Thayipha ukudla okukashukela oku-1

Kuze kube sekupheleni kweminyaka yama-1980s, ama-endocrinologists anikeza iziguli imiyalelo engaguquki, eqinile kuhlobo lokudla lwesifo sikashukela 1. Iziguli zabantu abadala ezinesifo sikashukela zazinconywa ukuba zisebenzise inani elilinganayo lama-kilojoule, amaprotheni, amafutha kanye nama-carbohydrate nsuku zonke. Futhi ngenxa yalokho, isiguli sathola inani elijwayelekile le-UNITS le-insulin emijovo nsuku zonke ngasikhathi sinye. Kusukela ngeminyaka yama-1990s, konke sekuguqukile. Manje ukudla okunconywe ngokusemthethweni kohlobo lweshukela sikashukela kuyashintsha kakhulu. Kulezi zinsuku, kucishe kungafani nokudla kwabantu abaphilile. Iziguli ezinesifo sikashukela sohlobo 1 zingakwazi ukuzivumelanisa kalula nokudla nokuphila kwazo kwansuku zonke nesigqi sokuphila. Ngakho-ke, balandela ngokuzithandela izincomo zendlela yokudla.

Umgomo wokwelapha isifo sikashukela sohlobo lokuqala ukugcina ushukela wegazi uzinzile ngangokunokwenzeka emazingeni abantu abaphilile. Ithuluzi elibaluleke kakhulu kulokhu ukulandela ukudla okufanele. Izincomo zesayithi likashukela-Med.Com kulolu daba zihluke kakhulu kulokho okuyalelwa ngomuthi osemthethweni. Sincoma ukuthi kudliwe i-carbohydrate ephansi yohlobo 1 nesifo sikashukela 2, futhi udokotela emtholampilo uzokweluleka ukuthi udle “ngokulingana.” Kodwa-ke, ukudla okugcwele kakhulu kuma-carbohydrate kubangela ukuphuma kweshukela egazini okungenakuqedwa nganoma yiluphi uhlobo lwe-insulin. Iziguli zinempilo engeyinhle, ingozi enkulu ye-hypoglycemia, kanye nezinkinga zesifo sikashukela ziqala ukukhula ngokushesha. Lesi sithombe simnandi kakhulu kunokudonswa umuthi osemthethweni.

Ukudla okune-carbohydrate ongaphansi kuphela okukuvumela ukuba ulawule ngempela isifo sikashukela sohlobo 1. Lapha uzofunda ukuthi ungawugcina kanjani ushukela wegazi ngemuva kokudla ungabi ngaphezu kuka-6.0 mmol / l. Imithamo ye-insulin emijovo izoncipha ngezikhathi ezi-2-7. Ngokuhambisana, ingozi ye-hypoglycemia izokwehla. Inhlala-kahle nokusebenza nakho kuzothuthuka. Funda imininingwane esihlokweni esingezansi, ubuke ividiyo.

Ukunaka! Le ndatshana engezansi inemininingwane yokudla okulinganiselayo kwesifo sikashukela sohlobo 1, olunconywa ngokusemthethweni ngomuthi. Ukuzijwayeza kukhombisa ukuthi uma unamathela kulokhu kudla, khona-ke ukwehlisa ushukela wegazi kube okwejwayelekile futhi ukuluthatha ngokulawulwa akunakwenzeka. Ungagcina ushukela wegazi ojwayelekile, uvikele izingqinamba zesifo sikashukela, futhi uzozizwa ungcono uma udla ukudla okune-carbohydrate okujwayelekile kohlobo 1 noma uhlobo 2 sikashukela. Ama-carbohydrate amancane owadlayo, okuncane uzodinga i-insulin. Futhi uma wehlisa umthamo we-insulin, kuvame ukwenzeka i-hypoglycemia. Ukudla okulinganiselwe kwe-carbohydrate yesifo sikashukela ukushintshela ekudleni okuqukethe amaprotheni kanye namafutha emvelo anempilo.

Ukuqhathaniswa kokudla okulinganiselayo nokudla okuphansi kwe-carbohydrate yohlobo 1 sikashukela

Ukudla okulinganiselayo kwesifo sikashukela sohlobo 1

Iningi leziguli ezingakhuluphele ngokweqile azivinjelwe ngokusemthethweni ukuthi zingadli noshukela ojwayelekile, aze afike kumagremu angama-50 ngosuku. Kungani ukudla uhlobo lweshukela sikashukela bekuvame ukuqina, futhi manje sekuyashintsha futhi kulula ukunamathela? Kunezizathu eziningana zalokhu:

• Iziguli zisebenzisa ama-glucometer. Sekuyinto elula ukukala ngokuzimela ushukela wegazi ngokungaphezi kaningana ngosuku, futhi ngenxa yalokho awudingi ukuya emtholampilo.
• Iziguli ziguqukela ohlotsheni oluqinisiwe lwe-insulin. Umthamo we-insulin "emfushane" abawuthola ngaphambi kokudla manje awuselungisiwe, futhi ungashintshwa.
• Kunezinhlelo ezengeziwe zokuqeqesha kanye “nezikole zesifo sikashukela”, lapho iziguli zifundiswa khona ukuthi zihlole okuqukethwe kwe-carbohydrate yokudla futhi "zilungise" umthamo we-insulin.

Thayipha imihlahlandlela yokudla kashukela

Ukudla kwanamuhla kwesifo sikashukela sohlobo 1 kuyashintsha. Into esemqoka kumuntu onesifo sikashukela ukuthi afundise ukuhlanganisa inani lama-carbohydrate ahlela ukuwadla ngethamo le-insulin azolifaka.

Ukudla okunempilo koshukela kunwebisa impilo futhi kunciphisa amathuba okuba nezinkinga zamathambo. Ukwakha ukudla okufanele kwesifo sikashukela sohlobo 1, ungalandela le mihlahlandlela:

• Yidla ngendlela yokuthi ulondoloze eduze kwesisindo somzimba esijwayelekile. Ukudla kufanele kuxutshwe, kucebe ama-carbohydrate (55-60% wokuqukethwe okuphelele kwama-caloric ekudleni kwansuku zonke).
• Ngaphambi kokudla ngakunye, hlola okuqukethwe kwe-carbohydrate yemikhiqizo ngokohlelo lwamayunithi esinkwa bese ukhetha isilinganiso se-insulin “emfishane”. Kungcono ukudla ngaphezulu kwalokho kudla okuqukethe ama-carbohydrate aphansi enkombeni ye-glycemic.
• Ekudleni kwesifo sikashukela sohlobo 1, iziguli ezikhuluphele kuphela ezidinga ukunciphisa umkhawulo ngamafutha ekudleni. Uma unesisindo esijwayelekile, i-cholesterol ejwayelekile nama-triglycerides egazini, akufanele ukwenze lokhu. Ngoba okuqukethwe okunamafutha kokudla kwakho akusithinti isidingo se-insulin.

Umsoco wohlobo 1 sikashukela kufanele aqukethe okujwayelekile (hhayi ukuncishiswa!) Ukubalwa kwama-calorie. Ungadla ama-carbohydrate, ikakhulukazi ekudleni okunenkomba ye-glycemic ephansi. Bukela ngokucophelela ukuze uthole i-fiber eyanele. Usawoti, ushukela kanye nemimoya - kungadliwa ngokulinganisela, njengoba abantu abadala abanengqondo abanaso isifo sikashukela.

Imfundo yeziguli

Umgomo wemfundo yokwelapha ezigulini ezinesifo sikashukela sohlobo 1 ukusiza abantu ukuba bafundele ukugcina amazinga kashukela egazi lawo asondele kakhulu. Futhi okubaluleke - ukuze i-hypoglycemia yenzeke kanqabile ngangokunokwenzeka. Kulokhu, ikhono elibaluleke kakhulu ukukhetha kahle umthamo we-insulin “emfushane” ngaphambi kokudla. Isiguli kufanele sifunde ukuthi singakwazi kanjani ukwakha ukudla okunempilo kohlobo lwesifo sikashukela sokuqala, futhi sisebenzisane naye ngohlobo lwaso lwe-insulin. Ukuqeqeshwa okunjalo esibhedlela noma eqenjini lokwelashwa kufanele kubhekele izidingo zomuntu ngamunye ogulayo. Udokotela kufanele athole ukuthi uvame ukudla ini futhi ngasiphi isikhathi.

Ukufunda imigomo yokondleka okufanele kwesifo sikashukela kungcono kakhulu esimweni sangempela: endaweni yokudlela noma endaweni yokudlela esibhedlela. Isiguli kufanele sifunde ukuthi akudingeki ukuthi silinganise imikhiqizo equkethe ama-carbohydrate njalo ngaphambi kokuyidla. Ngemuva kokuzijwayeza okuthile, abantu baqeqeshwa “ngamehlo” ukuze bazihlole ngokohlelo lwamayunithi esinkwa. Umuthi wokwelapha i-insulin onemijovo eminingi ye-insulin usuku lonke - unikeza abanesifo sikashukela inkululeko enkulu ekukhetheni kokudla. Ezigulini eziningi, le nzuzo esheshayo ingxabano eyinhloko esekela ukwelashwa kwe-insulin okunamandla.

Uhlelo lokubala i-carbohydrate lwama-Bread Units (XE)

Ekudleni kwesifo sikashukela sohlobo 1, isiguli kufanele sihlele sonke isikhathi ukuthi uzodla ama-carbohydrate amangaki manje. Ngoba kuya ngokuthi yiluphi umthamo we-insulin odinga ukuwujova. Umqondo "weyunithi lesinkwa" (XE) usetshenziselwa ukubala ama-carbohydrate ekudleni. Lawa amagremu ayi-12 ama-carbohydrate - 25 g wesinkwa uqukethe okuningi kwawo.

Ngemininingwane engaphezulu, bheka isihloko esithi “AmaBunits Units for Type 1 Diabetes”.

Thayipha oshukela abangu-1

Ama-sweeteners ahlukaniswe izikhala ezinoshukela ezingenawo ushukela nama-analog we-caloric kashukela (i-xylitol, i-sorbitol, isomalt, i-fructose). Lezi zokugcina, ezingaphansi kweshukela, zandisa izinga le-glucose egazini, kepha aziphansi kakhulu kunani le-caloric. Ngakho-ke, ama-analogues oshukela aphezulu-amakhalori awanconywa kwabanesifo sikashukela abanokweqile.

Kuvunyelwe ukusebenzisa amaswidi angenamsoco nsuku zonke ku-doses enomkhawulo ophezulu ongenhla:

• I-saccharin - kuze kufike ku-5 mg / kg isisindo somzimba;
• i-aspartame - kuze kufike ku-40 mg / kg isisindo somzimba;
• i-cyclamate - kuze kufike ku-7 mg / kg isisindo somzimba;
• i-acesulfame K - kuze kufike ku-15 mg / kg isisindo somzimba;
• i-sucralose - kuze kufike ku-15 mg / kg isisindo somzimba;
• Isitshalo seStevia siyisithonjana semvelo esingondli.

Eminyakeni yamuva nje, umphakathi wezazi zesifo sikashukela ufinyelele esiphethweni sokuthi ngohlobo 1 sikashukela, ushukela akufanele udliwe kuze kufike kumagremu angama-50 ngosuku uma isiguli sisinxephezele kahle isifo sikashukela. Ngemuva kokuthola imvume yokudla ushukela omncane ngokuzithandela, iziguli zinamathuba amaningi okulandela izincomo zokubala i-XE futhi zivumele umthamo we-insulin.

Funda futhi i-athikili ehlukile enemininingwane ethi “Ama-sweeteners sikashukela. UStevia nezinye izinambuzane zabaneshukela. " Thola ukuthi kungani kungathandeki ukudla i-fructose nokudla sikashukela okuqukethe.

Thayipha isifo sikashukela 1 notshwala

Ukusetshenziswa kotshwala obudakayo ekudleni kohlobo lweshukela sikashukela kuvunyelwe kumthamo omncane. Abesilisa bangaphuza okulingana nama-gramu angama-30 wotshwala obumsulwa ngosuku, futhi abesifazane abakwazi ukuphuza amagremu angaphezu kuka-15 we-ethanol. Konke lokhu kuncike ekutheni umuntu akanayo i-pancreatitis, i-neuropathy enzima nokuncika kotshwala.

Umuthi wansuku zonke ophezulu we-15 g wotshwala ungama-gramu angama-40 omoya, ama-140 g we wayini owomile noma ama-300 g kabhiya. Kwabesilisa, umthamo ovumelekile wansuku zonke uphakeme izikhathi ezingama-2. Lokhu kusho ukuthi ungayisekela inkampani ephuzayo, kepha ukuzivocavoca ngokulinganisela nokuqonda.

Khumbula into esemqoka: ukusetshenziswa kwemithamo ebalulekile yotshwala kungadala i-hypoglycemia enkulu. Futhi hhayi ngokushesha, kodwa ngemuva kwamahora ambalwa, futhi lokhu kuyingozi ikakhulukazi. Ngoba utshwala buvimba ukukhiqizwa kwe-glucose yisibindi. Ngesifo sikashukela sohlobo 1, akufanele uphuze utshwala ebusuku, ukuze ugweme i-hypoglycemia yasesikhathini ephusheni.

Funda futhi nendatshana ethi Alcohol on a Diet for Diabetes - ngemininingwane.

Thayipha amamenyu wokudla ushukela ongu-1

Ezincwadini ezifuywayo ezivela ochungechungeni oluthi “Zisize Wena” kweziguli ezinesifo sikashukela, kutholakala lokho okubizwa ngokuthi “ukudla okuneshukela”. Babeka imininingwane yokudla nezitsha zezinsuku eziyi-7 zeviki, baqonde kugramu. Amamenyu anjalo esifo sikashukela sohlobo lokuqala ngokuvamile abhalwa ngabasebenza ngokudla okunempilo, kepha ngokwenza nje lokho akusizi ngalutho. Odokotela bangasho amacala amaningi empilweni lapho umuntu ongenalwazi onesifo sikashukela eshesha ngentshiseko ukulandela izincomo. Isiguli ekuqaleni sinomdlandla. Uchitha sonke isikhathi namandla akhe ukuthola imikhiqizo futhi ayilinganise ngokucophelela. Kepha ngemuva kwesikhashana uyaqiniseka ukuthi akasaphumeleli ekunxephezeleni kahle ushukela. Futhi-ke ingagijimela kokunye okweqile: yeka konke, shintshela ekudleni okungenampilo nokuyingozi.

Ukudla okunempilo kwanamuhla kwesifo sikashukela sohlobo 1 kukusondeza ukudla kwesiguli eduze nokudla komuntu onempilo. Ngaphezu kwalokho, ukulawulwa kwesifiso sezindleko zamandla omzimba kuyafana kubantu abanempilo nakwabanesifo sikashukela abangakhuluphele. Ukudla okuvumelana nezimo ngokwengeziwe, kungenzeka ukuthi isiguli sinamathele kukho. Emazweni CIS, noma phesheya kwezilwandle, iziguli ezinesifo sikashukela azikwazi futhi azifuni ukulandela ukudla okuqinile. Futhi iqiniso alikho ukuthi kunzima ukuthola imikhiqizo yokudla ethengisiwe noma efinyelelekile ngokwezezimali. Ukuhlela imenyu yokudliwayo yohlobo lwesifo sikashukela sohlobo lokuqala isonto ngaphambi kwesikhathi kudala ukuphazamiseka emsebenzini nokuphazamiseka kwengqondo. Kodwa-ke, ukudweba uhlelo olunjalo kusengaphambili kubalulekile.

Lokhu okulandelayo kungukudla kwasekuseni, kwasemini kanye nezinketho zakusihlwa. Kokudla ngakunye, izitsha ezi-7-8 ezenziwe ukudla okungabizi kakhulu. Indlela elula yokupheka lezi zitsha. Ngosizo lwabo, ungahlela kalula imenyu yesifo sikashukela sohlobo 1. Kuyaqondakala ukuthi isiguli silandela ukudla okune-carbohydrate ephansi. Konke okufunde ngenhla kwalotshwa ngomgomo oyinhloko - ukukuqinisekisa ukuthi ushintshele kulokhu kudla ukuze wenze ushukela wegazi ube ngokwejwayelekile. Ngiyethemba ngikwazile ukwenza lokhu :). Uma kunjalo, ngemuva kwezinsuku ezingama-2-3 uzokholwa yizinkomba zamamitha ukuthi ukudla okune-carbohydrate okuphansi kuyasiza ngempela.

Ukuthola imenyu eyenziwe ngomumo, bhalisela i-newsletter yethu lapha bese uqinisekisa ukubhalisa kwakho.

Izimiso zokuhlela imenyu

Funda futhi uhlu lwemikhiqizo evunyelwe nenqatshelwe. Kungcono ukuthi uziphrinte, uphathe nazo esitolo, uzilengise esiqandisini.

I-Homemade Chocolate Recipe. Sithatha ibhotela elengeziwe, okuqukethwe okunamafutha ku-82,5%. Cibilikisa epanini. Faka i-cocoa powder. Hlanganisa kuze kufinyelele ku-cocoa emafutheni, qhubeka ubilise. Faka i-sweetener yakho oyithandayo ukunambitha. Apholile. Ngemuva kwalokho usungabamba iqhwa kuqhwa.

Uma isiguli esinohlobo 1 sikashukela silimaza i-insulin ngaphambi kokudla ngakunye, lapho-ke sidinga ukudla kathathu ngosuku njalo ngamahora ama-4-5. Ukuhlwitha umzimba kuyinto engathandeki kakhulu. Yenza konke okusemandleni ukuthi udlule ngaphandle kokudla. Ungakufeza kanjani lokhu? Kuyadingeka ukudla ingxenye enhle yamaprotheni ekudleni ngakunye. Izitsha ezivela ezinhlwini ezingenhla zimile nje. Yidla kuphela imifino enenyama, inhlanzi noma amaqanda aqhekeziwe.

Ukudla kwakusihlwa kufanele kube amahora angama-4-5 ngaphambi kokulala. Ngaphambi kokujova i-insulin ngobusuku obubodwa, silinganisa ushukela nge-glucometer. Sihlola ukuthi kwakusebenza kanjani isidlo sakusihlwa kanye nomjovo we-insulin esheshayo phambi kwayo. Uma amahora angama-4-5 engazange adlule, khona-ke akunakwenzeka ukuhlola isimo, ngoba i-insulin, eyayilunywe ngaphambi kokudla kwakusihlwa, ayikaqedi ukwehlisa ushukela.

Izinketho zohlelo:

• Ukudla kwasekuseni ngo-8,00, isidlo sasemini ngo-13,00-14,00, isidlo sakusasa ngo-18,00, umjovo wakusihlwa owandisiwe we-insulin ngo-22.00-23.00.
• Ukudla kwasekuseni ngo-9,00, isidlo sasemini ngo-14: 15-16.00, isidlo sakusihlwa ngo-19,00, umjovo wakusihlwa owandisiwe we-insulin ukusuka ngo-23,00 kuya phakathi kwamabili.

Kuzo zonke izidlo udinga ukudla amaprotheni. Ngokudla kwasekuseni lokhu kubaluleke kakhulu. Yiba nesidlo sasekuseni esinenhliziyo, ungasuki ekhaya uze udle. Amaqanda esidlo sasekuseni angukudla konkulunkulu! Yini okufanele uyenze uma ekuseni ungathandi ukudla ukudla kwamaprotheni? Impendulo: udinga ukuthuthukisa umkhuba wokudla kwakusihlwa ngaphambi kwesikhathi. Uma ngabe udle isidlo sakusihlwa ngaphambi kuka-19,00, khona-ke kuze kube ngakusasa ulambile. Ngeke uthande amaqanda kuphela, kodwa nenyama enamafutha yokudla kwasekuseni. Ungakufunda kanjani ukudla isidlo sakusihlwa ngaphambi kuka-19,00? Ukuze wenze lokhu, udinga ukusetha isikhumbuzi ocingweni ngo-18: 18-18.30. Sezwa ucingo - siphonsa yonke into, siye esidlweni sakusihlwa. Futhi umhlaba wonke mawulinde :).

Awudingi izengezo zamakhemikhali ezitholakala efektri zidlulisa inyama nososeji. Zama ukubaphekela wena noma uthenge imikhiqizo eyenziwe ekhaya eyenziwe ngabantu abathembekile. Imenyu yethu yokudla kwasekuseni, kwasemini kanye nangedina ikhethe izitsha okulula ukupheka ngazo. Funda ukubhaka inyama nenhlanzi kuhhavini. Noma yikuphi ukudla okubhemayo akanconywa ngoba yi-carcinogenic, i.e. kubangela umdlavuza.Senza umzamo omkhulu wokulawula isifo sikashukela, hhayi ukuthi siwele ezandleni ezibuthakathaka ze-gastroenterologists, futhi ikakhulukazi i-oncologists.

Ukhukhamba oluhlotshisiwe, amakhowe afakwe emanzini anosawoti kanye nanoma yikuphi okunye ukhukhamba akufanele kudliwe. Ngoba le mikhiqizo ithuthukisa ukuthuthukiswa kwe-yeast candida albicans. Imikhiqizo ebalulekile yesikhunta ilimaza umzimba. Balimaza imetabolism futhi babangela i-candidiasis engapheli. Ukubonakaliswa kwayo kudume kakhulu kunabesifazane. Kodwa i-candidiasis ayisiwona kuphela umdlandla. Izimpawu zayo ukubabaza, ukubabaza, ukukhathala okungamahlalakhona, izinkinga zokuhlushwa. Iziguli ezinesifo sikashukela zinamathuba amaningi okuba ne-candidiasis kunabantu abanoshukela wegazi ojwayelekile. Ngakho-ke, asikho isidingo sokuqhubeka nokuvusa ukusetshenziswa kwemikhiqizo yokuvutshelwa. Ungakha imenyu ehlukahlukene futhi emnandi yohlobo lwesifo sikashukela esingu-1 nangaphandle kokhokho. Ngisho ne-sauerkraut ayithandeki. Esikhundleni sikakhilimu omuncu - ukhilimu onamafutha.

Iziphetho

Ngakho-ke, ufunda i-athikili enemininingwane yokudla kwesifo sikashukela sohlobo 1. Saqhathanisa ukudla okulinganiselayo futhi okuphansi kwe-carbohydrate. Isayithi lethu lisebenzela ukukhuthaza ukudla okune-carbohydrate ephansi phakathi kohlobo 1 nohlobo 2 sikashukela. Ngoba lokhu kudla kwenzeka ngokwejwayelekile ushukela wegazi, kunciphisa umthamo we-insulin futhi kuthuthukisa ikhwalithi yempilo. Ukudla okulinganiselayo, okugcwele ama-carbohydrate, kusheshe kulethe abantu abanesifo sikashukela ethuneni. Shintshela ekudleni okune-carbohydrate ephansi, ukukala ushukela wakho kaningi nge-glucometer - futhi masinyane uqiniseke ukuthi uyasiza ngempela.

Simboze izihloko ezibalulekile ezifana notshwala kanye noshukela esikhundleni sokudla sohlobo 1 sikashukela. Utshwala bungabuqeda, kancane kancane, nangokubhuka okukhulu. Utshwala buvunyelwe kuphela uma umuntu onesifo sikashukela engancikile kuye, umuntu alandela izindlela zokuphepha futhi angaphuzi iziphuzo ezinoshukela. Uhlobo 1 sikashukela - lesi sifo sikhulu kaningi kunesifo sikashukela sohlobo 2. Okuwukuphela kokududuzwayo ukuthi ngoshukela ongaxekekile nge-insulin ungasebenzisa ama-sweeteners, futhi ngohlobo 2 sikashukela ayingozi ngempela.

Iziguli eziningi zifuna amamenyu wokudla owenziwe ngohlobo lweshukela likashukela. Okukhethwa kukho kokudla kwasekuseni, kwasemini kanye nakusihlwa kunikezwa ngenhla. Zonke lezi zitsha zingalungiswa kalula futhi ngokushesha. Ukudla kwamaphrotheni okungakhulisi ushukela wegazi akushibhile, kepha kusatholakala. Okudliwayo okuyisipesheli nakho kunikezwe. Uhlu lokudla oluvunyelwe nolunqatshelwe lokudla okune-carb ephansi lapha. Thatha imizuzu eyi-10 ukuya kwengama-20 ngesonto ukuhlela kusengaphambili. Uhlu lomkhiqizo wethu nezitsha ezinconyiwe kuzokusiza. Umgomo oyinhloko ukwenza ukudla kube okuhlukahlukene ngangokunokwenzeka.