Matenda a shuga ndi njira ya endocrine yomwe thupi limalephera kuyendetsa bwino kagayidwe kazakudya, limapereka maselo ndi minyewa mwamphamvu. Matendawa amatengera hyperglycemia (shuga wambiri). Vutoli limachitika chifukwa chakuti kapamba satulutsa insulin yokwanira kapena maselo amthupi amasiya kuzimvera izi.
Otsatirawa ndi mfundo zamakonzedwe azakudya, mwachitsanzo, mndandanda wazakudya mlungu uliwonse, maphikidwe okoma ndi osavuta a anthu odwala.
Udindo wazakudya zamagulu odwala matenda ashuga
Ndi chitukuko cha "matenda okoma", thupi silingathe kupanga chakudya chokwanira. Mukakonza chimbudzi, ndimakokojeni (ma saccharides) omwe amawonongeka kukhala ma monosaccharides, omwe shuga ndi ake. Thupi sililowa m'maselo ndi minyewa yofunikira, koma imangokhala yambiri m'magazi.
Hyperglycemia ikayamba, kapamba amalandila chizindikiritso chofuna kutulutsa insulini kuti akapititse shuga ku maselo. Ngati insulin singapange zokwanira, tikulankhula za mtundu umodzi wamatenda. Ndi kutaya chidwi ndi chinthu chomwe chimagwira ntchito m'thupi, matendawo amatanthauza matenda amtundu wa 2.
![](http://img.diabetesentity.com/img/diab-2020/7979/nizkouglevodnaya-dieta-dlya-diabetikov.jpg)
Hyperglycemia - chizindikiro chomwe chimafuna kukonza matenda ashuga
Mapuloteni ndi mafuta amathanso kutenga nawo gawo popanga shuga m'thupi, koma izi zikuchitika kale kubwezeretsa kuchuluka kwa shuga pambuyo poti yasungunuka m'thupi. Kutengera ndi zomwe tafotokozazi, titha kunena kuti kuti magazi a shuga asakwere m'magawo ovuta, ndikofunikira kuti achepetse kuchuluka kwake kwa thupi.
Kodi zakudya zamafuta ochepa zingathandize bwanji matenda ashuga?
Kafukufuku wa zamankhwala wachitika kuti zitsimikizire kugwiriridwa ntchito kwa mfundo za chakudya chochepa chamagulu mwa odwala matenda ashuga. Cholinga cha zakudya zotere ndi izi:
- kutsika kwa katundu pa kapamba;
- kuchuluka kwa chidwi cha maselo ndi minofu ya thupi kupita ku insulin;
- kukhalabe ndi shuga m'magazi ovomerezeka;
- kusamalira kunenepa, kuchepetsa kwake ngati kuli kofunikira;
- kuyeretsa Mitsempha yamafuta kwambiri;
- kuthandizira kuthamanga kwa magazi mkati mwa nthawi zonse;
- kupewa mavuto impso, mitsempha ya magazi, fundus, mantha dongosolo.
Koyambira?
Zakudya zama carb zotsika shuga zimafunikira njira yoyenera ndikukonzekera. Zomwe muyenera kuchita:
- Lumikizanani ndi endocrinologist wanu momwe mungasankhire moyenera komanso kuwerengera mlingo wa insulin. Muyenera kuchita izi kuti musankhe kuchuluka kwa mankhwalawa kutengera menyu omwe mumasankha.
- Khalani ndi glucometer yomwe ilipo kuti mumvetse bwino za kuchuluka kwa shuga ndi china chake chokoma kuti muchepetse kuukira kwa hypoglycemia munthawi.
- Katswiriyu ayenera kudziwa bwino glycemia masabata angapo apitawa. Monga lamulo, pafupi ndi ziwerengero, odwala amawonetsa zomwe adadya, kuchuluka kwa zochitika zolimbitsa thupi, kukhalapo kwa matenda oyanjana. Zonsezi ndizofunikira!
- Dokotala amafotokozanso ngati zovuta zilizonse zayamba kale kudwala kapena ayi.
![](http://img.diabetesentity.com/img/diab-2020/7979/nizkouglevodnaya-dieta-dlya-diabetikov-2.jpg)
Endocrinologist - katswiri yemwe angakuthandizeni kusankha mndandanda wazomwe mungasankhe
Kutengera ndi izi zonse, endocrinologist ikuthandizira kupaka menyu kwa sabata, kuwunika momwe angapangire zolimbitsa thupi, ndikuchita kukonza kwa mankhwalawa.
Kuchuluka kwa chakudya komwe kumatha kudyedwa
Funso ili limaonedwa ngati "lupanga lakuthwa konsekonse". Asayansi ofufuza atsimikizira kuchepa kwa glycemia, kulemera kwa thupi ndi zolemba zina za matenda ashuga omwe amangodya saccharides mpaka 30 g patsiku. Komabe, akatswiri ambiri amati mu zakudya za tsiku ndi tsiku ayenera kukhala osachepera 70 g wama chakudya.
Ogwira ntchito zachipatala adaganiza kuti kuchuluka kwa mafuta omwe ayenera kuphatikizidwa menyu ya tsiku ndi tsiku kulibe. Amasankhidwa pachilichonse chazachipatala payekhapayekha, kutengera mfundo izi:
- jenda ndi zaka za wodwalayo;
- kulemera kwa thupi
- Zizindikiro za shuga pamimba yopanda kanthu ndipo pambuyo pa mphindi 60-120 pambuyo polowetsa chakudya m'thupi.
Katundu Woletsedwa
Zakudya zotsika mtengo za anthu odwala matenda ashuga zimakhazikitsidwa pakugawidwa kwa zakudya zonse m'magulu atatu akulu: kuloledwa, zoletsedwa komanso zakudya zomwe zitha kuphatikizidwa mumenyu imodzi, koma zochepa.
Gome likuwonetsa zinthu zomwe muyenera kuchepetsa momwe mungathere m'zakudya.
Gululi | Oimira Ofunika |
Utsi ndi pasitala | Mkate ndi muffin kuchokera ku ufa woyamba komanso wapamwamba kwambiri, pasitala, pastry wowoka |
Maphunziro oyambira | Borsch ndi soups pa nkhumba kapena mafuta msuzi, msuzi woyamba maphunziro ndi Zakudyazi |
Nyama ndi masoseji | Nkhumba, bakha, tsekwe, masoseji osuta, masoseji a salami |
Nsomba | Mitundu yamafuta, caviar, yosuta ndi mchere wamchere, nsomba zamzitini |
Zinthu zamkaka | Mkulu wowawasa zonona, zonona tokhala, kulawa yogati, tchizi chopatsa mchere |
Mbale | Semka, mpunga oyera (malire) |
Zipatso ndi masamba | Kaloti owiritsa, beets wowiritsa, nkhuyu, mphesa, madeti, zoumba zoumba |
Zinthu zina ndi mbale | Msuzi, nsombazi, mpiru, mowa, zakumwa zoziziritsa kukhosi, mandimu |
Zinthu Zololedwa
Wodwala sayenera kuchita mantha kuti kuchuluka kwazinthu zingapo kuyenera kukhala kochepa. Pali mndandanda waukulu wazakudya zamafuta ochepa zomwe zimapatsa odwala ashuga ndi zinthu zonse zofunika, mavitamini ndi kufufuza zinthu.
Gululi | Oimira Ofunika |
Mkate ndi ufa | Mkate wokhazikitsidwa ndi ufa wa gawo lachiwiri, rye, wokhala ndi chinangwa. Kuphatikizidwa kwa ufa muzakudya kumaloledwa pansi pazoyenera kuchepetsa mkate |
Maphunziro oyambira | Masamba obiriwira masamba ndi msuzi, msuzi wa bowa, msuzi wa nyama, nyama yokhala ndi mafuta ochepa komanso msuzi wa nsomba |
Zinthu zopangidwa ndi nyama | Ng'ombe, ng'ombe, nkhuku, kalulu, nkhuku |
Nsomba ndi nsomba zam'nyanja | Carp ya Crucian, nsomba za pike, trout, pollock, mitundu yonse ya nsomba zam'nyanja |
Zakudya zazing'ono | Zakudya zatsopano zamasamba, vinaigrette, zukini caviar, sauerkraut, maapulo akhathamiritsa, ma soya anaphika |
Zamasamba | Chilichonse kupatula mbatata yophika, kaloti ndi beets (zochepa) |
Zipatso | Apricots, yamatcheri, yamatcheri, mango ndi kiwis, chinanazi |
Zinthu Zamkaka ndi Mkaka | Kefir, tchizi chokhala ndi mafuta ochepa komanso wowawasa wowawasa, wokazinga mkaka wokazinga, mkaka wowawasa |
Zinthu zina | Bowa, zonunkhira, chimanga, batala (mpaka 40 g patsiku) |
Zakumwa | Madzi ochepa opanda gasi, tiyi, compote, chakumwa cha zipatso, tiyi wazitsamba |
Zomwe zimakhudza kusankha kwa zinthu?
Pakupanga menyu, wodwala matenda ashuga ayenera kudziwa zambiri:
- Mndandanda wa glycemic ndi wofanana ndi digito womwe umawonetsa kuchuluka kwa glucose m'magazi omwe amakwera atatha kudya chinthu chimodzi kapena china.
- Mlozera wa insulin ndi chizindikiro chomwe chimawonetsera kuchuluka kwamahomoni omwe amafunikira kuti abwezeretse manambala a glycemic pamlingo wabwinobwino atatha kudya mankhwala kapena mbale.
- Mtengo wachakudya ndi lingaliro lomwe limawonetsa zinthu zofunikira za chinthu pogulitsa thupi ndi mphamvu.
Ndikofunika kuganizira za chithandizo cha kutentha pakuphika, chifukwa zimakhudza magwiridwe amtundu wa glycemic. Monga lamulo, ziwerengero za GI mu masamba osaphika ndi zipatso ndizotsika poyerekeza ndi zophika, zophika kapena zoperewera. Wodwala amayenera kuganizira izi powerengera kuchuluka kwa insulin yomwe waperekedwa.
![](http://img.diabetesentity.com/img/diab-2020/7979/nizkouglevodnaya-dieta-dlya-diabetikov-3.jpg)
Mankhwala othandizira odwala matenda ashuga - sangakhale othandiza, komanso okoma
Malamulo Akuwongolera Mphamvu
Kuti odwala alandire zokwanira pazinthu zofunikira, koma osavulaza matupi awo, malamulo otsatirawa ayenera kusungidwa:
![](http://img.diabetesentity.com/img/diab-2020/7979/nizkouglevodnaya-dieta-dlya-diabetikov-4.jpg)
- Chakudya chizikhala cha pafupipafupi komanso pamagawo ochepa (4 mpaka 8 pa tsiku). Ndikofunika kudya nthawi yomweyo. Izi zimapangitsa kugwira ntchito koyenera kwa kapamba.
- Kuchuluka kwa chakudya chamagwiritsidwe omwe amagwiritsidwa ntchito kuyenera kugawidwa chimodzimodzi pakati pa zakudya zazikulu zonse.
- Calorie ya tsiku ndi tsiku yowerengeredwa ndi adokotala aliyense payekha. Wodwala matenda ashuga okhala ndi kulemera kwama 2600-2800 kcal.
- Kudumpha zakudya, komanso kudya kwambiri, ndizoletsedwa.
- Ndikofunikira kusiya mowa, kuchepetsa kusuta, zakudya zotsekemera.
- Zokonda zimaperekedwa ku mbale zophika, zophika, zosafunikira, zowiritsa.
Momwe mungagwiritsire ntchito zakudya zoyenera
Ambiri odwala matenda ashuga amakonda kudziwa momwe amadziwira kuti chithandizo chamankhwala chimathandizadi. Kuchita bwino kumatsimikiziridwa ndi izi:
- thanzi labwino;
- kusowa kwa matenda am'mimba ndipo, mosiyana, kulemera m'mimba mutatha kudya;
- kuwonda;
- matenda a kuthamanga kwa magazi;
- matenda a lipid kagayidwe (cholesterol, triglycerides);
- kusala glycemia zizindikiro zosakwana 5.5 mmol / l;
- shuga amawerengera maola 2 atatha kudya zosakwana 6.8 mmol / l;
- glycated hemoglobin wochepera 6.5%.
Zosankha za tsikulo
Kupanga kwa zakudya zama carb ochepera odwala ashuga kumatha kuchitika osati kokha ndi endocrinologist, komanso ndi wazakudya yemwe amadziwa bwino zomwe zimachitika muchipatala.
Mwachitsanzo pa mndandanda wazakudya:
- kadzutsa - dzira la nkhuku yophika kapena zinziri zingapo, buledi ndi batala, tiyi;
- chithunzithunzi No. 1 - kapu ya mabulosi akutchire;
- nkhomaliro - borsch, mapira, mapira owotcha Turkey, compote;
- snack No. 2 - lalanje;
- chakudya chamadzulo - chakudya chochuluka, masamba ophika, mkate, chakumwa cha zipatso;
- snack No. 3 - kapu ya kefir, ma cookie owuma.
![](http://img.diabetesentity.com/img/diab-2020/7979/nizkouglevodnaya-dieta-dlya-diabetikov-5.jpg)
Zakudya zazing'ono ndizofunikira kwambiri pakudya kwatsiku ndi tsiku.
Maphikidwe a shuga
Gome lazakudya la shuga limaphatikizapo kukonzekera kwa mbale zomwe zimakhala ndi index yotsika ya glycemic, koma nthawi yomweyo zimapatsa thupi kuchuluka kofunikira mphamvu, mavitamini, kufufuza zinthu.
Chofufumitsa nsomba
Zotsatirazi ziyenera kukonzedwa:
- 300 g fillet ya pollock;
- 100 g wa buledi (mutha kugwiritsa ntchito mkate wa tirigu wa gawo lachiwiri);
- 25 g batala;
- 1/3 chikho cha mkaka;
- 1 anyezi.
Mkate uyenera kuwira mkaka, kusenda ndi kuwaza anyezi. Patsani chilichonse pamodzi ndi nsomba kudzera mu chopukusira nyama. Onjezani nyama yoboola, onjezani tsabola pang'ono. Mipira ya Fomu, nthunzi. Mukatumikira, mutha kukongoletsa ndi masamba.
![](http://img.diabetesentity.com/img/diab-2020/7979/nizkouglevodnaya-dieta-dlya-diabetikov-6.jpg)
Ma fillet cutlets amadzakongoletsa osati tsiku ndi tsiku, komanso tebulo la zikondwerero
Zikondamoyo za Blueberry
Zofunikira za mbale:
- dzira la nkhuku - 2 ma PC .;
- zitsamba za stevia - 2 g;
- kanyumba tchizi - 150 g;
- mabulosi abulu - 150 g;
- soda - 1 tsp;
- uzitsine mchere;
- mafuta masamba - 3 tbsp. l.;
- rye ufa - 2 makapu.
Ndikofunikira kukonzekera kulowetsedwa kokoma kwa stevia. Kuti muchite izi, thirani udzu mu kapu ya madzi otentha ndikusiya kotala la ola limodzi. Mazira, tchizi tchizi ndi kulowetsedwa kwa stevia zimasakanikirana mumtundu wina. Kwina, mchere ndi rye ufa. Kenako masaiziwa amaphatikizidwa, koloko, mafuta a masamba ndi zipatso zimayambitsidwa. Sakanizani mofatsa. Ufa wakonzeka kuphika.
Kalifulawa Zrazy
Zosakaniza
- kolifulawa - mutu 1;
- ufa - 4 tbsp. l.;
- mafuta masamba - 3 tbsp. l.;
- uzitsine mchere;
- anyezi wobiriwira;
- dzira la nkhuku - 1 pc.
![](http://img.diabetesentity.com/img/diab-2020/7979/nizkouglevodnaya-dieta-dlya-diabetikov-7.jpg)
Zakudya zama carb zotsika mtengo zimatha kukhala zosiyanasiyana komanso zathanzi.
Sakanizani mutu wa kabichi mzidutswa, wiritsani mu mchere wamchere kwa kotala la ola limodzi. Masamba omalizidwa amafunika kuphwanyidwa, kuphatikizidwa ndi ufa ndi mchere. Patulani kwa theka la ola. Panthawi imeneyi, wiritsani dzira, kuwaza ndi kusakaniza ndi anyezi wosankhidwa.
Ma cutlets amapangidwa kuchokera ku msuzi wa kabichi, kudzaza anyezi-wokutidwa mkati. Pereka zrazy mu ufa. Kenako amaphika mumphika kapena mu uvuni.
Zofunika! Kuti mupange zakudya zomwe zili muzakudya, muyenera kugwiritsa ntchito ufa wa mpunga.
Zakudya ndizofunikira kwa aliyense wodwala matenda ashuga. Izi zimathandizira kuti zisamangolepheretsa kukula kwa zovuta zamatendawa, komanso kusungitsa thanzi la wodwalayo pamlingo wambiri.