Chizindikiro cha matenda amtundu woyamba ndikuti ndi matendawa, kapamba amasiya kutulutsa insulin mokwanira ndipo amayenera kuperekedwa kuchokera kunja. Thanzi la matendawa ndi chimodzi mwazinthu zofunika kwambiri kuti muthane bwino. Ndi chithandizo chosankhidwa bwino ndikuyang'anira shuga m'magazi, chakudya cha wodwalayo chimatha kukhala chosiyanasiyana ndipo ndizosiyana pang'ono ndi menyu wamba aanthu wathanzi.
Mfundo za kadyedwe koyenera
Wodwala ayenera kudya kuchuluka kwa chakudya nthawi imodzi, zomwe zimafanana ndi mlingo wa insulin. Izi zimaphunzitsidwa ndi ma endocrinologists mu polyclinics, komanso "masukulu a shuga" apadera, pomwe wodwalayo amaphunzitsidwa kuti azikhala mwathanzi komanso mokwanira ndi matenda ake. Chofunikira ndikuwunika momwe magazi amasinthidwira kuti wodwala matenda ashuga azitha kuwona momwe thupi limachitikira pakudya zosiyanasiyana ndikuzilemba mu diary ya zakudya. Kutsogololi, izi zitha kumuthandiza kupanga chakudya ndipo zimamupangitsa kuti apewe mkhalidwe wa hypoglycemic kapena, momwemonso, kulumpha kwambiri lakuthwa.
Odwala omwe ali ndi mtundu woyamba wa matenda a shuga a mtundu wa shuga (mawonekedwe ophatikizidwa) ayenera kulandira chakudya mpaka 50% chakudya ndi pafupifupi 25% mafuta ndi mapuloteni. Zakudya zomanga thupi zimayendetsedwa mosavuta pogwiritsa ntchito matebulo a glycemic indices (GI) ndi magawo a mkate (XE) a zakudya zapadera. 1 XE ndi kuchuluka kwa chakudya chamafuta oyera chimalemera pafupifupi 25 g. Zakudya ziyenera kukhala zazing'ono. Ndikwabwino kudya pafupipafupi, koma pang'ono. Wodwala sayenera kumvanso njala.
Pakudya iliyonse yayikulu, wodwala matenda ashuga ayenera kulandira zakudya zamagulu mkati mwa 7-8 XE, ngakhale phindu limatha kusinthidwa payekhapayekha ndi endocrinologist
Momwe mungapangire mndandanda wazitsanzo?
Ndikofunikira kupangira mndandanda wachitsanzo cha sabata, kuwerengetsa kuchuluka kwa XE m'mbale zisanachitike. Zakudya za wodwala matenda ashuga tsiku lina zitha kuwoneka motere:
- kadzutsa (1 chidutswa cha buledi, 50 g ya phala yophika, 1 dzira la nkhuku, 120 g ya saladi ya masamba ndi 5 ml ya mafuta a azitona, 2 zidutswa za makeke ophika, 50 g ya tchizi wopanda mafuta, tiyi wopanda mphamvu);
- kadzutsa wachiwiri (kapu ya phwetekere kapena madzi a birch, theka la nthochi yatsopano);
- nkhomaliro (chidutswa cha nyama yotsika mafuta ochepa, mbale yophika masamba, chidutswa cha mkate, 100 g ya masamba kapena saladi wa zipatso, 200 ml ya compote kapena tiyi wopanda mafuta);
- chakudya chamasana (mbale yaying'ono ya saladi wa zipatso, cookie 1 ngati "Maria", kapu yamadzi, yomwe imaloledwa shuga);
- chakudya chamadzulo (50 g ya saladi wa masamba, gawo la nsomba zonenepa, 100 g ya mbatata yophika kapena phala, 1 apulo);
- mochedwa snack (kapu ya kefir yamafuta ochepa).
Mitundu ya sopo ndi phala imatha kusinthidwa tsiku ndi tsiku, mukukumbukira za zakudya zomwe siziloledwa kugwiritsidwa ntchito mu shuga. M'malo mwa juwisi wokhala ndi mabisiketi, mutha kumwa madzi amchere ndi zipatso (ndibwino kukana zipatso zouma chifukwa cha GI yayikulu). Mukaphika, muyenera kukonda zokonda kuphika, kuwira komanso kuwotcha. Zakudya zamafuta ndi zokazinga zimayambitsa zovuta pa kapamba ndi chiwindi, zomwe zimadwala matenda ashuga.
Mafuta si chinthu chofunikira kwambiri cha matenda a shuga 1, koma ena ndi othandiza. Izi ndizowona makamaka ku maula a maula, apulo ndi birch, chifukwa sizabwino kwambiri ndipo zimakhala ndi zinthu zambiri zamtengo wapatali zachilengedwe
Ubwino ndi Kupezeka kwa Zakudya Zapansi
Pali othandizira kudya ochepa mu chakudya chamagulu, omwe amapatsa wodwalayo kudya pafupipafupi kotero kuti, limodzi ndi jakisoni wa insulin, amatulutsa shuga. Zomwe zili zovomerezeka pamilandu iyi ndi:
- mazira a nkhuku;
- masamba obiriwira;
- nsomba zam'madzi ndi nsomba;
- nyama yodala, nkhuku;
- bowa;
- batala;
- tchizi chamafuta ochepa.
Zotsatirazi ndizoletsedwa:
- maswiti onse;
- zipatso (zonse popanda kupatula);
- chimanga;
- mbatata
- tsabola wa belu;
- beets;
- dzungu
- kaloti.
Kuphatikiza apo, pafupifupi zinthu zonse zamkaka (kupatula yogurt yamafuta ochepa ndi kirimu pang'ono), uchi, msuzi uliwonse ndi zinthu zomwe zimakhala ndi zotsekemera (xylitol ndi fructose) siziphatikizidwa. Kumbali imodzi, chakudyacho sichimapangitsa kusintha kwakukulu kwa magazi m'magazi ndipo imakupatsani mwayi wochepetsera mlingo wa insulin, womwe, wophatikiza. Koma mukamagwiritsa ntchito zinthu zoterezi, thupi lilibe malo oti lizipezako mphamvu. Anthu ambiri omwe ayesera kutsatira izi kwa nthawi yayitali amadandaula izi:
- kufooka ndi kutopa;
- kusokonezeka kwamaganizidwe, kupsa mtima komanso kuwawa chifukwa choletsa mosamalitsa zakudya zotsekemera ndi zina zodziwika bwino m'zakudya;
- matumbo amakonda kudzimbidwa.
Zakudya zama carb ochepa sizikhala njira yabwino kwambiri yopewera matenda a shuga, ngakhale kuli kwina komwe akatswiri ena adakuwona kukhala kothandiza kwambiri. Komabe, nthawi zambiri timalankhula za matenda ashuga amtundu wa 2, womwe munthu amafunikira kuchepetsa kuchuluka kwa shuga omwe amalowa mthupi.
Kusiyidwa kwathunthu kwa shuga wosavuta m'zakudya kungapangitse kuwonongeka ndi kutsika kwa ntchito, chifukwa ubongo sudzapeza pokwanira kupeza shuga wokwanira
Kutsatira chakudyachi cha matenda a shuga 1 kapena ayi ndi malo osangalatsa. Dokotala wodziwa bwino za endocrinologist yekha ndi amene angayankhe, yemwe nthawi zonse amayang'ana wodwalayo ndipo amadziwa za zovuta zina zaumoyo wake. Komanso ndizovuta kudya zamaganizidwe nthawi zonse, motero chiopsezo chotayika chakudya chimakulanso. Oimira ambiri am'nyumba akuvomerezabe kuti omwe amavutitsidwa ndi matenda amtundu wa 1 sakukakamizidwa konse. Ngati munthu akumva zabwinobwino, alibe zovuta, ndipo amadziwa kuimira molondola mlingo wa insulin, ndiye, monga lamulo, amatha kudya moyenera, powonera zonse.
Kodi zakudya No. 9 ndi ziti pomwe zimafunikira?
Zakudya za okhazikika za mtundu woyamba wa shuga sizimangolembedwa, koma kumayambiriro kwa matendawa ndikofunikira kumanganso zikhalidwe za munthu ndikumvetsetsa mfundo zatsopano za zakudya zake. Zakudya za 9 ndizothandiza pakudya kwa odwala matenda ashuga pamlingo wosankha mitundu yoyenera ya insulin. Amadziwika ndi zopatsa mphamvu zama calorie komanso zoletsa zamafuta am nyama.
Mosasamala za zakudya zomwe wodwala matenda ashuga amatsatira, ndibwino kuti muchepetse kapena kuchepetsa kumwa. Amawonjezera chiopsezo cha hypoglycemia ndipo zimatsogolera pakukula kwa mtima wamavuto.
Zinthu zomwe zimatha kudya izi:
- chimanga pamadzi;
- buledi (rye, chinangwa ndi ufa wa tirigu wamitundu iwiri);
- sopo wopanda msuzi komanso msuzi wokhala ndi nyama yokonda, bowa, nsomba ndi zomangira nyama;
- ma compotes osaphatikizika ndi timadziti tokhala ndi shuga wambiri;
- mitundu yamafuta ochepa a nyama ndi nsomba mumphika wophika ndi wowiritsa;
- masamba otsika a GI ndi zipatso;
- batala;
- tchizi chamafuta osachepera mafuta;
- kefir;
- mkaka
- tchizi tchizi cha mafuta otsika kwambiri kapena opanda mafuta kwathunthu;
- makeke osavomerezeka;
- vinaigrette;
- squash caviar;
- lilime la ng'ombe yophika;
- mafuta a azitona ndi chimanga chovala saladi.
Ndi chakudya ichi, simungathe kudya zakudya zamafuta, confectionery, mikate yoyera, maswiti ndi chokoleti. Mafuta ndi nsomba, marinade, msuzi ndi zokometsera zonunkhira, nyama yofukiza, mkaka womaliza komanso wowotchera mkaka wa mafuta abwinobwino simuperekedwa pachakudya. Pafupifupi, wodwala matenda ashuga ayenera kudya pafupifupi 2200-2400 kcal patsiku, malingana ndi malamulo oyendetsera thupi komanso kulemera koyambirira. Pakudya, thupi limakhala lodana ndi zomwe zimapangidwira ndipo zimatha kuwayankha mothandizidwa ndi insulin.
Ndi chakudya chokhazikitsidwa, ndikofunikira kuti mupange regimen inayake ndikudya nthawi yomweyo, musanachite izi, jekeseni wa insulin. Ndikwabwino kugawa mndandanda wa tsiku limodzi muzakudya 6, zomwe chakudya chamasana, chakudya cham'mawa komanso chakudya chamadzulo chimayenera kukhala ndi chakudya chofanana. Zakudya zitatu zofunikira ndizofunikira kuti mukhale athanzi komanso kupewa hypoglycemia. Zakudya za matenda amtundu wa 1 matenda ashuga ndi mawonekedwe a moyo nthawi zonse. Chifukwa cha chakudya chopatsa thanzi, jakisoni wa insulini, komanso kuwongolera shuga, magazi amatha kukhala nthawi yayitali ndipo matenda a shuga amatha kuwonongeka.
