwima.
Odwala omwe ali ndi matenda a shuga 1, mitundu yambiri yazakudya zokhala ndi calcium komanso kuchuluka kwa insulin sikungachitike. Amakhala ndi zovuta zosiyanasiyana pa shuga wamagazi masiku osiyana. Kusiyana kwa zochita za insulin kungakhale nthawi 2-4. Chifukwa cha izi, shuga m'magazi amalumpha, zomwe zimayambitsa thanzi loperewera komanso kukula kwa zovuta. Matenda a shuga a Type 2 ndiosavuta chifukwa akadali ndi mankhwala awo a insulin. Amasinthasintha kusinthasintha, kotero magazi awo amakhala okhazikika.
Komabe, kwa odwala matenda ashuga amtundu woyamba, pali njira yopewera shuga yokhazikika. Muli ndikutsatira kudya kwamphamvu-kotsika pang'ono. Zakudya zamafuta zochepa zomwe mumadya, insulin yochepa yomwe muyenera kupaka jekeseni. Mlingo wochepa wa insulin (osapitirira 7 majekeseni aliwonse) ndiwodziwikiratu. Kugwiritsa ntchito zakudya zamagulu ochepa komanso kuwerengera molondola zamankhwala a insulin, mutha kuwonetsetsa kuti shuga mukatha kudya siapamwamba kuposa 5.5 mmol / L. Komanso, imatha kusungika nthawi zonse masana ndi m'mawa pamimba yopanda kanthu. Izi zimalepheretsa kukula kwa zovuta, zimapangitsa kukhala ndi moyo wonse.
Otsatirawa ndi chidule cha mtundu wa wodwala yemwe ali ndi matenda amtundu woyamba 1 omwe adayamba kudya zakudya zamagulu ochepa masiku angapo apitawa.
Mtundu woyamba wa zakudya za matenda ashuga: diwali yazakudya
Wodwalayo wakhala akudwala matenda a shuga a mtundu woyamba 1 kwa zaka zingapo. Nthawi yonseyi, wodwalayo ankatha kudya “moyenera” komanso kupaka insulin. Zotsatira zake, shuga anapitilira, ndipo zovuta za matenda ashuga zinayamba kuonekera. Wodwalayo wadzaza mafuta pafupifupi makilogalamu 8 mchiuno. Izi zimachepetsa chidwi chake ndi insulin, ndichifukwa chake ndikofunikira kubaya Mlingo wapamwamba wa Lantus, komanso insulin Humalog yamphamvu ya chakudya.
Mlingo wa insulin Lantus wowonjezera udakali wolondola. Chifukwa cha izi, panthawi ya 3 a.m hypoglycemia, yomwe idayimitsidwa ndikumwa mapiritsi a shuga. Magalamu awiri okha amafuta am'madzi anali okwanira kulimbikitsa shuga kuti akhale abwinobwino.
Cholemba chikuwonetsa kuti shuga imakhala yofala tsiku lonse chifukwa chakudya chamafuta pang'ono komanso kukhathamiritsa mulingo wa insulin. Pofika nthawi yomwe yatchulidwa pachithunzipa, kuchuluka kwa insulin kwayamba kuchepa kale maulendo awiri. M'tsogolomu, wodwalayo adakulitsa zochitika zolimbitsa thupi. Chifukwa cha izi, zinali zotheka kupititsa patsogolo kuchepetsa kuchuluka kwa insulin popanda kuwonjezera kuchuluka kwa shuga. Pochepetsa insulin m'mwazi, ndizosavuta kuchepetsa thupi. Mapaundi owonjezera amapita pang'onopang'ono. Pakadali pano, wodwalayo amakhala ndi moyo wathanzi, amasunga shuga wokhazikika, amakhala ndi thupi lochepera ndipo samakula msanga kuposa anzawo.
Kulephera kwina
Kulephera kwamankhwala kwa odwala omwe ali ndi matenda ashuga sikumayambitsidwa ndi mapuloteni azakudya, koma chifukwa cha kuchuluka kwa shuga m'magazi. Odwala omwe samatha kuyendetsa bwino matenda awo a shuga, matenda a impso akuipiraipira pang'onopang'ono. Nthawi zambiri izi zimatsagana ndi matenda oopsa - kuthamanga kwa magazi. Zakudya zamafuta ochepa zimakupatsani mphamvu kuti muchepetse shuga motero kutilepheretsa kukula kwa impso.
Shuga akamadwala odwala matenda ashuga abwereranso mwakale, kukulira kulephera kwaimpso kumayimira, ngakhale kuwonjezeka kwa mapuloteni (protein) muzakudya. Mothandizidwa ndi Dr. Bernstein, pakhala pali nthawi zambiri zomwe odwala amakhala ndi impso, monga momwe zimakhalira ndi anthu athanzi. Komabe, pali mfundo yoti palibe kubwerera, pambuyo pake zakudya zamafuta ochepa sizithandiza, koma zimathandizira kusintha kwa dialysis. Dr. Bernstein alemba kuti izi posabweleranso ndi kuchuluka kwa impsozo (kulengedwa kwa creatinine) pansipa 40 ml / min.
Werengani nkhani yakuti: “Zakudya za impso ndi matenda a shuga.”
Mafunso Ofunsidwa Kawirikawiri
The endocrinologist amalimbikitsa zotsutsana - ndiyenera kukhulupirira ndani?
Phunzirani momwe mungasankhire mita yoyenera. Onetsetsani kuti mita yanu sinama. Pambuyo pake, onetsetsani momwe njira zosiyanasiyana zamankhwala othandizira (kasamalidwe) ka matenda a shuga zimathandizira. Pambuyo posintha chakudya chamafuta ochepa, shuga amachepetsa pakatha masiku atatu. Akukhazikika, kuthamanga kwake kwatha. Zakudya 9 zomwe zalimbikitsidwa movomerezeka sizipereka zotere.
Muthawitsa bwanji kunja kwa nyumba?
Konzekerani zokhwasula wanu musanakhale, konzekerani. Kunyamula nkhumba yophika, mtedza, tchizi cholimba, nkhaka zatsopano, kabichi, amadyera. Ngati simukonzekera chakudya, ndiye kuti mukakhala ndi njala, simupeza chakudya chokwanira msanga. Monga chomaliza, gulani ndi kumwa mazira aiwisi.
Kodi m'malo mwa shuga mumaloledwa?
Odwala omwe ali ndi mtundu wa 1 wodwala matenda a insulin amatha kugwiritsa ntchito stevia, komanso zotsekemera zina zomwe sizikuwonjezera shuga. Yesani kupanga chokoleti chopangira tokha ndi zotsekemera. Komabe, ndi matenda a shuga a mtundu wachiwiri, ndikosayenera kugwiritsa ntchito shuga wina aliyense, kuphatikizapo stevia. Chifukwa amathandizira kupanga insulin ndi kapamba, kuletsa kuchepa kwa thupi. Izi zatsimikiziridwa ndi kafukufuku ndi machitidwe.
Kodi mowa umaloledwa?
Inde, kumwa pang'ono zipatso za zipatso zopanda shuga ndizololedwa. Mutha kumwa mowa ngati mulibe matenda a chiwindi, impso, kapamba. Ngati mumamwa mowa, ndizosavuta kuti musamwe konse kuposa kuyesetsa kukhala odziletsa. Kuti mumve zambiri, werengani nkhani ya "Mowa Pazakudya za Anthu A shuga." Osamamwa usiku kuti mukhale ndi shuga wabwino m'mawa wotsatira. Chifukwa si lalitali kwambiri kugona.
Kodi ndikofunikira kuchepetsa mafuta?
Simuyenera kuchepetsa mafuta. Izi sizikuthandizani kuti muchepetse kunenepa, muchepetse shuga, kapena mukwaniritse zolinga zina zilizonse za matenda a shuga. Idyani nyama yofiira yamafuta, batala, tchizi cholimba modekha. Dzira la nkhuku ndilabwino kwambiri. Amakhala ndimapangidwe osakanikirana bwino a amino acid, amathandizira cholesterol "yabwino" m'magazi ndipo ndi yotsika mtengo. Wolemba malowa Diabetes-Med.Com amadya mazira pafupifupi 200 pamwezi.
Ndi zakudya ziti zomwe zimakhala ndi mafuta abwinobwino achilengedwe?
Mafuta achilengedwe achinyama samakhala athanzi kuposa masamba. Idyani nsomba zam'madzi am'madzi kawiri pa sabata kapena kumwa mafuta a nsomba - izi ndi zabwino kwa mtima. Pewani margarine ndi zakudya zilizonse zopangidwa kuti musawononge mafuta owopsa. Chitani kuyesedwa kwa magazi kwa cholesterol ndi triglycerides yomweyo, ndipo pakatha masabata 6-8 mutasintha zakudya zamagulu ochepa. Onetsetsani kuti zotsatira zanu zikuyenda bwino ngakhale mutadya zakudya zokhala ndi nyama. M'malo mwake, amasinthadi ndendende ndikugwiritsira ntchito zakudya zomwe zimakhala ndi cholesterol "yabwino".
Kodi mchere uyenera kukhala wopanda malire?
Kwa odwala matenda ashuga omwe ali ndi matenda oopsa kapena otaya mtima, madokotala nthawi zambiri amalimbikitsa kuti muchepetse kudya kwanu kwamchere kwambiri. Komabe, zakudya zamagulu ochepa zimachotsa madzimadzi ambiri mthupi. Chifukwa cha izi, odwala ali ndi mwayi wodya mchere wambiri popanda kuvulaza thanzi. Onaninso zolembedwa "Hypertension" ndi "Chithandizo cha kulephera kwa mtima."
M'masiku oyambira nditasinthira kudya zakudya zamagulu ochepa, thanzi langa lidayamba kuwipira. Zoyenera kuchita
Zomwe zimayambitsa kudwala:
- shuga wamagazi watsika kwambiri;
- madzimadzi owonjezera achoka m'thupi, ndipo ndi ma mineral-electrolyte;
- kudzimbidwa
Zoyenera kuchita ngati shuga m'magazi amatsika kwambiri, werengani nkhani "Zolinga za chithandizo cha matenda ashuga: zomwe shuga imayenera kukwaniritsidwa." Momwe mungathanirane ndi kudzimbidwa pazakudya zama carb ochepa, werengani apa. Kuti mupeze kufooka kwa electrolyte, ndikofunikira kuti muzimwa mchere wamchere kapena msuzi wa nkhuku. Pakupita masiku ochepa, thupi lidzazolowera moyo watsopano, thanzi lidzabwezeretsedwa ndikukhala bwino. Osayesa kuchepetsa kuchuluka kwa zopatsa mphamvu potsatira chakudya chamafuta ochepa.
