Ukudla isifo sikashukela kuyindlela eyinhloko yokwelashwa (yokulawula) yalesi sifo, ukuvimbela izinkinga ezinzima nezingamahlalakhona. Ukuthi ukhetha ini ukudla, imiphumela incike kakhulu. Udinga ukunquma ukuthi yikuphi ukudla ozokudla nokuthi yikuphi okungakufaki, kangaki ngosuku nokuthi uzodla ngasikhathi sini nokuthi uzobala nokukhawulela amakhalori. Imithamo yamathebulethi ne-insulin iyaguqulwa ekudleni okukhethiwe.
Ukudla ngesifo sikashukela: okudingeka ukwazi iziguli
Izinhloso zokwelapha isifo sikashukela sohlobo 1 nohlobo 2 yilezi:
- gcina ushukela wegazi ngaphakathi kwemikhawulo eyamukelekayo;
- ukunciphisa ingozi yokuhlaselwa yisifo senhliziyo, unhlangothi, ezinye izinkinga ezinzima futhi ezingamahlalakhona;
- ube nokuphila okuzinzile, ukumelana nomkhuhlane kanye nezinye izifo;
- wehlise isisindo uma isiguli sikhuluphele.
Ukuzivocavoca umzimba, umuthi, kanye nemijovo ye-insulin kudlala indima enkulu ekufezeni izinhloso ezibhalwe ngaphezulu. Kepha noma kunjalo, lokhu kudla kuza kuqala. Iwebhusayithi yeDiabetes-Med.Com isebenza ukukhuthaza ukudla okune-carbohydrate ephansi phakathi kweziguli ezikhuluma isiRussia ezinomhlobo 1 nohlobo 2 lwesifo sikashukela. Kuyasiza impela, ngokungafani nenombolo evamile yokudla 9. Imininingwane yendawo isuselwa ezintweni zokwenziwa udokotela waseMelika uRichard Bernstein odume kakhulu, osekuphele iminyaka engaphezu kwengu-65 ephila nesifo sikashukela esibi. Namanje, ngaphezulu kweminyaka engama-80, uzizwa kahle, wenza izifundo zomzimba, uyaqhubeka nokusebenza neziguli futhi ashicilele izindatshana.
Bheka uhlu lokudla okuvunyelwe nolwenqatshelwe kokudla okuphansi kwe-carbohydrate. Zingaphrintwa, zilenga esiqandisini, ziphathwe nawe.
Ngezansi kuqhathaniswa okuningiliziwe kokudla okuphansi kwe-carbohydrate sikashukela "nokulinganiselayo", ukudla okunama-khalori aphansi No. 9. Ukudla okune-carbohydrate ephansi kukuvumela ukuba ulondoloze ushukela wegazi ozinzile, njengabantu abanempilo - akukho okuphezulu kune-5.5 mmol / l ngemuva kokudla ngakunye, futhi ekuseni nesisu esingenalutho. Lokhu kuvikela abanesifo sikashukela ekuqhakambeni kwezinkinga zamathambo. I-glucometer izokhombisa ukuthi ushukela uvamile, ngemuva kwezinsuku ezingama-2-3. Ngohlobo 1 nesifo sikashukela sohlobo 2, imithamo ye-insulin incishiswa izikhathi ezi-2-7. Iziguli ezinesifo sikashukela sohlobo 2 zingawashiya ngokuphelele amaphilisi alimazayo.
| Umbono ongaqondile | Kuliqiniso |
|---|---|
| Akukho kudla okukhethekile kwabanesifo sikashukela. Ungakwazi futhi kufanele udle okuncane kwakho konke. | Ungakudla noma yikuphi ukudla kuphela uma ungakhathazeki ngokusongelwa kwezinkinga zikashukela. Uma ufuna ukuphila isikhathi eside futhi ube nempilo enhle, kufanele unciphise ukudla kwakho kwama-carbohydrate. Ayikho enye indlela yokugwema ukugcwala ushukela ngemuva kokudla. |
| Ungadla noma yini, bese uqeda ushukela onamapilisi noma ne-insulin | Noma amaphilisi okwehlisa ushukela noma imijovo yemithamo emikhulu ye-insulin awasizi ukugwema ukwanda ushukela ngemuva kokudla, kanye nokugxuma kwawo. Iziguli ziba nezinkinga zesikhathi eside zesifo sikashukela. Ukuphakama umthamo wamathebhulethi ne-insulin, kuvame ukwenzeka i-hypoglycemia - ushukela wegazi uphansi kakhulu. Lokhu kuyinkinga ebulalayo, ebulalayo. |
| Isifo sikashukela singadla ushukela omncane | Ushukela wethebula, kufaka phakathi ansundu, ungokunye kokudla okuvinjelwe ekudleni okune-carbohydrate ephansi. Zonke izinhlobo zokudla okuqukethe nazo azivunyelwe. Ngisho namagremu ambalwa kashukela akhuphula kakhulu izinga le-glucose egazini leziguli ezinesifo sikashukela. Zihlole nge-glucometer bese uzibonela. |
| Isinkwa, amazambane, okusanhlamvu, pasta - imikhiqizo efanelekile futhi edingekayo | Isinkwa, amazambane, okusanhlamvu, i-pasta kanye nanoma yimiphi eminye imikhiqizo egcwala ama-carbohydrate ngokushesha futhi kukhuphula kakhulu ushukela wegazi. Hlala kude nokudla konke okusohlwini olungavunyelwe kokudla okune-carbohydrate enhlobo 1 nesifo sikashukela sohlobo 2. |
| Ama-carbohydrate ayinkimbinkimbi anempilo futhi ama-carbohydrate alula awalungile | Lokhu okuthiwa ama-carbohydrate ayinkimbinkimbi akunangozi kangako kunale elula. Ngoba ngokushesha futhi ngokubabazekayo bakhulisa ushukela wegazi ezigulini ezinesifo sikashukela. Kala ushukela wakho ngemuva kokudla ne-glucometer - bese uzibonela. Lapho uhlanganisa imenyu, ungagxili enkombeni ye-glycemic. Gcina uhlu lwemikhiqizo evunyelwe nenqatshelwe, isixhumanisi esinikezwe ngaphezulu, bese uyisebenzisa. |
| Inyama enamafutha, amaqanda enkukhu, ibhotela - kubi ngenhliziyo | Ucwaningo olwenziwe ngemuva konyaka we-2010 selukhombisile ukuthi ukudla amafutha ezilwane agcwele akenyusi ubungozi besifo senhliziyo. Yidla kancane inyama enamafutha, amaqanda enkukhu, ushizi onzima, ibhotela. ESweden, izincomo ezisemthethweni sezivele ziqinisekisa ukuthi amafutha ezilwane aphephile inhliziyo. Okulandelayo emgqeni kunamanye amazwe asentshonalanga, bese kuba yilawo akhuluma isiRussia. |
| Ungadla u-margarine ngoba awunayo i-cholesterol | I-Margarine iqukethe amafutha e-trans, ayingozi ngempela enhliziyweni, ngokungafani namafutha emvelo emvelaphi yezilwane. Ukudla okunye okuqukethe amafutha kufaka i-mayonnaise, ama-chips, izimpahla ezibhakiwe efektri, kanye nanoma yikuphi ukudla okuhleliwe. Banikele. Zilungiselele ukudla okunempilo ngokwakho kusuka emikhiqizweni yemvelo, ngaphandle kwamafutha wokufakelwa kanye nezengezo zamakhemikhali |
| I-fiber kanye namafutha kuvimbela ushukela ngemuva kokudla | Uma udla ukudla okugcwele kakhulu ama-carbohydrate, khona-ke i-fiber namafutha kuvimbela ukwanda ushukela ngemuva kokudla. Kepha lokhu kusebenza, ngeshwa, akubalulekile. Akusindisi kusuka ekugxumeni kukashukela wegazi nokukhula kwezinkinga zesifo sikashukela. Awungeke usebenzise imikhiqizo efakwe ohlwini olunqatshelwe ngaphansi kwanoma yiluphi uhlobo. |
| Izithelo ziphilile | Thayipha isifo sikashukela esingu-2 bese uthayipha izithelo ezi-1, kanye izaqathi kanye namabhere, kulimaza kakhulu kunokuhle. Ukudla lokhu kudla kukhuphula ushukela futhi kuvuselela ukukhuluphala. Yenqaba izithelo namajikijolo - phila isikhathi eside futhi unempilo. Thola amavithamini kanye namaminerali kumifino namakhambi okuvunyelwe ekudleni okuphansi kwe-carbohydrate. |
| I-Fructose inenzuzo, ayikhulisi ushukela wegazi | I-Fructose yehlisa ukuzwela kwezicubu ukungena ku-insulin, yakha imikhiqizo enobuthi "yokuphela kwe-glycation", yandisa izinga le-cholesterol "embi" egazini, kanye ne-uric acid. Ivuselela i-gout nokwakhiwa kwamatshe ezinso. Mhlawumbe kuphazamisa ukulawulwa kwesifiso sobuchopho, kubambezela ukubukeka komzwa wokugcwala. Ungadli izithelo nokudla "kwesifo sikashukela". Zilimaza kakhulu kunokuhle. |
| I-Dietary Protein Ibangela Ukwehluleka Kweqiniso | Ukwehluleka kwangempela kwiziguli ezinesifo sikashukela sohlobo 1 nohlobo 2 kubangela ushukela wegazi ophakeme, hhayi iprotheni yokudla. E-US States lapho kukhule khona inyama yenkomo, abantu badla amaprotheni amaningi kunakwizifundazwe lapho inyama yenkomo itholakala kancane. Kodwa-ke, ukwanda kokuhluleka kwezinso kuyafana. Shintsha ushukela wakho ngokudla okuphansi kwe-carbohydrate ukuvimbela ukukhula kwehluleki kwezinso. Funda isihloko esithi “Ukudla Izinso ezinesifo sikashukela.” |
| Udinga ukudla ukudla okukhethekile kwesifo sikashukela | Ukudla okunesifo sikashukela kuqukethe i-fructose njenge-sweetener esikhundleni se-glucose. Kungani i-fructose iyingozi - kuchazwe ngenhla. Futhi, lokhu kudla kuvame ukuqukethe ufulawa omningi. Gwema noma yikuphi ukudla “okuneshukela”. Ziyabiza futhi azinampilo. Futhi, ezigulini ezinesifo sikashukela sohlobo 2, akunqweneleki ukusebenzisa noma yiluphi ushukela. Ngoba esikhundleni sikashukela, ngisho nalezo ezingena-kilojoule, ungavumeli ukuthi ulahlekelwe isisindo. |
| Izingane zidinga ama-carbohydrate ukuze athuthukiswe | Ama-carbohydrate awadingekile, ngokungafani namaprotheni namafutha. Uma ingane ene-Type 1 sikashukela ibambelela ekudleni okulinganiselayo, khona-ke iyoba nokubambezeleka kokukhula nentuthuko ngenxa yoshukela oshukela. Ngaphezu kwalokho, iphampu ye-insulin ayisizi. Ukuqinisekisa ukukhula okujwayelekile kwengane enjalo, udinga ukudluliselwa ekudleni okuqinile kwe-carbohydrate. Iningi lezingane ezinesifo sikashukela sohlobo loku-1 sezivele ziphila futhi zikhula ngokujwayelekile, ngenxa yokudla okuphansi kwe-carbohydrate, emazweni akhuluma isiNtshonalanga nesiRussia. Abaningi baze bakwazi ukweqa i-insulin. |
| Ukudla okuphansi kwe-carbohydrate kuholela ku-hypoglycemia | Ukudla okunama-carbohydrate aphansi empeleni kungaholela ku-hypoglycemia uma ungangehlisi umthamo wamathebhulethi ne-insulin. Ithebhulethi yesifo sikashukela sohlobo 2 olungadala i-hypoglycemia kufanele ikhishwe ngokuphelele. Ukuthola eminye imininingwane, bheka "Imithi yesifo sikashukela." Ungayikhetha kanjani imithamo efanelekile ye-insulin - ufunde izinto ezingaphansi kwesihloko esithi "Insulin". Imithamo ye-insulin incishiswa izikhathi ezi-2-7, ngakho-ke ubungozi be-hypoglycemia buncishisiwe. |
Ukudla inombolo 9 sikashukela
Ukudla inombolo 9, (obizwa nangokuthi inombolo yetafula 9) kungukudla okudumile emazweni akhuluma isiRussia, anqunyelwe iziguli ezinesifo sikashukela esilinganiselwe nesilinganiselwe, ngokweqile kwesisindo somzimba. Ukudla inombolo 9 kulinganiselwe. Ukunamathela kukho, iziguli zidla amagremu ama-300-350 ama-carbohydrate ngosuku, amagremu angama-90-100 amaprotheni nama-75-80 amagremu wamafutha, okuthi kuwo okungenani ama-30% abe yimifino, engahlanjwanga.
Umongo wokudla ukunciphisa umkhawulo wokudla amakhalori, ukunciphisa ukusetshenziswa kwamafutha ezilwane kanye "ne-carbohydrate" elula. Ushukela namaswidi awafakwa. Zifakwa esikhundleni se-xylitol, i-sorbitol noma ezinye izinongo. Iziguli zelulekwa ukuthi zidle amavithamini amaningi nefayibha. Ukudla okunconyiwe okukhethekile y ushizi we-cottage shizi, inhlanzi enamafutha amancane, imifino, izithelo, isinkwa se-wholemeal, ama-whole flakes.
Ukudla okuningi okunconyelwa i- # 9 kuncoma ukukhuphula ushukela wegazi kwiziguli ezinesifo sikashukela ngakho-ke kuyingozi. Kubantu abane-metabolic syndrome noma i-prediabetes, lokhu kudla kubangela umuzwa ongapheli wendlala. Umzimba futhi wehlise ijubane le-metabolism ekuphenduleni ekunciphiseni umthamo wekhalori. Ukuphazamiseka kusuka ekudleni cishe akunakugwenywa. Ngemuva kwakhe, wonke amakhilogremu akwazi ukususwa abuya ngokushesha, futhi nokungeziwe. Iwebhusayithi yeDiabetes-Med.Com itusa ukuthi kudliwe ama-carb aphansi esikhundleni sokudla # 9 kweziguli zohlobo 1 nohlobo lwe-2 ezinesifo sikashukela.
Mangaki amakhalori ngosuku ongawadla
Isidingo sokunciphisa umkhalori, umuzwa ongapheli wendlala - lezi yizizathu ezenza ukuthi abantu abaningi abanesifo sikashukela bahlukane nokudla. Ukulungisa ushukela wegazi ngokwejwayelekile ngokudla okune-carbohydrate ephansi, awudingi ukubala amakhalori. Ngaphezu kwalokho, ukuzama ukunciphisa umkhawulo wokudla ikhalori kuyingozi. Lokhu kungaba kubi kakhulu ngalesi sifo. Zama ukungadli ngokweqile, ikakhulukazi ebusuku, kepha yidla kahle, ungabulawa yindlala.
Ukudla okunama-carbohydrate aphansi kuzodinga ukuyeka ukudla okuningi obekuthanda ngaphambili. Kepha nokho kuyathandeka futhi kuyamnandi. Iziguli ezinesifo se-metabolic syndrome kanye nesifo sikashukela zinamathela kalula kunokudla "okunamafutha amancane". Ngo-2012, imiphumela yocwaningo lokuqhathanisa yokudla okuphansi kwe-ketogenic ne-carbohydrate ephansi yashicilelwa. Lolu cwaningo lwalubandakanya iziguli ezingama-363 ezazivela eDubai, ezingama-102 zazo ezazinesifo sikashukela sohlobo 2. Ezigulini ezinamathela ekudleni okune-carbohydrate okugculisayo, ukuwohloka bekuyizikhathi eziphindwe ka-1.5-2.
Yikuphi ukudla okunempilo futhi okuyingozi?
Imininingwane eyisisekelo - Uhlu lokudla okuvunyelwe nolwenqatshelwe lokudla okuphansi kwe-carbohydrate. Ukudla kweziguli ezinesifo sikashukela kuya ngokuqinile kunezinketho ezifanayo zokudla okune-carbohydrate ephansi - ukudla kwaseKremlin, Atkins naseDucane. Kepha isifo sikashukela yisifo esibi kakhulu kunokukhuluphala noma i-metabolic syndrome. Ingalawulwa kahle kuphela uma imikhiqizoenqatshelwe ishiywe ngokuphelele ngaphandle kokwenza amaholide, endaweni yokudlela, ngokuhambela uhambo.
Imikhiqizo ebhalwe ngezansi inge-HARMFUL kuya kwabanesifo sikashukela:
- ubungozi obunsundu;
- pasta okusanhlamvu
- isinkwa esiphelele sokusanhlamvu;
- i-oatmeal kanye nanoma yikuphi okunye ukushwabana okusanhlamvu;
- ummbila
- ama-blueberries namanye amajikijolo;
- I-Jerusalema artichoke.
Konke lokhu kudla ngokwesiko kubhekwa njengokuphilile futhi kunempilo. Eqinisweni, zigcwele ama-carbohydrate, zandisa ushukela wegazi futhi ngenxa yalokho zilimaza kakhulu kunokuhle. Ungazidli.
Itiye le-herbal lesifo sikashukela, alisebenzi. Izidakamizwa zangempela ezinamandla zivame ukungezwa kumaphilisi we-clandestine akhulisa i-potency yowesilisa ngaphandle kwabathengi abaxwayisayo. Lokhu kubangela ukweqa komfutho wegazi neminye imiphumela emibi emadodeni. Ngendlela efanayo, kumakhambi e-herbal nezithako zokudla zesifo sikashukela, ezinye izinto ezinoshukela osezingeni eliphansi zingangezwa ngokungemthetho. Kulokhu, la ma-Teess azonciphisa ama-pancreas, abangele i-hypoglycemia.
Imibuzo nezimpendulo mayelana nokudla okuphansi kwe-carbohydrate Diet Foods - Ngingakudla ukudla okune-soya? - Bheka nge ...
Ishicilelwe nguSergey Kushchenko Disemba 7, 2015
Ungadla kanjani uma ukhuluphele
Ukudla okunama-carbohydrate aphansi kuqinisekisiwe ukwehlisa ushukela wegazi, noma isiguli sehluleka ukwehlisa isisindo. Lokhu kufakazelwa ukuzijwayeza, kanye nemiphumela yezifundo ezimbalwa ezincane. Isibonelo, bheka, i-athikili eyakhishwa kumagazini wolimi lwesiNgisi i-Nutrition and Metabolism ngonyaka we-2006. Ezigulini ezinesifo sikashukela sohlobo 2, ukudla okwenziwa nsuku zonke kwama-carbohydrate bekukhawulelwe ku-20% wokudla okwenziwe ikhalori ngokuphelele. Ngenxa yalokho, i-hemoglobin yabo ye-glycated yehle ukusuka ku-9.8% yaya ku-7.6% ngaphandle kokwehla kwesisindo somzimba. Iwebhusayithi yeDiabetes-Med.Com ikhuthaza kakhulu ukudla okune-carbohydrate okuqinile. Kwenza ukuthi kube nokugcina ushukela wegazi ujwayelekile, njengabantu abanempilo, kanye nasezigulini eziningi ukuze wehlise isisindo.
Akufanele ukhawule ngokwenziwe amafutha ekudleni kweziguli ezinesifo sikashukela. Yidla ukudla kwamaprotheni okunamafutha amaningi. Le yinyama ebomvu, ibhotela, ushizi onzima, amaqanda enkukhu. Amafutha adliwa ngumuntu awandisi isisindo somzimba wakhe futhi awanciphisi ukwehlisa isisindo. Futhi, azidingi ukwanda ngemithamo ye-insulin.
UDkt Bernstein wenza lokho kuhlola. Wayeneziguli ezinesifo sikashukela sohlobo olu-8 ezazidinga ukuba ngcono. Wabavumela ukuba baphuze uwoyela we-olivi nsuku zonke amasonto amane, ngaphezu kokudla okuvamile. Akekho kulezi ziguli owathola isisindo nhlobo. Ngemuva kwalokho, ngokunxenxa kukaDkt Bernstein, iziguli zaqala ukudla amaprotheni amaningi, ziqhubeka nokunciphisa umkhawulo wokudla kwazo ama-carbohydrate. Ngenxa yalokhu, bandise inqwaba yemisipha.
Ukudla okune-carbohydrate ephansi kuthuthukisa ushukela wegazi kuzo zonke iziguli ezinesifo sikashukela, yize kungasizi wonke umuntu ukwehla kwesisindo. Kodwa-ke, indlela engcono kakhulu yokunciphisa isisindo ayisekho. Ukudla okunama-kilojoule amancane kanye "namafutha aphansi" kusebenza kabi kakhulu. Umbhalo oqinisekisa lokhu washicilelwa ephephabhukwini i-Diabetesic Medicine ngoDisemba 2007. Ucwaningo lwalubandakanya iziguli ezingama-26, inxenye yazo yayihlushwa isifo sikashukela sohlobo 2, nengxenye yesibili ine-metabolic syndrome. Ngemuva kwezinyanga ezintathu, eqenjini lokudla elinama-carbohydrate ambalwa, ukwehla okujwayelekile kwesisindo somzimba kwakungu-6.9 kg, futhi eqenjini lokudla eline-calorie ephansi, kwakungu-2.1 kg kuphela.
Thayipha ukudla kweshukela kababili
Imbangela yesifo sikashukela sohlobo 2 kungukuzwa kwezicubu okuwohlakele kwe-insulin - ukumelana ne-insulin. Ezigulini, imvamisa azange zehliswe, kepha lenyuka amazinga e-insulin egazini. Esimweni esinjalo, ukugcina ukudla okunempilo nokuthatha imijovo ye-insulin - lokhu kukhulisa inkinga kuphela. Ukudla okune-carbohydrate ephansi yohlobo 2 sikashukela okukuvumela ukuba wenze ngokwejwayelekile ushukela ne-insulin egazini, ukulawula ukumelana ne-insulin.
Ukudla okunama-kilojoule aphansi ohlobo 2 lwesifo sikashukela akusizi, ngoba iziguli azifuni ukubekezelela indlala engapheli, noma ngaphansi kobuhlungu bezinkinga. Ngokuhamba kwesikhathi, cishe yonke into ivela ekudleni. Lokhu kube nemiphumela emibi yempilo. Futhi, umzimba ngokuphendula umkhawulo wekhalori wehlisa i-metabolism. Cishe kube nzima ukwehlisa isisindo. Ngaphezu kwendlala engapheli, isiguli sizwa ukuthi siyingozi, isifiso sokuzumeka.
Ukudla okune-carbohydrate ephansi kungukusindiswa kwabantu abanesifo sikashukela sohlobo 2. Kuyaqinisekiswa ukwenza ushukela wegazi ube ngokwejwayelekile, noma ngabe ungehlisi isisindo. Ungawenqaba amaphilisi ayingozi.Iziguli eziningi azidingi imijovo ye-insulin. Futhi kulabo abazidingayo, umthamo uncishiswa kakhulu. Kala ushukela wakho kaningi nge-glucometer - futhi ngokushesha uqiniseke ukuthi ukudla okune-carbohydrate okusebenzayo kuyasebenza, nenombolo yokudla 9 ayisebenzi. Lokhu kuzokuqinisekisa nokwenza ngcono inhlala-kahle yakho. Imiphumela yokuhlolwa kwegazi kwe-cholesterol ne-triglycerides yenziwa ijwayelekile.
Thayipha ukudla okukashukela oku-1
Umuthi osemthethweni uncoma ukuthi iziguli ezinesifo sikashukela sohlobo loku-1 zidle njengabantu abaphilile. Lesi yiseluleko esibi esenza ukuthi abantu abakhubazekile babulale amashumi ezinkulungwane zabantu. Ukwehlisa ushukela omningi ngemuva kokudla, odokotela banquma imithamo emikhulu ye-insulin, kodwa ayisizi okuningi. Njengoba ufundile ngokudla okuphansi kwe-carbohydrate, unethuba lokugwema ukukhubazeka nokufa ngaphambi kwesikhathi. Isifo sikashukela sohlobo 1 sigula kakhulu kunesifo sikashukela sohlobo 2. Kepha ukudla, okunconywe ngokusemthethweni, akunamandla kangako.
Ezigulini ezinesifo sikashukela sohlobo 1, inani elikhulu lama-carbohydrate adliwayo kanye nemithamo ephezulu ye-insulin alindelekile. Banemiphumela ehlukile kushukela wegazi ngezinsuku ezihlukile. Umehluko esenzweni se-insulin ungaba izikhathi ezingama-2-4. Ngenxa yalokhu, ushukela wegazi uyagxuma, obangela impilo engeyinhle kanye nokuthuthukiswa kwezinkinga. Isifo sikashukela sohlobo 2 silula ngoba basenokwenza umkhiqizo wabo we-insulin. Ijulukisa ukuguquguquka, ngakho-ke ushukela wegazi labo uzinze ngokwengeziwe.
Kodwa-ke, ezigulini ezinesifo sikashukela sohlobo loku-1, kukhona indlela yokugcina ushukela ojwayelekile ojwayelekile. Kuqukethe ukulandela ukudla okuqinile kwe-carbohydrate. Ama-carbohydrate amancane owadingayo, i-insulin encane oyidingayo ukuyifaka. Imithamo emincane ye-insulin (hhayi ephakeme ngaphezu kwamayunithi ayi-7 ngomjovo ngamunye) iyabikezelwa. Usebenzisa ukudla okune-carbohydrate ephansi kanye nokubalwa okunembile kwemithamo ye-insulin, ungaqinisekisa ukuthi ushukela ngemuva kokudla awukho ngaphezulu kuka-5.5 mmol / L. Futhi, ingagcinwa ihlale ijwayelekile phakathi nosuku nasekuseni ngesisu esingenalutho. Lokhu kuvimbela ukukhula kwezinkinga, kwenze ukuthi uphile ngokugcwele.
Okulandelayo idayari eyisampula yesiguli esinohlobo 1 sikashukela esashintsha ekudleni okune-carbohydrate ezinsukwini ezimbalwa ezedlule.
Uhlobo lokudla loku-1 sikashukela: idayari yokudla okunempilo
Isiguli sinesifo sikashukela esincike ku-insulin iminyaka eminingana. Sonke lesi sikhathi, isiguli sasilandela ukudla “okunokulinganisela” futhi sifake imithamo ephezulu ye-insulin. Ngenxa yalokhu, ushukela wagcina ephezulu, futhi kwavela ukuvela kwezinkinga zesifo sikashukela. Isiguli siqongelele cishe ama-8 kg wamafutha okhalweni. Lokhu kunciphisa ukuzwela kwayo ku-insulin, yingakho kudingeka ukufaka imithamo ephezulu yeLantus, kanye ne-insulin Humalog enamandla yokudla.
Umthamo we-insulin Lantus enwetshiwe usenganembile. Ngenxa yalokhu, ngesikhathi se-3 a.m. hypoglycemia yenzeka, eyayimiswa ngokuthatha amaphilisi we-glucose. Amagremu ama-2 we-carbohydrate kuphela ayenele ukukhulisa ushukela abejwayelekile.
Idayari ikhombisa ukuthi ushukela uhlala cishe uvamile usuku lonke ngenxa yokudla okuphansi kwe-carbohydrate kanye nokwenza kahle imithamo ye-insulin. Ngesikhathi esiboniswe esithombeni, umthamo we-insulin usevele wehle amahlandla ama-2. Ngokuzayo, isiguli sanda umsebenzi womzimba. Ngenxa yalokhu, bekungenzeka ukuthi kuqhubeke kuncishiswe umthamo we-insulin ngaphandle kokukhuphuka kwamanani kashukela. I-insulin encane egazini, kuba lula ukwehlisa isisindo. Amakhilogremu angeziwe ahamba kancane. Njengamanje, isiguli siphila impilo enempilo, sigcina ushukela ojwayelekile oqinile, sinomzimba omncane futhi asikhulisi ngokushesha kunontanga yakhe.
Ukwehluleka kwangempela
Ukwehluleka kwangempela kwiziguli ezinesifo sikashukela akubangelwa yiprotheni yokudla, kepha izinga likashukela eliphakeme elingamahlalakhona. Ezigulini ezinokulawula kabi ushukela wazo, ukusebenza kwezinso kuba kubi kancane kancane. Imvamisa lokhu kuhambisana nomfutho wegazi ophakeme - umfutho wegazi ophakeme. Ukudla okune-carbohydrate ephansi kukuvumela ukuthi ujwayele ushukela futhi ngaleyo ndlela kuvimbele ukuthuthukiswa kokwehluleka kwezinso.
Lapho ushukela esigulini sikashukela sibuyele kokujwayelekile, ukuthuthukiswa kokuhluleka kwezinso kuyema, naphezu kokukhula kokuqukethwe kweprotheni (amaprotheni) ekudleni. Ngokwesenzo sikaDkt Bernstein, kuye kwaba nezimo eziningi lapho iziguli zibuyiselwe khona izinso, njengasebantwini abaphilile. Kodwa-ke, kukhona iphuzu lokungabuyi, emva kwalokho ukudla okune-carbohydrate okuncane akusizi, kodwa kunalokho kusheshisa ukuguqulwa kokuguqulwa kwezimpawu. UDkt Bernstein ubhala ukuthi leli phuzu lokungabuyi izinga lokuhlungwa kwezinso izinso (imvume ye-creatinine) ngaphansi kwama-40 ml / min.
Funda isihloko esithi “Ukudla Izinso ezinesifo sikashukela.”
Imibuzo Ebuzwa Njalo nezimpendulo
I-endocrinologist incoma okuphambene - ubani okufanele engikholwe?
Funda ukuthi ungayikhetha kanjani imitha efanele. Qiniseka ukuthi imitha yakho ayiqambi amanga. Ngemuva kwalokho, hlola ukuthi izindlela ezihlukile zokwelashwa (zokulawula) zosizo lwe -abetes mellitus zisiza kanjani. Ngemuva kokushintshela ekudleni okuphansi kwe-carbohydrate, ushukela uyancipha ngemuva kwezinsuku ezingama-2-3. Uyazinza, umjaho wakhe uyema. Inombolo yokudla enconywe ngokusemthethweni enganikezi imiphumela enjalo.
Ungadonsa kanjani ngaphandle kwendlu?
Hlela ukudla kwakho kusenesikhathi, ubalungiselele. Phatha ingulube ebilisiwe, amantongomane, ushizi onzima, ukhukhamba omusha, iklabishi, imifino. Uma ungahleleli umthamo, khona-ke lapho ulamba, ngeke ukwazi ukuthola ukudla okulungile ngokushesha. Njengendlela yokugcina, thenga futhi uphuze amaqanda aluhlaza.
Ngabe indawo yeshukela ivunyelwe?
Iziguli ezinohlobo olune-insulin oluthembele ku-insulin zingasebenzisa ngokuphepha i-stevia, kanye namanye ama-sweeteners angalikhulisi ushukela wegazi. Zama ukwenza ushokoledi owenziwe nge-sweeteners. Kodwa-ke, ngesifo sikashukela sohlobo 2, akunakufisa ukusebenzisa noma yikuphi ukufaka esikhundleni sikashukela, kufaka phakathi i-stevia. Ngoba bandisa ukukhiqizwa kwe-insulin yi-pancreas, ukuvimbela ukuncipha kwesisindo. Lokhu kufakazelwe ngocwaningo nokwenza.
Ngabe utshwala buvunyelwe?
Yebo, ukusetshenziswa okulinganiselayo kwezithelo ezingenawo ushukela kuvunyelwe. Ungaphuza utshwala uma ungenazo izifo zesibindi, izinso, i-pancreatitis. Uma ungumlutha wotshwala, kulula ukuthi ungaphuzi nakancane kunokuzama ukugcina ngokulingana. Ngemininingwane engaphezulu, funda isihloko esithi “Utshwala Kokudla Sikashukela.” Ungaphuzi ebusuku ukuze ushukela omuhle ekuseni olandelayo. Ngoba akukude kakhulu ukulala.
Ngabe kuyadingeka yini ukukhawula amafutha?
Akufanele ubeke umkhawulo owenziwe ngobuhlakani amafutha. Lokhu ngeke kukusize ukuthi wehlise isisindo, wehlise ushukela wegazi lakho, noma ufeze ezinye izinhloso zokwelapha ushukela. Yidla inyama ebomvu enamafutha, ibhotela, ushizi onzima ngokuzolile. Amaqanda enkukhu alungile ikakhulukazi. Aqukethe ukwakheka okulingana ngokuphelele kwama-amino acid, akhulisa i- "cholesterol" enhle "egazini futhi ayabizi. Umbhali waleso sikhungo Diabetes-Med.Com idla amaqanda angaba ngu-200 ngenyanga.
Yikuphi ukudla okuqukethe amafutha emvelo anempilo?
Amafutha emvelo yemvelaphi yezilwane awaphilile kangako njengemifino. Yidla izinhlanzi ezinamafutha olwandle izikhathi ezingama-2-3 ngesonto noma uthathe amafutha enhlanzi - lokhu kulungele inhliziyo. Gwema imajarini kanye nanoma yikuphi ukudla okuhleliwe ukugwema ukudla amafutha ayingozi. Thatha ukuhlolwa kwegazi kwe-cholesterol ne-triglycerides ngokushesha, bese kuthi ngemuva kwamasonto angama-6-8 ushintshele ekudleni okune-carbohydrate ephansi kancane. Qiniseka ukuthi imiphumela yakho iyathuthuka yize kudliwa ukudla okuqukethe amafutha ezilwane. Eqinisweni, zithuthukisa ngenxa yokubonga kokusetshenziswa kokudla okuqukethe i-cholesterol "enhle".
Ingabe usawoti kufanele ube nomkhawulo?
Kwabanesifo sikashukela esine-hypertension noma ukuhluleka kwenhliziyo, odokotela bavame ukuncoma ukuthi ulinciphise kakhulu usawoti wakho Kodwa-ke, ukudla okune-carbohydrate ephansi kususa uketshezi oluningi emzimbeni. Ngenxa yalokhu, iziguli zinethuba lokudla usawoti omningi ngaphandle kokulimaza impilo. Bheka futhi izindatshana "I-Hypertension" kanye "Ukwelashwa kokuhluleka kwenhliziyo."
Ezinsukwini zokuqala ngemuva kokuguqukela ekudleni okunama-carbohydrate aphansi, impilo yami yaba nzima. Okufanele ukwenze
Izimbangela zezempilo ezingezinhle:
- ushukela wegazi wehle kakhulu;
- uketshezi ngokweqile lushiye umzimba, futhi ngalo amaminerali-electrolyte;
- ukuqunjelwa
Okufanele ukwenze uma ushukela wegazi wehla kakhulu, funda isihloko esithi "Izinjongo zokwelashwa sikashukela: yiluphi ushukela odinga ukwenziwa." Ungabhekana kanjani nokuqunjelwa ekudleni okune-carb ephansi, funda lapha. Ukunxenxa ukuswela kwe-electrolyte, kunconywa ukuphuza inyama enosawoti noma umhluzi wenkukhu. Ezinsukwini ezimbalwa, umzimba uzojwayela impilo entsha, impilo izobuyiselwa futhi iphuculwe. Ungazami ukukhawulela umthamo wekhalori ngokulandela ukudla okune-carbohydrate ephansi.
