Ngemuva kokufunda i-athikili ethi "Unganciphisa Kanjani Ushukela Wegazi Kujwayelekile," ufunde ukuthi yikuphi ukudla okusiza kakhulu ukulawula isifo sikashukela, futhi yikuphi okungcono ukungakugwebi. Lolu imininingwane ebaluleke kakhulu eyisisekelo ekudleni okune-carbohydrate yohlobo 1 nohlobo 2 sikashukela. Esihlokweni sanamuhla, sizoxoxa ngokuthi ungahlela kanjani ukudla ngaphambi kwesikhathi futhi wakhe imenyu.
Ochwepheshe abanolwazi bathi “wonke umuntu unesifo sakhe sikashukela,” futhi kuyiqiniso. Ngakho-ke, isiguli ngasinye sidinga ukudla kwabo kwe-carb ephansi kwesifo sikashukela. Imigomo ejwayelekile yokulawula ushukela wegazi kushukela ifana kuwo wonke umuntu, kepha iqhinga eliphumelelayo lingelamuntu ngamunye onesifo sikashukela.
Ulungiselela ukushintshela ekudleni okune-carbohydrate encane ukuze ulawule ngempumelelo isifo sikashukela futhi ugcine ushukela wegazi lakho uzinzile njengokujwayelekile kubantu abaphilile. Lapho izihlobo nabangane bethola ukuthi uzodlani, bazomangala futhi bazokuqeda amandla. Bazokugcizelela ukuthi udinga ukudla izithelo nama-carbohydrate “ayinkimbinkimbi,” futhi inyama imbi. Zingaba nezinhloso ezinhle kakhulu, kepha imibono yesikhathi esidlule mayelana nokudla okuhle koshukela.
Esimweni esinjalo, umuntu onesifo sikashukela udinga ukugoba ngokuqinile umugqa wakhe futhi ngasikhathi sinye avame ukukala ushukela wegazi. Izindaba ezimnandi ukuthi amathiphu wethu wokudla sikashukela awadingi ukuthathwa kalula. Qiniseka ukuthi unemitha ye-glucose enembile (ukuthi ungayenza kanjani, bona lapha), bese uzama ukudla kuphela lokho esikuncoma izinsuku ezimbalwa. Ngaso leso sikhathi, yenqaba ngokuphelele imikhiqizo engavunyelwe. Ezinsukwini ezimbalwa, ngokusho kobufakazi be-glucometer, kuzocaca ukuthi ukudla okune-carbohydrate ephansi kwehlisa ushukela wegazi ngokushesha. Eqinisweni, le ndlela isebenza ku-100% yamacala. Uma ushukela wegazi uhlala uphakeme, kusho ukuthi ama-carbohydrate afihlekile eqa endaweni ethile ekudleni kwakho.
Ukulungela Ukudla Okuphansi Kwe-Carb
Odinga ukukwenza ngaphambi kokushintshela ekudleni okuphansi kwe-carb ukulawula isifo sikashukela:
- Funda ngokucophelela i-athikili "Ukubalwa Kwe-Dose and Technique for Insulin Administration". Qonda ukuthi ungabale kanjani i-insulin "emfushane" ne "enwetshiwe" ngokuya ngezinkomba zoshukela wegazi. Lokhu kudingekile impela ukuze wehlise ngokwanele umthamo wakho we-insulin. Uma okuthile kungacacile - buza imibuzo kumazwana.
- Funda i-athikili yethu enemininingwane nge-hypoglycemia. Hlola izimpawu ze-hypoglycemia emnene nokuthi ungayeka kanjani ngesikhathi ukuze kungabi nokuhlaselwa okunzima. Gcina imitha yakho namathebulethi kashukela esebenziseka ngaso sonke isikhathi.
- Uma uthatha noma yiliphi iphilisi likashukela elingelesigaba se-sulfonylurea derivatives, lahla. Kungani le mithi iyingozi ichazwa ngokuningiliziwe lapha. Ikakhulu, zingadala i-hypoglycemia. Ukusetshenziswa kwazo akunamsebenzi. Isifo sikashukela singalawulwa kahle ngaphandle kwabo, ngezindlela ezinempilo nezphephile.
Imvamisa, iziguli ezinesifo sikashukela zinikezwa amakhophi okudla ejwayelekile kuwo wonke umuntu ehhovisi lodokotela noma emakilasini eqembu, futhi bayanxuswa ukuba bakulandele. Ngasikhathi sinye, njengomthetho, awachazi lutho ngempela, ngoba baningi abanesifo sikashukela, futhi bambalwa abezokwelapha. Le akuyona neze indlela yethu! Ukwenza uhlelo lokudla komuntu ngamunye lokudla kwesifo sikashukela esise-carb kancane kuyinqubo yokukhumbuza izingxoxo zebhizinisi eziyinkimbinkimbi. Ngoba udinga ukuthi ubheke izinto eziningi ezingqubuzanayo, njengezintshisakalo zamaqembu ahlukene ezingxoxweni.
Uhlelo oluhle lokudla okunempilo lokudla okunesifo sikashukela esine-carbohydrate yinye isiguli esifunayo futhi empeleni singasilandela. Kungaba umuntu ngamunye, ukukhulisa inqubo yakho yansuku zonke, imikhuba eqhubekayo, futhi kufaka nemikhiqizo oyithandayo.
Yiluphi ulwazi oludinga ukuqoqwa ngaphambi kokuqhamuka nohlelo lokudla komuntu siqu lokudla okune-carbohydrate yangaphansi kashukela:
- Amarekhodi kanye nemiphumela yokulawulwa kokushukela okuphelele kwamaviki angu-1-2. Khombisa hhayi izinkomba ze-glucose kuphela, kepha nemininingwane ehlobene. Udleni? Ngasiphi isikhathi? Yimaphi amaphilisi kashukela aphuzwa futhi kukuphi imithamo? Hlobo luni lwe-insulin olwalungenwe? Mangaki amayunithi futhi ngasiphi isikhathi? Kwakuyini ukusebenza komzimba?
- Thola ukuthi imiphi imithamo ehlukene yamaphilisi e-insulin kanye / noma kashukela enawo ushukela wegazi. Futhi futhi - ushukela wakho wegazi ulonyusa malini wonke amagremu ama-carbohydrate adliwayo.
- Yisiphi isikhathi sosuku ovame ukuba noshukela wegazi ophakeme kakhulu? Ekuseni, ekudleni kwasemini noma kusihlwa?
- Yini ukudla okuthandayo nezitsha? Ingabe basohlwini lwemikhiqizo evunyelwe? Uma yebo - okungcono kakhulu, bahlanganise ohlelweni. Uma kungenjalo, cabanga ukuthi yini okufanele ungene esikhundleni sazo. Ezigulini ezinesifo sikashukela sohlobo 2, kuvame ukuthembela okuqinile kumaswidi noma ngokujwayelekile kuma-carbohydrate. Amathebhulethi e-Chromium picolinate asiza ukuqeda lo mulutha. Noma funda ukwenza amaswidi ngokuya ngezindlela zokupheka zokudla eziphansi ze-carbohydrate.
- Yisiphi isikhathi futhi ngaphansi kwaziphi izimo ovame ukuba naso isidlo sasekuseni, isidlo sasemini nesidlo sasebusuku? Yikuphi ukudla okuvame ukukudla? Ngabe udla malini? Kunconywe ngokuqinile ukuthi uthenge futhi usebenzise isilinganiselo ekhishini.
- Ngabe udla imishanguzo yezinye izifo ngaphandle kwesifo sikashukela esingathinta ushukela wegazi lakho? Isibonelo, ama-steroid noma ama-beta blockers.
- Iziphi izinkinga zesifo sikashukela esezivele sikhona? Kubaluleke kakhulu - ingabe kukhona i-gastroparesis yesifo sikashukela, i.e., ukubambezeleka ukukhipha isisu ngemuva kokudla?
Ukunciphisa umthamo wamaphilisi we-insulin nesifo sikashukela
Iningi labanesifo sikashukela ngemuva kokushintshela ekudleni okuphansi kwe-carbohydrate libonisa ukwehla okusheshayo nokubonakalayo kwe-glucose yegazi, uma ngaphambi kwalokho iphakanyiswe ngokungagulisi. Ushukela wegazi wehla esiswini esingenalutho, futhi ikakhulukazi ngemuva kokudla. Uma ungaguquki umthamo wamaphilisi we-insulin kanye / noma kashukela, khona-ke i-hypoglycemia eyingozi kungenzeka. Le ngozi kumele iqondwe nezinyathelo ezithathwe kusengaphambili ukuze unciphiswe.
Izincwadi zolimi lwesiNgisi ekwelapheni isifo sikashukela ngokudla okune-carbohydrate ephansi zincoma ukuthi uqale uvume imenyu nodokotela wakho, bese kuphela ke uqala ukudla okusha. Lokhu kuyadingeka, ngokubambisana nochwepheshe, ukuhlela kusengaphambili ukwehlisa imithamo yamaphilisi e-insulin kanye / noma kashukela. Ngeshwa, ezimweni zasekhaya le seluleko ngeke lisasebenza. Uma udokotela we-endocrinologist noma osebenza ngokudla ezondlayo ethola ukuthi uzoshintshela ekudleni okuphansi kwe-carbohydrate sikashukela, uzodangala kuphela, futhi ngeke uthole izeluleko ezisebenzayo kuye.
Imibuzo nezimpendulo mayelana nokudla okuphansi kwe-carbohydrate Diet Foods - Ngingakudla ukudla okune-soya? - Bheka nge ...
Ishicilelwe nguSergey Kushchenko Disemba 7, 2015
Uma iwebhusayithi ye-Diabetes-Med.Com ikhula ngokujwayelekile (yabelana ngesixhumanisi nabangane bakho!) Njengoba kuhlelwe, lapho-ke enkathini ka-2018 ukuya ku-2025, ukudla okune-carbohydrate ephansi kuzoba yindlela ejwayelekile yokwelapha isifo sikashukela emazweni akhuluma isiRussia. Odokotela bazophoqeleka ukuthi bakwamukele ngokusemthethweni futhi bakushiye nokudla okulinganiselayo. Kepha kusadingeka ukuthi siphile ngalesi sikhathi esijabulisayo, futhi ngaphandle kokukhubazeka ngenxa yezinkinga zesifo sikashukela. Ngakho-ke, udinga ukuthatha isinyathelo manje, ngokwakho, "ngokungahleliwe, njengasemini kusihlwa." Eqinisweni, konke akwesabeki kangako, futhi unganciphisa ingozi ye-hypoglycemia icishe ibe yi-zero. Ungayenza kanjani - funda uqhubeke.
Isiza sethu siwumthombo wokuqala okhuthaza ukwelashwa kwesifo sikashukela sohlobo 1 nohlobo 2 ngokudla okuphansi kwe-carbohydrate ngesiRussia. Ukusuka ekungenisweni kwethu, lolu lwazi lusatshalaliswa ngentshiseko phakathi kwabanesifo sikashukela ngomlomo. Ngoba yiyona kuphela indlela yangempela yokwehlisa ushukela wegazi ibe ejwayelekile futhi ngaleyo ndlela uvikele izinkinga zesifo sikashukela. Ukwelashwa okusemthethweni kwesifo sikashukela ngokudla “okunokulinganisela” akunampumelelo, futhi kungenzeka ukuthi usuzibonile ngokwakho.
Ukudla sikashukela kwehle isisindo
Iningi leziguli ezinesifo sikashukela sohlobo 2 alidingi ushukela wegazi ophansi kuphela ngokujwayelekile, kodwa futhi lincipha. Ngasikhathi sinye, iziguli ezinesifo sikashukela sohlobo loku-1 ezinesisindo eseqile nazo zilahlekile. Isu elijwayelekile yilokhu: okokuqala sisebenzisa ukudla okune-carbohydrate ephansi ukwehlisa ushukela wegazi. Kulokhu, isisindo kanye ngesonto, kepha ungakhathazeki ngokunciphisa umzimba. Konke ukunakwa kunikezwa izinkomba zeglucose yegazi!
Ngemuva kokuthi sifunde ukugcina ushukela wegazi ojwayelekile ngaphambi nangemva kokudla, sihlala embusweni omusha amasonto ambalwa futhi siyawugcina. Futhi yilapho kuphela, uma udinga ngempela ukwenza izinguquko ezengeziwe ukuze wehlise isisindo ngokwengeziwe. Izindatshana ezihlukile kwiwebhusayithi yethu zizonikezwa kulolu daba olubalulekile.
Uma uzama ukwehlisa isisindo kanye / noma wehlisa ushukela wegazi ngosizo “olunzima” lokudla okunama-kilojoule amancane, ungaqaphela ukuthi akusizi kuphela, kepha futhi kulimaza. Ake sithi udle isidlo sakusihlwa, kodwa ukuze uvuke usuka etafuleni umuzwa wendlala nokungagculiseki kwakho. Amandla amakhulu we-subconscious adonsela emuva esiqandisini, akunangqondo ukumelana nawo, futhi konke kuphela ngokuba nomsindo wobudlova basendle ebusuku.
Ngesikhathi sokuhlangana okungalawulwa, iziguli ezinesifo sikashukela zidla ukudla okwenqatshelwe okunama-carbohydrate amaningi, ngenxa yokuthi ushukela wegazi lawo uyandizela esikhaleni. Futhi-ke kunzima kakhulu ukuyihlisela emhlabeni kusuka kubude bendawo. Isiphetho ukuthi udinga ukudla ukudla okuvunyelwe futhi udle okwanele ukuze uvuke etafuleni ugcwele, kepha hhayi ngokweqile. Ngokusemandleni akho, faka nokudla okuthandayo ohlelweni lwakho lokudla.
Senza imenyu yomuntu ngamunye
Manje sizothola ukuthi ungayakha kanjani imenyu yokudla okune-carbohydrate ephansi kashukela oyokwenelisa kahle. Ayikho indlala engapheli! Ukuhlela ukudla okunempilo koshukela kuzokusiza ngezinga lasekhishini, kanye namatafula anemininingwane yokuqukethwe kwezakhi zomzimba.
Okokuqala, sithola ukuthi mangaki ama-carbohydrate esizowadla ekudleni ngakunye. Ama-diabetesics abantu abadala ekudleni okuphansi kwe-carbohydrate ayelulekwa ukuba adle kuze kufike kumagremu ama-6 ama-carbohydrate ebhulakufesi, kuze kufike ku-12 amagremu kwasemini kanye nenani elifanayo lesidlo sakusihlwa. Ingama-gramu angama-30 ama-carbohydrate ngosuku, kungenzeka. Zonke lezi zingama-carbohydrate ahamba kancane, kuphela kusuka kumikhiqizo eseluhlwini oluvunyelwe. Ungadli ukudla okwenqatshelwe, noma ngamanani anganakwa!
Ezinganeni ezinesifo sikashukela, ukudla nsuku zonke kwama-carbohydrate kufanele kuncishiswe ngokulingana nesisindo sazo. Ingane ingakhula ngokuphelele futhi ngokujwayelekile ngaphandle kwama-carbohydrate. Ama-amino acid abalulekile namafutha abalulekile akhona. Kepha ngeke uthole okukhulunywa ngakho kuma-carbohydrate abalulekile noma kuphi. Ungondli ingane enoshukela ngama-carbohydrate uma ungafuni izinkinga ezingadingekile kuye nakuwe.
Kungani singanikezeli ama-carbohydrate ekudleni kwabantu abanesifo sikashukela? Ngoba imifino namantongomane avela kuhlu oluvunyelwe aqukethe amavithamini abalulekile, amaminerali, amaminerali ne-fiber. Futhi, mhlawumbe, ezinye izinto eziwusizo isayensi ezingakabi naso isikhathi sokuzithola.
Isinyathelo esilandelayo ukuthi uthathe isinqumo sokuthi udinga malini ukwengeza amaprotheni kuma-carbohydrate ukuze ukhuphuke etafuleni uzizwe unosizi, kepha ungadli ngokweqile. Ungakwenza kanjani lokhu - funda i-athikili “Amaprotheni, Amafutha kanye nama-Carbohydrate edlekeni Lesifo Sikashukela”. Kulesi sigaba, isilinganiselo sekhishini silusizo olukhulu. Ngosizo lwabo, ungakuqonda kahle ukuthi kuyini ushizi oyi-100 g, ukuthi inyama eyi-100 g ihluke kanjani ku-100 g yenyama ebilisiwe ethosiwe, nokunye. Hlola amatafula wokudla okunempilo ukuthola ukuthi amaphesenti amaprotheni namafutha aqukethe kangakanani inyama, izinkukhu, inhlanzi, amaqanda, igobolondo nokunye ukudla. Uma ungafuni ukudla i-carbohydrate ibhulakufesi, khona-ke awukwazi ukukwenza lokhu, kepha qiniseka ukuthi unesidlo sasekuseni ngamaprotheni.
Ukwehlisa ushukela wegazi lakho kushukela, into esemqoka ukukhawulela ama-carbohydrate ekudleni kwakho, futhi ulahle ngokuphelele ama-carbohydrate asheshayo. Futhi kunendaba ukuthi udla amaprotheni amangaki. Njengomthetho, inani lamaprotheni alungele wena ibhulakufesi, isidlo sasemini kanye nesidlo sakusihlwa alunakucaciswa ngqo okokuqala. Imvamisa leli nani lichazwa kungakapheli izinsuku ezimbalwa.
Ungayilungisa kanjani imenyu ngokuya ngemiphumela yezinsuku zokuqala
Ake sithi unquma kuqala ukuthi wenelisekile ngokudla amagremu ama-60 amaprotheni ekudleni kwasemini. Lawa amagremu angama-300 wemikhiqizo yamaprotheni (inyama, inhlanzi, izinkukhu, ushizi) noma amaqanda ezinkukhu ayi-5. Ekusebenzeni, kuvela ukuthi amagremu ama-60 amaprotheni awanele noma, kunalokho, kakhulu. Kulokhu, kwasemini elandelayo uguqula inani lamaprotheni, usebenzisa izifundo zayizolo. Kubalulekile ukuguqula ngokulingana umthamo we-insulin noma amaphilisi akho kashukela ngaphambi kokudla. Sikukhumbuza ukuthi imvamisa yokudla amaprotheni ayinakwa uma kubalwa umthamo we-insulin, kodwa ekudleni okune-carbohydrate eningi, kuyabhekwa. Funda i-athikili "Ukubalwa Kwe-Dose and Technique for Insulin Administration" ukuthi ungakwenza kanjani lokhu.
Ezinsukwini ezimbalwa, uzonquma inani elifanele lamaprotheni ngokwakho ekudleni ngakunye. Ngemuva kwalokho, zama ukukugcina njalo ngaso sonke isikhathi, njengani lama-carbohydrate. Ukuqagela ushukela wegazi lakho ngemuva kokudla kuzoncika ekubikezelweni kwesilinganiso samaprotheni nama-carbohydrate owadlayo. Ngasikhathi sinye, kubalulekile ukuqonda kahle ukuthi umthamo we-insulin ngaphambi kokudla uncike enanini lokudla ohlela ukukudla. Uma kungazelelwe udle ngaphezulu noma ngaphansi kokujwayelekile, ungalungisa kahle umthamo we-insulin.
Ngokufanelekile, ushukela wakho wegazi ngemuva kokudla uyohlala unjalo njengoba wawunjalo ngaphambi kokudla. Ukwanda okungadluli kuka-0,6 mmol / l kuvunyelwe. Uma ushukela wegazi ukhuphuka ngokuqinile ngemuva kokudla, khona-ke okuthile kufanele kushintshwe. Bheka ama-carbohydrate afihliwe ekudleni kwakho. Uma kungenjalo, lapho-ke udinga ukudla ukudla okuvunyelwe okuncane noma amaphilisi okwehlisa ushukela ngaphambi kokudla. Ukuthola kanjani ukulawula kahle ushukela ngemuva kokudla kuchazwe futhi esihlokweni esithi, "Ukudla ama-carbohydrate, amaprotheni ne-insulin kuthinta kanjani ushukela wegazi."
Kudingeka kangaki ngosuku
Ukuphakanyiswa kokudla kuhlukile kwabanesifo sikashukela abaphathwa nge-insulin nalabo abangakwenzi. Uma ungayifaki i-insulin, khona-ke kungcono ukudla kancane izikhathi ezine ngosuku. Ngale modi, awukwazi nje ukudla ngokweqile, ulawule ushukela wegazi futhi ugcine njengejwayelekile, njengabantu abangenaso isifo sikashukela. Ngasikhathi sinye, kunconywa ukuthi ungadli okungaphezu kwesisodwa njalo emahoreni ama-4. Uma wenza lokhu, khona-ke umphumela wokwandisa ushukela wegazi kusuka ekudleni kwangaphambilini uzoba nesikhathi sokuphela ngaphambi kokuhlala futhi etafuleni.
Uma ufaka i-insulin “emfishane” noma i- “ultrashort” ngaphambi kokudla, udinga ukudla njalo ngamahora ama-5 noma ngaphansi, okungukuthi, amahlandla ama-3 ngosuku. Kuyadingeka ukuthi umphumela womthamo wangaphambilini we-insulin unyamalale ngokuphelele ngaphambi kokwenza umjovo olandelayo. Ngoba ngenkathi umthamo wangaphambilini we-insulin emfushane usasebenza, akunakwenzeka ukubala ngokuqondile ukuthi kufanele ube yini umthamo olandelayo. Ngenxa yale nkinga yesifo sikashukela esincike ku-insulin, kuyinto engathandeki kakhulu ukuthi umuntu azibambe.
Izindaba ezimnandi ukuthi amaprotheni adliwayo, ngokungafani nama-carbohydrate, anikeza umuzwa ohlala njalo wokugcwala. Ngakho-ke, ukubekezelela amahora angama-4-5 kuze kube isidlo esilandelayo kuvame ukuba lula. Ezigulini eziningi ezinesifo sikashukela sohlobo 2, ukudla ngokweqile noma ukudonsa ngokweqile kuyinkinga enkulu. Ukudla okunama-carbohydrate uqobo kususa kakhulu le nkinga.Ngaphezu kwalokho, sizoba nezindatshana ezingeziwe ezinezeluleko zangempela zokuthi ungabhekana kanjani nokulutha kokudla.
Ibhulakufesi
Uma isiguli sikashukela sifuna ukuphathwa kanzima, okokuqala-ke sidinga amasonto angama-1-2 ukufeza ngokuphelele ushukela wegazi. Ngenxa yalokhu, ufunda ukuthi izinkomba zakhe zikashukela wegazi ziziphatha kanjani ngezikhathi ezahlukahlukene zosuku. Iningi labanesifo sikashukela likuthola kunzima ukususa i-spike ushukela wegazi ngemuva kokudla kwasekuseni. Isizathu salokhu, ngokunokwenzeka, yisimo sokuntwela kokusa. Ngesizathu esithile, ekuseni, i-insulin ayisebenzi kangako kunokwejwayelekile.
Ukuze unxephezele lo mkhuba, kunconywa ukuthi udle ama-carbohydrate angaphindwe ka-2 esidlweni sasekuseni kunasemini nangesikhathi sokudla kwakusihlwa. Ungadla ibhulakufesi ngaphandle kwama-carbohydrate nhlobo, kepha noma kunjalo, zama ukungangeqa ibhulakufesi. Yidla ukudla kwamaprotheni njalo ekuseni. Ikakhulu lesi seluleko sisebenza kubantu abakhuluphele. Uma kudingekile impela, ngezikhathi ezithile ungakweqa ibhulakufesi. Uma nje lokhu kungaphenduki uhlelo. Esimweni esinjalo, kanye nokudla, onesifo sikashukela naye uphuthelwa yi-insulin efushane ngaphambi kokudla futhi angathathi amaphilisi akhe okwehlisa ushukela.
Iningi labantu elisungule ukukhuluphala phakathi kweminyaka yobudala engama-35-50 selize lafika empilweni enjalo ngoba belinomkhuba omubi wokungabi naso isidlo sasekuseni. Noma zisetshenziselwa ukudla kwasekuseni kuphela nama-carbohydrate, ngokwesibonelo, amakhehla okusanhlamvu. Ngenxa yalokhu, umuntu onjalo ulamba kakhulu phakathi nosuku ngakhoke adla kakhulu ukudla kwasemini. Isilingo sokweqa ibhulakufesi singaba namandla kakhulu, ngoba songa isikhathi, futhi nasekuseni awuzizwa ulambile kakhulu. Noma kunjalo, kuwumkhuba omubi, futhi imiphumela yako yesikhathi eside iyabhubhisa isibalo sakho, impilo kanye nenhlala-kahle.
Yini ongayidla ngesidlo sasekuseni? Yidla ukudla okuvunyelwe ekudleni okuphansi kwe-carb. Yenqaba ngokuqinile imikhiqizo kusuka kuhlu lwenqatshelwe. Izinketho ezijwayelekile ushizi, amaqanda nganoma yiluphi uhlobo, esikhundleni se-soy inyama, ikhofi enokhilimu. Ngenxa yezizathu ezahlukahlukene, iziguli ezinesifo sikashukela sohlobo 1 nohlobo 2 ziyelulekwa ukuba zingadli isidlo sakusihlwa ngaphambi kuka-6 p.m. - 6.30 p.m. Ukuze ufunde ukuthi ungakwenza kanjani lokhu, setha i-alamu kufoni yakho ephathekayo ngo-17: 30. Uma ekhala, alahle konke, uye esidlweni sakusihlwa, "bese umhlaba wonke ulindile." Lapho isidlo sakusihlwa saba umkhuba, uzothola ukuthi ngakusasa, inyama, izinkukhu noma inhlanzi zihamba kahle ngesidlo sasekuseni. Futhi uzolala kangcono.
Inani lama-carbohydrate kanye ne-protein yokudla kwasekuseni idinga ukuqina nsuku zonke, njengakwezinye izidlo zakho. Sizama ukukushintshanisa ukudla nezitsha ezahlukahlukene ukuze zidle okuhlukahlukene ngangokunokwenzeka. Ngasikhathi sinye, sifunda amatafula wokuqukethwe kwezakhi zomzimba bese sikhetha osayizi bengxenye leyo ukuze inani eliphelele lamaprotheni nama-carbohydrate aqhubeke njalo.
Isidlo sasemini
Sihlela imenyu yasemini ngokuya ngemigomo efanayo nangesikhathi sebhulakufesi. Inani elivumelekile lama-carbohydrate landa lisuka ku-6 liye ku-12 amagremu. Uma usebenza ehhovisi futhi ungatholakali esitofu, khona-ke ukuhlela ukudla okujwayelekile ukuze uhlale ngaphakathi kohlelo lokudla olunama-carbohydrate aphansi kungaba yinkinga. Noma kuzobiza kakhulu, uma kwenzeka iziguli ezinesifo sikashukela sohlobo 2 womzimba omkhulu zinesifiso esihle sokudla.
Ukuqaliswa kokudla okusheshayo kufanele kugwenywe kuzo zonke izindleko. Ake sithi ufike ekudleni okusheshayo nozakwabo futhi wayala i-hamburger. Bashiye bobabili ithoyini, badla inyama kuphela. Kubukeka sengathi yonke into kufanele ihambe kahle, kepha ushukela ngokungenako uyagxuma ngemuva kokudla. Iqiniso ukuthi i-ketchup ngaphakathi kwe-hamburger iqukethe ushukela, futhi ngeke uwuqede.
Ukudla kwakusihlwa
Esigabeni sasekuseni esingenhla, sichaze ukuthi kungani kufanele ufunde ukuthi ungadla kanjani ukudla kwakusihlwa ekuseni nokuthi ungakwenza kanjani. Kulokhu, akudingeki ukuthi ulale ngendlala. Ngoba amaprotheni adliwayo anikeza umuzwa wokuthamba isikhathi eside. Lokhu inzuzo yabo enhle engaphezulu kwama-carbohydrate kanye nenjabulo yalabo abadla ukudla okune-carbohydrate ephansi. Sihamba sonke isikhathi sondlekile futhi sinelisekile, futhi abalandeli bethu bokudla okunamafutha aphansi nangama-calorie aphansi bahlala belambile futhi ngenxa yalokho banovalo.
Umkhuba wokudla kwakusihlwa ngaphambi kwesikhathi unikeza izinzuzo ezimbili ezibalulekile:
- Uzolala kangcono.
- Ngemuva kwesidlo sakusihlwa sokuqala, uzokujabulela ukudla inyama, inhlanzi kanye nokunye ukudla “okusindayo” kwesidlo sasekuseni.
Uma uthanda ukuphuza iwayini esidlweni sakusihlwa, bese ubheka ukuthi kungukudla okuomile kuphela okufanele ukudla okune-carbohydrate ephansi. Izinga elifanelekile lokuphuza utshwala ushukela ingilazi eyodwa yewayini noma ingilazi eyodwa kabhiya omncane noma i-cocktail eyodwa, ngaphandle koshukela nezithelo zezithelo. Funda kabanzi ku-athikili ethi "Utshwala ku-Type 1 no-Type 2 Diabetes: Ungakwazi, Kepha Ngokuthobekile". Uma welapha isifo sikashukela nge-insulin, khona-ke kulesi sihloko kubalulekile ukutadisha ukuthi luyini i-hypoglycemia nokuthi ungakuvimbela kanjani.
Kunemicimbi yokuhlela isidlo sakusihlwa ezigulini ezihlakulele isifo sikashukela, i.e., ukubambezeleka ukukhipha isisu ngenxa yokuwohloka kwezinzwa. Ezimweni ezinjengesifo sikashukela esinjalo, ukudla okuvela esiswini kuya emathunjini kuthola okuhlukile isikhathi ngasinye, yingakho ushukela wabo ngemuva kokudla ungazinzi futhi ungalindeleki. Isifo sikashukela i-gastroparesis siyinkinga enkulu edonsa kanzima ukulawula ushukela wegazi, futhi ngesikhathi sokudla isidlo sakusihlwa sibangela izingqinamba ezithile.
Isifo sikashukela se-gastroparesis singahola ushukela wegazi ophakeme noma ophansi ngesikhathi sokulala. Lesi yisikhathi lapho ungeke ukwazi ukukala ushukela wakho futhi uwulungise ngomjovo we-insulin noma amaphilisi kashukela. Kunezikhathi lapho abantu abanesifo sikashukela ekudla okune-carbohydrate ephansi kuphela bekwazi ukugcina ushukela wegazi ojwayelekile phakathi nosuku, kodwa ngenxa ye-gastroparesis ebusuku, basenayo. Kulesi simo, izinkinga zesifo sikashukela zizoqhubeka.
Okufanele ukwenze - udinga ukuthatha izinyathelo zokusheshisa ukukhishwa kwesisu. Ezinyangeni ezizayo, kuzovela i-athikili eningiliziwe mayelana ne-gastroparesis yesifo sikashukela kanye nokwelashwa kwayo. Faka imifino eluhlaza esikhundleni sokudla kwakusihlwa kanye ne-abilisiwe noma i-stewed. Khumbula ukuthi zihlanganiswe ngokwengeziwe. Ngakho-ke, umthamo omncane wemifino ephathwa ngokushisa uzoqukatha inani elilinganayo lama-carbohydrate. Futhi kufanele udle amaprotheni amancane ngesidlo sakusihlwa kunasemini.
Ungadla phakathi kokudla okuyinhloko
Ukudla okulula kusetshenziselwa ukunciphisa indlala, lapho ufuna ngempela ukudla, futhi isidlo esibi esilandelayo asikafiki. Abashukela abanesifo sikashukela abelashwa ngezindlela ezijwayelekile, okungukuthi, balandela ukudla “okunokulinganisela,” baphoqelelwa ukuthi bafake imithamo emikhulu ye-insulin ende ebusuku kanye / noma ekuseni. Ngakho-ke, ngabo, ukudla okulula njalo phakathi kokudla okuyinhloko kumele.
Kuphoqelelwa ukuba babe nokudla okulula, ngoba imithamo emikhulu ye-insulin ishukela eliphansi kakhulu. Lo mphumela kufanele unxeshezelwe ngandlela thile. Uma ungadli nje, khona-ke phakathi nosuku lapho isifo sikashukela sihlangabezana neziqephu eziningi ze-hypoglycemia. Ngaphansi kwalolu hlelo, ukulawulwa ushukela okujwayelekile kuphume embuzweni.
Uma ulandela ukudla okune-carb ephansi, khona-ke isimo sihluke ngokuphelele. Ukudla okulula akusona isibopho. Ngoba ngokudla okune-carbohydrate ephansi, isiguli sikashukela sinomthamo owanele we-insulin eyengeziwe. Ngenxa yalokhu, ukuzila ushukela wegazi okusheshayo kuhlala kuyinto evamile, njengabantu abanempilo. Ngaphezu kwalokho, zama ukugwema ngokuphelele ukudla okulula phakathi kokudla okuyinhloko. Lokhu kuyiqiniso ikakhulukazi ezigulini ezinesifo sikashukela ezijova i-insulin emfushane ngaphambi kokudla.
Ekudleni okune-carbohydrate ephansi kakhulukazi kashukela, kuyanconywa ukuthi kungadli ongaphezu kwama-6 amagremu we-carbohydrate ekuseni, bese kungabikho amagremu ama-carbohydrate ntambama ntambama futhi inani elifanayo lingenziwa kusihlwa. Lo mthetho usebenza ekudleni okuyinhloko kanye nokudla okulula. Uma usunokudla okulula, ngaphandle kwezexwayiso zethu, bese uzama ukudla ukudla okungenawo ama-carbohydrate. Isibonelo, ingulube encane ebilisiwe evela kwenyama yemvelo noma izingcezu zezinhlanzi. Ukudla okusheshayo noma ukudla okuvela emishini yokuthengisa kuvinjelwe ngokuphelele! Linganisa ushukela wegazi lakho ngaphambi nangemva kwalokho ukuthola ukuthi ukudla okulula kusithinta kanjani.
Uma uzodla ukudla okulula, vele uqiniseke ukuthi isidlo sakho sangaphambilini sesigayiwe ngokuphelele. Lokhu kuyadingeka ukuze umphumela wawo wokwandisa ushukela wegazi ungahlanganisi ngomphumela ofanayo wesidla. Uma ufaka i-insulin ngokushesha ngaphambi kokudla, bese kuthi ngaphambi kokudla, kufanele futhi ufake umjovo olanele ukuwuqothula. Umphumela womjovo wakamuva we-insulin ungahle udlule ngomphumela wethamo elidlule, futhi lokhu kuzoholela ku-hypoglycemia. Eqinisweni, konke lokhu kusho ukuthi okungenani amahora ama-4, futhi okungcono amahora angama-5, kufanele aphume ekudleni kwangaphambilini.
Kuyinto engathandeki kakhulu ukuthi ube nokudla okungenamsoco ezinsukwini zokuqala ngemuva kokushintshela ekudleni okune-carbohydrate ephansi kakhulu. Ngalesi sikhathi, irejimeni yakho entsha ayikakaxazululwa, futhi uyaqhubeka nokuzama ukuthola umthamo ofanele we-insulin, ama-carbohydrate namaprotheni. Uma une-snack, ngeke ukwazi ukuthola imikhiqizo kanye / noma imithamo ye-insulin okumele “isolwe” ngokuguquguquka kushukela wegazi.
Kunzima ikakhulukazi ukuhlaziya idayari yokuziqapha uma umuntu onesifo sikashukela enesidlakela ebusuku ngemuva kokudla. Uma uvuka ngakusasa ekuseni kakhulu, noma okuphambene nalokho, ushukela ophansi kakhulu egazini, ngeke ukwazi ukubona ukuthi yini iphutha owenzile. Ufake umthamo ongafanele we-insulin enwetshiwe ubusuku bonke? Noma ingabe umthamo we-insulin emfushane ngaphambi kokudla okungalungile? Noma ngabe wawungalungile ngenani lama-carbohydrate ezitsheni? Akunakwenzeka ukuthola. Kunenkinga efanayo nokudla okulula nganoma yisiphi isikhathi sosuku.
Zama ukulinda kuze kube yilapho isidlo sakho esedlule sigaywe ngokuphelele ngaphambi kokudla futhi. Futhi, isenzo somthamo we-insulin emfushane owawujojile okokugcina ngaphambi kokudla kufanele uphele. Uma usebenzisa i-insulin emfushane ngaphambi kokudla, kufanele kudlule amahora ama-5 phakathi kokudla. Uma kungenjalo asetshenzisiwe, khona-ke isikhathi sokuphumula samahora amane sanele.
Uma uzizwa ulambile ngaphambili kunokwejwayelekile futhi ufuna ukuluma, okokuqala-ke ulinganise ushukela wegazi lakho nge-glucometer. Indlala ingaba uphawu lokuqala lwe-hypoglycemia ngenxa yokujova kakhulu i-insulin. Uma ushukela empeleni luphansi, kuzodingeka usheshe ukwenze okujwayelekile ngokuthatha amaphilisi kashukela angu-1-3. Ngakho-ke uzogwema i-hypoglycemia enzima, ethwala ubungozi bokufa noma ukukhubazeka.
Ukudla kwamaprotheni, ngokungafani nama-carbohydrate, kunikeza umuzwa ohlala njalo wokuthamba. Umthetho wensimbi wabo bonke abanesifo sikashukela: abalambile - hlola ushukela wegazi lakho! Ukudla okune-carbohydrate ephansi kakhulu, akufanele ube nomuzwa onamandla wendlala ngaphambi kwamahora angama-4-5 ngemuva kokudla. Ngakho-ke, udinga ukuqaphela uma kuvela. Uma uthola i-hypoglycemia, yeka ngokushesha, bese ubheka lapho wenze khona iphutha. Cishe badla okuncane kakhulu noma bajova i-insulin eningi kakhulu.
Ukukhetha umthamo we-insulin emfushane ukuze 'uqede' umthamo
Lesi sigaba senzelwe kuphela iziguli ezinesifo sikashukela ezilashwa ngemijovo ye-insulin “emfishane” noma i- “ultrashort” ngaphambi kokudla. Kucatshangwa ukuthi usufundile ngokucophelela i-athikili "Ukubalwa komthamo kanye nenqubo yokusebenzisa i-insulin", futhi uyakuqonda konke okukuwo. Yini engacacile - ungabuza kumazwana. Kucatshangwa nokuthi usufundile ukuthi kungani kungcono ukuguqula kusuka ku-insulin-fushane kuya ku-insulin emfushane ekudleni okune-carbohydrate ephansi kakhulu. Ukukhethwa komthamo we-insulin, okufanele "ucime" umthamo, kunezimpawu zawo, futhi kuchazwe ngezansi.
Sikukhumbuza futhi ukuthi: kwiziguli ezinesifo sikashukela sohlobo 1 ezithola imijovo ye-insulin esebenza ngokushesha ngaphambi kokudla, kungcono ukungabi nanhliziyo. Kodwa-ke kukhona abantu abanesifo sikashukela somzimba obuthakathaka abangakwazi ukudla ukudla okungaka ngesikhathi ukuze baphile ngendlela evamile amahora 4-5 ngaphambi kokudla okulandelayo. Kunoma ikuphi, kufanele adle kaningi.
Ukukhethwa komthamo we-insulin emfushane 'yokuqothula' umthamo ungenziwa kusetshenziswa indlela elula noma "ethuthukile". Indlela elula ingendlela elandelayo. Unokudla okulula okudingayo ngokudla okufanako okuhlala kukudla futhi osuyayazi indlela yakho efanelekile ye-insulin. Ake sithi unquma ukuluma futhi udle 1/3 kwasemini yakho ejwayelekile. Kulokhu, ngaphambi kokuntenga, umane ufake i-⅓ yomuthi wakho ojwayelekile we-insulin emfushane.
Le ndlela ilungile kuphela uma ngabe uqinisekise ngaphambili nge-glucometer ukuthi ushukela wegazi wakho uvamile, isb. Isisekelo sokulungiswa asidingeki. Yini isidlo sokudla nokulungiswa - udinga ukuthola esihlokweni esithi "Ukubalwa Kwe-Dose and Technique for Insulin Administration". Indlela ethuthukisiwe ukwenza izibalo ngokuphelele ngokwendlela echazwe esihlokweni. Kulokhu, siyakhumbula ukuthi umthamo we-insulin emfushane ngaphambi kokudla uyisibalo sendawo yokudla kanye ne-bolus yokulungisa.
Njengoba usudlile ukudla okulula, ulinda amahora ama-5, okungukuthi, weqa ukudla okuhleliwe okulandelayo. Lokhu kuyadingeka ukubheka ukuthi ngabe i-insulin, amaprotheni nama-carbohydrate akhethwe kahle yini. Kala ushukela wegazi amahora ama-2 ngemuva kokudla i-appetizer, bese kuthi amanye amahora ama-3, i.e.ahola ama-5 ngemuva kokudla okungakahlelwa. Uma ushukela wegazi uphenduka uvamile ngaso sonke isikhathi, khona-ke yonke into yenziwe ngendlela efanele. Kulokhu, ngokuzayo lapho ungeke weqe ukudla okuhleliwe. Vele ungadli nje ekudleni okufanayo bese ufaka umthamo ofanayo we-insulin. Ngemuva kwakho konke, usuvele unqume ukuthi ilungile ngokuhlolwa.
Uma ulambile kakhulu, khona-ke ungafaka i-insulin efushane emfishane esikhundleni sefushane elijwayelekile ukuqala ngokushesha ukudla okulula. Ngemuva kwakho konke, ngemuva kokujova i-insulin emfushane, udinga ukulinda imizuzu engama-45, nangemva kwe-ultrashort - imizuzu engama-20 kuphela. Kepha lokhu kungenziwa kuphela uma usazi kusengaphambili ukuthi i-insulin isebenza kanjani kuwe.
Imvamisa i-insulin i-ultrashort inamandla izikhathi ezingama-1.5-2 kunemifushane. Okusho ukuthi, umthamo we-insulin we-ultrashort udinga ukufakelwa ⅔ noma ½ womthamo we-insulin emfushane elilinganayo lama-carbohydrate. Uma ufaka umthamo ofanayo we-insulin ye-ultrashort, njengoba uvame ukujova ngamafushane, lapho-ke ngokweqile okuphezulu uzothola i-hypoglycemia. Ukuhlolwa nge-insulin ye-ultrashort kudinga ukwenziwa kusengaphambili endaweni ejwayelekile, hhayi esimweni sokulamba kakhulu nengcindezi.
Inketho ilula: sebenzisa ukudla okuqukethe kuphela amaprotheni namafutha okudla, futhi awunawo ama-carbohydrate nhlobo. Ingulube ebilisiwe, ukusikwa kwezinhlanzi, amaqanda ... Kulokhu, ungafaka umjovo i-insulin emfushane bese uqala ukudla emva kwemizuzu engama-20. Ngoba amaprotheni asemzimbeni aphenduka i-glucose kancane, futhi i-insulin emfushane inesikhathi sokusebenza ngesikhathi.
Sichaze indlela yokubala umthamo we-insulin, onzima kakhulu. Kepha uma ufuna ukusilawula ngempela isifo sakho sikashukela, khona-ke akukho okunye esingakwenza. Isifo sikashukela esivamile asazihluphi ukubala ngokucophelela imithamo yabo ye-insulin nama-carbohydrate. Kepha bahlushwa yizinkinga zesifo sikashukela, futhi sigcina ushukela wegazi ongu-4.6-5.3 mmol / L, njengabantu abaphilile. Iziguli ezizama ukwelapha ushukela wazo ngezindlela "zendabuko" azilokothi ziphuphe ngemiphumela enjalo.
Ukudla okulula: Isixwayiso sokugcina
Masibehkane nayo: ukudla okulula okungahleliwe yisizathu esiyinhloko esenza ukuthi abantu abanesifo sikashukela ekudleni okune-carbohydrate encane bangakwazi ukugcina ushukela wegazi ojwayelekile. Okokuqala kudingeka ufunde isihloko esithi "Kungani ushukela engakwazi ukuqhubeka nokudla okune-carbohydrate eningi, nokuthi angakuxazulula kanjani." Rarulula izingqinamba ezichazwe lapho. Kepha uma ungajabuli kakhulu ngemiphumela, okungukuthi, ushukela wegazi usagxuma, khona-ke ithuba lelo ngokuqinisekile lizofika kuma-appetizer.
Inkinga yokuqala ngama-snacks ukuthi badidanisa ukucutshungulwa kwidayari yokuzihlola. Sixoxe kabanzi ngalokhu esihlokweni. Inkinga yesibili ukuthi abantu ababoni ukuthi badla okungakanani lapho benesidlakela. Noma ngabe udla kakhulu ngokudla okuvunyelwe, konke okufanayo, ushukela wegazi uzokwenyuka ngenxa yomphumela wendawo yokudlela yase-China.Uma imizamo yokulawula ukudla ngokweqile ingasebenzi, funda i-athikili ethi “Amaphilisi okunciphisa iphango. Ungayisebenzisa kanjani imithi yesifo sikashukela ukulawula isifiso sakho sokudla. ”
Ngizojabula ukuphendula imibuzo yakho emazwaneni.
