E-Russia, abantu abanesifo sikashukela banabantu abangaphezu kwezigidi ezintathu. Ngaphezu kokusetshenziswa njalo kwe-insulin noma izidakamizwa, abanesifo sikashukela kufanele bahlole njalo ukudla kwabo. Kulokhu, umbuzo uba ofanele: kanjani ukubala amayunithi esinkwa.
Kunzima kaningi ukuthi iziguli zenze izibalo ngokuzimele, zihlala zikala konke futhi zibala akuhlale kwenzeka. Ukwenza lula lezi zinqubo, kusetshenziswa ithebula lokubala isinkwa elibonisa uhlu lwe-XE womkhiqizo ngamunye.
Iyunithi lesinkwa liyinkomba ethile engabalulekanga kunenkomba ye-glycemic yesifo sikashukela. Ngokubala kahle i-XE, ungafinyelela ukuzimela okukhulu kusuka ku-insulin, futhi wehlise ushukela wegazi.
Yini iyunithi yesinkwa
Kumuntu ngamunye, ukwelashwa kwesifo sikashukela kuqala ngokubonisana nodokotela, phakathi nesikhathi lapho udokotela atshela ngokuningiliziwe ngezimpawu zesifo futhi atusa ukudla okuthile esigulini.
Uma kunesidingo sokwelashwa nge-insulin, khona-ke umthamo wawo nokuphatha kuxoxwa ngokuhlukile. Isisekelo sokwelashwa kuvame ukufundwa kwansuku zonke kwenani lamayunithi esinkwa, kanye nokulawula ushukela wegazi.
Ukuze uhambisane nemithetho yokwelashwa, udinga ukwazi ukubala i-CN, ukuthi zingaki izitsha ezivela ekudleni ezinama-carbohydrate okufanele uzidle. Akufanele sikhohlwe ukuthi ngaphansi kwethonya lokudla okunjalo kushukela wegazi kukhuphuka ngemuva kwemizuzu engu-15. Amanye ama-carbohydrate akhulisa le nkomba ngemuva kwemizuzu engama-30 ukuya kwengama-40.
Lokhu kungenxa yesilinganiso sokutholwa kokudla okungene emzimbeni womuntu. Ukutadisha ama-carbohydrate "asheshe" futhi "acothayo" kulula kakhulu. Kubalulekile ukufunda ukuthi ungabalwa kanjani kahle isilinganiso sakho sansuku zonke, unikezwe okuqukethwe kwekhalori yemikhiqizo kanye nokuba khona kwezinto ezinobungozi nezisebenzayo kuzo. Ukwenza lula lo msebenzi, kwaqanjwa igama ngaphansi kwegama "isinkwa unit".
Leli gama libhekwa njengelibalulekile ekunikezeni ukulawulwa kwe-glycemic esifo esifana nesifo sikashukela. Uma abanesifo sikashukela bebheka kahle i-XE, lokhu kwenza inqubo yokuncishiswa kwezinkinga ekushintshisaneni ngohlobo lwe-carbohydrate. Inani elibalwe kahle lawa amayunithi lizomisa izinqubo ze-pathological ezihambisana nemikhawulo engezansi.
Uma sicabangela iyunithi eyodwa yesinkwa, khona-ke ilingana nama-gramu ayi-12 ama-carbohydrate. Isibonelo, ucezu olulodwa lwesinkwa sama-rye lunesisindo esingama-gramu ayi-15. Lokhu kufana ne-XE eyodwa. Esikhundleni segama elithi "iyunithi lesinkwa" kwezinye izimo, kusetshenziswa incazelo ye "unit carbohydrate", eyi-10-12 g yama-carbohydrate ane-digestibility elula.
Kumele kuqashelwe ukuthi ngemikhiqizo ethile equkethe isilinganiso esincanyana sama-carbohydrate wokugaya ukudla. Lokhu kudla okulungele abanesifo sikashukela kufaka phakathi imifino eningi. Kulokhu, awukwazi ukubala amayunithi esinkwa. Uma kunesidingo, ungasebenzisa isikali noma uthintane netafula elikhethekile.
Kumele kuqashelwe ukuthi kudalwe umshini wokubala okhethekile okuvumela ukuthi ubale ngokufanelekile amayunithi wesinkwa lapho isimo sikudinga. Ngokuya ngezici zomzimba womuntu ku-mellitus yesifo sikashukela, isilinganiso se-insulin nokudla kwama-carbohydrate kungahluka kakhulu.
Uma ukudla kufaka amagremu ama-300 ama-carbohydrate, khona-ke leli nani lihambisana nama-25 wesinkwa amayunithi. Ekuqaleni, hhayi bonke abanesifo sikashukela abakwaziyo ukubala i-XE. Kepha ngokuzilolonga njalo, umuntu ngesikhathi esifushane uzokwazi "ngamehlo" ukuthola ukuthi mangaki amayunithi kumkhiqizo othile.
Ngokuhamba kwesikhathi, izilinganiso zizoba zinembe ngangokunokwenzeka.
Kubalwa amayunithi wesinkwa nomthamo we-insulin
Ukubalwa kwamayunithi wesinkwa kufanele kube nsuku zonke ukuze inani elifanele lama-carbohydrate ekudleni linikezwe. Ngokuhamba kwesikhathi, umuntu uzonquma ngokuzenzakalelayo izitsha ze-XE ngaphandle kokukala ngaphambili.
Ukuze wenze lokhu, ungahamba ngengilazi, usayizi wocezu noma inombolo yezithelo nemifino. Cishe kuzo zonke izikhungo zezokwelapha ezigxila kushukela, kunezikole okuthiwa zikashukela. Bachazela abanesifo sikashukela ukuthi i-XE iyini, ungayibala kanjani nokuthi yakwenza kanjani ukudla kwabo isikhathi eside.
Amayunithi esinkwa sikashukela ayisihloko esibalulekile sokubonisana kokuqala nomhlinzeki wakho wezokunakekelwa kwempilo. Kungcono ukuzihlukanisa ngokulinganayo zibe kukudla okuyi-main ezintathu. Iyunithi elilodwa noma amabili angashiywa ukudla okulula.
Kuhlobo lwe-1 mellitus yesifo sikashukela, ukusetshenziswa kwe-insulin yesikhathi eside nesheshayo kukhonjisiwe. Ukugwema i-hypoglycemia ngenxa yokwehla kwe-glucose yegazi, udinga ukusebenzisa i-1 noma 1.5 XE.
Akunconywa ukuthatha ngaphezu kwe-7 XE ekudleni ngakunye. Abantu abakhuluphele abanesifo sikashukela kufanele bahlele ukudla kwabo ukuze kungadli ama-carbohydrate angaphezu kuka-120 g ngosuku olulodwa.
Isibonelo, uma indlela yansuku zonke yamayunithi esinkwa ayi-10, khona-ke kungcono ukuyisebenzisa usuku lonke ngokuhlukanisa izindlela eziningana:
- ibhulakufesi - 2 XE,
- kwasemini - 1 XE,
- kwasemini - 3 XE,
- ukuthola umthamo ntambama - 1 XE,
- ngesidlo sakusihlwa - 3 XE.
Ungashiya futhi i-2 XE esidlweni sakusihlwa, bese usebenzisa iyunithi yesinkwa sokugcina esidlweni sakusihlwa sesibili. Ngoba kusasa kungcono ukudla okusanhlamvu, kumunwa ngumzimba kancane, kanti ushukela ngeke unyuke kakhulu.
Ingxenye ngayinye yesinkwa idinga inani elithile le-insulin uma kukhulunywa ngohlobo 1 sikashukela. I-1 XE ingakhuphula ushukela wegazi cishe ngo-2.77 mmol / L. Ukuze unxephezele le yunithi, udinga ukufaka i-insulin kusuka kumayunithi ama-1 kuye kwayi-4.
Uhlelo oludumile lokuthatha i-insulin ngosuku olulodwa luyaziwa:
- ekuseni ukukhokhela iyunithi elilodwa ozodinga kuyunithi ye-insulin,
- ekudleni kwasemini kokusebenzisa iyunithi eyodwa i-1.5 IU ye-insulin,
- isidlo sakusihlwa, udinga inani elilinganayo le-XE ne-insulin.
Ukuze unxephezele ushukela futhi ugcine ushukela evamile, udinga ukubheka njalo izinguquko esimweni sakho. Ibonisa izilinganiso zikashukela zansuku zonke nge-glucometer. Lokhu kumele kwenziwe ngaphambi kokudla ukudla, bese-ke, kususelwa kwinani lokuqalisa ushukela kanye nenombolo oyifunayo ye-XE, faka i-insulin kumthamo ofanele. Ngemuva kwamahora amabili sidlile, izinga likashukela akufanele libe ngaphezu kuka-7.8 mmol / L.
Uma kwenzeka isifo sikashukela sohlobo lwesibili, i-insulin ayidingi ukuphathwa, kwanele ukuthatha amaphilisi njalo ulandele indlela odla ngayo.
Kuyadingeka futhi ukuthi ukwazi ukubala ngokuzimela i-XE.
Imikhiqizo eqediwe kanye neyunithi yesinkwa
Bonke abantu abatholakala benesifo sikashukela kungekudala bazokuqonda ukubaluleka kokubala amayunithi esinkwa. Isifo sikashukela kufanele sifunde ukubala ngokuzimela isibalo se-XE emikhiqizweni eseqediwe ukuze kwenziwe kahle ukudla kwabo.
Ukuze wenze lokhu, kwanele ukwazi isisindo somkhiqizo kanye nenani lama-carbohydrate kumagremu awo ayi-100. Uma inani elicacisiwe lama-carbohydrate lihlukaniswe ngu-12, khona-ke ungathola ngokushesha inani le-XE ngamagremu ayi-100. Isibonelo, umkhiqizo ophelile unesisindo sama-gramu angama-300, okusho ukuthi inani elitholwayo le-XE kufanele lenyuswe kathathu.
Lapho uvakashela izikhungo zokupheka, kuvame ukuba nzima kakhulu kwabanesifo sikashukela ukuhamba nge-XE, ngoba izindlela zokupheka ezilungiselelwe kanye nez uhlu zezithako ezisetshenziswa kuzo azitholakali. Emikhiqizweni eseqediwe enikezwa kumakhofi noma ezindaweni zokudlela, kungahle kube nenani elikhulu lezinto, elihlanganisa kakhulu umqondo wesifo sikashukela mayelana nenani le-XE.
Ngoshukela, ukudla ubisi, okusanhlamvu nezithelo ezimnandi kufanele kube nomkhawulo. Kodwa-ke, imikhiqizo enjalo kunoma yisiphi isimo esidingekayo ekusebenzeni okuphelele komzimba. Ngakho-ke, kufanelekile ukusebenzisa itafula lamayunithi wesinkwa, elibonisa ngokushesha inani le-XE kumkhiqizo othile.
Imikhiqizo Evunyelwe Isifo Sikashukela
Isisekelo sokudla kwansuku zonke kufanele kube ukudla okuqukethe inani elincane lamayunithi esinkwa.
Isabelo sabo kumenyu yansuku zonke singama-60%.
Isifo sikashukela singadliwa:
- inyama enamafutha amancane nezitsha zenhlanzi,
- zucchini
- amaqanda
- isithombo
- isithombo
- isaladi
- imifino
- amantongomane ngobuningi obunqunyelwe,
- upelepele wensimbi.
- ukhukhamba
- isitshalo seqanda
- amakhowe
- Utamatisi
- amanzi amaminerali.
Abantu abanesifo sikashukela kufanele bakhuphule inani lezinhlanzi abazidlayo ezinamafutha amancane. Kunconywa ukudla izitsha ezinenhlanzi enjalo kuze kube kathathu ngesonto. Inhlanzi iqukethe ama-acid angenawo amafutha kanye namaprotheni, lezi zinto zihlisa ngempumelelo i-cholesterol. Ngakho-ke, ungazivikela ekuthuthukisweni:
- ukushaya kwenhliziyo nesifo sikashukela,
- unhlangothi
- i-thromboembolism.
Lapho wenza ukudla kwansuku zonke, udinga ukubheka inani lokudla okwehlisa ushukela. Lokhu kufaka phakathi:
- iklabishi
- izithelo zomvini
- I-Jerusalema artichoke
- nettle
- ugarlic
- imbewu yefilakisi
- ukukhothama
- i-chicory
- i-dogrose.
Inyama yokudla iqukethe amaprotheni nezakhi ezibalulekile. Azikho amayunithi esinkwa. Ingadliwa kuze kufike ku-200 g ngosuku izitsha ezahlukahlukene. Kubalulekile ukucubungula izithako ezingeziwe zalezi zitsha.
Ukudla okunenkomba ye-glycemic ephansi akuyona ingozi empilweni, kepha ngasikhathi sinye kondla umzimba ngezakhi namavithamini. Ukwemukelwa kwemikhiqizo enenombolo encane yamayunithi esinkwa kukuvumela ukuthi ugweme ukweqa kushukela futhi kuvimbela ukubonakala kwezinkinga ze-metabolic.
Isibonelo XE Ukudla Isiguli Sikashukela
Noma yimuphi umkhiqizo wokudla uqukethe ama-carbohydrate ayi-12-15, alingana neyunithi eyodwa yesinkwa.
I-XE eyodwa inyusa ushukela wegazi ngenani elithile, elingama-2,8 mmol / L.
Kulesi sikhombisi, ama-2 PIECES we-insulin ekhishiwe ayadingeka.
Imenyu ngosuku lokuqala:
- ngesidlo sasekuseni: 260 g yeklabishi entsha nesaladi karoti, ingilazi yetiye,
- kwasemini; isobho lemifino, i-compote yezithelo eyomile,
- kwesidlo sakusihlwa: inhlanzi eshisiwe, i-kefir enamafutha angama-250 ml,
Tea, amakhompiyutha kanye nekhofi kuthathwa ngaphandle koshukela.
Imenyu ngosuku lwesibili:
- ngesidlo sasekuseni: 250 g kaphethiloli ne-apula isaladi, inkomishi yekhofi enobisi,
- kwasemini: i-borsch elula ne-compote yezithelo,
- isidlo sakusihlwa: 260 g yogathi ye-oatmeal ne-unsweetened.
Imenyu ngosuku lwesithathu:
- ibhulakufesi: 260 g wephalishi le-buckwheat, ingilazi yobisi olunamafutha amancane,
- kwasemini: isobho lezinhlanzi no-250 ml we-kefir ephansi,
- kwesidlo sakusihlwa: isaladi nge-apula neklabishi, ikofi.
Lesi yisibonelo sokudla okusekelwe kwi-XE sokuqonda okujwayelekile. Kusebenzisa inani lale mikhiqizo kunganciphisa ngempumelelo umthwalo osendleleni yokugaya ukudla bese wehlise isisindo.
Kubantu abanesifo sikashukela sanoma yiluphi uhlobo, ukudla imifino kufanelekile. Kuyadingeka ukuqinisekisa ukuthi inani elibekiwe lamaprotheni linikezwa nsuku zonke emzimbeni. Ukuntuleka kwamaprotheni kunxephezelwa kalula yizipuni ezinkulu ezingama-8 zoshizi wemvelo wekotishi.
Odokotela baxwayisa ngokuthi ukubulawa yindlala kuyingozi enkulu kwabanesifo sikashukela. Ukungondleki okungajwayelekile kungadala ukusabela okungekuhle komzimba ngenxa yokuntuleka kwama-carbohydrate. Esimweni esinjalo, kunzima ukuguqula amazinga kashukela egazini abe ngokwejwayelekile.
Ukudla okungcono kakhulu kwesifo sikashukela ukunciphisa inani elisetshenziswayo:
- imifino emisha nezithelo ezingafakiwe,
- ibhotela
- izinhlobo ezinamafutha zenyama.
Qiniseka ukuthi ubheka isimo sakho sokondleka kwengqondo namaphethini okulala.
Isiphetho
Uma wenza kahle ukudla kweshukela, lokhu kuzovimbela ukwakheka kwezinkinga eziyingozi. Ukubala ukusetshenziswa kwansuku kwamayunithi wesinkwa, kudingeka ube nencwadi yokubhalela ekhethekile.
Ngokusekelwe kulo lonke ulwazi, udokotela unquma ukusetshenziswa kwe-insulin esebenza isikhathi eside ne-insulin esebenza isikhathi esifushane. Imithamo ikhethwa ngawodwana, kucatshangelwa izinga likashukela egazini.
Ungawabala kanjani amayunithi esinkwa achazwe kuvidiyo kule ndatshana.