Mtundu wa 1 shuga wodwala

Mpaka kumapeto kwa zaka za 1980s, ma endocrinologists amapatsa odwala malangizo okhazikika, okhazikika pa mtundu wa 1 shuga. Odwala achikulire odwala matenda a shuga adalimbikitsidwa kudya chimodzimodzi kuchuluka kwa zopatsa mphamvu, mapuloteni, mafuta ndi chakudya tsiku lililonse. Ndipo chifukwa chake, wodwalayo amalandira kuchuluka kwa UNITS ya insulin tsiku lililonse nthawi yomweyo. Kuyambira 1990s, zonse zasintha. Tsopano zakudya zomwe zalimbikitsidwa ndi matenda a shuga 1 ndizosavuta kusintha. Masiku ano, pafupifupi si osiyana ndi zakudya za anthu athanzi. Odwala omwe ali ndi matenda amtundu wa 1 amatha kusinthanitsa zakudya zawo ndi zochita zawo za tsiku ndi tsiku. Chifukwa chake, amatsatira mofunitsitsa malangizo amomwe angadye.

Cholinga chothana ndi matenda amtundu wa shuga 1 ndikuwonetsetsa kuti shuga akhazikika m'magazi a anthu athanzi. Chida chofunikira kwambiri pa izi ndikutsatira zakudya zoyenera. Malangizo a tsamba la Diabetes-Med.Com pankhaniyi ndi osiyana kwambiri ndi mankhwala omwe amakupatsani. Timalimbikitsa kudya zakudya zamagulu ochepa a shuga 1 komanso a 2, ndipo dokotala pachipatalako akukulangizani kuti muzidya “moyenera.” Komabe, zakudya zomwe zimadzaza ndi chakudya zimayambitsa shuga m'magazi omwe sangathe kuzimitsa ndi insulin iliyonse. Odwala amakhala ndi thanzi labwino, chiopsezo cha hypoglycemia, komanso zovuta za matenda ashuga zikukula msanga. Chithunzicho sichabwino kwenikweni kuposa momwe boma limakhalira.

Ndipo zakudya zochepa zomwe zimapatsa mphamvu zama carbohydrate zokha zomwe zimakupatsani mwayi wowongolera matenda a shuga 1. Apa muphunzira momwe mungasungire shuga wamagazi mukatha kudya osaposa 6.0 mmol / l. Mlingo wa insulin mu jakisoni udzachepera 2-7 times. Chifukwa chake, chiopsezo cha hypoglycemia chichepa. Kukhala bwino komanso magwiridwe antchito azithandizanso. Werengani tsatanetsatane mu nkhani ili pansipa, onerani kanemayo.

Yang'anani! Nkhani yomwe ili pansipa ikunena za zakudya zoyenera za mtundu woyamba wa shuga, zomwe zimalimbikitsidwa ndi zamankhwala. Zochita zikuwonetsa kuti ngati mumatsatira zakudya izi, ndiye kuti kuchepetsa shuga m'magazi kunthawi zonse ndikumawayang'anira ndikosatheka. Mutha kukhala ndi shuga wabwinobwino m'magazi, kupewa matenda a shuga, ndipo muzimva bwino ngati mupita zakudya zamagulu ochepa a shuga 1 kapena matenda a shuga. Zakudya zamafuta zochepa zomwe mumadya, zochepa zomwe mungafunikire insulin. Ndipo kuchepetsa mlingo wa insulin, kumachepetsa kwambiri hypoglycemia. Chakudya chopatsa mphamvu chamagulu a shuga ndichosinthira ku zakudya zomwe zili ndi mapuloteni komanso mafuta abwinobwino achilengedwe.

Kuyerekeza chakudya chopatsa thanzi komanso chochepa chamafuta a shuga 1

Zakudya zoyenera za matenda a shuga amtundu woyamba

Odwala ambiri omwe ali onenepa kwambiri saletsedwa kudya shuga wamba, mpaka magalamu 50 patsiku. Chifukwa chiyani zakudya zamtundu woyamba wa shuga zinkakhala zokhwima, ndipo tsopano zasintha kwambiri ndipo nkosavuta kumamatira? Pali zifukwa zingapo izi:

• Odwala amagwiritsa ntchito glucometer. Kwakhala kosavuta kuyeza payekha popanda magazi kangapo patsiku, ndipo chifukwa cha izi simuyenera kupita kuchipatala.
• Odwala amasinthira ku njira yowonjezera ya insulin. Mlingo wa insulin "yifupi" yomwe amalandila asanadye tsopano sukhazikika, ndipo ungasinthidwe.
• Pali mapulogalamu ochulukirachulukira komanso "sukulu za matenda ashuga", pomwe odwala amaphunzitsidwa kuwunika zakudya zomwe zimapezeka mu chakudya ndikuwongolera kuchuluka kwa insulini.

Lembani malangizo amawu a matenda ashuga 1

Zakudya zamakono zamtundu wa 1 shuga zimasinthasintha. Chofunikira kwambiri kwa odwala matenda ashuga ndikuphunzira kugwirizanitsa kuchuluka kwa chakudya chomwe amalinganiza kudya ndi mlingo wa insulin yomwe adzagwiritse ntchito.

Zakudya zabwino za matenda a shuga zimatenga nthawi yayitali ndipo zimachepetsa kukula kwa mtima. Kuti mupange chakudya choyenera cha matenda a shuga 1, mutha kutsatira malangizo awa:

• Idyani zamtopola kuti mukhale pafupi ndi thupi lolemera. Zakudyazo ziyenera kukhala zosakanikirana, zamafuta ambiri (55-60% yazakudya zonse za caloric).
• Musanadye chakudya chilichonse, werengani za zakudya zomwe zimapangidwira malinga ndi machitidwe a mkate ndikusankha kuchuluka kwa insulin "yayifupi". Ndikofunika kudya zambiri mwazakudya zomwe zili ndi ma carbohydrate omwe amakhala otsika mu glycemic index.
• Pazakudya zamtundu woyamba wa shuga, odwala onenepa okha ndi omwe amafunika kuchepetsa mafuta m'zakudya. Ngati muli ndi kulemera kwabwinobwino, cholesterol yeniyeni ndi triglycerides m'mwazi, simuyenera kuchita izi. Chifukwa mafuta pazakudya zanu sizikhudza kufunika kwa insulin.

Zakudya za matenda amtundu 1 shuga ziyenera kukhala ndi nyengo yabwinobwino (osati yochepetsedwa!) Kalori. Mutha kudya zakudya zamafuta, makamaka muzakudya zomwe zili ndi index yotsika ya glycemic. Yang'anirani mosamala kuti mupeze utsi wokwanira. Mchere, shuga ndi mizimu - zimatha kudyedwa pang'ono, chifukwa achikulire omwe alibe shuga.

Maphunziro odwala

Cholinga cha maphunziro othandizira odwala omwe ali ndi matenda a shuga 1 ndikuwathandiza anthu kuti apitirize kukhala ndi shuga. Ndipo koposa zonse - kuti hypoglycemia imachitika kangapo. Kuti muchite izi, luso lofunikira ndikusankha bwino kuchuluka kwa insulini "yayifupi" musanadye. Wodwala ayenera kuphunzira momwe angapangire zakudya za mtundu woyamba wa shuga, komanso kugwirizananso ndi insulin yake. Maphunziro oterowo kuchipatala kapena gulu lachipatala ayenera kuganizira zosowa za wodwala aliyense. Dotolo ayenera kudziwa zomwe amakonda kudya komanso nthawi yanji.

Kuphunzira mfundo za zakudya zoyenera zokhudzana ndi matenda a shuga ndikofunikira kwambiri pamalo odyera kapena kumalo odyera a chipatala. Wodwala ayenera kudziwa kuti sayenera kuyeza zinthu zilizonse zamagetsi nthawi iliyonse asanadye. Pambuyo poti ena amachita, anthu amaphunzitsidwa “ndi maso” kuti awunike malinga ndi machitidwe a mkate. Malangizo a insulini okhala ndi jakisoni angapo a insulin tsiku lonse - amapatsa odwala matenda ashuga ufulu wambiri pakudya. Kwa odwala ambiri, kupindulitsa kumeneku ndiye lingaliro lalikulu mokomera insulin.

Carbohydrate kuwerengera Kachitidwe ka Bread Units (XE)

Pazakudya za matenda a shuga 1, wodwalayo ayenera kulinganiza nthawi yonse yomwe angadye michere yambiri. Chifukwa zimatengera mtundu wa insulin yomwe muyenera kubaya. Lingaliro la "mkate unit" (XE) limagwiritsidwa ntchito kuwerengera chakudya mu zakudya. Awa ndi magalamu 12 a chakudya - 25 g wa mkate uli ndi zochuluka za izo.

Kuti mumve zambiri, onani nkhani ya "Bread Units for Type 1abetes".

Mtundu woyamba wa shuga

Ma sweeteners amagawidwa m'malo opanda shuga m'malo mwa shuga ndi caloric analogs (xylitol, sorbitol, isomalt, fructose). Omaliza, ochepera shuga, amachulukitsa shuga m'magazi, koma osatsika kwambiri mu caloric value. Chifukwa chake, mavitamini a shuga a kalori ambiri amakhala osavomerezeka kwa odwala matenda ashuga onenepa kwambiri.

Chovomerezeka kugwiritsa ntchito zotsekemera zosapatsa thanzi tsiku lililonse muyezo ndi malire otsatirawa:

• saccharin - mpaka 5 mg / kg thupi;
• aspartame - mpaka 40 mg / kg thupi;
• cyclamate - mpaka 7 mg / kg thupi;
• acesulfame K - mpaka 15 mg / kg thupi;
• sucralose - mpaka 15 mg / kg thupi;
• Chomera cha Stevia ndichilengedwe chokoma chopanda thanzi.

Zaka zaposachedwa, gulu la odwala matenda ashuga abwera kuti mtundu wa shuga 1, shuga sayenera kumwa mpaka magalamu 50 patsiku ngati wodwala walipirira shuga. Popeza talandira chilolezo chodya shuga pang'ono, odwala amatha kutsatira malangizo a kuwerengera XE ndikusintha mlingo wa insulin.

Werengani komanso gawo loyera la "Amatenda a shuga. Stevia ndi ena okoma a matenda ashuga. " Dziwani chifukwa chake ndikosayenera kudya zakudya za fructose ndi matenda ashuga zomwe zimakhala nazo.

Mtundu woyamba wa shuga ndi mowa

Kugwiritsa ntchito zakumwa zoledzeretsa m'zakudya za mtundu 1 wa shuga kumaloledwa mu Mlingo wochepa. Amuna amathanso kumwa pafupifupi magalamu 30 a mowa wamphamvu patsiku, ndipo azimayi samatha kumwa zosaposa 15 magalamu a Mowa. Zonsezi zidapereka kuti munthuyo alibe pancreatitis, neuropathy yayikulu komanso kudalira mowa.

Mlingo wapamwamba wa tsiku ndi tsiku wa 15 g wa mowa ndi magalamu 40 a mizimu, 140 g wa vinyo wouma kapena 300 g mowa. Kwa abambo, mlingo wovomerezeka wa tsiku ndi tsiku umakhala wokwanira mara 2. Izi zikutanthauza kuti mutha kuthandizira kampani yomwe imamwa, koma masewera olimbitsa thupi komanso osamala.

Kumbukirani chinthu chachikulu: kugwiritsa ntchito mankhwala osokoneza bongo ofunikira kungayambitse kwambiri hypoglycemia. Osatinso nthawi yomweyo, koma patapita maola ochepa, ndipo izi ndizowopsa. Chifukwa mowa umaletsa kupanga shuga kwa chiwindi. Ndi matenda a shuga amtundu woyamba, simuyenera kumwa mowa usiku, kuti mupewe usiku.

Werengani komanso nkhani ya Mowa pa Zakudya za Matenda a shuga - mwatsatanetsatane.

Mtundu wa matenda 1 a shuga

M'mabuku apanyumba ofotokoza za “Zithandizeni Nokha” kwa odwala matenda ashuga, omwe amatchedwa "zakudya za matenda ashuga" amapezeka. Amatsimikizira chakudya ndi mbale masiku 7 a sabata, molondola pa gramu. Amuna oterewa a matenda amtundu woyamba a shuga nthawi zambiri amakhala opangidwa ndi akatswiri azakudya, koma pochita amakhala osathandiza. Madokotala amatha kudziwa zambiri m'moyo pamene wodwala matenda osokoneza bongo amathamangira mwachangu kutsatira malangizo. Wodwala poyamba amakhala wachangu. Amagwiritsa ntchito nthawi yake yonse ndi mphamvu zake kuti apeze zinthu zofunika kuzisamalira. Koma patapita kanthawi akukhulupirira kuti sanapambane pakulipira shuga. Ndipo imatha kuthamangira kwina: kusiya chilichonse, kusintha kudya zakudya zopanda thanzi komanso zovulaza.

Zakudya zoyenera zamakono zokhala ndi matenda amtundu woyamba ndikuti zimabweretsa chakudya cha wodwalayo pafupi ndi zakudya za munthu wathanzi. Kuphatikiza apo, magwiritsidwe antchito a chakudya chamagulu amodzimodzi ndi omwe ali ndi thanzi labwino komanso odwala matenda ashuga omwe samanenepa kwambiri. Mukamasinthasintha zakudya, ndiye kuti wodwalayo amatsatira. Ngakhale m'maiko a CIS, kapena akunja, odwala matenda ashuga sangathe ndipo safuna kutsatira zakudya okhwima. Ndipo mfundo yake ndiyakuti sikovuta kupeza zakudya zogulitsa kapena zogulira ndalama. Kukonzekera mndandanda wazakudya zamtundu woyamba wa shuga musanathe sabata imodzi kumayambitsa kusokonezeka kwa ntchito komanso kusokonezeka kwa malingaliro. Komabe, kujambula mapulani amenewo pasadakhale ndikothandiza.

Otsatirawa ndi chakudya cham'mawa, masana komanso zakudya zamadzulo. Pa chakudya chilichonse, mbale 7-8 zopangidwa ndi zakudya zotsika mtengo kwambiri. Njira yosavuta kuphikira izi. Ndi chithandizo chawo, mutha kukonzekera mosavuta zakudya zamatenda a matenda amtundu 1. Amadziwika kuti wodwalayo amatsata zakudya zamagulu ochepa. Chilichonse chomwe mudawerenga pamwambapa chidalembedwa ndi cholinga chachikulu - kukutsimikizirani kuti musinthe kudya izi kuti musinthe magazi. Ndikukhulupirira kuti ndakwanitsa kuchita izi :). Ngati ndi choncho, mutatha masiku awiri a 2-3 mudzakhala otsimikizika ndikuwonetsa za mita kuti chakudya chamafuta ochepa chimathandizadi.

Kuti mupeze mndandanda wokonzedwa, gonjerani ku nkhani zathu zaulere pano ndikutsimikizira zolembetsa zanu.

Mfundo zofunika kukonza

Werengani werengani mndandanda wazinthu zoleledwa komanso zoletsedwa. Ndikofunika kuwasindikiza, anyamula nawo kupita nawo ku malo ogulitsira, kuwapachika mufiriji.

Chinsinsi Cha Homecade Chocolate. Timatenga mafuta owonjezera, okhutitsidwa ndi mafuta okwanira 82,5%. Sungunulani poto. Onjezani ufa wa cocoa. Sakanizani mpaka coco asungunuka mu mafuta, pitilizani kuwira. Onjezani wokoma wokoma kwambiri kuti mulawe. Lekani kuzizira. Kenako mutha kuyimiranso mufiriji.

Ngati wodwala wodwala matenda amiseche 1 amavulala ndi insulin musanadye chilichonse, ndiye kuti ayenera kudya katatu katatu patsiku lililonse 4-5. Kugwedeza ndi osafunika. Chitani zonse zomwe mungathe kuti musadutse osadya. Mungakwaniritse bwanji izi? Ndikofunikira kudya gawo labwino la mapuloteni pachakudya chilichonse. Zakudya zochokera pamndandanda pamwambapa ndizongoganiza. Ingodya zamasamba ndi nyama, nsomba kapena mazira osenda.

Chakudya chamadzulo chikhale maola 4-5 asanagone. Tisanalowetse insulin usiku umodzi, timayeza shuga ndi glucometer. Timasanthula momwe chakudya chamadzulo chogwirira ntchito komanso jakisoni wa insulin yofulumira patsogolo pake. Ngati maola 4-5 sanadutse, ndiye kuti sizotheka kuyesa momwe zinthu zilili, chifukwa insulin, yomwe idalowetsedwa musanadye chakudya chamadzulo, simunamalize kutsitsa shuga.

Zosankha:

• Chakudya cham'mawa pa 8.00, nkhomaliro nthawi ya 13.00-14.00, chakudya chamadzulo ku 18.00, jekeseni wamadzulo amawonjezera insulin pa 22.00-23.00.
• Chakudya cham'mawa pa 9.00, nkhomaliro pa 14.00-15.00, chakudya chamadzulo ku 19.00, jekeseni wamadzulo amawonjezera insulin kuyambira 23.00 mpaka pakati pausiku.

Pazakudya zilizonse muyenera kudya mapuloteni. Chakudya cham'mawa ndizofunikira kwambiri. Khalani ndi chakudya cham'mawa chopatsa thanzi, osachokapo kunyumba mpaka mutadya. Mazira akudya cham'mawa ndi chakudya cha milungu! Kodi muyenera kuchita chiyani ngati m'mawa simukufuna kudya zakudya zama protein? Yankho: muyenera kukhala ndi chizolowezi chodyera chakudya cham'mawa kwambiri. Ngati munadya chakudya chamadzulo pasanafike 1900, ndiye kuti m'mawa mudzakhala ndi njala. Simungakonde mazira okha, komanso nyama yamafuta yam'mawa. Momwe mungaphunzirere kudya chakudya chamadzulo pasanafike 1900? Kuti muchite izi, muyenera kukhazikitsa chikumbutso pafoni pa 18.00-18.30. Tidamva kuitana - timaponya chilichonse, kupita ku chakudya chamadzulo. Ndipo dziko lonse lapansi lidikire :).

Simufunikanso zowonjezera zamankhwala zomwe zimapezeka mumafakitale zimapereka nyama ndi masoseji. Yesani kuphika nokha kapena kugula nyama yopangidwa ndi anthu odalirika. Zakudya zathu za kadzutsa, nkhomaliro ndi chakudya chamadzulo zasankha mbale zomwe ndizophweka kuphika. Phunzirani kuphika nyama ndi nsomba mu uvuni. Zakudya zilizonse zosuta sizivomerezeka chifukwa ndizopweteka, i.e. zimayambitsa khansa.Tikuyesetsa kwambiri kuti muchepetse matenda ashuga, kuti asagwere m'manja ofooka a gastroenterologists, makamaka oncologists.

Nkhaka kuzifutsa, bowa wowaza ndi ma pickles ena alionse sayenera kudyedwa. Chifukwa izi zimathandizira kukula kwa yisiti ya candida albicans. Zinthu zofunika kwambiri za bowa zimavulaza thupi. Amasokoneza metabolism ndipo amayambitsa matenda a candidiasis. Mawonekedwe ake otchuka kwambiri ndi akazi. Koma candidiasis sikuti thrush. Zizindikiro zake ndi ulesi, ulesi, kutopa kwambiri, mavuto okhala ndi nkhawa. Odwala omwe ali ndi matenda ashuga kwambiri amatha kukhala ndi candidiasis kuposa anthu omwe ali ndi shuga wabwinobwino. Chifukwa chake, palibe chifukwa chowonjezeranso ntchito zamagetsi. Mutha kupanga mndandanda wosiyanasiyana wa zakudya zamitundu yosiyanasiyana popanda matenda. Ngakhale sauerkraut siabwino. M'malo mwa kirimu wowawasa - zonona zonona.

Mapeto

Chifukwa chake, mumawerenga mwatsatanetsatane nkhani yazakudya cha matenda ashuga amtundu woyamba. Tinayerekezera chakudya chamagulu komanso chopatsa thanzi. Tsamba lathu limagwira ntchito yolimbikitsa kudya zakudya zamagulu ochepa m'thupi 1 ndi mtundu wa 2 odwala matenda ashuga. Chifukwa chakuti zakudya zimasiyanitsa shuga m'magazi, zimachepetsa mulingo wa insulin ndikuyenda bwino m'moyo. Zakudya zoyenera, zodzaza ndi chakudya, zimabweretsa odwala matenda ashuga kumanda. Sinthani ku chakudya chamafuta ochepa, yikani shuga wanu pafupipafupi ndi glucometer - ndipo onetsetsani kuti amathandizadi.

Tinkakambirana mitu yofunikira monga mowa ndi shuga mmalo mwa zakudya za matenda ashuga 1. Mowa ungathe kumledzera, pang'onopang'ono, komanso kusamala kwambiri. Mowa umaloledwa pokhapokha ngati wodwalayo sakudalira, munthu amatsatira njira zotetezeka ndipo samamwa zakumwa zomwe zaphikidwa. Mtundu woyamba wa shuga - nthendayi imakhala yoopsa kwambiri kuposa matenda ashuga amtundu wa 2. Cholimbikitsa chokha ndikuti ndi shuga yodalira insulini mutha kugwiritsa ntchito zotsekemera, ndipo ndi matenda amtundu wa 2 ndi owopsa.

Odwala ambiri amafuna zakudya zopangidwa ndi matenda ashuga oyamba. Zosankha zam'mawa, chakudya chamadzulo ndi chakudya chamadzulo zimaperekedwa pamwambapa. Zakudya zonsezi zimatha kukonzedwa mwachangu komanso mosavuta. Zakudya zomanga thupi zomwe sizimatulutsa shuga sizotsika mtengo, koma zilipobe. Zakudya zamtengo wapatali zapadera zimaperekedwanso. Mndandanda wazakudya zovomerezeka ndi zoletsedwa zamagulu ochepa a carb omwe amawerengedwa pano. Tengani mphindi 10 mpaka 20 pa sabata kukonzekera zamtsogolo. Mndandanda wathu wazogulitsa ndi mbale zolimbikitsidwa zingakuthandizeni. Cholinga chachikulu ndikupanga zakudya kuti zizikhala zosiyanasiyana momwe zingathere.