Mob ntshav qab zib tsawg Carb Noj cov zaub mov > Noj qab zib rau cov ntshav qab zib

Cov tshuaj Insulin tsuas yog tsim tawm thaum pib ntawm xyoo pua 20th. Ua ntej no, cov neeg muaj kev mob ntshav qab zib los ntawm cov kua ntshav insulin “muaj txoj sia”, pab cuam kom tsis txhob noj cov zaub mov muaj protein ntau. Xyoo 50 ntawm lub xyoo pua nees nkaum, kev noj zaub mov raws li kev txwv ntawm kev noj haus carbohydrate nkag mus rau hauv kev zam. Nws nquag siv los ntawm cov kis las hauv lub sijhawm "ziab". Cov khoom noj khoom haus tau pom zoo cov khoom noj no rau cov neeg uas xav poob phaus.

Cov kev tshawb fawb pom tau tias kev noj zaub mov tsis muaj qab hau rau cov ntshav qab zib yuav pab txo qis cov tshuaj insulin rau cov ntshav qab zib hom 1 (T1DM) thiab kom txo cov ntsiav tshuaj qab zib rau cov ntshav qab zib hom 2 (T2DM).

Ntshav Qab Zib Noj Qis-Carb Tshaj

Nrog rau kev tawm dag zog, kev noj haus uas txwv cov khoom noj ua kom rog yog qhia kom meej rau cov neeg mob ntshav qab zib. Siv cov khoom noj uas tsis muaj lub cev, cov neeg mob ntshav qab zib uas tsis muaj insulin tuaj yeem kho tau tus kab mob, thiab tus neeg muaj ntshav qab zib hom 1 tuaj yeem nyob ntev ntev, them rau nws cov ntshav qab zib nrog cov tshuaj insulin tsawg dua.

Tom qab tshuaj xyuas cov npe ntawm cov khoom lag luam pom zoo rau cov ntshav qab zib, leej twg tuaj yeem ua cov zaub mov tseem ceeb rau lawv tus kheej. Nrog zaub mov noj, peb yuav tsum haus cov protein, cov rog thiab carbohydrates thiaj li muaj sia nyob. Nws yog ib qho tseem ceeb los txiav txim siab seb cov khoom sib piv ntawm no hauv peb cov zaub mov noj.

Proteins yog lub hauv paus ntawm cov zaub mov carb qis. Cov protein ntau tuaj yeem tig mus rau hauv qabzib, tab sis txoj kev no tshwm sim qeeb, yam tsis muaj kev cuam tshuam rau cov ntshav qab zib. Noj mov tsis ntshai:

Ntawm cov khoom noj siv mis, nyiam yog muab rau:

Qaub mis-khoom,
Cheese
Butter,
Cov tshuaj nplaum
Dhuav (nrog rau kev txwv).

Txhua txhua hnub koj tuaj yeem noj 250 - 400 grams ntawm cov khoom noj muaj protein (tab sis tsis muaj cov khoom noj uas yog carbohydrates). Cov cog ntoo ntawm cov protein (taum pauv, kua taum pauv thiab lwm yam) muaj cov carbohydrates, lawv yuav tsum tau noj kom tsawg.

Yog tias koj haus cov khoom tsiaj, koj tiv thaiv koj lub cev los ntawm kev noj tsiaj (carbohydrates). Cov zaub mov no muaj protein ntau (

Cov tsiaj rog tau thiab yuav tsum tau noj. Lawv yog qhov khoom ntawm lub zog thiab cov khoom tsim kho tsev rau hlwb. Cov rog dhau heev yog khaws cia. Nrog rau cov zaub mov noj kom tsawg, cov zaub mov muaj roj muaj txiaj ntsig zoo yog kev pom zoo.

Noj cov rog ntxiv rau cov rog txheej, yog hais tias noj nrog carbohydrates (piv txwv li, ib daig ncuav mog qab zib). Yog tias koj ua raws li cov zaub mov noj qis-carb, txhua yam nqaijrog noj tam sim ntawd tig mus ua lub zog.

Nws yog tsis yooj yim sua kom yoog nrog cov rog thiab cov protein, lub cev yuav ua tam sim ntawd tsis zoo-tawm tsam, duav, kub siab, raws plab. Peb tuaj yeem nqus cov carbohydrates tsis muaj kev txwv.

Cov roj nplej carbohydrates yog qhov muaj zog. Tsis tas yuav tsum tso lawv tseg, tab sis koj yuav tsum xaiv kom raug. Txwv tsis pub siv:

Cov zaub ntsuab muaj cov khoom sib xyaw ua ke ntawm cov carbohydrates - cov hmoov txhuv nplej siab, qab zib, kev noj haus fiber ntau. Tsuas yog cov hmoov txhuv nplej siab thiab qab zib ua rau dhia hauv qab zib. Qhov xav tau kom tsawg ntawm cov carbohydrates ib hnub rau cov ntshav qab zib yog 20 grams. Txog kev noj zaub mov rau koj noj, koj yuav tsum xaiv cov khoom noj uas GI yog cov piam thaj hloov ua ntshav qab zib

Thaum sawv ntxov cov cev hauv lub cev "qeeb" ua cov kua dej. Thaum sawv ntxov, nws raug nquahu kom muaj pluas tshais ntawm cov zaub mov muaj protein ntau. Lub siab ua ke ntev ntev ntawm tag nrho yuav tiv thaiv cov khoom noj txom ncauj thiab txhais tes yuav tsis ncav cuag cov khoom noj txom ncauj sai.

Nws yog qhov zoo dua rau noj su nrog koj hauv tsev hauv ib ntim. Nws tsis zoo li hauv kev ua zaub mov nws yuav tuaj yeem nrhiav zaub mov tsis muaj khoom noj nrog carbohydrates.

Noj hmo yuav tsum tsis pub dhau 18/19 teev. Khoom noj muaj protein ntau yuav muaj sij hawm mus zom, thiab thaum sawv ntxov koj yuav muaj noj tshais nrog qab los noj.

Yog tias koj raug kev txom nyem ntawm gastroparesis, ua kom tsawg ntawm cov zaub mov noj thaum yav tsaus ntuj. Hloov cov zaub nyoos nrog cov hau siav.

Daim ntawv qhia uas txhua tus yuav nyiam yog zaub xam lav nrog nqaij qaib, nws muaj tsuas yog 9,4 grams ntawm carbohydrates.

Nqaij qaib mis (200 g):
Beijing cabbage (200 g),
Cherry txiv lws suav (150 g)
1 dos,
Cov kua ntses, txiv roj roj, kua txiv qaub.

Lub hauv paus yog tws Beijing cabbage. On to top peb nteg dos, sliced nyob rau hauv ib nrab ib ncig. Tom ntej no yog txheej txheej ntawm hlais siav hauv ob lub rhaub mis. Thaum kawg, peb nteg ib txheej ntawm kev txiav cov txiv lws suav. Rau kev hnav khaub ncaws, sib tov txiv roj roj, kua ntses thiab kua txiv qaub los saj.

Daim ntawv qhia rau "hniav ua kom qab zib" - dej khov ntsuab

Avocado - 2 pcs.
Txiv kab ntxwv - zest.
Cocoa hmoov - 4 tbsp. khoom siv diav.
Stevia (phoov) - ob peb tee.

Hauv ib rab tshuaj, sib tov avocado (sis plawv hniav), zest, cocoa thiab stevia. Tso tawm qhov loj hauv daim ntawv, muab tso rau hauv lub freezer.

Qhov kev hloov mus rau kev noj zaub mov kom tsawg-carb txhais tau tias muaj kev tsis lees paub cov txiv hmab txiv ntoo, cov kab txiv ntoo tau tso cai. Fructose-uas muaj cov khoom qab zib txo cov nqaij ua rau tsis txaus siab rau insulin.

Cov rog lossis cov rog 0% muaj cov carbohydrates ntau dua li cov rog "rog".

Cov Khw Muag Khoom Noj:

Pluas tshais (10 g ntawm carbohydrates) - scrambled qe nrog spinach, ib khob ntawm blackberry, kas fes nrog qab zib.
Noj su (12 g ntawm carbohydrates) - zaub xam lav (nqaij qaib + Roquefort cheese + nqaij npuas kib + avocado + lws suav + roj (txiv roj) + vinegar), chocolate dub, tshuaj yej.
Noj hmo (11 g ntawm carbohydrates) - grilled salmon, zucchini (kib), champignons (kib), txiv pos nphuab nrog cream, walnuts, ib khob liab.

Kev xaiv zaub mov rau ib lub lim tiam

(Z. - tshais, O. - noj su, U. - noj hmo)

Z.-porridge (buckwheat), cheese, ntsuab tshuaj yej.
O.- zaub xam lav (zaub), borsch, cutlets (nqaij, fawm), zaub stewed.
W. - nqaij (hau), zaub xam lav (zaub).

Z.-omelet, nqaij nyuj (hau), soob, tshuaj yej.
O.- kua zaub (nceb), zaub xam lav (zaub), nqaij qaib, taub dag (ci).
U. - cabbage (stewed), ntses (hau), qaub cream.

Z.-cabbage qaws nrog veal, qaub cream, tshuaj yej.
O.- kua zaub (zaub), nqaij (stew), zaub xam lav (zaub), nplej zom.
U. - casserole (tsev cheese), qaub cream, haus (dev sawv).

Z.-porridge (oats), cheese, qe, ntsuab tshuaj yej.
O. - pickle, nqaij (stew), zucchini (stewed).
U. - nqaij qaib (steamed), ntsuab taum (hau), tshuaj yej.

Z.-tsev cheese, yogurt ..
O.- zaub xam lav (zaub), ntses (ci), txiv pos.
U.-cutlet (nqaij, fawm), zaub xam lav (zaub).

Z.-salmon, qe, dib, tshuaj yej.
O.- borsch, tub nkeeg qhwv qaws, qaub cream.
W. - nqaij qaib (fillet, hau), txaij (stewed).

Z.-porridge (buckwheat), nqaij tawv (cub), tshuaj yej.
O. - zaub qhwv kua zaub (nceb), qaub cream, meatballs (veal, steamed), zucchini (stewed).
U. - ntses (ci), zaub xam lav (zaub), zucchini (stewed).

Cov ntawv qhia zaub mov muaj cov khoom tsis muaj mis los ua. Koj tuaj yeem sim muab cov khoom xyaw mis ua rau noj hmo, thiab ntxiv qab zib rau cov tais diav. Nco ntsoov tswj cov suab thaj!

Yog tias tus neeg mob muaj “zib ntab honeymoon”, kev noj zaub mov kom tsawg rau cov ntshav qab zib hom 1 tuaj yeem ncua sijhawm no kom ntev. Tej zaum nws yuav tsis xav tau kev txhaj tshuaj insulin nyob rau hauv rooj plaub no.

Kev Xaiv Khoom Noj Khoom Noj Rau Lub Lim Tiam

(Z. - tshais, O. - noj su, U. - noj hmo)

Z. - porridge nyob rau hauv dej (buckwheat), tsev me, haus (ua nqaij + mis nyuj).
O. - zaub kua zaub, nqaij qaib mis (ua noj), jelly (txiv qaub).
U. - pike perch (ci), schnitzel (los ntawm cov zaub qhwv), tshuaj yej (tsis muaj qab zib).

Z. - porridge nyob rau dej (barley), qe (hau), zaub xam lav (zaub tshiab), haus (nqaij) + mis nyuj.
O. - pickle, nqaij qaib daim siab, zaub sib tov, txiv hmab txiv ntoo tshiab compote.
U. - nqaij qaib mis (ci), zaub qhwv (stewed).

Z. - tsev me cheese npau loj, dib / lws suav, tshuaj yej.
O. - tawv borsch, ntses (stew) + taum, txiv hmab txiv ntoo haus.
U. - porridge (mov nplej), zaub (hau).

Z. - nqaij qaib (hau), omelet, tshuaj yej.
O. - kua zaub kua zaub (tsis muaj qos yaj ywm!), Nqaij Nqaij (ntses) + barley porridge, haus txiv hmab txiv ntoo.
U. - nqaij nyug (hau), txaij (ci).

Z. - zaub (stewed) + grated cheese, tshuaj yej.
O. - zaub kua zaub (ntawm nqaij qaib), khoom qab zib (spinach + nqaij qaib mis).
U. - cutlets (carrots).

Z. - porridge (oatmeal) + berries, tshuaj yej.
O. - kua zaub (lws suav), stew (nqaij + zaub), compote los ntawm berries.
U. - porridge (buckwheat), zaub xam lav (beets + cheese).

Z. - qe (hau, 2 daim), tshij, dej haus (ua nqaij + mis nyuj).
O. - kua zaub (sorrel), qaib cov txwv (ci + zaub), haus txiv hmab txiv ntoo.
U. - cutlets (cabbage).

Txog cov khoom noj txom ncauj peb xaiv:

Noj su, khoom noj txom ncauj thaum tav su - yogurt, kefir, fermented ci mis, acidophilus, zaub tshiab, zaub xam lav, Berry jelly.

Ua ntej yuav mus pw - yogurt, kefir, fermented ci mis nyuj, acidophilus.

Kev noj zaub mov kom tsawg rau cov ntshav qab zib hom 2 tso cai rau koj noj cov zaub mov uas muaj cov roj ntsha hauv lub cev hauv qhov ntim tsawg.

Txo cov tshuaj ntau npaum li cas ntawm cov tshuaj insulin thiab ntshav qab zib

Yog tias koj tab tom noj cov zaub mov qis, siv cov tshuaj insulin luv ua ntej noj mov.Lub sijhawm ntawm kev ua ntawm xws li insulin cuam tshuam zoo rau lub sijhawm ntawm kev hloov pauv ntawm cov protein rau cov piam thaj.

Txog ntawm thawj hnub thaum tus mob ntshav qab zib pib noj raws li cov cai ntawm kev noj zaub mov kom tsawg, nws cov ntshav qab zib qis dua. Cov nyhuv no tshwj xeeb tshaj yog pom tom qab noj mov. Yog tias koj tsis kho cov koob tshuaj insulin lossis cov lej ntawm cov ntsiav tshuaj muaj piam thaj, nws yooj yim kom poob rau hauv lub qog ntshav qab zib.

Hloov mus rau kev noj zaub mov yuav tsum maj mam ntxiv. Cov koob tshuaj / ntau npaum li cas ntawm cov kev txhaj tshuaj / cov tshuaj noj yuav tsum raug kho txhua hnub raws li qhov ntsuas qhov tseeb ntawm qab zib. Lawm, lawv yuav poob qis.

Yuav kho cov ntawv qhia zaub mov raws li kev tshwm sim ntawm thawj hnub

Yog tias koj hloov mus rau cov zaub mov tsis muaj carb zoo rau cov ntshav qab zib, koj yuav tsum xub tsim kho txhua hnub rau koj cov zaub mov noj ib pliag. Tej zaum cov zaub mov xaiv los yuav tsis txaus, thiab koj yuav muaj qhov tsis xis nyob. Ua kom koj qhov kev pabcuam ntau dua thiab nco ntsoov suav cov koob tshuaj insulin.

Khaws cov ntaub ntawv khaws cia rau ob peb hnub yuav pab koj xaiv cov khoom noj kom zoo. Koj lub hom phiaj yog ua kom ntseeg tau tias muaj kev vam khom ntawm kev hloov pauv ntawm cov piam thaj ntawm kev noj zaub mov kom tsis pub dhau 0.6 mmol / L.

Kev noj cov protein thiab carbohydrates qhov ib txwm noj nrog ib qho kev noj zaub mov muaj txiaj ntsig zoo ntawm cov piam thaj hauv cov ntshav. Thaum suav lub koob tshuaj ntawm cov tshuaj insulin, nco ntsoov txiav txim siab cov protein ntau hauv cov khoom thov kom noj.

Pes tsawg zaus ib hnub koj yuav tau noj

Cov neeg mob uas muaj ntshav qab zib insulin-yuav tsum noj txhua 5 teev twg. Qhov no yog vim qhov tseeb tias lawv yuav tsum muab lawv tus kheej txhaj tshuaj insulin ua ntej noj mov (luv luv lossis ultrashort), cov nyhuv uas yuav tsis cuam tshuam rau tom qab 5 teev. Tsuas yog tom qab ntawd nws yuav muaj peev xwm txheeb xyuas qhov tseeb ntawm koob tshuaj insulin ua ntej noj mov tom ntej.

Cov neeg mob ntshav qab zib hom 1 yuav tsum noj 3 zaug nyob rau ib hnub, nyiam dua rau tib lub sijhawm (piv txwv: 8-00, 13-00, 18-00). Cov khoom noj txom ncauj yuav tsum muab pov tseg. Kev siv nyiaj ntawm cov protein thiab zaub mov kom raug yog nyob rau ib leeg cov zaub mov yuav pab kom muaj txoj sia nyob txog thaum pluas mov tom ntej.

Ib qho kev txhaj tshuaj ntawm cov tshuaj insulin ntev ua ntej yuav mus pw ua tiav 5 teev tom qab noj hmo.

Qhov ua kom yuav tsum tau rau cov neeg mob uas tsis muaj cov kab mob ntshav qab zib-insulin tsis nruj heev. Lawv raug nquahu kom noj txhua 3 mus rau 4 teev. Txhawm rau tswj cov sijhawm zoo, tswj kev qab zib yuav pab tau - yog tias nws tau txo tom qab noj mov dhau los, koj tuaj yeem noj lwm yam ntawm cov zaub mov. Xws li kev coj tus cwj pwm no yuav pab cov neeg mob T2DM zam kom tsis txhob muaj kev pheej hmoo "dhau mus".

Cov neeg mob ntshav qab zib hom 2, “tiv thaiv” insulin, yuav tsum tau noj raws li txoj kev npaj rau cov neeg mob ntshav qab zib insulin. Sai li lawv tsis xav tau cov tshuaj insulin, thiab thaum hloov mus rau kev noj zaub mov kom tsawg, qhov no ua tau zoo heev, lawv yuav muaj peev xwm noj raws li lawv tus qauv ib txwm muaj.

Cov khoom noj txom ncauj thaum tseem noj mov

Nrog hloov mus rau kev noj zaub mov kom tsis tshua muaj carb, ntshav qab zib yuav tsum tso nws cov khoom noj txom ncauj nruab nrab ntawm cov zaub mov tseem ceeb. Nrog rau cov khoom noj zoo li no, tsis tas yuav muaj cov tshuaj insulin ntev "ntev", thiab raws cov neeg mob ntshav qab zib yuav tsum tsis txhob xav tias "cuam tshuam" ib yam dab tsi los ntawm cov khoom noj thaum noj tshais, noj su thiab noj hmo.

Hauv thawj hnub “kev noj zaub mov”, cov khoom noj txom ncauj tsis meej yuav tsis cia koj xaiv qhov sib xyaw kom haum ntawm cov “protein | carbohydrates | insulin”.

Yog tias koj tshaib plab txog qhov tom, nco ntsoov ntsuas koj cov ntshav qab zib kom ntshav. Tej zaum muaj cov tshuaj insulin ntau dhau lawm thiab tau txais kev hem thawj ntawm hypoglycemia yog qhov tiag. Nqa cov ntsiav tshuaj qabzib thiab rov qab lub sijhawm txhaj tshuaj.

Cov zaub mov muaj protein txaus tsim nyog yuav tsum tau txais tag nrho cov lus qhia txog li 5 teev. Tej zaum koj yuav tsum tau nce cov khoom noj ntau zuj zus.

Nws qee zaum nyuaj rau tus neeg mob ntshav qab zib uas muaj qhov tsis txaus yuav tau noj txhua yam zaub mov uas tsim nyog rau 5 teev "kev txwv khoom noj" ib zaug. Xaiv ib qho nqaij npuas hau rau ib qho khoom noj txom ncauj thiab suav seb qhov tshuaj tiv thaiv luv luv yuav tsum tau muab ua ntej muab nqus.

Kev xaiv cov koob tshuaj insulin rau "ua kom" cov khoom txom ncauj

Nws zoo dua tsis txhob ua khoom txom ncauj, tab sis yog tias muaj kev xav tau - ntsuas ntshav qab zib. Yog tias cov piam thaj tsis ntshav, tso cov tshuaj kom luv luv ntawm insulin thiab pib noj.

Txhawm rau noj khoom txom ncauj, siv ib feem ntawm koj cov kev noj haus li ib txwm (piv txwv, 1/3 ntawm pluas su) thiab nkag mus rau ib qho tshuaj raws li muaj nuj nqi ntawm cov tshuaj insulin.
Qhov kev xaiv yooj yim yog noj cov zaub mov muaj protein ntau (nqaij qaib mis, qe, ib daig ntses). Ua ntej koj yuav tom, nkag mus rau hauv ib txwm hno tshuaj insulin luv luv, tos 20 feeb thiab ... "Bon appetit!".

Yog tias cov piam thaj txo, ua kom cheem tawm tsam tus mob ntshav qab zib tsawg kawg.

Muaj cov txheej txheem nyuaj los laij cov koob tshuaj insulin kho tau. Kev ua tib zoo suav nrog kev siv tshuaj ntawm cov tshuaj insulin yuav pab rau lub sijhawm ntev kom tsis txhob muaj teeb meem loj.

“Dab neeg dab ntshai heev” hais txog kev noj zaub mov kom tsawg

Cov kws kho mob feem ntau yauv yuag cov pluas noj: txhua qhov kev txwv noj zaub mov muaj lawv txoj kev xav thiab qhov tsis zoo. Qhov tsis zoo ntawm kev noj zaub mov uas tsis muaj carb ntau muaj xws li cov ntsiab lus hauv qab no:

Kev tsis kam txais cov txiv hmab txiv ntoo thiab kev noj zaub tsawg tsawg ua rau lub cev tsis muaj txiaj ntsig cov kab mob thiab vitamins hauv lub cev. Cov khoom noj muaj peev xwm tso cai rau koj noj cov kua txiv thiab cov zaub txaus. Qhov tsis muaj qhov cim tseg kab mob tuaj yeem them nyiaj rau los ntawm kev noj cov vitamins ntau.

Txo cov khoom noj muaj fiber ntau ua rau cem quav. Cem quav yog qhov muaj teeb meem nrog lub plab zom mov. Cov hau kev paub ntawm yuav ua li cas nrog lawv.

Kev tsim cov ketones ntev zuj zus tuaj yeem ua rau lub cev tsis ua haujlwm. Tsis txhob quav ntsej ob lub tswv yim - ketosis thiab ketoacidosis. Ketoacidosis yog ib qho xwm txheej txaus ntshai uas tshwm sim nrog decompensation ntawm T1DM. Hauv qhov no, cov ntshav tiag tiag "acidifies". Yog koj tsis ntsuas kev kho mob, tus neeg mob yuav tuag. Ketosis yog txheej txheem ib txwm ua uas muaj cov pluas noj tsis txaus rau lub cev nrog rau cov zaub mov tsis muaj carbohydrates. Cov txiaj ntsig tau zoo ntawm kev qhia lub cev mus rau hauv lub xeev ntawm ketosis hauv Alzheimer tus kab mob, mob vwm, oncology tau paub.

Ntau cov sodium thiab potassium yog cov tawm hauv lub cev, lub raum thiab lub plawv tuaj yeem cuam tshuam. Ib qho nce ntxiv ntawm cov kua dej yog tau tawm ntawm lub cev. Tej zaum muaj salting ntau ntau ntawm cov zaub mov thiab noj cov tshuaj potassium npaj yuav pab tau.

Calcium tsis txaus yog tsis zoo rau lub cev. Muaj cov kev txwv hais txog cov mis, tab sis los ntawm tsis muaj txhais tau tias cov khoom noj siv mis. Noj cov cheese, tsev cheese thiab khoom noj muaj mis - calcium yuav nkag rau hauv koj lub cev.

Lub cev muaj kev mob nkees heev. Thaum koj hloov mus rau kev noj haus nyob rau lub hnub thaum ntxov, muaj zog rog yuav pom. Tom qab ib lub sijhawm ntawm hloov mus rau kev noj hom tshiab (hauv qee tus neeg no tuaj yeem siv sijhawm ntau lub lis piam), lub peev xwm ntawm lub cev yuav rov qab los.

Lub hlwb nres tsis ua haujlwm zoo li qub thaum muaj teeb meem ntawm lub cev carbohydrates. Feem ntau ntawm lub hlwb hloov mus rau ketones. Lub hlwb tseem tshuav yog muab los ntawm kev noj haus vim yog cov txheej txheem gluconeogenesis metabolic, nyob rau hauv cov piam thaj hauv cov tshuaj tiv thaiv los ntawm cov protein thiab cov rog.

Qhov kom tsawg ntawm cov calories kom tsawg. Qhov no yog raws nraim, thiab qhov no yog qhov zoo. Proteins txhim kho metabolism hauv, ib tug neeg ceases suav cov calories uas noj thiab ua tib lub sijhawm poob phaus. Nws lub zog tsis txom nyem.

Khoom noj "tsiaj" muaj qhov tsis zoo rau lub siab. Nws tau pom ntev ntev hais tias "cov roj" zoo "tsis cuam tshuam txoj haujlwm ntawm cov hlab plawv. Cov ntsiab lus ntawm cov "tsis zoo" cov roj (cholesterol) yuav tsum tau saib xyuas, nyob hauv qee tus neeg, kev noj haus tuaj yeem ua rau tsis zoo ntxiv.

Tus neeg noj qab haus huv yuav tsum tsis txhob "zaum" ntawm cov khoom noj no kom ntev. Cov neeg mob uas muaj ntshav qab zib hom 2, ua rau lub cev poob qis nrog kev noj zaub mov kom tsawg, yuav tsum xav txog lwm txoj kev los tswj lub cev hnyav. Rau cov neeg mob uas muaj ntshav qab zib hom 1, kev txwv lub neej ntev ntawm carbohydrates yog tib txoj kev xaiv los ua kom cov tshuaj insulin ntau ntxiv.

Kev noj zaub mov kom tsawg hauv lub cev tuaj yeem pom zoo rau txhua hom neeg mob ntshav qab zib. Qee tus yuav muaj cov nyhuv tam sim, ib tus neeg yuav tsum siv sijhawm los xaiv cov khoom zoo rau lawv tus kheej.Cov txiaj ntsig ntawm cov khoom noj zoo li no hauv ntshav qab zib yog pom tseeb. Cov neeg mob uas “cov neeg nyiam” thiab “txaus siab” noj qab nyob zoo rau cov ntshav qab zib yuav tau txais los ntawm cov neeg mob.

Qab zib yuav ruaj vim tias koob tshuaj insulin me me thiab “qeeb” carbohydrates yog qhov kwv yees tau. Tus mob ntev ntev tsis txhim kho, vim tias cov piam thaj tsis tshua zoo.

Ntawm 47, Kuv raug kuaj mob ntshav qab zib hom 2. Hauv ob peb lub lis piam Kuv tau nce yuav luag 15 kg. Lub cev tsis tu ncua, tsaug zog, zoo li tsis muaj zog, lub zeem muag tau pib los zaum.

Thaum kuv muaj 55 xyoo, Kuv twb ua nkaug kuv tus kheej nrog cov tshuaj insulin, txhua yam tsis zoo. Tus kab mob no tseem tsim muaj, ntu nriaj pib, tsheb thauj neeg mob cia rov kuv los ntawm lub ntiaj teb tom ntej. Txhua lub sijhawm kuv xav tias lub sijhawm no yuav yog zaum kawg.

Txhua yam hloov thaum kuv tus ntxhais cia kuv nyeem ib tsab xov xwm hauv Is Taws Nem. Koj tsis tuaj yeem xav tias kuv yuav ris nws txiaj npaum li cas. Kab lus no pab kuv daws cov ntshav qab zib kom tas, ib qho kab mob uas tsis tuaj yeem kho. 2 xyoos tas los kuv tau pib tsiv mus ntau dua, thaum caij nplooj ntoo hlav thiab lub caij ntuj sov kuv mus rau hauv lub tebchaws txhua txhua hnub, cog txiv lws suav thiab muag tom khw. Kuv cov phauj xav tsis thoob thaum kuv khaws txhua yam, qhov twg ntau zog thiab lub zog los ntawm, lawv tseem tsis ntseeg tias kuv muaj hnub nyoog 66 xyoo.

Leej twg xav nyob lub neej ntev, nquag thiab tsis nco qab txog tus kab mob txaus ntshai tas mus li, noj 5 feeb thiab nyeem kab lus no.

Qhov khoom noj muaj zaub mov kom tsawg rau cov ntshav qab zib hom 1 yog dab tsi

Qhov tseem ceeb tshaj plaws hauv kev kho mob ntshav qab zib hom 1 yog tswj cov qib ntshav qab zib kom nyob tus. Richard xaus lus los ntawm Dr. Richard Bernstein - tus mob ntshav qab zib nrog “kev paub” ntawm 70 xyoo. Nqa cov kev sim sim nrog nws kev noj zaub mov noj thiab ntsuas cov suab thaj theem nrog lub ntsej muag hauv tsev 6-8 zaug hauv ib hnub, nws tau pom tias tsuas yog txo qis hauv cov nyiaj carbohydrates yuav pab kom tsis txhob qog cov piam thaj. Tau ntau xyoo, Dr. Bernstein pom tias 1 g ntawm carbohydrates nce nws qab zib los ntawm 0.28 mmol / l, thiab 1 ntu ntawm insulin hauv nyuj los yog npua txo cov suab thaj los ntawm 0.83 mmol / l.

Hloov cov zaub mov, Asmeskas tus kws kho mob ib nrab tau tshem tawm cov kev mob tshwm sim los ntawm cov ntshav qab zib, txhim kho txoj kev noj qab haus huv thiab lub neej ntev mus ntau xyoo. Lub ntsiab lus ntawm qis-carb cov khoom noj muaj txiaj ntsig yog kev txo qis ntawm cov tshuaj saccharides thiab lawv hloov nrog cov proteinCov. Bernstein kev noj haus rau ntshav qab zib normalizes qib qab zib tsuas yog 2-3 hnub tom qab nws pib. Qhov ntsuas tsis ntau tshaj 5.3-6.0 mmol / l tom qab noj mov. Kev suav tseeb ntawm cov tshuaj insulin, kev noj tshuaj tshwj xeeb, kev noj zaub mov zoo nrog 50-60% carbohydrates hauv kev noj zaub mov tsis tau muab cov txiaj ntsig zoo li ntawd.

Dab tsi noj thiab tsis tuaj yeem noj nrog ntshav qab zib

Tau ntau xyoo tsis muaj kev vam meej nrog DIABETES?

Lub taub hau ntawm lub koom haum: “Koj yuav xav tsis thoob tias yoojyim kho mob ntshav qab zib li cas los ntawm kev noj tshuaj txhua hnub.

"Dab tsi muaj peev xwm noj tau cov ntshav qab zib?" - qhov no yog cov lus nug uas nug los ntawm txhua tus neeg uas tau ntsib tus mob no. Rau txhua theem ntawm cov ntshav qab zib, ntsuas xws li glycemic Performance index thiab tag nrho cov calorie cov ntsiab lus ntawm cov khoom yog qhov tseem ceeb heev. Qhov qis dua ntawm glycemic Performance index thiab cov degree ntawm cov calorie ntsiab lus, sib haum ntau pab tau qhov no lossis yam khoom ntawd rau cov ntshav qab zib thiab koj tuaj yeem noj nws.

Yuav nrhiav seb yuav pab tau li cas

Txhawm rau txiav txim siab dab tsi raws li kev pom zoo noj nrog ntshav qab zib yog qhov yooj yim heev. Ua ntej tshaj plaws, txhua qhov khoom lag luam qhia tias nws yog caloric npaum li cas. Koj kuj yuav tsum tau them sai sai rau qhov muaj pes tsawg leeg. Tus mob ntshav qab zib yuav tsum tsis txhob noj txhua yam uas muaj qab zib ntshiab. Cov khoom yuav tsum muaj cov piam thaj hloov, uas yog fructose, sucrose, sorbitol thiab lwm tus.
Qhov no yuav lav tias khoom noj tuaj yeem noj tau thiab tsis ntshai rau koj txoj kev noj qab haus huv. Txawm li cas los xij, cov khoom noj zoo li no tseem muaj qee qhov muaj calorie thiab cov glycemic index.

Nws ntseeg tau hais tias nws yog qhov tsim nyog kom noj tsis ntau tshaj 50 units ib hnub, uas yog, koj tuaj yeem haus cov khoom lag luam ntawm cov kev txwv no, tab sis txhua yam uas ntau tshaj yog tsis tau.

Peb tuaj yeem sib tham txog cov txiv hmab txiv ntoo, zaub, khob cij thiab nws cov lus qhia, uas ntau tus neeg mob ntshav qab zib nyiam noj.

Koj yuav tsum tau noj pes tsawg cov carbohydrates thaum koj noj mov?

Ob lub Lavxias thiab Asmeskas cov neeg endocrinologist pom zoo kom cov neeg mob ntshav qab zib tau txais los ntawm 45% txog 65% ntawm txhua cov calories ntawm cov zaub mov noj txhua hnub los ntawm carbohydrates. Qhov no txhais tau hais tias kwv yees li ib nrab ntawm koj lub phaj ntawm txhua pluas noj yuav tsum muaj carbohydrates.

Koj yuav tsum paub pes tsawg carbohydrates no lossis cov khoom lag luam muaj. Cov ntaub ntawv no tuaj yeem pom ntawm daim ntawv lo, thiab rau cov khoom lag luam tsis muaj koj tuaj yeem nrhiav cov ntaub ntawv no hauv Is Taws Nem.

Qhov pom zoo txhua hnub kom tsawg ntawm carbohydrates yog 130 g ib hnub. Rau ib pluag mov, nws raug nquahu kom noj tsis ntau tshaj:

60-75 grams carbohydrates rau txiv neej,
45-60 grams carbohydrates ib pluag noj rau cov poj niam.

Chav tsev mov raws li kev ntsuas ntawm carbohydrates noj

Kom yooj yim ntawm kev suav cov carbohydrate, lub tswvyim ntawm "chav ua mov ci" lossis XE tau tsim. Hauv 1 lub khob cij qhob cij, raws li ntau qhov kev kwv yees, muaj los ntawm 10 txog 15 gram ntawm carbohydrates (peb suav tau li 10 grams).

Cov kws kho mob pom zoo kom noj XE li hauv qab no hauv ib pluag noj:

Cov txiv neej - los ntawm 4 txog 5 XE rau ib qho kev noj mov tseem ceeb (noj tshais, noj su, noj hmo).
Cov poj niam - los ntawm 3 txog 4 XE ib pluag noj.
Cov khoom noj txom ncauj (khoom noj txom ncauj) - ntawm 1 txog 2 XE.

Yuav ua li cas xam cov naj npawb ntawm cov khob cij?

Kom yooj yim ntawm kev suav cov qhob cij qhob cij, peb pom zoo kom noj 10 gram carbohydrates rau 1 XE. Txhawm rau kom sai xam tus nqi ntawm XE, koj yuav tsum nrhiav seb muaj pes tsawg carbohydrates nyob rau hauv cov khoom thiab faib los ntawm 10.

Piv txwv li, 1 daim mov ci yog sib npaug li 1 XE thiab muaj 10 grams carbohydrates. Ib lub txiv apple (200 g.) Nqa 20 g. carbohydrates, uas txhais tau tias 2 XE. 1 lub hnab ntawm buckwheat porridge uas hnyav 100 grams muaj 62 grams carbohydrates lossis 6.2 XE.

Yog hais tias qhov hnyav ntawm cov khoom lag luam tsis txawm, piv txwv li, ib lub txiv av, nws hnyav 136 grams, ces koj tuaj yeem tshawb pom ntau npaum li cas cov carbohydrate thiab cov khob cij nws muaj los ntawm cov qauv:

XE = (CARBOHYDRATES IN 100 gr. Khoom muag * Khoom muag khoom hnyav / 100) / 10.

Yog li, ib lub kua tsim 136 grams muaj: (10 * 136/100) / 10 = 1.36 XE.

Txhawm rau kom koj cov piam thaj hauv ntshav kom zoo li qub, nws tsis txaus ntseeg txog qhov muaj pes tsawg carbohydrates noj thiab hloov mus rau cov khob cij. Koj yuav tsum paub meej txog cov tshuaj insulin ntau npaum li cas lossis lwm cov tshuaj txo qis qab zib yog qhov tsim nyog rau pov tseg ntawm 1 XE. Nov yog ib qho ntawm cov ntsiab lus tseem ceeb hauv kev kho ntshav qab zib.

Yuav ua li cas koj paub ntau npaum li cas carbohydrates koj noj?

Tam sim no, ntau tus neeg, suav nrog cov neeg uas muaj ntshav qab zib, muaj tus cwj pwm noj zaub mov kom nrawm, tsis tshua xav txog qhov noj ntau npaum li cas. Nws feem ntau tshwm sim thaum peb zoo li noj ib qho, tab sis qhov tseeb tag nrho peb carbohydrates hauv nws. Kev coj cwj pwm noj haus zoo li no yuav tsis suav rau cov ntshav qab zib.

Ua nws txoj cai los kawm cov ntawv teev cov khoom lag luam thiab tshawb pom muaj ntau npaum li cas ntawm cov carbohydrate lawv. Nws pab, tab sis nws zoo dua rau kev sim hauv koj tus kheej chav ua noj.

Yuav cov rooj noj mov, ntsuas lub khob ntsuas, pib suav thiab sau txhua yam koj noj. Nws yog qhov zoo dua rau xam tus nqi XE ncaj qha rau hauv chav ua noj, kom txog thaum koj noj, koj paub tias koj yuav noj cov khob cij ntau npaum li cas thiab noj cov tshuaj insulin twg tsim nyog koj xav tau.

Txhim kho cov carbohydrates hauv koj phau ntawv qhia kev tswj yus tus kheej

Cov khoom noj sib txawv ua rau cov ntshav qab zib cov ntshav sib xws. Nws tsis yog nyob ntawm seb hom thiab ntau npaum li cas ntawm cov carbohydrates koj noj thiab cov insulin lossis tshuaj uas koj noj, tab sis kuj rau lwm yam, piv txwv li, ntawm koj lub cev kev ua si.

Cov kws kho mob pom zoo tias cov neeg mob ntshav qab zib yuav tsum ua nws phau ntawv tswj tus kheej.

Lub chaw muag mis nyuj ntawm kev tswj tus kheej feem ntau yog nkag mus:

tus nqi ntawm cov carbohydrates noj,
tshuaj insulin lossis tshuaj hypoglycemic,
ntsuas cov ntshav qab zib ua ntej noj mov (koj tuaj yeem ntsuas tau 2 teev tom qab noj mov),
kev siv lub cev.

Nrog kev tswj hwm zoo li no, nws tsis tseem ceeb tsis txhob liam lossis liam koj tus kheej yog tias koj cov piam thaj nce siab lossis qee yam ua txhaum. Cov ntshav qab zib theem nyob tsis yog tsuas yog nyob ntawm chav ua khob cij thiab insulin, kev tawm dag zog, kev mob nkeeg, kev ntxhov siab muaj qhov cuam tshuam ncaj qha rau nws. Ntawm no, kev paub thiab tus cwj pwm loj rau koj tus kab mob tseem ceeb heev. Khaws cov ntawv teev txhua hnub ntawm kev saib xyuas tus kheej tau pab txhawb rau qhov no.

Tsis yog txhua txhua carbohydrates yog tib yam.

Nco ntsoov tias hom carbohydrate koj noj yuav muaj teebmeem txawv ntawm cov ntshav qab zib. Koj kuj yuav tsum paub tias koj lub cev tau txais lub zog los ntawm ob hom carbohydrates: yooj yim thiab ntau.Lawv cuam tshuam rau cov piam thaj hauv ntshav hauv ntau txoj kev.

Carbohydrates yooj yim yog cov zaub mov uas muaj suab thaj. Koj lub cev zom lawv sai sai, lawv tam sim ntawd nkag rau hauv cov hlab ntshav thiab nce ntxiv nyob rau hauv cov ntshav. Ntawm no yog qhov deb ntawm daim ntawv teev tag nrho ntawm cov khoom noj tau yooj yim (sai) carbohydrates:

qab zib
zib ntab
qab zib phoov cov ntshav
Coca-Cola thiab Pepsi-Cola (tshwj tsis yog Lub Teeb),
khoom qab zib, chocolate, halva,
bakery khoom los ntawm cov hmoov dawb dawb.

Nws tseem yuav tsum tau sau tseg tias cov khoom noj carbohydrates yooj yim kuj tseem muaj. Lawv muab faib ua monosaccharides (qabzib, fructose, galactose) thiab kev tsis sib haum (sucrose, lactose, maltose). Cov kua nplaum muaj feem cuam sai, ntau qeeb qeeb yog fructose, uas pom hauv cov txiv hmab txiv ntoo. Yog li, cov txiv hmab txiv ntoo muaj ntau dua rau cov ntshav qab zib dua li lwm cov carbohydrates yooj yim.

Peb tsis sau tias cov khoom noj khoom haus yooj yim (carbohydrates) raug txwv tsis pub rau cov neeg mob ntshav qab zib. Hauv mentsis (1 XE), lawv tuaj yeem lees txais yog tias cov tshuaj insulin xa tawm ua ntej lawv cov tshuaj lossis cov tshuaj txo cov ntshav qab zib. Ntxiv mus, lawv yog qhov tsim nyog thaum tus neeg mob ntshav qab zib muaj ntshav qab zib hauv lub cev - noj zaub mov kom yooj yim (carbohydrate) yuav pab txhawb cov piam thaj sai sai thiab zam ib qho xwm txheej rau lub cev.

Cov carbohydrates ntau yog cov khoom noj muaj hmoov txhuv nplej siab. Lawv yoog los ntawm lub cev ntev dua li cov carbohydrates uas yooj yim. Yog li, lawv nce cov ntshav qab zib kom tsawg dua, uas yog qhov zoo rau cov neeg mob ntshav qab zib. Cov zaub mov muaj ntau nyob hauv cov zaub mov hauv qab no:

Cov carbohydrates ntau yog qhov tseem ceeb rau kev noj haus ntawm tus neeg mob ntshav qab zib

Thaum noj cov khoom noj uas muaj carbohydrate, nco ntsoov tias qee cov carbohydrates yog qhov muaj txiaj ntsig zoo dua li lwm tus. Qhov tsawg lawv ua tiav, zoo dua. Tag nrho cov noob nplej porridge yog qhov muaj txiaj ntsig zoo dua li cov nplej pob kws nplej, vim tias hmoov nplej tau los ntawm kev ua cov nplej thiab nws tsis muaj cov khoom noj muaj txiaj ntsig.

Yog li, txhawm rau ua kom cov ntshav qab zib qeeb zuj zus, hloov mus rau cov khoom muaj txiaj ntsig, nrog rau cov zaub thiab txiv hmab txiv ntoo, tsis suav cov suab thaj, cov zaub mov tiav thiab kua txiv los ntawm kev noj haus.

Mob ntshav qab zib yog dab tsi thiab nws cov luag haujlwm noj zaub mov li cas?

Yog tias koj muaj ntshav qab zib, koj lub cev tsis tuaj yeem zom cov carbohydrates zoo.

Feem ntau, thaum koj noj cov khoom noj carbohydrates, lawv zom rau hauv cov me me ntawm cov piam thaj, uas thaum kawg cov ntawv hauv cov ntshav qab zib.

Thaum cov piam thaj nce siab, cov txiav ua ke los ntawm kev tsim cov tshuaj insulin. Qhov tshuaj hormones no tso cai rau cov piam thaj rau hauv lub hlwb.

Hauv cov neeg muaj kev noj qab haus huv, cov ntshav qab zib yuav nyob hauv qhov tsim nyog thoob plaws ib hnub. Ntawm cov ntshav qab zib, li cas los xij, tus txheej txheem no tsis ua haujlwm txhua qhov uas nws yuav tsum ua.

Qhov no yog qhov teeb meem loj, vim tias ntau dhau lossis tsis dhau cov piam thaj hauv ntshav tuaj yeem ua rau muaj kev puas tsuaj rau lub cev.

Muaj ob peb hom ntshav qab zib, tab sis feem ntau yog hom 1 thiab hom 2. Ob hom ntshav qab zib no tuaj yeem kuaj pom txhua lub hnub nyoog.

Ntawm ntshav qab zib hom 1Qhov txheej txheem autoimmune rhuav tshem cov tshuaj insulin-ua cov beta hlwb hauv cov txiav ua ke. Tus mob ntshav qab zib yuav tsum txhaj tshuaj insulin ob peb zaug hauv ib hnub kom paub tseeb tias cov piam thaj nkag mus rau hauv cov ntshav thiab tseem nyob rau theem.

Ntawm ntshav qab zib hom 2, beta hlwb hauv cov txiav ua tsim cov tshuaj insulin txaus, tab sis lub cev lub cev tiv thaiv nws cov teebmeem, kom cov ntshav qab zib cov ntshav tseem nyob. Txhawm rau them nyiaj rau qhov no, cov kua dej qab zib ua rau muaj cov insulin ntau dua, sim ua kom cov suab thaj kom zoo li qub.

Sij hawm dhau mus, beta hlwb poob lawv lub peev xwm los tsim cov insulin txaus.

Ntawm peb lub as-ham - protein, rog thiab carbohydrates - carbohydrates muaj cov txiaj ntsig zoo tshaj plaws rau ntshav qab zib. Qhov no yog vim tias lub cev ua rau lawv zom zaws hauv cov piam thaj.

Yog li, cov neeg mob ntshav qab zib yuav tau noj ntau yam tshuaj insulin lossis ntshav qab zib thaum lawv nce rau hauv lawv cov carbohydrate kom tsawg.

Cov khoom noj muaj rog carb tsawg tuaj yeem pab cov ntshav qab zib puas tau?

Ntau cov kev tshawb fawb txhawb cov zaub mov tsis muaj carb zoo rau cov ntshav qab zib.

Qhov tseeb, ua ntej qhov kev tshawb pom ntawm cov tshuaj insulin hauv 1921, cov zaub mov tsis muaj carb tsawg tau pom tias yog qauv rau kev kho cov neeg mob ntshav qab zib.

Ntxiv mus, kev noj haus cov zaub mov carbohydrate muaj kev ua haujlwm zoo nyob rau hauv ntev, tsuav yog cov neeg mob noj zaub mov noj.

Hauv ib txoj kev tshawb nrhiav, cov neeg mob uas muaj ntshav qab zib hom 2 ua rau cov zaub mov muaj cov zaub mov tsis zoo rau 6 lub hlis. Lawv cov ntshav qab zib tseem nyob tau zoo tswj tau ntau dua 3 xyoos thaum lawv ua raws li cov kev npaj noj haus no.

Ib yam li ntawd, thaum cov neeg muaj ntshav qab zib hom 1 txwv lawv cov khoom noj haus uas tsis txaus noj, lawv muaj kev txhim kho zoo rau cov piam thaj hauv ntshav thaum lawv tau noj cov zaub mov no ntev dua 4 xyoos.

Dab tsi yog qhov zoo tshaj ntawm cov nyiaj carbohydrates rau cov neeg mob ntshav qab zib?

Kev noj zaub mov zoo rau kev noj qab haus huv rau cov ntshav qab zib yog lub ncauj lus tsis sib haum, txawm tias ntawm cov txhawb kev noj haus carbohydrate.

Ntau cov kev tshawb fawb tau qhia txog kev txhim kho tseem ceeb hauv cov ntshav qab zib, qhov hnyav, thiab lwm qhov cim thaum cov khoom noj carbohydrates tau txwv txog 20 g hauv ib hnub.

Dr Boris Orlov,Tus kws kho mob ntshav qab zib ntawm cov qeb siab tshaj plaws thiab lub taub hau ntawm Lavxias Lub Chaw Rau Kev Mob Ntshav Qab Zib, pom zoo 30 gram carbohydrates ib hnub twg thiab tau sau cia cov kev tswj zoo tshaj plaws hauv cov ntshav qab zib, ob qho tib si hauv nws tus kheej thiab hauv nws cov neeg mob.

Txawm li cas los xij, lwm qhov kev tshawb fawb qhia tias kev txwv me me kom tsawg, txog 70-90 grams tauj ib hnub, kuj ua haujlwm tau zoo.

Qhov zoo tshaj plaws ntawm cov nyiaj carbohydrates yuav txawv nyob ntawm tus neeg tus yam ntxwv, txij li peb txhua tus nyias muaj nyias qhov tshwj xeeb rau cov khoom noj carbohydrates. Txhawm rau kom pom qhov koj tus nqi zoo tshaj plaws, koj tuaj yeem ntsuas koj cov ntshav qab zib ua ntej noj thiab 1-2 teev tom qab noj mov.

Raws li ntev raws li koj cov ntshav qab zib cov qib tseem qis dua 140 mg / dl (8 mmol / L), qhov taw tes uas cov hlab ntsha puas tuaj yeem ua, koj tuaj yeem haus 6 grams, 10 grams lossis 25 grams ntawm carbohydrates hauv ib pluag noj ntawm cov carb uas tsis muaj kev noj haus.

Txhua yam nws yog nyob ntawm koj tus kheej qhov ua haujlwm yooj yim. Tsuas yog nco qab txoj cai dav dav, kev noj zaubmov uas koj noj tsawg, cov piam thaj hauv cov ntshav tsawg yuav muaj ntau dua.

Thiab, tsis txhob txwv txhua, tsis suav tshwj tsis yog, carbohydrates, zaub mov tsis muaj zaub mov zoo rau cov ntshav qab zib yuav tsum muaj cov khoom noj carbohydrate ntau nyob rau hauv cov zaub mov muaj txiaj ntsig, fiber, xws li zaub, txiv ntseej, txiv ntoo thiab noob.

Dab tsi carbohydrates nce cov ntshav qab zib?

Carbohydrates hauv cov khoom noj cog nrog kev sib xyaw ntawm qab zib, hmoov txhuv nplej siab thiab fiber ntau. Tab sis, tsuas yog cov piam thaj thiab cov hmoov txhuv nplej siab thiaj li nce qib txog cov piam thaj hauv ntshav.

Fiber, uas pom nyob hauv cov zaub mov, tsis hais seb nws yog soluble lossis tsis, tsis zom cov piam thaj thiab tsis nce cov ntshav qab zib.

Qhov tseeb, koj tuaj yeem rho cov ntsiab lus fiber ntau, tawm tsuas yog "ntshiab" carbohydrate cov ntsiab lus. Piv txwv li, ib khob zaub cob pob muaj 5 grams ntawm carbohydrates, ntawm uas 3 grams yog fiber. Yog li, hauv net loj ntawm carbohydrates nyob rau hauv cauliflower yog tsuas yog 2 grams.

Kev yoo mov prebiotics, xws li kev yoo tawm hauv inulin, tau pom tias txhim kho cov ntshav qab zib thiab lwm qhov cim rau cov neeg mob ntshav qab zib hom 2.

Cov piam thaj hauv cawv xws li maltitol, xylitol, erythritol thiab sorbitol feem ntau siv rau cov khoom qab zib tsis muaj qab zib thiab lwm yam zaub mov noj.

Ib txhia ntawm lawv, tshwj xeeb yog maltitol, tuaj yeem tuaj yeem nce cov ntshav qab zib hauv cov neeg mob ntshav qab zib.

Yog li, lub luj qhov hnyav ntawm carbohydrates qhia ntawm lub ntim ntawm ib yam khoom tsis tuaj yeem muaj tseeb tshwj tsis yog tias maltitol carbohydrates yog txiav los ntawm tag nrho cov nyiaj.

Cov Khoom Noj Yuav Tau Noj Thiab Khoom Noj Kom Haum

Nws tsom qhov zoo tshaj plaws rau cov khoom lag luam zoo, ntuj, tsis muaj carb.

Nws tseem yog ib qho tseem ceeb kom them sai sai rau kev tshaib kev nqhis thiab qhov chaw ntawm koj lub cev, tsis hais koj noj dab tsi.

Cov khoom noj tau noj

Koj tuaj yeem noj cov zaub mov muaj zaub mov qis hauv qab no kom txog thaum koj qhov kev tshaib plab, thiab koj yuav tsum ua kom koj muaj protein txaus nrog txhua pluas noj:

Nqaij, nqaij qaib thiab nqaij nruab deg, Cov Ncauj Qe Ci Cov zaub tsis muaj hmoov nplej (feem ntau cov zaub, tsuas yog cov uas tsis suav cov hauv qab no), Avocado Txiv Roj Txiv Roj roj, txiv maj phaub roj, butter, qab zib, qaub cream thiab qab zib.

Cov Khoom Muag Khoom Txwv

Cov zaub mov hauv qab no tuaj yeem noj nyob rau hauv kev sim, nyob ntawm koj tus kheej kam rau ua carbohydrate:

Cov txiv ntoo: 1 khob lossis tsawg dua, Li qub, Greek cov kua mis nyeem qaub: 1 khob lossis tsawg dua, Tsev cheese: 1/2 khob lossis tsawg dua, Cov txiv ntoo thiab cov txiv laum huab xeeb: 30-60 grams lossis tsawg dua, Cov noob flax lossis chia noob: 2 diav, Tsaus chocolate ( tsis pub tsawg tshaj 85% cocoa): 30 grams lossis tsawg dua; Liqueur: 50 grams lossis tsawg dua; Tawv liab lossis xim liab qhuav: 120 grams.

Sim noj kua zaub, txiv ntseej lossis qee yam kua zaub los ua kom qab ntsev. Tsis txhob ntshai ntxiv rau qee qhov ntsev ntxiv rau koj cov zaub mov.

Txawm li cas los xij, yog tias koj muaj lub plawv tsis ua haujlwm tsis zoo, lub raum mob ntshav siab, lossis ntshav siab, tham nrog koj tus kws kho mob ua ntej nce sodium ntau hauv koj cov zaub mov noj.

Cov Khoom Noj Kom Tsis Zam Txim

Cov zaub mov no yog cov muaj carbohydrates ntau thiab tuaj yeem ua rau cov ntshav qab zib ntau ntau hauv cov neeg muaj ntshav qab zib.

Mov ci, nplej zom, cereals, pob kws thiab lwm yam zaub txhwb mis nyuj, Cov hmoov txhuv nplej siab xws li cov qos yaj ywm, qos thiab qab zib, Yam khoom noj xws li taum pauv, lentils thiab taum pauv (tsis suav cov taum ntsuab thiab taum pauv), Mis, txiv hmab txiv ntoo uas tsis yog txiv ntoo, Kua txiv , dej qab zib, punch, qab zib, thiab lwm yam., Npias, Khoom noj qab zib, ncuav qab zib, khoom qab zib, dej qab zib,

Noj su: Cobb Salad

90 grams ntawm nqaij qaib hau, 30 grams ntawm Roquefort cheese (1/2 gram ntawm cov carbohydrates), 1 daim ntawm nqaij sawb, 1/2 avocado nruab nrab (2 grams carbohydrates), 1 khob ntawm cov txiv lws suav (5 grams carbohydrates), 1 khob ntawm tws zaub xam lav (1 gram ntawm carbohydrates) ), Txiv roj roj thiab dej qab zib, 20 grams (2 me me) 85% tsaus chocolate (4 grams carbohydrates), 1 khob tshuaj yej iced, khoom qab zib xaiv yeem.

Noj hmo: Salmon nrog zaub

10 grams ntawm grilled salmon, 1/2 khob stewed zucchini (3 grams carbohydrates), 1 khob ntawm stewed nceb (2 grams carbohydrates), 1/2 khob tws txiv pos nphuab nrog cream, 28 grams tws walnuts (6 grams carbohydrates), 120 grams caw liab (3 gram carbohydrates)

Tag nrho cov zom zom carbohydrates thoob plaws ib hnub: 37 grams

Tham nrog koj tus kws kho mob ua ntej hloov koj txoj kev noj zaub mov.

Thaum cov carbohydrates muaj tsawg, qhov txo qis hauv cov ntshav qab zib feem ntau pom.

Vim li no, insulin thiab lwm yam tshuaj noj feem ntau yuav tsum raug txo kom tsawg. Hauv qee kis, nws yog qhov tsim nyog tias lawv raug cais tawm tag nrho.

Ib txoj kev tshawb nrhiav tau tshaj tawm tias 17 ntawm 21 tus neeg mob uas muaj ntshav qab zib hom 2 tuaj yeem txo lossis tso tseg lawv cov tshuaj mob ntshav qab zib thaum lawv txo lawv cov kev noj haus carbohydrate rau 20 grams hauv ib hnub.

Hauv kev tshawb fawb ntxiv, cov neeg mob ntshav qab zib hom 1 noj tsawg dua 90 grams carbohydrates ib hnub. Lawv cov ntshav qab zib tswj tau zoo tuaj, thiab muaj tsawg dua ntawm cov piam thaj hauv ntshav tau sau tseg vim tias cov tshuaj insulin tau txo qis.

Yog hais tias cov tshuaj insulin thiab cov tshuaj ntawm lwm cov tshuaj tsis haum rau cov zaub mov tsis muaj carb ntau, nws muaj kev pheej hmoo txaus ntshai cov ntshav qab zib tsawg, tseem hu ua hypoglycemia.

Yog li, nws yog ib qho tseem ceeb heev uas cov neeg siv tshuaj insulin thiab lwm yam tshuaj muaj ntshav qab zib tham nrog lawv tus kws kho mob ua ntej pib noj cov zaub mov tsis muaj zaub mov noj.

Lwm txoj hauv kev los txo koj cov ntshav qab zib

Ntxiv rau kev noj haus uas tsis muaj carb ntau, kev ua kom lub cev tseem tuaj yeem pab tswj cov ntshav qab zib, los ntawm kev nce insulin ntau dua.

Kev sib xyaw ua ke ntawm kev hnyav hnyav thiab kev tawm dag zog aerobic tshwj xeeb yog pab tau.

Kev pw tsaug zog zoo kuj tseem ceeb heev. Kev tshawb fawb muaj xwm yeem pom tias cov neeg uas pw tsaug zog tsis zoo muaj feem yuav ua mob ntshav qab zib.

Ib txoj kev tshawb fawb tsis ntev los no tau qhia tias cov neeg mob ntshav qab zib uas pw ntawm 6,5 rau 7,5 teev ib hnub twg muaj peev xwm tswj xyuas lawv cov ntshav qab zib ntau dua piv rau cov neeg uas tsaug zog ntau dua lossis tsawg dua.

Lwm txoj hauv kev tswj cov ntshav qab zib kom zoo yog kev tswj hwm kev ntxhov siab. Yoga, qigong thiab meditation tau pom tias txo cov ntshav qab zib.

Cov ntsiab lus: Ntxiv rau kev noj zaub mov noj kom tsawg, ua kom lub cev ua kom zoo, pw tsaug zog zoo thiab tswj kev ntxhov siab tuaj yeem txuas ntxiv tswj kev tswj ntshav qab zib.

Kev noj zaub mov kom tsawg-carb zoo rau kev tiv thaiv ntshav qab zib

Kev tshawb fawb qhia tias cov pluas noj qis-carb zoo tuaj yeem tswj hwm tus mob ntshav qab zib hom 1 thiab hom 2.

Kev noj zaub mov muaj roj tsawg tuaj yeem txhim kho kev tswj cov ntshav qab zib, txo qhov yuav tsum tau noj tshuaj, thiab txo cov kev muaj mob ntshav qab zib.

Tsuas yog nco ntsoov tham nrog koj tus kws kho mob ua ntej noj cov kev hloov pauv hauv koj li kev noj haus, vim koj cov tshuaj noj yuav tsum tau kho kom haum.

Lub teeb xa khoom txoj kev yog dab tsi?

Kev xyaum qhia hauv qab no. Yog tias koj noj khoom noj me me carbohydrates, tsis ntau tshaj 6-12 grams hauv ib lub sijhawm, lawv yuav ua rau cov piam thaj hauv ntshav ntawm tus neeg mob ntshav qab zib dhau los ntawm kev paub tseeb. Yog tias koj noj ntau ntawm carbohydrates ib zaug, tom qab ntawd cov ntshav qab zib yuav tsis cia li sawv, tab sis yuav dhia tsis txaus ntseeg. Yog tias koj txhaj koob tshuaj insulin me me, nws yuav txo cov ntshav qab zib kom tsawg los ntawm qhov paub tseeb tias. Qhov tshuaj insulin ntau dua, tsis zoo li cov me, ua yam tsis xav tau. Qhov kev txhaj tshuaj loj ntawm tib qho tshuaj insulin (ntau dua 7-8 chav nyob rau hauv ib qho kev txhaj tshuaj) yuav ua tus cwj pwm txawv txhua zaus, nrog kev txawv txav txog li ± 40%. Yog li no, Dr. Bernstein tau tsim cov qauv kev thauj khoom me me rau hom 1 thiab 2 mob ntshav qab zib - kom noj cov carbohydrates tsawg thiab tswj nrog cov koob tshuaj insulin me me. Nov yog tib txoj kev los tswj ntshav qab zib nrog qhov tseeb ntawm ± 0.6 mmol / L. Hloov los ntawm cov carbohydrates, peb noj cov khoom noj muaj txiaj ntsig zoo thiab lub cev kom zoo.

Cov txheej txheem qes qis tso cai rau koj kom cov ntshav qab zib kom zoo nyob rau hauv 24 teev ib hnub, zoo li cov neeg noj qab haus huv tsis muaj ntshav qab zib. Qhov tseem ceeb tshaj plaws ua rau qhov no yog ua raws li kev noj haus cov zaub mov tsis muaj zaub mov zoo. Txij li cov jumps hauv cov ntshav qab zib nres, tus mob ntshav qab zib sai sai lub zog mob. Thiab sijhawm dhau sijhawm, qhov cuam tshuam hnyav ntawm ntshav qab zib maj mam ploj mus. Cia peb saib ntawm lub hauv paus kev xav ntawm uas "teeb tsa cov teeb meem" ua los tswj hom 1 thiab ntshav qab zib hom 2. Ntau yam siv roj ntsha (ciaj sia) thiab cov tshuab kho tshuab muaj cov yam ntxwv hauv qab no. Nws coj cwj pwm ua kom paub tseeb thaum qhov ntim ntawm "cov khoom siv" yog qhov tsawg. Tab sis yog tias qhov ntim ntawm cov khoom siv loj, i.e., kev thauj khoom ntawm lub system yog siab, ces qhov tshwm sim ntawm nws cov haujlwm ua tsis tau. Cia peb hu nws "txoj cai ntawm kev kwv yees ntawm qhov tshwm sim ntawm cov khoom thauj qis."

Cia peb xub xav txog kev tsheb khiav ua piv txwv ntawm cov qauv no. Yog tias cov tsheb tsawg tsawg mus ntawm txoj kev tib lub sijhawm, ces lawv txhua tus yuav ncav cuag lawv qhov chaw nyob hauv lub sijhawm kwv yees. Vim tias txhua lub tsheb tuaj yeem ruaj khov kho kom tau qhov khiav ceev, thiab tsis muaj leej twg cuam tshuam nrog ib leeg. Qhov tshwm sim ntawm qhov teeb meem tshwm sim los ntawm kev ua txhaum cai ntawm cov tsav tsheb yog tsawg. Yuav ua li cas yog tias koj muab ob npaug rau ntau lub tsheb uas ib txhij khiav ntawm txoj kev? Nws hloov tawm tias qhov tshwm sim ntawm kev tsheb sib nraus thiab xwm txheej yuav tsis yog ob npaug xwb, tab sis nce ntau ntxiv, piv txwv li, 4 zaug. Hauv cov xwm txheej zoo li no, lawv hais tias nce ntau ntxiv lossis exponentially.Yog tias cov naj npawb ntawm cov neeg koom hauv cov txav no tseem nce ntxiv, ces nws yuav dhau qhov peev xwm ntawm txoj kev tsheb. Hauv qhov xwm txheej no, kev txav mus los nyuaj heev. Qhov tshwm sim ntawm cov xwm txheej yog qhov loj heev, thiab kev tsheb sib cav yuav luag tsis tau.

Qhov ntsuas cov ntshav qab zib ntawm tus neeg mob ntshav qab zib kuj coj tib yam. Qhov "cov khoom pib" rau nws yog qhov uas muaj cov carbohydrates thiab cov nqaijrog noj, thiab cov koob tshuaj insulin uas tau txhaj dhau los. Noj cov protein nce rau nws maj mam thiab me ntsis. Yog li ntawd, peb tsom mus rau cov carbohydrates. Nws yog zaub mov carbohydrates uas ua rau cov ntshav qab zib ntau tshaj plaws. Ntxiv mus, lawv tsis yog nce nws xwb, tab sis ua rau nws leap nrawm. Tsis tas li, qhov ntau npaum ntawm cov tshuaj insulin nyob ntawm tus nqi ntawm carbohydrates. Cov koob tshuaj me me ntawm cov carbohydrates thiab cov tshuaj insulin yog qhov ua kom paub tseeb, thiab cov koob tshuaj loj yog qhov tshwm sim tsis tau. Rov qab hais tias cov rog uas txhawm rau tsis ntxiv cov piam thaj hauv ntshav.

Lub hom phiaj mob ntshav qab zib yog dab tsi

Dab tsi yog qhov tseem ceeb rau tus neeg mob ntshav qab zib yog tias nws xav tswj nws tus kab mob kom zoo? Lub hom phiaj tseem ceeb rau nws yog kom ua tiav qhov kwv yees tau ntawm qhov system. Ntawd yog, kom koj tuaj yeem kwv yees tau qib txog cov piam thaj hauv cov ntshav, nyob ntawm seb muaj pes tsawg thiab noj zaub mov dab tsi thiab noj li cas ntawm cov tshuaj insulin. Rov qab nyeem "txoj cai ntawm kev twv ua ntej ntawm qhov tshwm sim thaum thauj khoom tsawg", uas peb tau tham txog sab saud. Koj tuaj yeem ua tiav kev kwv yees cov ntshav qab zib tom qab noj mov tsuas yog tias koj ua raws li cov zaub mov tsis muaj roj ntau ntau. Txog kev kho mob ntshav qab zib kom tau txais txiaj ntsig zoo, nws raug nquahu kom tsis suav cov zaub mov muaj protein ntau (cov npe txwv tsis pub noj), thiab noj cov uas muaj protein ntau thiab cov rog zoo (sau cov zaub mov pub).

Vim li cas cov zaub mov tsis muaj carbohydrate tsawg pab cov ntshav qab zib? Vim tias cov carbohydrates tsawg koj noj, cov piam thaj hauv cov ntshav tsawg dua thiab yuav tsum muaj cov insulin tsawg dua. Qhov kev txhaj tshuaj insulin tsawg dua, qhov ua kom paub tseeb ua ntej, thiab qhov kev pheej hmoo ntawm hypoglycemia tseem txo qis. Qhov no yog qhov kev xav zoo nkauj, tab sis nws puas ua haujlwm hauv kev xyaum? Sim nws thiab nrhiav koj tus kheej. Tsuas yog nyeem tsab xov xwm ua ntej, thiab tom qab ntawd ua :). Ntsuas koj cov piam thaj hauv ntshav ntau dua nrog lub ntsej muag glucometer. Ua ntej kom paub tseeb tias koj lub ntsuas dej yog lawm (yuav ua li cas ua li no). Nov yog tib txoj hauv kev los txiav txim siab yog tias ib qho kev kho mob ntshav qab zib ua haujlwm.

American Diabetes Association, thiab tomqab nws yog peb Lub Chaw Haujlwm Saib Xyuas Kev Nojqab Haushuv, txuas ntxiv qhia kev noj zaubmov kom zoo rau cov ntshav qab zib hom 1 thiab hom 2. Qhov no hais txog kev noj haus uas tus neeg mob noj tsawg kawg yog 84 gram ntawm cov carbohydrates nyob rau ib pluas noj, i.e. ntau dua 250 g ntawm carbohydrates ib hnub twg. Lub Diabet-Med.Com lub vev xaib txhawb txoj kev xaiv rau cov zaub mov uas tsis muaj cov carbohydrate tsawg, tsis pub ntau dua 20-30 gram ntawm cov carbohydrates ib hnub. Vim tias kev noj zaub mov zoo "tsis muaj txiaj ntsig" tsis muaj txiaj ntsig thiab ua rau muaj ntshav qab zib txaus ntshai. Los ntawm kev ua raws li cov zaub mov uas tsis muaj carbohydrate, koj tuaj yeem tswj cov ntshav qab zib tom qab noj tsis ntau dua 6.0 mmol / L lossis tseem tsis siab dua 5,3 mmol / L, zoo ib yam li cov neeg noj qab haus huv.

Yuav ua li cas carbohydrates ua rau cov ntshav qab zib kom spikes

84 grams carbohydrates yog hais txog tus nqi uas muaj nyob hauv ib lub phaj ntawm cov nqaij nplej siav ntawm nruab nrab. Xws li koj tau nyeem cov khoom noj khoom haus ntawm cov ntawv nplej zom. Nws yog ib qho yooj yim los xam pes tsawg lub nplej zom qhuav koj yuav tsum hnyav thiab ua noj kom thiaj li noj tau 84 gram carbohydrates. Tshwj xeeb yog hais tias koj muaj chav ua noj nplai. Xws li koj muaj ntshav qab zib hom 1, koj hnyav txog 65 kg, thiab koj lub cev tsis tsim nws cov tshuaj insulin. Hauv qhov xwm txheej no, nws yuav muaj 1 gram carbohydrates yuav tsa koj cov ntshav qab zib kom txog 0.28 mmol / L, thiab 84 grams carbohydrates - feem, raws li ntau npaum li 23.3 mmol / L.

Raws li txoj kev xav, koj tuaj yeem xam tseeb tseeb seb koj yuav nkag rau insulin ntau npaum li cas kom "tua" ib qho ntawm cov nplej zom thiab 84 gram carbohydrates uas nws muaj. Hauv kev coj ua, xws li kev laij tawm rau cov khoom noj uas yog carbohydrate cov zaub mov ua tsis tau zoo.Vim li cas? Vim tias cov qauv raug cai tso cai rau qhov tsis sib txawv ntawm cov khoom noj muaj txiaj ntsig hauv cov khoom ± 20% ntawm cov ntawv sau dab tsi. Phem tshaj, hauv kev coj ua, qhov kev sib txawv no ntau ntau dua. Dab tsi yog 20% ntawm 84 grams? Qhov no yog kwv yees li 17 gram ntawm cov carbohydrates uas tuaj yeem nce cov ntshav qab zib ntawm "qhov nruab nrab" yam 1 cov neeg mob ntshav qab zib los ntawm 4.76 mmol / L.

Qhov ua tau tsis txawv ntawm 76 4.76 mmol / L txhais tau hais tias tom qab noj cov nplej zom thiab "rov qab" nrog cov tshuaj insulin, koj cov piam thaj hauv ntshav tuaj yeem nyob txhua qhov chaw ntawm qhov siab heev rau qhov ua rau lub ntsej muag ntshav nce qis. Qhov no tsis tuaj yeem lees paub yog tias koj xav tswj koj cov ntshav qab zib kom zoo. Cov kev suav saum toj no yog qhov ua rau muaj siab los sim cov zaub mov muaj ntshav qab zib tsawg rau cov ntshav qab zib. Yog tias qhov no tsis txaus, nyeem ntxiv mus. Peb tseem yuav txheeb xyuas qhov txawv txav ntawm cov zaub mov tsis zoo ntawm cov zaub mov sib tshooj nrog kev tiv thaiv tsis tau ntawm kev txhaj tshuaj loj ntawm insulin.

Nyeem txog cov teebmeem ntawm carbohydrates thiab insulin rau cov ntshav qab zib hauv cov lus:

Cov carbohydrates nyob rau hauv cov zaub mov ntawm cov neeg mob ntshav qab zib hom 2

Tam sim no cia peb saib rau lwm qhov piv txwv uas tau ze dua rau qhov xwm txheej ntawm cov neeg nyeem feem ntau ntawm cov ntawv no. Xws li koj muaj ntshav qab zib hom 2 thiab rog dhau. Koj qhov txiav ua ke tseem tsim cov tshuaj insulin, txawm hais tias nws tsis txaus los tswj ntshav qab zib tom qab noj mov. Koj tau pom tias 1 gram ntawm cov carbohydrate nce koj cov ntshav qab zib los ntawm 0.17 mmol / L. Rau cov neeg mob uas muaj ntshav qab zib hom 1, qhov txawv ntawm cov ntshav qab zib tom qab noj mov ntawm cov nplej zom yuav yog 76 4.76 mmol / L, thiab rau koj ± 2.89 mmol / L. Cia peb pom tias qhov no txhais li cas hauv kev coj ua.

Hauv cov neeg muaj kev noj qab haus huv zoo, cov ntshav qab zib tom qab noj mov tsis ntau tshaj 5.3 mmol / L. Peb cov tshuaj ib txwm ntseeg hais tias mob ntshav qab zib tau tswj tau yog tias qab zib tom qab noj mov tsis ntau tshaj 7,5 mmol / L. Kuaj koj cov ntshav qab zib. Nws pom tseeb tias 7.5 mmol / L yuav luag siab dua 1.5 npaug ntawm qhov tseem ceeb tshaj rau cov neeg muaj kev noj qab haus huv. Txog koj cov ntaub ntawv, kev mob ntshav qab zib yuav loj hlob sai yog tias cov piam thaj hauv ntshav tom qab noj ntau dua 6.5 mmol / L.

Yog tias cov piam thaj hauv ntshav tom qab noj nce mus txog 6.0 mmol / L, tom qab ntawd qhov no tsis hem rau qhov muag tsis pom lossis txiav tawm ntawm txhais ceg, tab sis atherosclerosis muaj kev vam meej txawm tias, i.e. tej yam kev mob rau lub plawv nres thiab mob stroke yog tsim. Yog li, kev tswj xyuas ntshav qab zib ib txwm muaj peev xwm raug txiav txim siab yog tias cov piam thaj hauv ntshav tom qab noj tas li tsawg dua 6.0 mmol / L, thiab tseem zoo dua - tsis siab tshaj 5,3 mmol / L, zoo li hauv cov neeg noj qab haus huv. Thiab cov kev ntsuas ntshav qab zib hauv lub cev muaj qhov siab ntsig txog qhov tsis haum ntawm cov kws kho mob thiab kev tub nkeeg ntawm cov neeg mob koom nrog lawv tus kheej.

Yog tias koj suav qhov tshuaj ntawm cov tshuaj insulin kom cov ntshav qab zib tom qab noj yog 7,5 mmol / L, tom qab li qhov tsis zoo koj tau txais 7,5 mmol / L - 2.89 mmol / L = 4.61 mmol / L. Ntawd yog, hypoglycemia tsis hem koj. Tab sis peb tham txog saum toj no tias qhov no tsis tuaj yeem suav hais tias yog kev tswj hwm ntshav qab zib tau zoo, thiab ob peb xyoos koj yuav tsum tau paub txog nws cov kev mob tshwm sim. Yog tias koj txhaj cov tshuaj insulin ntau dua, sim ua kom cov piam thaj qis dua rau 6.0 mmol / L, tom qab ntawd qhov xwm txheej tsis zoo, koj cov piam thaj hauv ntshav yuav yog 3.11 mmol / L, thiab qhov no twb yog ntshav tsis txaus. Los sis, yog tias qhov sib txawv siab nce, ces koj cov piam thaj yuav siab dua qhov kev txiav txim siab tau.

Sai li uas tus neeg mob hloov mus rau kev noj zaub mov kom tsawg los tswj cov ntshav qab zib, tom qab ntawd txhua yam hloov tamsid rau qhov zoo dua. Tswj cov ntshav qab zib tom qab noj mov qis dua 6.0 mmol / L yog qhov yooj yim. Txo nws mus rau 5,3 mmol / L kuj tseem yog qhov tseeb yog tias koj siv cov khoom noj haus kom tsawg thiab ua kom ib ce muaj zog nrog kev tswj hwm tus mob ntshav qab zib hom 2. Hauv cov xwm txheej uas muaj ntshav qab zib hom 2 peb ntxiv rau Siofor lossis Glucofage ntsiav tshuaj, nrog rau kev txhaj tshuaj ntxiv me me ntawm insulin rau kev noj zaub mov noj thiab kev kawm lub cev.

Kev noj zaub mov kom tsawg Carbohydrate rau hom 1 thiab Ntshav Qab Zib Hom 2

Vim li cas cov zaub mov muaj ntsev tsis txaus ua rau nws muaj peev xwm tswj hwm ntshav qab zib tau zoo:

Ntawm cov zaub mov noj no, cov ntshav qab zib tau noj tsawg cov carbohydrates, yog li hauv txoj cai cov ntshav qab zib tsis tuaj yeem nce siab dhau.
Kev noj zaub mov zoo ua rau muaj piam thaj hauv ntshav, tab sis lawv maj mam ua thiab paub tau zoo, thiab lawv tau yooj yim "tua" nrog cov tshuaj insulin me me.
Cov ntshav qab zib cov ntshav yuav paub tseeb tau.
Cov koob tshuaj insulin nyob ntawm seb qhov ntau ntawm cov carbohydrates uas koj npaj yuav noj. Yog li no, ntawm cov zaub mov muaj protein ntau, qhov kev xav tau rau cov kua dej yog txo ntau.
Raws li cov tshuaj insulin txo qis dua, qhov kev pheej hmoo ntawm cov ntshav qog ntshav qab zib tsawg tseem poob qis.

Kev noj haus cov zaub mov uas tsis muaj rog ntau yuav txo qhov ua tau ntawm cov ntshav qab zib ntawm lub hom phiaj rau cov neeg mob ntshav qab zib hom 1 los ntawm 76 4.76 mmol / L, uas peb tau tham los saum toj no, rau ± 0.6-1.2 mmol / L. Rau cov neeg mob uas muaj ntshav qab zib hom 2 uas txuas mus ntxiv ua ke lawv cov tshuaj insulin, qhov kev sib txawv no tseem tsawg dua.

Vim li cas ho tsis tsuas yog txo feem ntawm ib qho ntawm cov nplej zom rau 0.5 cov paib ntawm tib cov nplej zom? Qhov no yog qhov kev xaiv tsis zoo, rau cov hauv qab no:

Cov khoom noj muaj protein ntau hauv cov ntshav yuav ua rau cov ntshav qab zib, txawm tias lawv tau noj hauv qhov tsis txaus siab.
Koj yuav nyob nrog ib qho kev xav tsis tu ncua ntawm kev tshaib kev nqhis, vim li ntawm uas ntxov los sis lwm hnub koj yuav tawg. Tsis tas yuav tsim txom koj tus kheej nrog kev tshaib plab, koj tuaj yeem nqa ntshav qab zib kom rov zoo li tsis muaj nws.

Kev noj zaub mov kom tsawg-carbohydrate yog cov tsiaj ua ke nrog zaub. Saib daim ntawv teev cov khoom tau tso cai. Carbohydrates nce cov ntshav qab zib kom khov thiab sai sai, yog li peb tsis txhob noj lawv. Dua li, peb noj lawv tsawg heev, nyob hauv kev noj qab haus huv thiab muaj zaub ntsuab zoo. Proteins kuj nce ntshav qab zib, tab sis me ntsis thiab maj mam. Qhov nce ntawm cov piam thaj uas tshwm sim los ntawm cov khoom siv protein yog ib qho yooj yim los twv thiab raug npliag nrog cov tshuaj insulin me me. Cov khoom muaj protein tawm tawm ntawm kev xav zoo rau lub sijhawm ntev, uas yog tshwj xeeb rau cov neeg muaj ntshav qab zib hom 2.

Raws li txoj kev xav, tus neeg mob ntshav qab zib tuaj yeem noj txhua yam yog tias nws hnyav tag nrho cov zaub mov nrog chav ua noj ntsuas kom ze rau gram, thiab tom qab ntawd suav cov koob tshuaj insulin siv cov ntaub ntawv los ntawm lub rooj noj haus kom zoo. Hauv kev siv, txoj kev mus kom ze no tsis ua haujlwm. Vim tias hauv cov ntxhuav thiab ntawm pob khoom ntawm cov khoom lag luam tsuas yog kwv yees cov ncauj lus. Hauv kev muaj tiag, cov ntsiab lus carbohydrate ntawm cov zaub mov tuaj yeem sib txawv ntawm cov qauv. Yog li, txhua zaus koj tsuas kwv yees kwv yees li koj noj dab tsi, thiab qhov no ua rau koj cov piam thaj hauv ntshav tau li cas.

Kev noj zaub mov kom tsis qab ntsev rau cov ntshav qab zib yog txoj kev cawm seej tiag. Nws yog qhov txaus siab thiab qab, tab sis nws yuav tsum ua kom zoo zoo. Tej zaum nws yuav los ua koj txoj kev ntseeg tshiab. Cov khoom noj uas muaj cov zaub mov carbohydrate ua rau koj lub siab thiaj li muaj lub cev thiab cov ntshav qab zib. Cov koob tshuaj insulin raug txo qis, yog li txo qis kev pheej hmoo ntawm hypoglycemia.

Cov koob tshuaj insulin me thiab loj npaum li cas ua haujlwm

Kuv xav xav tias koob tshuaj insulin sib npaug txhua zaus ua rau koj cov piam thaj hauv ntshav qis dua. Hmoov tsis zoo, qhov no tsis yog qhov tshwm sim hauv kev coj ua. Tus mob ntshav qab zib nrog "kev paub" tau paub zoo tias koob tshuaj insulin nyob rau txawv hnub yuav txawv heev. Vim li cas qhov no tshwm sim:

Ntawm cov hnub sib txawv, lub cev muaj qhov sib txawv txav mus rau qhov kev ua ntawm insulin. Hauv huab cua sov, qhov kev rhiab siab no feem ntau yuav nce ntxiv, thiab hauv huab cua txias, ntawm qhov tsis sib xws, nws poob qis.
Tsis yog txhua yam insulin txhaj nce mus rau cov ntshav. Txhua lub sijhawm sib txawv ntawm cov kua dej.

Cov tshuaj insulin txhaj nrog lub koob txhaj tshuaj, lossis txawm tias muaj lub tshuab nqus insulin, nws tsis ua haujlwm zoo li insulin, uas ib txwm coj los ua ke ntawm lub txiav. Tib neeg cov kua dej hauv thawj theem ntawm cov tshuaj insulin teb tam sim ntawd nkag rau hauv cov ntshav thiab tam sim ntawd pib txo cov ntshav qab zib. Ntawm cov ntshav qab zib, kev txhaj tshuaj insulin feem ntau yog ua hauv cov rog subcutaneous. Qee tus neeg mob uas nyiam qhov kev pheej hmoo thiab ua kom zoo siab txhawm rau tsim cov tshuaj insulin ntxiv (tsis txhob ua qhov no!). Txawm li cas los xij, tsis muaj leej twg txhaj tshuaj insulin rau hauv txoj leeg.

Yog li ntawd, txawm tias cov tshuaj insulin ceev tshaj plaws pib ua tsuas yog tom qab 20 feeb. Thiab nws tag nrho cov nyhuv yog manifested li 1-2 teev.Ua ntej no, cov ntshav qab zib cov ntshav qab zib tseem nyob hauv siab. Koj tuaj yeem yooj yim xyuas qhov no los ntawm kev ntsuas koj cov ntshav qab zib nrog ib glucometer txhua 15 feeb tom qab noj mov. Qhov xwm txheej no ua rau puas tsuaj rau cov hlab ntsha, hlab ntsha, ob lub qhov muag, ob lub raum, thiab lwm yam Cov mob ntshav qab zib loj zuj zus ntxiv, txawm hais tias tus kws kho mob thiab tus neeg mob zoo tshaj plaws.

Xws li ib tus neeg mob ntshav qab zib txhaj nws tus kheej nrog insulin. Raws li qhov txiaj ntsig ntawm qhov no, ib qho tshuaj yeeb nyob hauv cov nqaij mos ua subcutaneous, uas lub nruab zog tiv thaiv kab mob txawv teb chaws thiab pib tawm tsam. Kev tiv thaiv kab mob ib txwm ua rau qee qhov kev poob qis los ntawm kev txhaj tshuaj ua ntej nws txawm muaj sijhawm nkag mus rau hauv cov hlab ntshav. Qhov twg ntawm cov kua dej yuav ua rau nruab nrab, thiab tuaj yeem ua, nyob ntawm ntau yam.

Qhov siab dua ntawm cov koob tshuaj insulin txhaj, qhov ntau dua voos thiab voos nws ua. Lub zog muaj zog ntau dua, o ntau cov hlwb hauv lub cev tiv thaiv kab mob hauv lub cev tiv thaiv kab mob mus rau hauv qhov chaw txhaj tshuaj. Qhov no ua rau qhov tseeb tias qhov ntau dua cov koob ntawm cov insulin txhaj, qhov tsawg dua qhov kev twv yuav raug. Tsis tas li ntawd, qhov feem pua ntawm kev nqus ntawm insulin yog nyob ntawm qhov tob thiab qhov chaw ntawm kev txhaj tshuaj.

Ntau xyoo dhau los, cov kws tshawb fawb ntawm University of Minnesota (USA) tau tsim cov hauv qab no. Yog tias koj nkaug 20 U ntawm cov tshuaj insulin hauv lub xub pwg, tom qab ntawd nyob rau ntau hnub nws qhov kev txiav txim yuav txawv los ntawm% 39%. Qhov sib txawv no yog superimposed ntawm cov ntsiab lus sib txawv ntawm carbohydrates hauv cov zaub mov. Raws li qhov tshwm sim, cov neeg mob ntshav qab zib ntsib "nce siab" hauv ntshav qab zib. Yuav kom tswj tau cov ntshav qab zib kom ib txwm muaj, hloov mus rau qhov kev noj haus cov zaub mov kom qis. Qhov tsawg cov carbohydrates koj noj, yuav tsum muaj cov insulin tsawg dua. Qhov qis dua cov tshuaj ntawm cov tshuaj insulin, qhov ntau qhov kev kwv yees nws. Txhua yam yog yooj yim, pheej yig thiab ua tau zoo.

Cov kws tshawb nrhiav tib yam nyob hauv xeev Minnesota pom tias yog ib cov insulin txhaj rau hauv plab, qhov mob ua kom tsawg zuj zus mus rau ± 29%. Raws li, raws li cov txiaj ntsig tau los ntawm kev tshawb fawb, nws tau pom zoo rau cov neeg mob ntshav qab zib kom hloov mus rau kev txhaj tshuaj hauv plab. Peb muaj cov cuab yeej zoo dua los tswj cov ntshav qab zib thiab kom tshem tawm nws cov "jumps". Qhov no yog cov zaub mov tsis muaj carbohydrate uas tso cai rau koj kom txo qis cov kua dej ntawm cov kua dej thiab yog li ua rau nws cov nyhuv dua. Thiab ib qho dag ntxiv, uas tau piav qhia hauv ntu tom ntej.

Xws li ib tus neeg mob uas mob ntshav qab zib txhaj 20 cov tshuaj insulin rau hauv nws lub plab. Hauv ib tus neeg laus lub cev nyhav txog 72 kg, qhov nruab nrab ntawm 1 UNIT ntawm insulin txo qis ntshav qab zib los ntawm 2.2 mmol / L. Kev sib txawv hauv kev ua ntawm cov tshuaj insulin 29% txhais tau hais tias tus nqi ntawm cov piam thaj hauv cov ntshav yuav cuam tshuam los ntawm .7 12.76 mmol / L. Qhov no yog kev puas tsuaj. Txhawm rau kom tsis txhob muaj ntshav nce siab ntau nrog kev tsis nco qab, cov neeg mob ntshav qab zib uas tau txais cov tshuaj insulin ntau yuav tsum tswj cov ntshav qab zib txhua lub sijhawm. Ua li no, lawv feem ntau noj khoom txom ncauj rau cov zaub mov tsis zoo uas muaj cov carbohydrates. Lawv yuav tos txog qhov ua tsis tau thaum ntxov raws li kev mob ntshav qab zib. Yuav ua li cas? Yuav txhim kho cov xwm txheej no li cas? Ua ntej tshaj plaws, hloov los ntawm kev noj zaub mov "kom sib luag" rau cov zaub mov tsis muaj carbohydrate. Ntsuas seb koj qhov xav tau insulin tsawg zuj zus li cas thiab koj cov piam thaj hauv ntshav yuav mus txog koj lub hom phiaj npaum li cas.

Yuav txhaj tshuaj insulin ntau npaum li cas

Coob tus neeg mob ntshav qab zib, txawm tias noj zaub mov tsis zoo, tseem yuav tau txhaj cov tshuaj insulin ntau dua. Hauv qhov no, faib cov koob tshuaj loj rau insulin rau hauv ntau qhov kev txhaj tshuaj, uas ua ib qho tom qab ib qho ntawm lwm qhov ntawm lub cev. Txhaj tshuaj tiv thaiv nyob rau hauv txhua qhov txhaj tshuaj tsis tshaj 7 PIECES ntawm cov tshuaj insulin, thiab zoo dua - tsis pub tshaj 6 PIECES. Vim qhov no, yuav luag txhua cov tshuaj insulin yog stably nqus tau. Tam sim no nws tsis tshua muaj qhov twg yuav nkaug nws - ntawm lub xub pwg, hauv tus ncej puab lossis hauv plab. Koj tuaj yeem ua rau ob peb hno ib qho tom qab ib qho uas muaj tib lub koob txhaj, tsis tas yuav rov sau cov tshuaj insulin los ntawm lub vial, yog li tsis txhawm rau muab nws. Nyeem yuav ua li cas tau txhaj tshuaj insulin. Cov koob txhaj tshuaj me dua nyob rau hauv ib qho txhaj tshuaj, qhov ntau dua qhov nws kwv yees yuav ua haujlwm.

Xav txog ib qho piv txwv zoo. Muaj tus neeg mob uas muaj ntshav qab zib hom 2 muaj qhov hnyav tshaj thiab, raws li, nrog muaj zog cov tshuaj insulin. Nws hloov mus rau kev noj zaub mov tsis muaj carbohydrate, tab sis nws tseem xav tau 27 units ntawm insulin thaum hmo ntuj. Txhawm rau yaum kom koom nrog kev kawm hauv lub cev kom thiaj li nce qhov rhiab heev ntawm cov ntaub so ntswg mus rau insulin, tus neeg mob no tseem tsis tau lees paub. Nws muab nws 27 lub khob ntawm cov tshuaj dej rau hauv 4 qhov kev txhaj tshuaj, uas nws ua ib qho tom qab ib qho ntawm lwm qhov ntawm lub cev nrog tib lub koob txhaj. Raws li qhov tshwm sim, insulin kev txiav txim siab tau ua kom paub tseeb tshaj.

Luv luv thiab ultrashort insulin ua ntej noj mov

Seem no tsuas yog npaj rau cov neeg mob uas muaj yam 1 thiab ntshav qab zib hom 2 uas yuav tau txhaj tshuaj insulin sai ua ntej noj mov. Kev nce ntshav qab zib tom qab noj mov tas "quenched" los ntawm kev txhaj tshuaj insulin luv luv los yog ultrashort. Kev noj zaub mov carbohydrates ua rau lub cev nrawm - qhov tseeb, nrawm (!) - dhia hauv ntshav qab zib. Hauv cov neeg muaj kev noj qab haus huv, nws nyob nruab nrab los ntawm thawj theem ntawm insulin secretion hauv kev teb rau cov pluas noj. Qhov no tshwm sim hauv 3-5 feeb. Tab sis nrog ib hom ntshav qab zib, thawj theem ntawm insulin secretion yog ua txhaum thawj zaug ntawm txhua yam.

Tsis yog luv luv los yog tsis pub muaj kab mob rau insulin pib ua haujlwm sai li sai tau rau kev ua kom rov qab ua thawj theem ntawm kev tsis muaj peev xwm li insulin. Yog li ntawd, nws zoo dua nyob deb ntawm cov zaub mov muaj protein ntau. Hloov lawv nrog cov protein ua kom cov ntshav qab zib kom maj mam thiab du. Ntawm cov zaub mov uas tsis muaj roj ntau, nws pom zoo kom tsis txhob siv ultra-luv, tab sis luv insulin, txhaj nws 40-45 feeb ua ntej noj mov. Ntxiv mus peb yuav xav txog hauv kev nthuav dav ntxiv vim li cas qhov no yog qhov kev xaiv zoo tshaj plaws.

Cov neeg mob ntshav qab zib uas noj zaub mov tsis muaj carbohydrate ntau yuav tsum noj ntau yam qis dua ntawm cov insulin ua ntej noj mov ntau dua li cov neeg uas noj cov zaub mov zoo. Cov tshuaj insulin ntau dhau los ua haujlwm sai dua, thiab lawv cov nyhuv ua haujlwm ntev dua. Nws tseem yog qhov nyuaj los twv seb thaum twg cov nyhuv ntawm koob tshuaj ntau kawg yuav xaus. Kev noj tshuaj me me ntawm cov insulin luv luv pib ua tom qab, yog li koj yuav tsum tau tos ntev dua ua ntej koj pib noj mov. Tab sis koj yuav muaj ntshav qab zib ib txwm tom qab noj mov tas.

Hauv kev xyaum, qhov no txhais tau li hauv qab no:

Nrog rau kev noj zaubmov uas muaj carbohydrate ntau, “ultrashort” insulins raug tswj hwm hauv kev noj tshuaj ntau ua ntej noj mov, thiab lawv pib ua tomqab 5-15 feeb. Nrog rau kev noj haus kom tsawg-carbohydrate, tib yam "ultra-luv" insulins hauv kev txhaj tshuaj me me pib ua yeeb yam tom qab me ntsis - tom qab 10-20 feeb.
Nrog rau cov khoom noj muaj protein ntau, "insulins" luv "yuav tsum ua ntej noj mov hauv qhov ntau thiab yog li pib ua raws li 20-30 feeb. Nrog rau cov khoom noj uas muaj zaub mov kom tsawg, lawv yuav tsum tau txhaj rau me ntsis li 40-45 feeb ua ntej noj mov, vim tias lawv pib noj tom qab.

Rau cov kev suav, peb xav tias qhov kev txiav txim ntawm kev txhaj tshuaj ntawm qhov hluav taws xob (ultrashort) lossis luv luv insulin xaus tom qab 5 teev. Qhov tseeb, nws cov nyhuv yuav ntev txog 6-8 teev. Tab sis ntawm cov caij nyoog kawg nws tseem yog qhov tseem ceeb heev uas nws tuaj yeem tsis quav ntsej.

Yuav muaj dab tsi tshwm sim rau cov neeg mob ntshav qab zib hom 1 lossis 2 uas noj zaub mov "noj" sib luag? Kev noj haus carbohydrates ua rau lawv nce ntshav qab zib sai sai, uas ua mob ntev mus txog thaum luv luv los yog muaj cov tshuaj insulin pib ua. Lub sijhawm ntawm cov piam thaj siab tuaj yeem ntev li 15-90 feeb, yog tias koj siv cov tshuaj insulin ultra-luv. Kev xyaum tau ua pov thawj tias qhov no txaus rau cov mob ntshav qab zib hauv kev pom kev, ceg, ob lub raum, thiab lwm yam los tsim nyob rau hauv ob peb xyoos.

Tus mob ntshav qab zib uas nkees tuaj yeem tos kom txog thaum pib nws noj zaub mov kom "muaj" kom txog thaum cov tshuaj insulin luv luv pib ua. Peb nco ntsoov tias nws tau txhaj tshuaj ntau dua ntawm cov tshuaj insulin kom npog ib qho khoom noj ntawm cov carbohydrates. Yog tias nws plam me ntsis thiab pib noj sijhawm li ob peb feeb tom qab nws yuav tsum, tom qab ntawd qhov muaj feem ntau nws yuav muaj ntshav qab zib tsawg.Yog li nws feem ntau tshwm sim, thiab tus neeg mob hauv lub ceeb ceeb toom nqos khoom qab zib kom sai nce nws cov ntshav qab zib thiab kom tsis txhob tsaus muag.

Thawj theem sai sai ntawm insulin secretion hauv kev teb rau kev noj zaub mov yog qhov tsis zoo ntawm txhua hom ntshav qab zib. Txawm hais tias cov tshuaj insulin ceev tshaj plaws pib ua dhau los tsim nws. Yog li, nws yuav tsim nyog noj cov khoom muaj protein uas ua rau cov ntshav qab zib kom maj mam thiab du. Ntawm kev noj zaub mov kom tsawg ua ntej noj mov, insulin luv luv yog qhov zoo dua li ultra-luv. Vim hais tias lub sijhawm ntawm nws qhov kev txiav txim siab zoo dua nrog lub sijhawm thaum cov khoom noj protein nce ntshav qab zib dua lub sijhawm ntawm kev ua haujlwm ntawm ultrashort insulin.

Yuav siv li cas hauv kev coj ntawm tus txheej txheem ntawm cov khoom thauj me me

Thaum pib ntawm tsab xov xwm, peb tsim tawm txoj cai "Txoj cai kom paub tseeb ntawm qhov tshwm sim thaum thauj khoom tsawg." Xav txog nws cov ntawv thov siv rau kev tswj ntshav qab zib hauv hom 1 thiab ntshav qab zib hom 2. Txhawm rau tiv thaiv kom tsis txhob surges hauv qab zib, koj yuav tsum tau haus tsawg me me ntawm carbohydrates. Qhov no txhais tau hais tias tsim qhov thauj khoom me me rau ntawm tus kws phais. Noj zaub mov kom tsuas ua qeeb qeeb. Lawv muaj nyob hauv zaub thiab txiv ntoo los ntawm daim ntawv teev cov khoom noj uas tau tso cai. Thiab kom deb li deb tau los ntawm kev ua zaub mov uas muaj kev kub ceev (teev npe txwv tsis pub cov khoom noj). Hmoov tsis zoo, txawm tias "qeeb" carbohydrates, yog tias noj ntau dhau, tuaj yeem ua rau cov ntshav qab zib ntau dhau.

Cov lus pom zoo dav dav rau kev txwv cov khoom noj ua kom ntau rau cov ntshav qab zib: tsis pub ntau tshaj 6 gram "carbohydrates" rau pluas tshais, tom qab ntawd tsis pub ntau tshaj 12 gram rau pluas su, thiab 6-12 grams ntxiv rau noj hmo. Ntxiv cov protein ntau rau nws kom hnov zoo, tab sis tsis noj ntau dhau. Carbohydrates txais tau rau cov ntshav qab zib muaj nyob hauv zaub thiab txiv ntoo, uas muaj nyob hauv daim ntawv teev cov zaub mov pub. Ntxiv mus, txawm tias cov khoom noj carbohydrate no yuav tsum tau noj rau hauv qhov tsawg kawg nkaus. Cov ntawv sau “Cov Khoom Noj Muaj Khoom Noj Muaj Txawv Rog Zib Ntshav Qab Zib: Cov Kauj Ruam Ua Ntej” qhia txog kev npaj zaub mov noj thiab tsim cov zaub mov rau cov ntshav qab zib.

Yog tias koj ua tib zoo tswj kev noj zaubmov, raws li tau hais los saum no, ces koj cov piam thaj hauv ntshav tom qab noj yuav nce siab me ntsis. Tej zaum nws yuav tsis txawm loj dua txhua yam. Tab sis yog tias koj muab ob npaug ntawm cov zaub mov carbohydrates noj, ces cov piam thaj hauv ntshav yuav dhia tsis ob zaug, tab sis muaj zog dua. Thiab cov ntshav qab zib kom ntshav ntau ua rau muaj kev rov ua phem uas ua rau muaj suab thaj ntau dua.

Cov neeg mob uas muaj ntshav qab zib hom 1 thiab ntshav qab zib hom 2 uas xav tswj lawv cov ntshav qab zib yuav tsum muaj cov khoom lag luam zoo coj los ntsuas rau txoj kev ntsuas. Ua cov hauv qab no ob peb zaug. Ntsuas koj cov ntshav qab zib tom qab noj mov li 5 feeb sib nrug. Taug qab seb nws coj cwj pwm zoo li cas nyob hauv qab ntawm ntau yam khoom lag luam. Tom qab ntawd xyuas saib sai npaum li cas thiab ntau npaum li cas cov insulin txo nws. Sij hawm dhau mus, koj yuav kawm paub laij cov khoom noj muaj protein tsawg rau pluas mov thiab siv cov tshuaj insulin luv luv kom cov ntshav "dhia" hauv ntshav qab zib nres. Lub hom phiaj kawg yog los xyuas kom meej tias tom qab noj ntshav qab zib tsis ntau tshaj 6.0 mmol / L, lossis zoo dua, 5.3 mmol / L, zoo li hauv cov neeg muaj kev noj qab haus huv.

Rau ntau cov neeg mob uas muaj ntshav qab zib hom 2, hloov mus rau qhov kev noj haus kom tsawg cov zaub mov muaj peev xwm ua kom tiav nrog kev txhaj tshuaj insulin ua ntej noj mov thiab tseem tswj tau cov ntshav qab zib. Cov neeg zoo li no tuaj yeem qhuas. Qhov no txhais tau hais tias lawv tau saib xyuas lawv tus kheej rau lub sijhawm, thiab theem ob ntawm cov kua dej zais tsis tau tswj tau ces yuav vau. Peb tsis cog lus rau leej twg ua ntej tias kev noj zaub mov tsis muaj carbohydrate yuav ua rau koj dhia "dhia" los ntawm insulin. Tab sis tseeb nws yuav txo koj xav tau cov tshuaj insulin, thiab koj cov ntshav qab zib yuav tswj tau zoo.

Vim li cas koj tsis tuaj yeem siv hla txawm nrog cov khoom raug tso cai

Yog tias koj tau noj ntau yam zaub thiab / lossis txiv ntoo uas koj tau ua ntu ntawm koj lub plab, ces koj cov piam thaj hauv ntshav yuav sawv sai, ib yam li noj me me ntawm cov khoom noj uas muaj cov khoom noj muaj protein ntau. Qhov teeb meem no yog hu ua "cov nyhuv ntawm Suav tsev noj mov," thiab nco ntsoov nws yog qhov tseem ceeb heev.Tshawb xyuas tsab xov xwm “Vim li cas Cov Tsheb Dej Qab Zib Thiaj Yuav Txuas Ntxiv Siv Khoom Noj Muaj Roj Carb Tsawg, thiab yuav kho nws li cas.” Kev noj ntshav qab zib hom 1 thiab 2 yog categorically tsis yooj yim sua. Txhawm rau kom tsis txhob noj ntau dhau, nrog hom 2 ntshav qab zib nws yog qhov zoo dua rau noj tsis txhob 2-3 zaug ib hnub nruj, tab sis 4 zaug me ntsis. Cov lus pom zoo no siv rau cov neeg mob ntshav qab zib hom 2 uas tsis kho nrog luv los yog ua kom tsis muaj zog.

Ntawm ntshav qab zib hom 2, noj hauv qee qhov me me feem ntau tso cai rau koj los tswj ntshav qab zib kom zoo nrog lub sijhawm thib ob ntawm insulin secretion, uas tseem nyob qhov qub. Nws yuav zoo yog tias koj tuaj yeem hloov mus rau qhov no ntawm cov zaub mov, txawm hais tias qhov tsis yooj yim uas nws muab rau. Tib lub sijhawm, cov neeg mob ntshav qab zib hom 1 thiab ntshav qab zib hom 2 uas txhaj tshuaj insulin txhua zaus ua ntej noj mov yuav tsum noj 3 zaug hauv ib hnub. Pluag thaum noj mov tsis tau rau lawv.

Cov ntawv pauv tawm tau ntev, tab sis, cia siab tias, muaj txiaj ntsig zoo rau koj. Cia peb tsim cov lus xaus:

Qhov tsawg cov carbohydrates koj noj, cov piam thaj hauv qab ntshav tsawg dua thiab yuav tsum muaj insulin tsawg dua.
Yog tias koj noj tsuas tsawg me me ntawm carbohydrates, ces koj tuaj yeem paub tseeb seb cov piam thaj hauv ntshav yuav zoo li cas tom qab noj mov thiab yuav tsum muaj insulin ntau npaum li cas. Qhov no tsis tuaj yeem ua tau los ntawm kev noj zaub mov kom muaj protein ntau.
Qhov tshuaj insulin tsawg dua qhov koj xav tau, qhov yuav tau paub tseeb ua ntej, thiab qhov kev pheej hmoo ntawm hypoglycemia yuav tsawg dua.
Kev noj zaub mov kom tsis qab ntsev rau cov ntshav qab zib txhais tau tias tsis pub ntau tshaj 6 gram carbohydrates rau pluas tshais, tsis pub ntau dua 12 gram ntawm lawv rau pluas su thiab lwm 6-12 grams rau noj hmo. Ntxiv mus, carbohydrates tuaj yeem noj tsuas yog cov uas pom hauv zaub thiab txiv ntoo los ntawm daim ntawv teev cov zaub mov pub.
Kev tswj ntshav qab zib nrog cov zaub mov tsis muaj roj ntau tsis txhais tau tias koj yuav tsum tshaib plab koj tus kheej. Noj ntau cov protein ntau thiab cov zaub mov zoo noj kom lub cev tau zoo txaus siab, tab sis kom tsis txhob dhau. Tshawb xyuas kab lus "Cov Khoom Noj Muaj Khoom Noj Muaj Kom Muaj Qab Zib-Ntshav Qab Zib: Cov Kauj Ruam Ua Ntej" kom paub txog yuav ua li cas tsim cov zaub mov qab qab uas muaj cov khoom noj muaj txiaj ntsig zoo, cov vitamins, ntxhia pob zeb, thiab cov hauv qab.
Kev muaj tiag yog tsis yooj yim sua. Nyeem qhov cuam tshuam ntawm tsev noj mov Suav yog dab tsi thiab yuav ua li cas kom tsis txhob muaj.
Tsis txhob txhaj ntau tshaj 6-7 units ntawm cov tshuaj insulin hauv kev txhaj ib zaug. Faib cov koob tshuaj loj rau hauv ntau qhov kev txhaj tshuaj, uas tau ua tam sim ntawd ib qho tom qab ntawm lwm qhov hauv lub cev.
Txog ntshav qab zib hom 2, yog tias koj tsis tau txhaj tshuaj insulin ua ntej noj mov, sim noj pluas mov me 4 zaug ib hnub.
Cov neeg mob uas muaj ntshav qab zib hom 1 thiab ntshav qab zib hom 2, uas tau txais insulin luv luv txhua zaus ua ntej noj mov, yuav tsum noj 3 zaug ib hnub twg nrog 5 teev twg thiab tsis txhob noj txom ncauj thaum noj mov.

Koj yuav pom tias nws pab tau khaws cov kab lus no rau hauv cov ntawv cim cia kom koj tuaj yeem nyeem ib zaug zuj zus. Kuj tseem txheeb xyuas peb cov lus qhia txog kev noj zaub mov kom tsis txhob muaj qab zib rau cov ntshav qab zib. Kuv yuav zoo siab los teb koj cov lus nug hauv cov lus.

Cov txiaj ntsig

Kev noj zaub mov kom tsis txhob mob rau cov ntshav qab zib hom 1 yog qhov kev vam meej uas tsis yog txhua txhua tus neeg niaj hnub siv cov endocrinologist. Yog hais tias tus neeg mob ua raws li kev noj haus no, nws yuav maj mam tso tseg cov tshuaj txhawb nqa kim, uas tsis muaj txiaj ntsig zoo rau kev lag luam kws tshuaj. Rau tib neeg kev noj qab haus huv, kev noj zaub mov kom tsawg-carb muaj ntau qhov zoo:

txhawb nqa lub txiav,
txo cov tshuaj insulin tsis kam ntawm cov hlwb,
tswj hwm cov qib qab zib kom xwm yeem,
pab tswj qhov hnyav
pab ntxuav cov ntshav ntawm cov "roj" phem,
tswj hwm kev ntshav siab,
txo cov kev pheej hmoo ntawm cov teeb meem los ntawm cov hlab ntsha, raum, lub paj hlwb, pob nyiaj.

Nyias tsis zoo

Nws tsis yooj yim rau tus neeg uas siv los noj cov piam thaj thiab zaub mov carbohydrate kom mus rau Bernstein kev noj haus. Thaum xub thawj, tus neeg mob ntshav qab zib tuaj yeem ua kom tshaib plab, tab sis tom qab ntawd lub cev yuav siv tau rau qhov kev hloov pauv.Cov. Qhov nyuaj tshaj plaws yog rau cov neeg mob lub raum mob.Nrog kev kho tus mob ntshav qab zib ua kom nce siab, kev noj zaub mov kom tsis tshua muaj carb yog contraindicated. Nyob rau xyoo 2011, ib txoj kev tshawb fawb xaus rau ntawm lub tsev kawm ntawv kho mob Asmeskas uas tau ua pov thawj tias cov zaub mov tsis muaj carb ntau tuaj yeem ua rau kev loj hlob ntawm ntshav qab zib nephropathy. Lub sim tau ua rau ntawm nas.

Cov cai khoom noj khoom haus

Cov ntsiab lus tseem ceeb tshaj plaws hauv kev noj zaub mov noj qab zib tsawg rau hom I ntshav qab zib yog suav cov nyiaj ntawm carbohydrates. Qhov hnyav ntawm saccharides yog txiav txim siab ntawm tus kheej, coj mus rau hauv tus account tub los ntxhais, hnub nyoog thiab qhov hnyav ntawm ib tug neeg, yoo mov glycemia thiab 1-2 teev tom qab noj mov. Tus nab npawb ntawm cov kws tshawb fawb ntseeg tias nws yog qhov tsim nyog los txwv kev noj ntawm cov carbohydrates txog 30 g nyob rau ib hnub. Lwm cov neeg ua haujlwm kho mob tsis pub kom txo qis thiab pom zoo kom noj li ntawm 70 g ntawm carbohydrates. Richard Bernstein tau tsim cov phiaj xwm no rau ib tus neeg laus hnyav 64 kg: 6 g ntawm saccharides thaum sawv ntxov, 12 g rau noj su thiab yav tsaus ntuj.

Kev noj zaub mov kom tsawg rau cov ntshav qab zib hom 1 pib nrog kev sim. Tus tib neeg noj cov zaub mov raug tso cai, ntsuas ntshav qab zib thiab taug qab kev ua haujlwm dhau sijhawm. Yog tias cov zaub mov tsis ua rau dhia hauv glycemia, nws tseem tshuav nyob hauv cov khoom noj khoom haus. Cov kev cai siv hluav taws xob thoob plaws:

Faib cov nyiaj uas tau los ntawm carbohydrates rau hauv 3 pluas noj.
Npaj cov ntawv qhia zaub mov ib lim piam ua ntej thiab ua txoj hau kev tsis muaj qhov hloov. Nws tsis raug tso cai los muab koj tus kheej plam - tom qab ntawd koj yuav tsum txo qab zib.
Noj thaum koj muaj kev tshaib plab tiag tiag. Kev noj ntau tshaj yog txwv tsis pub txwv! Ib qho khoom noj twg hauv ntau dhau heev yuav ua rau dhia hauv ntshav qab zib.
Txhua hnub, ntawm txhua pluas noj koj yuav tsum noj tib cov carbohydrates thiab cov protein. Cov khoom yuav tsum sib txawv, tab sis cov ntsiab lus ntawm cov as-ham hauv lawv yog cov qauv.
Qab zib yuav tsum tswj tau txog 8 zaug hauv ib hnub, qee zaum thaum tsaus ntuj. Tom qab siv cov khoom lag luam tshiab, ntsuas qib glycemia 5 feeb tom qab noj mov, tom qab ntawd 15, 30, 60 feeb. Ua cov npe ntawm cov khoom noj twg tsis ua rau cov piam thaj thiab qhov twg ua rau nws loj hlob. Nws yog ib qho tseem ceeb yuav tau xaiv cov khoom noj “ciam teb” rau qab zib: kua txiv lws suav, tsev cheese, noob txiv ntoo thiab lwm yam.

Sau cov Cov Khoom Uas Mob Ntshav Hniav Qib

Daim ntawv teev cov khoom muaj cai tsis yog tshwj xeeb yog hauv ntau yam, tab sis tus neeg muaj ntshav qab zib muaj ob peb txoj kev xaiv: koj yuav tsum hloov pauv kev noj zaub mov, lossis lub neej muaj txiaj ntsig zoo dua tuaj. Pub cov zaub mov tsis muaj carb ntau:

cov nqaij thiab nqaij qaib: nqaij nyuj, tsiaj, nqaij qaib, luav, qaib cov txwv,
cov ntses nruab nrab thiab cov rog rog tsawg: pike perch, trout, pollock, crucian carp, thiab lwm yam.
txhua yam nqaij ntses,
qe
cov zaub ntsuab: zaub qhwv, seaweed, dib, zaub ntsuab, ntsuab dos, dos nyoos (muaj tsawg heev), txiv lws suav tshiab (2-3 nplais), kua txob kub, taum ntsuab, txaij (kuaj),
zaub ntsuab: dill, cilantro, zaub txhwb qaib,
nceb
av daj
khoom noj siv mis: roj qab zib, yogurt ntuj los ntawm cov mis nyuj tag nrho, kefir, ib cov cheeses, tshwj tsis yog feta, butter, tsev cheese (1-2 tbsp., kuaj),
cov khoom ua kua: mis, hmoov (hauv qhov tsawg),
tej txuj lom
txiv ntoo: hazelnuts, Brazil txiv ntoo (tsis ntau tshaj 10 daim ib zaug),
dej qab zib: kas fes, tshuaj yej, kafes tsis muaj qab zib, ntxhia pob zeb thiab dej ntshiab.

Cov Khoom Txwv Txwv

Kev yoo mov uas tsis txaus siab rau lub cev, cov rog phem, thiab cov khoom lag luam nrog cov piam thaj hauv qab yog txwv tsis pub rau tus neeg mob ntshav qab zib hom 1. Cov npe ntawm cov zaub mov uas yuav tsum tsis txhob nyob hauv cov khoom noj:

cov lus qab zib
khoom qab zib, suav nrog thiab rau tus mob ntshav qab zib,
zib ntab
tej hmoov nplej thiab nplej zom,
khob cij yob
cereals: nplej, nplej, oatmeal, mov, pob kws, barley, pob kws,
buckwheat porridge
zaub: carrots, beets, qos yaj ywm, tswb txob, taum, taum pauv, legumes, txiv lws suav siav, taub dag,
cov nqaij npuas roj hnyuv ntxwm,
margarine
caviar, cov ntses kaus poom, cov ntses thiab cov ntsev nyob hauv,
tej txiv hmab txiv ntoo thiab txiv ntoo, suav nrog txiv kab ntxwv qaub, txiv av ntsuab, txiv qaub, txiv tsawb,
kua txiv
tag nrho, rog, kua mis, kua qaub,
tag nrho cov khoom tiav ib hlis
nyob kas poom kua zaub
balsamic vinegar,
cov khoom uas muaj cov piam thaj hloov: nrog dextrose, qabzib, fructose, lactose, xylitol, pob kws thiab kua txiv phoov, maltodextrin, malt,
dej qab zib
dej cawv, haus dej cawv, kua txiv qaub, compote, rosehip broth.

Hloov mus rau kev noj zaub mov kom tsis tshua muaj carb

Txhawm rau tswj hwm tus kab mob ntshav qab zib hom 1, koj yuav tsum npaj rau kev hloov mus rau Bernstein kab ke noj hausCov. Kawm paub suav cov koob tshuaj "txuas ntxiv" thiab "luv" insulin nyob ntawm glycemia. Raws li cov nyiaj ntawm carbohydrates nyob rau hauv cov zaub mov txo, qab zib yuav theem tawm thiab insulin thov yuav txo. Txhawm rau kom tsis txhob mob hypoglycemia, koj yuav tsum kho qhov koob txhaj tshuaj. Txhua zaus yuav tsum muaj cov kua nplaum thiab cov tshuaj pleev ntshav qab tes tuav kom teb tau hauv lub sijhawm yog tias cov piam thaj tso ntau dhau.

Rau 1-2 lub lis piam, koj yuav tsum ua kom ua tiav kev tswj xyuas cov ntshav qab zib. Hauv lub rooj, sau cov cim glycemic, lawv noj dab tsi, hauv cov khoom dab tsi, cov tshuaj insulin raug txhaj, cov ntsiav tshuaj twg tau noj. Nyob rau lub sijhawm no, nws raug nquahu kom paub tias cov piam thaj ntau npaum li cas txhua 1 g ntawm carbohydrates noj. Maj mam txo kom tsawg ntawm saccharides, thaum kuaj qib ntawm glycemia.

Kev txiav txim siab qhov loj ntawm cov protein koj xav kom ua tiav satiety. Tib lub sijhawm, cia siab rau koj tus kheej qhov kev xav thiab cov ntxhuav ntawm cov ntsiab lus ntawm cov protein / cov rog / carbohydrates (BJU) hauv cov khoom lag luam. Piv txwv li, koj txiav txim siab tias rau pluas su koj yuav tsum noj 50 g ntawm protein ntshiab (li 250 g ntawm cov khoom muaj protein). Noj cov zaub mov no ntau npaum li cas thiab pom tias kev tshaib kev nqhis tau haus ntau npaum li cas, cov ntshav qab zib tau coj li cas. Yog tias qhov ntsuas thiab kev noj qab nyob zoo tsis haum koj, txo qis lossis nce nqi ntawm cov protein thiab kho qhov tshuaj txhaj insulin.

Dab tsi los xav txog thaum tsim cov ntawv qhia zaub mov

Thaum npaj kev noj haus, nws yog ib qho tsim nyog yuav tau txiav txim siab peb qho tseem ceeb ua cim rau cov khoom lag luam:

Glycemic Performance index (GI) yog digital sib npaug uas pom ntau npaum li cas ib qho khoom lag luam nce qib suab thaj. Qhov siab dua tus nqi (siab tshaj 100), lub siab dua qhov khoom noj muaj peev xwm nce glycemia.
Qhov Insulin Index (II) yog qhov ntsuas pom tias yuav tsum muaj cov tshuaj hormones ntau npaum li cas thiaj li coj cov ntshav qab zib cov ntshav mus rau qhov qub tom qab noj ib yam khoom.
Tus nqi khoom noj khoom haus - qhov hnyav ntawm BZHU hauv 100 g ntawm ib yam khoom.

Tus neeg mob ntshav qab zib hom 1 yuav tsum paub tias kev kho cua sov yuav nce GI ntawm cov khoom. Cov zaub nyoos muaj tus nqi qis dua, thiab qhov no yuav tsum tau txiav txim siab thaum suav cov koob tshuaj ntawm cov tshuaj insulin. Tus neeg mob tuaj yeem noj cov khoom noj hau dej thiab siav, ci, ci zaub movCov. Cov neeg mob ntshav qab zib feem ntau pom tias nws nyuaj rau tshem cov pob taws uas muaj suab thaj tom qab noj tshais. Yuav kom daws tau qhov teeb meem no, thaum sawv ntxov koj yuav tsum tau haus 2 lub sij hawm tsawg carbohydrates tshaj rau noj su thiab noj hmo, lossis tsis suav nrog saccharides hauv daim ntawv qhia noj tshais txhua. Qhov kev noj hmo thaum yav tsaus ntuj yuav tsum tsis pub dhau 18.30.

Qhov ua tau zoo li cas yog muaj ntshav qab zib

Daim ntawv teev cov uas muaj peev xwm ua tau mob ntshav qab zib mellitus, hom zaub mov twg tau pub yog loj txaus thiab tso cai rau txhua tus neeg mob ntshav qab zib xaiv. Daim ntawv teev cov txiv hmab txiv ntoo muaj xws li:

txiv qaub
Tej lub txiv apples
plums
lub dib liab
dib yaj.

Feem ntau, cov kua txiv hmab txiv ntoo ntau dua, nws muaj txiaj ntsig zoo dua yog siv ntshav qab zib. Ua ntej pib siv cov khoom no lossis cov khoom lag luam ntawd, nws raug nquahu kom sab laj nrog tus kws kho mob uas yuav qhia koj raws nraim qhov ua tau thiab qhov tsis zoo. Tom qab tag nrho, khoom noj khoom haus yog qhov tseem ceeb heev rau kev noj qab haus huv tag nrho ntawm cov neeg mob ntshav qab zib.
Yog tias peb tham txog zaub, ces cov npe ntawm cov uas muaj peev xwm noj tau yog qhov muaj txiaj ntsig zoo dua, vim tias yuav luag txhua cov paub muaj ntau yam nyob hauv: los ntawm txiv lws suav thiab qos yaj ywm rau dos thiab qij. Txawm li cas los xij, nws yuav tsum raug sau tseg tias lawv qhov kev siv yog qhov xav tau los txwv, vim tias lawv tsis muaj txhua pawg ntawm cov vitamins, protein thiab amino acids uas tsim nyog rau txhua tus neeg mob ntshav qab zib.

Txawm tias muaj txiaj ntsig zoo dua yuav siv cov zaub thiab txiv hmab txiv ntoo hauv ntshav qab zib thaum ci.

Qhov no yuav tsis tsuas yog khaws cia tag nrho lawv cov txiaj ntsig, tab sis kuj ua rau nws muaj peev xwm kom txo qhov feem ntawm ntuj sucrose. Yog li, cov zaub mov ci yog cov txiaj ntsig zoo rau cov neeg mob ntshav qab zib, vim tias nws txhim kho kev tiv thaiv kab mob, ua kom cov metabolism sai dua. Koj tsis tuaj yeem tsis txaus siab rau nws cov txiaj ntsig, vim nws tsis tuaj yeem ua qhov yuam kev ntawm qhov tseeb tias cov khoom lag luam ci yuav tsum tau noj tshwj xeeb.
Hauv qhov xwm txheej no, cov cai uas tau hais saud yog feem cuam tshuam. Yog li, hmoov nplej hmoov uas tuaj yeem noj txhua hnub yog cov uas muaj cov piam thaj hloov. Tab sis, tib lub sijhawm, lawv yuav tsum tau ua los ntawm cov hmoov nplej dawb, nyiam dua rye lossis ceg.
Koj tsis tuaj yeem noj cov qhob cij dawb uas muaj ntshav qab zib, vim tias nws muaj sucrose ntau heev, uas tuaj yeem cuam tshuam rau tus neeg mob lub dag zog thiab insulin.
Yog tias peb tham txog ci, tom qab ntawd, ntawm chav kawm, nws siv tau raug tso cai heev, tab sis tib lub sijhawm nws kuj yuav tsum tsis muaj:

ntuj qab zib
tej yam ntxiv (vanilla, chocolate),
qab zib txiv hmab txiv ntoo.

Khoom qab zib rau cov mob ntshav qab zib yuav tsum yog yam qab tau. Tsuas yog hauv qhov no lawv yuav khaws lawv cov txiaj ntsig zoo, thiab lawv tuaj yeem noj tau. Cov kws tshaj lij hais tias cov khoom qab zib uas ua rau lawv tus kheej yog qhov muaj txiaj ntsig zoo tshaj plaws rau ntshav qab zib.
Qhov no muaj tseeb rau ob peb yam, tshwj xeeb, tus neeg mob muaj peev xwm tswj tau raws nraim cov khoom xyaw ntxiv rau hauv lub ncuav bakery. Nws tuaj yeem ua rau lawv noj raws li nws tus saj thiab ntxiv txhua yam uas nws muaj peev xwm thiab xav noj nws tus kheej.

Cov kev cai ntawm kev noj mov

Ntxiv nrog rau daim ntawv teev dab tsi uas tau tso cai rau noj nrog ntshav qab zib, nws yog ib qho tsim nyog yuav tau ua raws li cov cai ntawm txoj kev raws nraim qhov no yuav tsum tau noj li cas. Koj tsis tuaj yeem noj ntau dhau ob tag kis sawv ntxov thiab ua ntej yuav mus pw. Qhov no siv rau txhua tus neeg, tab sis tshwj xeeb tshaj yog cov neeg mob ntshav qab zib.

Nrog cov khoom noj kom tsawg nrog kev tawm dag zog thiab coj nws hauv qhov me me.

Nws raug nquahu kom muab qee yam zaub thiab txiv hmab txiv ntoo ua kom sib xyaw. Koj tsis tuaj yeem noj cov khoom qub tib hnub. Cov ntawv qhia zaub mov yuav tsum muaj ntau haiv neeg sib txawv, muaj cov vitamins thiab minerals ntawm ntau pab pawg.
Cov ntawv qhia zaub mov tsis tuaj yeem yog tsim los ntawm nws tus kheej, nws yuav tsum muaj kev pom zoo lossis piav qhia los ntawm tus kws endocrinologist lossis tsuas yog tus kws kho mob koom nrog. Qhov no yuav yog qhov lav tias txhua yam khoom, nrog rau cov khoom qab zib rau cov ntshav qab zib, yuav siv tau zoo thiab yuav nqa cov txiaj ntsig kom pom tseeb rau tus neeg mob lub cev.

Vim li cas ho noj zaub mov kom tsawg rau cov hom mob ntshav qab zib hom 1 thiab ntshav qab zib hom 2

Hauv tsab xov xwm hnub no, yuav xub muaj qee qhov kev paub daws teeb meem. Tom qab ntawd peb siv qhov kev tshawb fawb no los piav qhia txog ib txoj hauv kev zoo los txo cov ntshav qab zib hauv hom 1 thiab ntshav qab zib hom 2. Koj tuaj yeem tsis tsuas yog txo qis koj cov piam thaj rau ib txwm, tab sis kuj tseem tswj tau nws ib txwm. Yog tias koj xav nyob ntev thiab zam kev cuam tshuam rau cov ntshav qab zib, tom qab ntawd coj cov teeb meem los nyeem cov kab lus thiab xam.

Peb pom zoo kom tswj hwm tus mob ntshav qab zib hom 1 thiab ntshav qab zib hom 2 nrog kev noj zaub mov kom tsawg, ntxiv rau nws uas muaj cov tshuaj insulin tsawg dua yog tias tsim nyog. Qhov no yog qhov tsis ncaj rau ntawm txoj kev coj ua ib txwm siv uas cov kws kho mob tau siv.

Noj zaub mov kom yuag thiab txaus siab rau txoj kev ua kom yuag, uas yeej pab rau hom 1 thiab ntshav qab zib hom 2,
Tswj koj cov ntshav qab zib kom nyob zoo li qub, nres sib tw,
Txo qhov ntau npaum li cas ntawm cov tshuaj insulin lossis txawm kiag li tso nws hauv ntshav qab zib hom 2,
Ntau lub sijhawm txo cov kev pheej hmoo ntawm mob hnyav thiab mob ntshav qab zib,
... thiab tag nrho cov no yam tsis muaj tshuaj noj thiab noj tshuaj pab ntxiv.

Koj tsis tas yuav ntseeg txog cov ntaub ntawv hais txog kev kho mob ntshav qab zib uas koj yuav pom hauv kab lus no thiab feem ntau hauv peb lub vev xaib. Ntsuas koj cov piam thaj hauv ntshav ntau dua nrog lub ntsuas ntshav qab zib - thiab pom sai sai yog tias peb cov lus qhia pab koj lossis tsis zoo.

Muaj qhia txog kev noj haus cov zaub mov uas tsis muaj carbohydrate rau hom 1 thiab ntshav qab zib hom 2 muaj nyob ntawm no.

Yuav ua li cas cov txiv ntoo muaj cai noj nrog ntshav qab zib?

Mob ntshav qab zib mellitus yog ib qho kab mob endocrine uas cuam tshuam nrog kev tsim tawm ntawm insulin tsis txaus los yog muaj qhov ua tsis zoo rau nws cov ntaub so ntswg. Hauv qhov no, lub cev metabolism raug hloov pauv tseem ceeb.

Ua ntej tshaj, tus txheej txheem ntawm kev hloov pauv carbohydrate muaj kev txom nyem. Cov piam thaj tsis tag rau lub cev, nws cov ntsiab lus hauv cov ntshav nce ntxiv, thiab ntau dhau yog dhau mus nrog zis.

Glycemic Khoom Taw Qhia

Cov khoom lag luam hloov txawv txav cuam tshuam rau cov ntshav qab zib. Lub glycemic Performance index qhia tau hais tias yuav ua kom sai li cas ntawm kev rhuav tshem ntawm carbohydrates hauv cov khoom tau nyaij. Qhov siab dua GI, qhov nquag tshaj yog qhov kev ua kom zoo ntawm cov khoom thiab tso cov kua nplaum mus rau hauv cov ntshav.

Hauv cov neeg muaj kev noj qab haus huv, dhia dhia hauv qab zib ua rau muaj kev teb sai sai ntawm tus txiav, uas pab kom zam dhau hyperglycemia. Hauv cov neeg mob uas muaj ntshav qab zib hom 2, qhov xwm txheej loj tuaj mus raws li qhov xwm txheej sib txawv. Vim tias qhov tsis txaus ntseeg ntawm insulin los ntawm lub cev cov ntaub so ntswg, nws yuav tsis tuaj yeem thaiv txoj kev loj hlob ntawm cov piam thaj.

Cov zaub mov uas muaj GI tsawg tsis muaj kev cuam tshuam rau lub xeev cov ntshav hauv cov ntshav qab zib, thiab hauv cov neeg muaj kev noj qab haus huv lawv tsis ua kom muaj kev hloov pauv.

Tsuas yog los ntawm ci los yog rhaub zaub mov tuaj yeem muab lawv cov glycemic Performance index qhia hauv lub rooj khaws cia nyob rau hauv nws thawj daim ntawv. Txawm hais tias qhov no tsis tas ua haujlwm tawm. Piv txwv li, cov carrots nyoos muaj GI - 30 units, hau - 50.

Pub cov txiv hmab txiv ntoo rau cov ntshav qab zib

Cov neeg mob uas muaj mob ntshav qab zib yuav tsum noj zaub, tshuaj ntsuab, txiv hmab txiv ntoo. Lawv yog cov nplua nuj nyob rau hauv cov zaub mov ntsev, vitamins, lawv yog ob peb carbohydrates. Txawm li cas los xij, nyob deb ntawm txhua yam yuav tsum tau qhia rau hauv kev noj haus ntawm cov mob ntshav qab zib.

Nws yog qhov tsim nyog, ua ntej, coj mus rau hauv tus lej glycemic Performance index ntawm cov khoom, thiab qhov thib ob, peb yuav tsum tsis txhob hnov qab txog cov feem loj tau txais. Txawm hais tias ib tug txiv hmab txiv ntoo uas tsim nyog nyob rau hauv cov nqe lus ntawm glycemia tuaj yeem dhau taus yog tias siv ntau dhau heev.

Nrog ntshav qab zib, cov txiv hmab txiv ntoo nrog GI qis thiab nruab nrab raug tso cai. Qaub thiab qab zib thiab qaub ntau yam yuav tsum tau nyiam.

Hauv cov ntawv qhia ntshav qab zib, koj tuaj yeem nkag mus:

Txiv hmab txiv ntoo muaj ntau yam tshuaj uas muaj sia, suav nrog cov vitamins. Lawv leeb lub tso cai ntawm metabolic tshua, suav nrog kev hloov pauv ntawm carbohydrates.

Tus neeg mob lub cev yuav tsum tau txais kev txhawb nqa los ntawm cov khoom noj qab haus huv zoo nrog ntau cov khoom noj khoom haus. Txiv apples muaj cov vitamins C ntau, hlau, potassium, thiab fiber. Lawv muaj pectin, uas muaj cov cuab yeej ntawm kev ua kom ntshav thiab tswj cov ntsiab lus qab zib.

Yog li, cov txiv avpaum muaj peev xwm muaj kev pabcuam rau cov ntshav qab zib, uas yog:

Ntxiv dag zog rau kev tiv thaiv kab mob. Lub cev ntawm tus neeg mob ntshav qab zib ua rau tsis muaj zog thiab thaum kawg nws lub peev xwm los tiv thaiv ntau yam mob. Tuberculosis, mob tawm ntawm txoj hlab zis tuaj yeem koom nrog cov kabmob tseem ceeb.
Ua kom cov hlab huv. Pectin tsis tsuas yog tswj kev ntshav qab zib, tab sis kuj ntxuav cov roj ntau dhau. Qhov no pab tiv thaiv cov kab mob plawv, txo kev pheej hmoo ntawm lub plawv nres thiab ntshav npleem.
Txhawb kev zom mov. Txiv av muaj ntau cov acids zoo noj uas pab zom cov zaub mov, tshwj xeeb yog cov zaub mov muaj roj.

Rau qee qhov, ntau tus neeg xav tias cov txiv av acid ntau muaj cov ntsiab lus qab zib tsawg dua. Txawm li cas los xij, lub tswv yim no yog erroneous. Nws tsuas yog tias cov txiv hmab txiv ntoo qab zib muaj ib qho kev txiav txim ntawm ntau dua cov organic acids (malic, citric, tartaric), cov ntsiab lus ntawm cov txiv ntoo sib txawv tuaj yeem sib txawv ntawm 0.008% mus rau 2.55%.

Txiv duaj muaj cov poov tshuaj txaus, uas tshem tawm qhov kev thauj mus rau lub plawv cov ntshav, pab kom tsis txhob muaj qhov qoos, txo kev o thiab txo ntshav siab. Cov txiv hmab txiv ntoo muaj chrome. Cov ntsiab lus no tswj kev noj haus metabolism thiab cov ntshav qab zib.

Chromium ua rau muaj kev cuam tshuam ntau dua ntawm cov ntaub so ntswg rau insulin, pab txhawb lawv cov kev sib cuam tshuam thiab thiaj li txo lub cev xav tau cov enzyme.Kev tsis muaj peev xwm ntawm cov chromium hauv lub cev tuaj yeem ua rau ntshav qab zib tsis zoo.

Apricots muaj ntau cov piam thaj thiab nws ntseeg tau tias lawv yuav tsum tsis txhob noj los ntawm cov neeg muaj ntshav qab zib hom 2. Qhov tseeb, ob lossis peb lub txiv hmab txiv ntoo noj thaum nruab hnub yuav tsis ua mob rau tus neeg mob. Ntawm qhov tsis sib xws, apricots muaj qee qhov kho kom zoo nkauj thiab muaj zog.

Txiv hmab txiv ntoo muab kev tiv thaiv zoo rau lub raum. Lawv muaj ntau cov poov tshuaj, uas txhawb nqa kom muaj dej. Qhov no ua tau zoo heev rau kev ua haujlwm ntawm lub raum, thiab kuj pab txo qis ntshav siab.

Apricots pab tiv thaiv kev laus ua ntej. Vitamin A, uas muaj ntau hauv cov txiv hmab txiv ntoo, ua rau muaj kev tsim dua tshiab hauv cov hlwb, sib ntaus sib tua dawb radicals. Cov kab kawm vanadium muaj zog txhim kho cov insulin rhiab, thiaj li tiv thaiv kev pheej hmoo ntawm kev tsim tus kabmob.

Qab zib pears yuav tsum tsis txhob siv rau cov ntshav qab zib. Hauv txhua qhov xwm txheej, cov txiv ntoo no muaj txiaj ntsig zoo rau cov neeg mob. Txiv mab liab muaj cov tshuaj fiber ntau, uas yuav pab tshem tawm cov roj ntau hauv lub cev, tshem tawm qhov kev pheej hmoo ntawm pob zeb tsim hauv cov kua tsib, txhawb cov hnyuv, muab lub siab ntev ntawm qhov tsis txaus siab.

Muaj ntau ntau cov cobalt hauv cov txiv ntoo. Nws koom tes nrog kev tsim cov tshuaj hormones thyroid. Tab sis cov tshuaj no tswj tag nrho cov txheej txheem tseem ceeb hauv lub cev. Cobalt ua kom yooj yim thiab ua kom nrawm dua ntawm kev nqus hlau, yam tsis muaj hemoglobin synthesis thiab hemopoiesis ib txwm ua tsis tau.

Pear yog cov khoom siv uas tsis muaj calorie thiab tsuas yog siv lub tswv yim saib xyuas rau cov neeg uas saib xyuas lawv daim duab. Nws, tsis zoo li txiv apples, tsis ua rau muaj kev nce ntxiv hauv lub siab. Nws muaj ob peb yam organic acids, uas yog lub culprits ntawm lub plab zais cia.

Tsis tas li ntawd, pears muaj ib tug xov tooj ntawm indisputable zoo, ib daim ntawv teev uas muaj muab rau hauv qab no:

Siv nrog kev nyuaj siab. Cov roj uas txhawm rau, uas yog ib feem ntawm cov txiv hmab txiv ntoo, daws kev ntxhov siab ntawm cov leeg puas siab ntsws, txhawb siab, pab daws kev nyuaj siab.
Muaj lub diuretic siv. Yog li, nws yuav tsum siv rau mob raum.
Ntim ntau silicon. Qhov khoom siv no muaj txiaj ntsig zoo rau kev sib koom ua ke, vim nws pab tsim cov pob txha mos.

GI ntawm txiv kab ntxwv qaub tsawg heev li txawm tias ib qho txiv hmab txiv ntoo loj noj yuav tsis ua rau muaj kev hloov ntshav qab zib. Ntxiv mus, cov tshuaj hauv cov txiv ua rau muaj kev txo qis hauv cov piam thaj. Vim qhov no, txiv kab ntxwv qaub tuaj yeem siv tau zoo rau kev tiv thaiv ntshav qab zib.

Tseem ceeb thaj chaw ntawm txiv kab ntxwv qaub:

Muaj fiber ntau. Nws ua rau kom lub cev tsis ua haujlwm ntawm kev zom plab thiab qeeb qeeb nqus ntawm carbohydrates. Vim li ntawd, cov ntsiab lus ntawm cov piam thaj hauv cov ntshav loj hlob qeeb heev thiab tswj tau los ntawm lub cev.
Qhov muaj cov antioxidant naringin. Nws nce cov ntaub so ntswg rhiab rau insulin. Glucose nkag mus rau hauv cov hlwb thiab ua lub zog, tsis txhob cia nyob rau hauv cov ntshav.
Nkag mus rau hauv kev sib xyaw ntawm cov poov tshuaj thiab magnesium. Tus mob ntshav qab zib feem ntau mob ntshav siab. Cov tshuaj no pab txo cov ntshav siab.

Yuav ua li cas cov txiv hmab txiv ntoo tsis tuaj yeem noj nrog cov ntshav qab zib?

Cov neeg muaj ntshav qab zib yuav tsum tsis txhob noj cov txiv kab ntxwv, kua txiv kab ntxwv, vim lawv muaj suab thaj ntau. Nws kuj yog qhov tsim nyog los txwv kev noj ntawm cov txiv hmab.

Cov txiv hmab qab zib tshaj plaws yog cov raisins (20 g suab thaj ib 100 g ntawm cov khoom lag luam).

Nws yog qhov zoo dua rau tso nws pov tseg. Tsawg qab zib tsawg dua hauv cov xim dub thiab liab (14 g / 100 g). Nws cov ntsiab lus tsawg tshaj plaws yog nyob rau hauv cov txiv hmab dawb (10 g / 100 g). Tab sis cov poov tshuaj nyob rau hauv xws li ntau yam kuj yog tsawg.

Yaj Cawv thiab dib yaj mob ntshav qab zib

Txiv mab txiv ntoo thiab dib liab tshwm nyob rau ntawm peb lub rooj tsuas yog ob peb hlis ntawm lub xyoo. Lawv cov khoom qab zib thiab ntxim nyiam ua rau tsis nyiam cov menyuam yaus nkaus xwb, tab sis txhua tus neeg laus tsis muaj kev zam. Yog li, nws nyuaj heev rau kev tsis lees paub txog kev kho mob raws caij nyoog, uas kuj muaj txiaj ntsig zoo rau lub cev.

Tau ntev, cov kws kho mob ua xyem xyav tias puas yuav muaj peev xwm siv cov txiv ntoo thiab dib liab rau cov neeg mob ntshav qab zib, vim tias lawv muaj ntau cov khoom noj uas yooj yim zom tau cov carbohydrates. Txawm li cas los xij, cov kev tshawb fawb tsis ntev los no tau qhia tias qhov tsim nyog thiab maj mam siv cov khoom noj haus no yuav coj cov txiaj ntsig muaj txiaj ntsig rau cov neeg mob.

Mob ntshav qab zib raug tso cai rau noj dib liab. Tab sis tus nqi txhua hnub yuav tsum tsawg dua li ntawm tus neeg noj qab haus huv, thiab muaj kwv yees li 300 grams ntawm pulp. Txij thaum lub caij tsuas kav ntev li 1-2 lub hlis xwb, koj yuav tsum xyuas cov zaub mov rau lub sijhawm no thiab tsis suav cov zaub mov nrog cov ntsiab lus ntawm carbohydrates. Yog li, kev qhia txog cov dib liab rau hauv cov zaub mov tuaj yeem tsim nyog.

Ua ntej koj ua qhov no, koj yuav tsum sab laj nrog koj tus kws kho mob. Lub dib liab tsis muaj txhua yam vitamins thiab minerals tsim nyog los txhawb thiab ntxiv dag zog rau lub cev mob.

Cov kua ntoo muaj cov diuretic zoo heev, uas tso cai rau koj kom tshem tawm kev o, txo cov ntshav siab, qis dua ntsuas kub.

Tsawg leej neeg paub, tab sis tus neeg txheeb ze ze ntawm tsob paj taub yog dib. Sij hawm dhau los, nws tau raug kho kom cov neeg mob sab sab kom rov ua lub cev. Tseeb, melon muaj ntau ntawm cov carbohydrates hauv ib daim ntawv yooj yim.

Melon muaj qhov siab GI thiab yooj yim rau kev zom zaws, yog li nws tsis tuaj yeem noj nrog cov ntshav qab zib hauv qhov ntau. Cov hlais me me ntawm cov zib ntab uas muaj ntxhiab tsw yuav tsis ua rau tus neeg mob, yog tias koj coj mus rau hauv tus lej ua ke ntawm cov khoom thiab cov nyiaj ntawm carbohydrates hauv lawv.

Melon muaj cov cuab yeej diuretic thiab muaj xuab zeb los ntawm lub raum thiab mob txeeb zig, tshem tawm cov tshuaj uric acid. Nws muaj cov ntsiab lus fiber ntau, uas tshem tawm cov roj cholesterol ntau hauv lub cev.

Melon noob tau siv hauv tshuaj ntsuab los kho ntshav qab zib. Nws yog txaus kom grind lawv nyob rau hauv kas fes grinder, ncuav dej npau npau (1 tbsp. L / 200 ml ntawm dej), ntxig thiab txias, thiab tom qab ntawd haus rau ntawm ib npliag plab ua ntej noj mov. Thiab yog li ntawd rov ua dua peb zaug thaum nruab hnub.

Cov lus pom zoo rau kev siv cov kua txiv hmab txiv ntoo thiab cov txiv hmab txiv ntoo qhuav

Tsawg tsawg lub kua txiv uas tau nyem tshiab uas muaj kev nyab xeeb rau cov neeg mob ntshav qab zib. Feem ntau, cov dej qab zib zoo li no muaj cov suab thaj ntau kawg.

Nov yog qee cov kua txiv uas tuaj yeem suav hais tias yog kev nyab xeeb rau cov neeg muaj ntshav qab zib:

Ntawm cov ntshav qab zib mellitus, cov kua txiv ua kua txiv uas tau yuav los ntawm kev faib tawm lub network tau txwv tsis pub. Lawv feem ntau muaj ntau qhov sib txawv ntawm cov hluavtaws sib txawv thiab qab zib.

Cov khoom siv vis dis aus hais txog yuav ua li cas kom ua tiav qhov kev txo qis hauv cov ntshav qab zib:

Cov txiv hmab txiv ntoo qhuav tsis pom zoo rau cov neeg mob ntshav qab zib. Hauv lawv, cov ntsiab lus zoo ntawm cov piam thaj yog ntau dua li cov txiv ntoo hauv lub cev. Qaug hnub, figs, txiv tsawb, avocados, papaya, carom yog nruj me ntsis contraindicated.

Koj tuaj yeem ua dej qab zib los ntawm cov txiv ntoo qhuav. Ua li no, npaj ua ntej cov kua txiv tso rau hauv dej txias kom ntev li 6 teev. Tom qab ntawd ua noj nrog ntxiv ntawm qab zib.