Ithebula lezingxenye zesinkwa zohlobo 1 nohlobo 2 sikashukela

Ingxenye ebaluleke kakhulu yokwelashwa kweziguli ezinesifo sikashukela kungukudla okunempilo. Imithetho yayo eyinhloko yesifo sikashukela iwukudla okwenziwa njalo kokudla, ngaphandle kwama-carbohydrate asheshe adliwe ekudleni, kanye nokuzimisela kokuqukethwe kwekhalori kokudla. Ukuxazulula lezi zinkinga, abakwa-endocrinologists bakha ithemu lesinkwa samatafula futhi bathuthukisa amatafula esinkwa amayunithi.

Ochwepheshe ekudleni kwemitholampilo batusa ukwenza imenyu yansuku zonke yalesi sigaba seziguli sabafundi abangama-55%% we-carbohydrate egxile kancane, ama-15% -20% amaprotheni, ama-20% -25% wamafutha. Ngokukhethekile ekunqumeni inani lama-carbohydrate asetshenziswayo, kwasungulwa amayunithi wesinkwa (XE).

E-Russia, kuvame ukwamukelwa ukuthi iyunithi elilodwa lilingana nama-gramu ayi-10-12 ama-carbohydrate, ku-USA -15 amagremu. I-UdE XE inyusa izinga loshukela ngo-2.2 mmol / l, ukuze ikudambise idinga ama-PIECES angu-1-2 we-insulin.

Amatafula e-unit yesifo sikashukela abonisa okuqukethwe kwe-carbohydrate yokudla okuhlukahlukene. Ukwakha leli gama, izazi zezempilo zathatha isinkwa se-rye njengesisekelo: ucezu lwazo olunesisindo esingama-gramu angamashumi amabili nanhlanu lubhekwa njengengxenye yesinkwa esisodwa.

Yini amatafula amayunithi esinkwa?

Umgomo wokwelashwa kweziguli ezinesifo sikashukela ukulingisa ukukhishwa kwemvelo kwe-insulin ngokukhetha imithamo nezindlela zokuphila kangangokuba izinga le-glycemia lisondele kumazinga amukelwe.

Umuthi wanamuhla unikeza izinhlobo ezilandelayo zokwelashwa kwe-insulin:

• Isiko;
• Amarejimendi amaningi omjovo;
• Okukhulu

Lapho ubala umthamo we-insulin, udinga ukwazi inani le-XE ngokususelwa kwimikhiqizo ebaliwe ye-carbohydrate (izithelo, ubisi nemikhiqizo yokusanhlamvu, amaswidi, amazambane). Imifino iqukethe okunzima ukugaya ama-carbohydrate futhi ayidlali indima enkulu ekwandeni kwamazinga kashukela.

Uhlelo olunamandla lwe-insulin therapy luhlinzeka ngokuphathwa okuyisisekelo (okuyisisekelo) kokusebenza kwe-insulin isikhathi eside (iLantus) kanye ngosuku, lapho kubalwa imithamo yokulimala (bolus) yemijovo, ebanjiswa ngokushesha ngaphambi kokudla okuyinhloko noma ngemizuzu engamashumi amathathu. Ngale njongo, kusetshenziswa ama-insulin amafushane.

Ukubalwa kweBolus

Ngeyunithi ngayinye yesinkwa equkethe kumenyu ehleliwe, kufanele ufake (ucabangele isikhathi sosuku kanye nezinga le-glycemia) 1U ye-insulin.

Isidingo sesikhathi sosuku ku-1XE:

1. Ekuseni - 1.5-2 IU ye-insulin;
2. isidlo sasemini - amayunithi ayi-1-1.5;
3. isidlo sakusihlwa - amayunithi angu-0.8-1.

Kuyadingeka ukuthi unake izinga lokuqala lokuqukethwe ushukela, kuphakama kakhulu - inani eliphakeme lomuthi. Iyunithi elilodwa lesenzo se-insulin liyakwazi ukusebenzisa i-2 mmol / L kashukela.

Uma isiguli sihlela ukudla, sizodla ukudla ku-3 XE, bese izinga le-glycemic imizuzu engama-30 ngaphambi kokudla lihambisane no-7 mmol / L - udinga i-1U ye-insulin ukuze anciphise i-glycemia ngo-2 mmol / L. Futhi i-3ED - yokugaywa kwezingxenye ezintathu zokudla. Kufanele ufake amayunithi angama-4 we-insulin esebenza ngokushesha (i-Humalog).

Ukudla ezigulini ezinesifo sikashukela sohlobo 1 ezifunde ukubala umthamo we-insulin ngokusho kwe-XE, usebenzisa itafula lamayunithi esinkwa, kungaba mahhala kakhulu.

Ungawabala kanjani amayunithi esinkwa sikashukela

Ngobuningi obaziwayo bomkhiqizo nokuqukethwe kwe-carbohydrate yama-gramu ayi-100, unganquma inani lamayunithi esinkwa.

Isibonelo: iphakethe likashizi wasekhishini onesisindo esingama-200 amagremu, amagremu ayi-100 aqukethe amagremu ama-24 ama-carbohydrate.

Amagremu ayi-100 e-cottage shizi - amagremu ama-24 ama-carbohydrate

Amagremu angama-200 we-cottage shizi - X

X = 200 x 24/100

I-X = 48 amagremu ama-carbohydrate aqukethe epakethe likashizi wasekhishini enesisindo esingu-200 amagremu. Uma kuku-1XE 12 amagremu we-carbohydrate, khona-ke kwiphakethe likashizi we-cottage - 48/12 = 4 XE.

Ngenxa amayunithi esinkwa, ungasabalalisa inani elifanele lama-carbohydrate ngosuku, lokhu kukuvumela ukuthi:

• Ukudla okuhlukahlukene;
• Ungazibekeli umkhawulo ekudleni ngokukhetha imenyu elinganiselayo;
• Gcina izinga lakho le-glycemia lilawulwa.

Kwi-Intanethi ungathola ama-Calculator wokudla okunesifo sikashukela, abale ukubalwa kokudla kwansuku zonke. Kepha lesi sifundo sithatha isikhathi esiningi, kulula ukubheka amatafula wezitho zesinkwa sikashukela nokukhetha imenyu elinganiselayo. Inani le-XE elidingekayo lincike kwesisindo somzimba, imisebenzi yomzimba, ubudala nobulili bomuntu.

Inani elidingekayo nsuku zonke le-XE kwiziguli ezinesisindo somzimba esijwayelekile

Iziguli ezicebile zidinga ukudla okunekhalori ephansi, ukuthuthukiswa okukodwa kokuzivocavoca komzimba. Okuqukethwe kilojoule nsuku zonke kokudla kufanele kwehliswe ku-1200 kcal; ngenxa yalokho, inani lamayunithi esinkwa esidliwayo kufanele ancishiswe.

Ngokukhuluphala ngokweqile

Kukholelwa ukuthi inani eliphakathi lemikhiqizo edingekayo ngosuku lingaba ngu-20-24XE. Kuyadingeka ukusabalalisa leli volumu ekudleni okungu-5-6. Ama-receptions aphambili kufanele kube yi-4-5 XE, itiye lasemini nelantshi - 1-2XE. Ngesikhathi, ungancomi ukudla ngaphezu kokudla okungu-6-7XE.

Ngokushoda kwesisindo somzimba, kunconywa ukwandisa inani le-XE liye kuma-30 ngosuku. Izingane ezineminyaka engu-4-6 ubudala zidinga i-12-14XE ngosuku, ezineminyaka engama-7-16 zinconyelwa u-15-16, zisuka eminyakeni eyi-11-14 ubudala - amayunithi wesinkwa ama-18-20 (kubafana) no-16-17 XE (amantombazane). Abafana abaneminyaka esukela kwengu-15 kuye kweli-18 badinga amayunithi esinkwa ayi-19-21 ngosuku, amantombazane amabili angaphansi.

Izidingo zokudla:

• Ukudla ukudla okuqukethe i-fiber yokudla: isinkwa se-rye, amabele, i-oatmeal, imifino, i-buckwheat.
• Ukuhlelwa okuhleliwe kwesikhathi kanye nenani lokusatshalaliswa kwamakhakhilitha nsuku zonke kwanele kumthamo we-insulin.
• Ukubuyisela ama-carbohydrate agayeka kalula ngokudla okulinganayo okukhethiwe kumathebula wesinkwa sikashukela.
• Ukwehla kwenani lamafutha ezilwane ngenxa yokwanda kwesilinganiso samafutha emifino.

Iziguli ezinesifo sikashukela sohlobo lwe-2 zidinga futhi ukusebenzisa amatafula ophiko lwezinkwa ukuvimbela ukuzidla kakhulu. Uma kuqashelwa ukuthi imikhiqizo equkethe ama-carbohydrate ayingozi anezinkambiso ezamukelekayo ekudleni, khona-ke ukusetshenziswa kwawo kufanele kuncishiswe kancane kancane. Ungakwenza lokhu ngezinsuku ezingama-7-10 nge-2XE ngosuku, ulethe isilinganiso esidingekayo.

Amatafula amayunithi wesinkwa kashukela wohlobo lokuqala nolwesibili

Izikhungo ze-Endocrinological zibalole amatafula wamayunithi wesinkwa emikhiqizweni eyaziwayo ngokuya ngokuqukethwe kwamagremu ayi-12 ama-carbohydrate ku-1 XE. Ezinye zazo ziletha ukunaka kwakho.

Amajusi

Amajusi angadliwa ngezindlela ezinxepheziwe zikashukela zohlobo lokuqala nolwesibili, lapho izinga le-glycemia selizinzile, akukho ukushintshashintsha okubukhali endaweni eyodwa noma kwenye.

Izithelo

Esikhathini sikashukela, kunconywa ukuthi kudle imifino eminingi, aqukethe i-fiber eningi, kanye namakhalori ambalwa.

Imifino

Imikhiqizo yobisi kufanele idliwe nsuku zonke, mhlawumbe ntambama. Kulesi simo, hhayi amayunithi wesinkwa kuphela, kodwa futhi nephesenti lokuqukethwe kwamafutha kufanele kubhekwe nakho. Iziguli ezinesifo sikashukela zinconywa imikhiqizo yobisi enamafutha aphansi.

Imikhiqizo yobisi

Imikhiqizo yokubhaka

I-pasta nezinhlamvu

Ku-mellitus yesifo sikashukela, kunconywa ukufaka esikhundleni samafutha ezilwane ngamafutha emifino.. Lo mkhiqizo ungadliwa ngohlobo lwamafutha zemifino - umnqumo, ummbila, ufakwa, ithanga. Amafutha afafazwa kumantongomane, imbewu yethanga, ifilakisi nommbila.

Amantongomane

Ukuze kube lula ukuhlela imenyu efanele yesifo sikashukela, abakwa-endocrinologists bahlakulele amatafula esinkwa enzelwe womzimba wesinkwa esiqukethwe ezitsheni ezahlukahlukene:

Abantu abatholakala benesifo sikashukela sohlobo 2 kufanele bafunde ukulawula ushukela wegazi, ukwenza imenyu, uhlobo lokuzivocavoca. Ekudleni kweziguli kufanele kube nokudla okuphezulu ku-fiber, bran.

Kunezincomo ezingasiza iziguli ezinesifo sikashukela sohlobo 2 ukuthi ziqinise amazinga azo we-glycemic:

1. Sebenzisa izinhlansi zemvelo kuphela;
2. Hlanganisa ukudliwa kwemifino nokudla okune-sitashi;
3. Yidla okusanhlamvu okugcwele, isinkwa se-bran nofulawa we-wholemeal;
4. Okumnandi kufanele kuhlanganiswe nefayibha namaprotheni, kuqeda amafutha;
5. Imifino eluhlaza yokudla ngamanani angenamkhawulo;
6. Esikhundleni samajusi, sebenzisa izithelo ezi-peeled;
7. Kunconywa ukuhlafuna ukudla kahle;
8. Phinda unciphise ukusetshenziswa kwezidlo ezinama-khalori aphezulu, amaswidi, iziphuzo ezidakayo.