Ngati muli ndi matenda a shuga, zilibe kanthu kuti ndi a mtundu wanji, ndikofunikira kusunga buku lomwe lingakuthandizeni ndi dokotala wanu kusankha bwino mankhwalawa ndikuwonetsetsa kuti shuga atha kudwala. Ndemanga zambiri kuchokera kwa katswiri wathu wokhazikika wa endocrinologist Olga Pavlova.
Dokotala endocrinologist, wodwala matenda ashuga, wazakudya, katswiri wazakudya masewera Olga Mikhailovna Pavlova
Omaliza maphunziro ku Novosibirsk State Medical University (NSMU) omwe ali ndi digiri ku General Medicine ndi ulemu
Anamaliza maphunziro apamwamba ndi ulemu kuchokera kudziko lapansi la endocrinology ku NSMU
Amaliza maphunziro apamwamba ku Dietology yapadera ku NSMU.
Anadutsanso ukadaulo mu Sports Dietology ku Academy of Fitness and Bodybuilding in Moscow.
Anapitiliza maphunziro otsimikizika pa psychocorrection ya kunenepa kwambiri.
Kodi ndichifukwa chiyani ndimafunikira diary ya shuga?
Nthawi zambiri, odwala matenda a shuga sakhala ndi diary ya shuga. Pamafunso oti: "Bwanji sulemba shuga?", Wina amayankha kuti: "Ndikumbukira kale zonse," wina ndikuti: "Bwanji kujambula, sindimawayeza, ndipo nthawi zambiri amakhala abwino." Kuphatikiza apo, "mashuga abwino" ambiri kwa odwala onse ndi a 5-6 ndi 11-12 mmol / l mashuga - "Eya, ndidaseka, amene sizichitika". Kalanga, ambiri samvetsetsa kuti kusokonezeka kwa zakudya nthawi zonse ndi shuga kumapitilira 10 mmol / l kumawononga makoma amitsempha yamagazi ndi mitsempha ndikuyambitsa zovuta za matenda ashuga.
Kuti mutetezedwe bwino kwambiri kwa zotengera zathanzi komanso mitsempha yodwala matenda ashuga, shuga onse amayenera kukhala abwinobwino - musanadye kapena pambuyo pake - DAILY. Mashuga abwino amachokera ku 5 mpaka 8-9 mmol / l. Mashuga abwino - kuyambira 5 mpaka 10 mmol / l (awa ndi manambala omwe timawonetsa monga mulingo wa shuga wamagazi kwa odwala ambiri omwe ali ndi matenda ashuga).
Tikamaganizira glycated hemoglobin, muyenera kumvetsetsa kuti inde, adzatiwonetsa shuga m'miyezi itatu. Koma kodi ndikofunika kukumbukira chiyani?
Glycated hemoglobin imapereka chidziwitso cha sekondale shuga m'miyezi itatu yapitayo, osapereka chidziwitso cha kusiyanasiyana (kokuwazika) kwa dzuwa. Ndiye kuti, glycated hemoglobin idzakhala 6.5% onse mwa odwala omwe ali ndi shuga 5-6-7-8-9 mmol / l (woperekera shuga) komanso wodwala wokhala ndi shuga 3-5-15-2-18-5 mmol / l (shuga wowola) .Ikuti, munthu yemwe ali ndi shuga akulumphira mbali zonse ziwiri - ndiye hypoglycemia, ndiye kuti shuga wambiri, amathanso kukhala ndi hemoglobin wabwino wa glycated, popeza masamu ambiri a shuga a miyezi itatu ndi abwino.
Chifukwa chake, kuwonjezera pa kuyesa pafupipafupi, odwala matenda ashuga amafunika kusunga diary ya shuga tsiku lililonse. Ndipamene phwando lomwe titha kuwunikira chithunzi chenicheni cha kagayidwe kazachilengedwe ndikuwongolera mankhwalawo moyenera.
Ngati tizingolankhula za odwala omwe alangizidwa, ndiye kuti odwala oterewa amasunga diary ya shuga moyo wonse, ndipo panthawi yakukonzekera chithandizo amakhalanso ndi diary ya chakudya (lingalirani kuchuluka kwa zakudya panthawi yanji tsiku lomwe adadya, lingalirani XE), komanso polandila timapenda magawo onse awiri komanso shuga , komanso zakudya.
Odwala omwe ali ndi udindo oterewa amakhala othamanga kuposa ena kuti amalipirire shuga, ndipo zimatheka ndi odwala otere.
Odwala amasunga zolemba zamasamba tsiku ndi tsiku, ndipo izi ndizotheka kwa iwo eni - kulanga, ndipo sitipatula nthawi kumwa shuga.
Kodi mungasunge bwanji diary ya shuga?
Magawo omwe timawonetsera muzolemba za shuga:
- Tsiku lomwe glycemia anayeza. (Timayeza shuga tsiku lililonse, kotero m'magawo mumakhala kufalikira kwa masamba 31, masiku 31, ndiye kuti, kwa mwezi umodzi).
- Nthawi yoyeza shuga m'magazi isanayambe kapena itatha chakudya.
- Matenda Ati Matenda a shuga (Nthawi zambiri pamakhala malo mu dijito yojambulira mankhwala. M'madongosolo ena, timalemba zochizira kumtunda kapena pansi, patsamba lina kumanzere kwa kufalikira - shuga, kumanja - chithandizo).
Kodi mumayeza shuga kangati?
Ndi matenda a shuga 1 Timayetsa shuga osachepera kanayi patsiku - chakudya chachikulu chisanachitike (kadzutsa, chakudya chamasana, chakudya chamadzulo) komanso asanagone.
Ndi matenda a shuga a 2 Timayetsa shuga osachepera 1 pa tsiku tsiku lililonse (nthawi zosiyanasiyana masana), komanso osachepera 1 pa sabata, timakonza mbiri ya glycemic - muyezo shuga 6 - 8 pa tsiku (musanadye komanso maola awiri mutadya chakudya chachikulu), musanapite usiku.
Pa nthawi yoyembekezera Ziphuphu zimayezedwa musanadye, ola limodzi ndi maola awiri mutadya.
Ndi chithandizo cha mankhwala timayeza shuga pafupipafupi: maola awiri ndi asanakadye chakudya chachikulu, asanagone komanso kangapo usiku.
Mukamakonza zochizira, kuwonjezera pa diary ya shuga, muyenera kusunga zolemba zamatumbo (lembani zomwe timadya, liti, kuchuluka kwake ndikuwerengera XE).
Ndiye ndani wopanda diary - yambani kulemba! Chitani kanthu kena!
Zaumoyo, kukongola ndi chisangalalo kwa inu!
