Amayunithi wesinkwa sikashukela. Ithebula le-XE

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Ukudla okunesifo sikashukela i-mellitus kunquma isikhathi sokuphila.
Isimo esijwayelekile somuntu, isilinganiso sokubhujiswa kwemithambo yegazi, inhliziyo, izinso, ukuhlangana, amehlo, kanye nesivinini sokugeleza kwegazi nokukhula okungenzeka kwe-gangrene yezindawo ezinqunyelwe kuncike ezingeni likashukela egazini likashukela.

Ukulawulwa kwansuku zonke kwenani lama-carbohydrate, imenyu isebenzisa okubizwa ngokuthi yisinkwa unit - XE. Ikuvumela ukuthi unciphise yonke inhlobo yemikhiqizo yama-carbohydrate ohlelweni olujwayelekile lokuhlola: kungakanani ushukela ozongena egazini lomuntu ngemuva kokudla. Ngokusekelwe kumanani we-XE womkhiqizo ngamunye, kuhlanganiswa imenyu yesifo sikashukela nsuku zonke.

Iyini iyunithi lesinkwa le-XE?

Ukusetshenziswa kwamayunithi esinkwa ekubalweni komkhiqizo kwahlongozwa yisazi sezempilo saseJalimane uKarl Noorden ekuqaleni kwekhulu lama-20.

Ingxenye yesinkwa noma i-carbohydrate iyinani le-carbohydrate edinga amayunithi ama-2 we-insulin ukumuncwa kwayo. Ngasikhathi sinye, i-1 XE inyusa ushukela ngo-2.8 mmol / L.

Ingxenye eyodwa yesinkwa ingaqukatha kusuka kuma-10 kuye kwayi-15 g ama-carbohydrate angagaya. Inani eliqondile lesikhombisi, 10 noma 15 g kashukela ku-1 XE, kuya ngamazinga ezokwelapha amukelekile ezweni. Isibonelo

  • Odokotela baseRussia bakholelwa ukuthi i-1XE ingu-12 g wama-carbohydrate (10 g - ngaphandle kokufaka i-fiber ekudleni kumkhiqizo, i-12 g - kufaka ne-fiber),
  • e-USA, i-1XE ilingana nama-gramu ayi-15 kashukela.
Amayunithi wesinkwa ayisilinganiso esinzima. Isibonelo, iyunithi elilodwa lesinkwa liqukethe u-10 g kashukela. Futhi ucezu olulodwa lwesinkwa lilingana nocezu lwesinkwa olungu-1 cm, olunqunywe kusinkwa esivamile "isitini".
Udinga ukwazi ukuthi isilinganiso se-1XE samayunithi ama-2 we-insulin nawo siyinkomba futhi siyahluka ngesikhathi sosuku. Ukwabela iyunithi lesinkwa elifanayo ekuseni, kuyadingeka amayunithi ama-2 e-insulin, ekudleni kwasemini - 1.5, kuthi kusihlwa - kube-1 kuphela.

Umuntu udinga malini amayunithi esinkwa?

Izinga lokusebenzisa i-XE lincike endleleni yokuphila yomuntu.

  • Ngokusebenza kanzima ngokomzimba noma ukubuyisa isisindo somzimba nge-dystrophy, kuze kufike kuma-30 XE ngosuku kuyadingeka.
  • Ngomsebenzi olinganiselayo nesisindo somzimba esivamile - aze afike ku-25 XE ngosuku.
  • Ngomsebenzi wokuhlala phansi - kuze kufike ku-20 XE.
  • Ezigulini ezinesifo sikashukela mellitus - kuze kufike ku-15 XE (ezinye izincomo zezokwelapha zivumela abanesifo sikashukela kuze kufike ku-20 XE).
  • Ngokukhuluphala - kuze kufike ku-10 XE ngosuku.
Kokudla okukodwa, kunconywa ukuthi udle kusuka ku-3 kuye ku-6 XE (hhayi ngaphezu kwe-7XE).
Ama-carbohydrate amaningi kufanele adliwe ekuseni. Isifo sikashukela sincoma ukudla okuhlanu ngosuku. Lokhu kukuvumela ukuthi unciphise inani loshukela olufakwa egazini ngemuva kokudla ngakunye (inani elikhulu lama-carbohydrate esidlweni esisodwa kuzoholela ekugxumeni kukashukela egazini).

Iziguli ezinesifo sikashukela ziyelulekwa ukuthola amayunithi esinkwa alandelayo ngosuku:

  • Isidlo sasekuseni - 4 HE.
  • Isidlo sasemini - 2 XE.
  • Isidlo sasemini - 4-5 XE.
  • Isidlakela - 2 XE.
  • Ukudla kwakusihlwa - 3-4 XE.
  • Ngaphambi kokulala - 1-2 XE.

Izinhlobo ezimbili zokudla zenzelwe ukondliwa kwabanesifo sikashukela:

  1. ukulinganisela - kuncoma ukusetshenziswa kwe-15-20 XE ngosuku. Luhlobo lokudla olulinganiselayo olunconywa ngabaningi bezokwelapha nodokotela abagcina inkambo yesi sifo.
  2. I-carbohydrate ephansi - ibonakala ngokudla kakhulu kwe-carbohydrate, kuze kufike ku-2 XE ngosuku. Ngasikhathi sinye, izincomo zokudla okuphansi kwe-carb zintsha. Ukuqashelwa kweziguli kulokhu kudla kubonisa imiphumela emihle nokwenza ngcono, kepha kuze kube manje lolu hlobo lokudla aluqinisekiswa yimiphumela yemithi esemthethweni.

Ukudla uhlobo 1 nesifo sikashukela sohlobo 2: umehluko

  • Uhlobo 1 sikashukela luhambisana nomonakalo kumaseli we-beta, bayayeka ukukhiqiza i-insulin. Ngohlobo 1 sikashukela, kuyadingeka ukubala ngokunembile i-XE kanye nethamo le-insulin, okumele lifakwe ngaphambi kokudla. Asikho isidingo sokulawula inani lamakhalori futhi unqande ukusetshenziswa kokudla okunama-khalori aphezulu. Imikhiqizo kuphela enenkomba ye-glycemic ephezulu ilinganiselwe (idonswa ngokushesha futhi ibangele ukwanda okubukhali koshukela - ujusi omnandi, ujamu, ushukela, ikhekhe, ikhekhe).
  • Isifo sikashukela sohlobo 2 sihambisana nokufa kwamaseli we-beta. Ngesifo sohlobo 2, kukhona amaseli we-beta, futhi asebenza ngokugcwala ngokweqile. Ngakho-ke, ukondleka kohlobo lwesifo sikashukela sohlobo 2 kubeka umkhawulo ekudleni kwemikhiqizo ye-carbohydrate ukuze kunikezwe amaseli we-beta ukuphumula okulindelwe isikhathi eside futhi kuvuselele ukulahleka kwesisindo sesiguli. Kulokhu, zombili inani le-XE nekhalori zibaliwe.

Isifo sikashukela sekhalori

Iningi leziguli ezitholakala zinesifo sikashukela sohlobo 2 zikhuluphele.
  85% wesifo sikashukela sohlobo 2 sabangelwa ngamafutha ngokweqile. Ukuqongelelwa kwamafutha kuthuthukisa ukukhula kwesifo sikashukela lapho kukhona into eyifa. Ukulawula isisindo kushukela, nakho, kuvimbela izinkinga. Ukwehla kwesisindo kuholela ekukhuphuleni esikhathini sokuphila kwesifo sikashukela. Ngakho-ke, iningi leziguli ezinesifo sikashukela sohlobo 2 akufanele zilawule i-XE kuphela, kodwa futhi nokuqukethwe kwekhalori yemikhiqizo.

Okuqukethwe kwekhalori kokudla uqobo akuthinti inani likashukela egazini. Ngakho-ke, ngesisindo evamile inganakwa.
Ukudla nsuku zonke amakhalori nakho kuncike kwendlela yokuphila futhi kuyehluka kusuka ku-1500 kuye ku-3000 kcal. Ungasibala kanjani isibalo samakhalori adingekayo?

  1. Sinquma inkomba ye-basal metabolism (OO) ngefomula
    • Okwabesilisa: OO = 66 + isisindo, kg * 13.7 + ukuphakama, cm * 5 - ubudala * 6.8.
    • Kwabesifazane: OO = 655 + isisindo, kg * 9.6 + ukuphakama, cm * 1.8 - ubudala * 4.7
  2. Inani elitholwe le-OO esebenzayo liphindaphindwe ngenhlanganisela yokuphila:
    • Umsebenzi ophezulu kakhulu - OO * 1.9.
    • Umsebenzi ophakeme - OO * 1.725.
    • Umsebenzi ojwayelekile ngu-OO * 1.55.
    • Umsebenzi omncane - OO * 1,375.
    • Umsebenzi ophansi - OO * 1.2.
    • Uma kunesidingo, yehlisa isisindo, isilinganiso sekhalori yansuku zonke sincishiswa ngu-10-20% wenani elifanele.
Sinikeza isibonelo. Ngokwesisebenzi esisehhovisi eliyisisindo esinesisindo esingu-80 kg, ukuphakama okungu-170 cm, iminyaka engama-45, isiguli esinesifo sikashukela futhi esihola indlela yokuphila yokuhlala, isimo sokalori sizoba ngu-2045 kcal. Uma evakashela ejimini, lapho-ke ukudla kwakhe kilojoule yansuku zonke kuzonyukela ku-2350 kcal. Uma kunesidingo sokunciphisa isisindo, isilinganiso sansuku sehliselwa ku-1600-1800 kcal.
Okuqukethwe ama-carbohydrate, amaprotheni, amafutha, okuqukethwe kwekhalori kwemikhiqizo eseqediwe kukhonjisiwe kuphakethe.
Ngokusekelwe kulokhu, ungbala ukuthi mangaki amakhalori ku-bun esinikezwe, ukudla okusemathinini, ubisi olubilisiwe noma ujusi. Inani lamakhalori nama-carbohydrate akhonjisiwe ku-100 g walo mkhiqizo. Ukuze unqume okuqukethwe kwekhalori yesinkwa noma iphakethe lamakhukhi, udinga ukubala okuqukethwe kwe-carbohydrate ngesisindo sepakethe.

Sinikeza isibonelo.
Okuqukethwe kwekhalori kwe-158 kcal nokuqukethwe kwe-carbohydrate ka-2.8 g nge-100 g kukhonjisiwe kwiphakethe likakhilimu omuncu onesisindo esingu-450 g .. Sibala inani lama-kilojoule kwisisindo sepakethe ngalinye angama-450 g.
158 * 450/100 = 711 kcal
Ngokufanayo, sibala okuqukethwe kwe-carbohydrate kwiphakheji:
2.8 * 450/100 = 12,6 g noma 1XE
Okusho ukuthi, umkhiqizo uphansi-i-carb, kepha ngasikhathi sinye ikhalori ephezulu.

Ithebula amayunithi esinkwa

Sinika inani le-XE ngezinhlobo ezisetshenziswa kakhulu zokudla nokudla okulungile.

Igama lomkhiqizoInani lomkhiqizo ku-1XE, gAmakhalori, kcal nge-100 g
Amajikijolo, izithelo nezithelo ezomile
Amabhilikosi omisiwe20270
Banana6090
Pearl10042
Iphayinaphu11048
I-Apricot11040
I-Watermelon13540
Tangerines15038
I-Apple15046
Ama-raspberries17041
Ama-Strawberry19035
Ulamula27028
Isithandwa15314
Imikhiqizo yokusanhlamvu
Isinkwa esimhlophe (esisha noma esomile)25235
Isinkwa se-rye sikakolweni30200
Oatmeal2090
Ukolweni1590
Ilayisi15115
Buckwheat15160
Flour15 g329
UManka15326
Amagatsha5032
Daya i-pasta15298
Imifino
Ummbila10072
Iklabishi15090
Peas oluhlaza19070
Ukhukhamba20010
Ithanga20095
Isitshalo seqanda20024
Ijusi yetamatisi25020
Ubhontshisi30032
Izaqathi40033
UBeetroot40048
Greenery60018
Imikhiqizo yobisi
Inhlama100280
Izithelo yogathi10050
Ubisi oluvinjelwe130135
I-yogurt engaphendulwanga20040
Ubisi, amafutha e-3.5%20060
I-Ryazhenka20085
Kefir25030
Ukhilimu omuncu, 10%116
Ushizi we-Feta260
Amantongomane
UCashew40568
Umsedari50654
I-Pistachio50580
Ama-alimondi55645
Ama-Hazelnuts90600
Ama-Walnuts90630
Imikhiqizo yenyama nezinhlanzi *
Inkomo Ecijile0180
Isibindi senkomo0230
Inyama esisikiwe, inyama egayiwe kuphela0220
Inkukhu yengulube0150
I-chop chop0340
Trout0170
Izinhlanzi zasemfuleni0165
ISalimoni0145
Iqandangaphansi kuka-1156

*Amaprotheni ezilwane (inyama, inhlanzi) ayiqukethe ama-carbohydrate. Ngakho-ke, inani le-XE kuyo ayi-zero. Okuhlukile izitsha zenyama, lapho kulungiswa ama-carbohydrate asetshenziswa ngaphezu kwalokho. Isibonelo, isinkwa esofakiwe noma i-semolina imvamisa yengezelwa enyameni eyosiwe.

Okuqukethwe kwe-carbohydrate yeqanda kungama-0,4 g nge-100 g yeqanda. Ngakho-ke, i-XE kumaqanda ayilingani no-zero, kodwa akubalulekanga kangako.

Iziphuzo
Ijusi le-Orange10045
Ijusi le-Apple10046
Tea noshukela15030
Ikhofi noshukela15030
I-Compote250100
Kissel250125
Kvass25034
Ubhiya30030
Amaswidi
I-Marmalade20296
Ushokoledi wobisi25550
Ikhekhe le-Custard25330
U-ayisikhilimu80270

Ithebula - i-XE kwimikhiqizo eseqediwe nezitsha

Igama lomkhiqizo oqediweInani lomkhiqizo ku-1XE, g
Inhlama yemvubelo25
Puff khekhe35
Yila30
Pancake ushizi we-cottage shizi noma inyama50
Amadombolo nge-cottage shizi noma ngenyama50
Utamatisi kasoso50
Amazambane abilisiwe70
Amazambane abunjiwe75
Ama-Byte enkukhu85
Iphiko lenkukhu100
I-Syrniki100
I-Vinaigrette110
Imibhida yeklabishi yemifino120
Isobho le-pea150
IBorsch300

Inkomba ye-Glycemic - yini futhi ibaluleke kangakanani?

Enye inkomba ikhona futhi isetshenziselwa ukubala imenyu yabanesifo sikashukela - inkomba ye-glycemic. Lesi yisilinganiso sokufakwa kwe-carbohydrate emathunjini.

Umkhiqizo onenkomba ye-glycemic ephezulu (uju, ushukela, ujamu, ujusi omnandi - ama-carbohydrate asheshe angenawo amafutha) ubonakala ngesilinganiso sokumunca kakhulu. Ngaso leso sikhathi, ushukela wegazi ophakeme wakhiwa ngokushesha futhi ufinyelela amanani aphezulu.

Kwimikhiqizo enenkomba ephansi ye-glycemic (aqukethe amafutha ngaphezu kwama-carbohydrate), isilinganiso sokumunca amathumbu sincishisiwe. Zimunca isikhathi eside futhi kancane kancane ziletha ushukela egazini lomuntu (ama-carbohydrate aphambili). Ukunyuka kwesilinganiso senani likashukela egazini akwenzeki, izinga lokulimala kwemithambo liphansi, futhi inani le-insulin liphansi.

Amayunithi esinkwa kanye nokushintshwa kwamandla abantu

Amandla omzimba womuntu akhiwa kusuka kuma-carbohydrate, angena ngaphakathi nokudla. Emathunjini, ama-carbohydrate adilizwa abe amashukela alula futhi adonswe egazini. Igazi lithwala ushukela (ushukela) kumaseli womzimba. I-glucose yamaseli ingumthombo oyinhloko wamandla.

Ngokushesha ngemuva kokudla, kukhuphuka ishukela egazini. Ushukela omningi, i-insulin ethe xaxa iyadingeka. Emzimbeni onempilo, ukukhiqizwa kwe-insulin kulawulwa ama-pancreas. Esikhathini sikashukela, umuntu kufanele abale ukuthi udinga malini i-insulin egazini ukuze amungene eningi lama-carbohydrate adliwayo. Kulokhu, ukweqisa kanye nokuntuleka kwe-insulin kuyingozi ngokulinganayo.

Usebenzisa amatafula wokuqukethwe kwamayunithi wesinkwa ekudleni nasezitsheni kukuvumela ukuthi unqume ngokushesha inani le-insulin edingekayo futhi udwebe kahle imenyu yesifo sikashukela.

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