Cov hauv paus ntsiab lus tseem ceeb ntawm kev kho ntshav qab zib noj ntshav

Kev noj zaub mov kom lub hauv paus yog qhov kev ua kom lub neej txoj sia tu neeg mob. mob ntshav qab zib mellitus (DM)Cov. Lub hauv paus ntsiab lus tseem ceeb ntawm kev noj zaub mov noj yog kom txo lossis tshem tawm cov zaub mov carbohydrates tau yooj yim los ntawm kev noj zaub mov noj thiab muab cov neeg mob lub cev muaj protein ntau, rog, carbohydrates, vitamins, minerals kom tswj lub cev qhov hnyav.

Lub hom phiaj ntawm kev noj zaub mov kom ua tiav tau nyiaj siab tshaj plaws rau cov khoom noj carbohydrate thiab lwm hom metabolism, tshem tawm cov ntsiab lus ntawm hyperglycemia, txo kev pheej hmoo ntawm hypoglycemia, thiab tiv thaiv kev txhim kho ntawm micro- thiab macroangiopathies.

Cov lus 6. Cov txheej txheem rau kev them nyiaj rau ntawm cov metabolism hauv hom 1 mob ntshav qab zib mellitus (DM-1)

* Glycosylated hemoglobin - Ib qho hemoglobin feem, ntau npaum li cas yog nyob ntawm qib ntshav qab zib thaum lub qe ntshav liab lub neej. Nws cov ntsiab lus muab ib lub tswv yim ntawm qib sib luag ntxiv cov piam thaj rau 6-8 lub lis piam dhau los.

Rooj 7. Cov txheej txheem rau them nyiaj rau kev paub kev noj haus ntawm cov metabolism hauv hom 2 ntshav qab zib(SD-2)

Cov lus 8. Tswj kev txwv ntawm lipid metabolism hauv ntshav qab zib

Rooj 9. Hom Phiaj Ntshav Ntshav

Txoj hauv kev rau kev noj zaub mov noj rau cov neeg mob ntshav qab zib hom 1 thiab ntshav qab zib hom 2 nws txawv me ntsis. Nrog DM-2, txoj hauv kev tseem ceeb los kho hyperglycemia yog ib txwm ua kom lub cev yuag nrog kev pab los ntawm kev noj zaub mov kom yuag tsawg thiab ua kom lub cev muaj zog. Nrog DM-1, kev noj zaub mov noj yog ib qho kev txwv tsis pub cuam tshuam nrog qhov tsis muaj peev xwm ua rau lub cev tsis muaj peev xwm ua rau muaj qhov tseeb ntawm insulin txawm tias muaj kev pab los ntawm insulin txoj kev kho kom zoo, nws yog txoj kev noj mov thiab kev ua neej nyob uas pab tswj hwm kev noj qab haus huv rau cov ntshav qab zib.

Qhov teeb meem tseem ceeb hauv qhov no yog qhia tus neeg mob los kho cov tshuaj insulin raws li cov khoom noj uas nws noj. Hauv lwm lo lus, tus neeg mob txhaj nws tus kheej nrog insulin, muaj kev tswj tau zoo los ntawm kev xaiv nws koob tshuaj.

Hauv kev noj zaub mov noj rau ob hom ntshav qab zib, muaj cov kev cai dav dav uas feem ntau cuam tshuam nrog kev tiv thaiv kev tiv thaiv mob lig, uas yog:

kev teem sij hawm ntawm kev noj haus physiological uas tso cai rau koj los muab cov neeg mob tsim nyog cov protein, cov rog, carbohydrates thiab cov vitamins,
ua tiav thiab tswj lub cev qhov hnyav,
noj zaub mov kom zoo vim lub cev sib piv ntawm cov protein, cov rog thiab carbohydrates hauv cov zaub mov noj (cov protein - 15-20%, carbohydrates - 55-60%, rog - 20-25%, nyob rau hauv cov neeg rog rog ntau npaum li 15%),
kev nce ntxiv ntawm coarse fiber ntau carbohydrates, fiber ntau (txog 40 g ib hnub),
fractional mov noj
txwv ntsev,
kev txwv tsis pub haus dej haus cawv.

Cov neeg mob ntshav qab zib uas muaj lub cev hnyav li qub yuav tsum tau txais cov zaub mov uas nws lub zog xav tau sib npaug rau lawv lub zog xav tau. Qhov kev noj zaub mov zoo no hu ua cov tsis muaj calorie. Qhov kev txo qis lossis txo qis hauv lub cev yog qhov tsim nyog rau cov neeg mob nyhav dhau los, feem ntau rau cov neeg mob ntshav qab zib hom 2. Muaj qee kis, nrog kev poob lub cev hnyav (feem ntau nrog cov ntshav qab zib hom 1), muaj cov zaub mov hypercaloric.

Hauv cov neeg mob ntshav qab zib, hom uas tsim nyog tshaj plaws ntawm kev faib cov khoom noj txhua hnub hauv calorie mus rau hauv peb qhov tseem ceeb (noj tshais, noj su, noj hmo) thiab peb pluas noj. Qhov no yog qhov tseeb tshwj xeeb tshaj yog rau cov neeg mob uas muaj ntshav qab zib hom 1 siv cov tshuaj insulin ib txwm muaj (2 hnoos ntev ntawm insulin thaum ua ke nrog ob txoj kev txhaj tshuaj ntawm luv luv ua yeeb yam insulin). Qhov no yog tswj hwm los ntawm kev muaj lub siab xav ua tiav qhov kev nqis tes ua ntawm insulin thiab zaub mov thaum lub sijhawm, thiab, yog li ntawd, kom tsis txhob muaj kev cuam tshuam ntawm glycemia thaum nruab hnub.

Thaum siv cov tshuaj insulin ntau dua, uas yog, kev qhia luv luv ntawm insulin ua ntej cov zaub mov tseem ceeb, nws yuav ua tau kom txo tau cov koob tshuaj ncua sij hawm, uas txo cov khoom noj tsawg (txog li 4-5 zaug hauv ib hnub), thiab yog tias tsim nyog (rau tus neeg mob yooj yim) ua ke lub sijhawm noj mov thiab txhaj tshuaj insulin, ua rau tus neeg mob tus cwj pwm kom dawb. Ua li no, post-zaub mov glycemia yog qhov ua kom zoo thiab kev pheej hmoo ntawm hypoglycemia hauv nruab nrab ntawm cov zaub mov noj raug txo qis.

Kwv yees kev faib tawm ntawm cov calories rau cov neeg mob ntshav qab zib thaum nruab hnub tau nthuav tawm raws li hauv qab no:

Noj tshais - 25% ntawm calories txhua hnub.
Thib ob tshais - 10-15% ntawm cov calories txhua hnub.
Noj su - 25-30% ntawm cov calories txhua hnub.
Khoom txom ncauj - 5-10% ntawm cov calories txhua hnub.
Noj hmo - 25-15% ntawm calories txhua hnub.
Qhov noj hmo thib ob - 5-10% ntawm cov calories txhua hnub.

Raws li twb tau sau tseg lawm, txoj cai dav dav ntawm kev noj zaub mov noj rau cov ntshav qab zib yog qhov tsis suav lossis txwv kev noj haus ntawm cov khoom noj tau yooj yim zom zom (tshwj xeeb yog sucrose thiab qabzib). Qhov kom zoo dua yuav tsum tau muab rau cov zom cov zaub mov carbohydrate maj mam, uas zam kev sai thiab ntse nce glycemia. Nrog kev ua tiav tag nrho ntawm cov khoom noj tau yooj yim zom zom cov khoom noj carbohydrates los ntawm kev noj haus, nws yog qhov ua tau los siv cov piam thaj hloov (kom txhim kho lub palatability ntawm cov zaub mov), uas tau muab faib ua ob pawg.

Cov thawj suav nrog cov khoom noj uas ntuj lossis high-calorie qab zib: fructose, xylitol, sorbitol. Lub zog ntawm lawv txhua tus yog kwv yees li 4 kcal rau 1g. Nws tsis pom zoo kom coj lawv ntau dua 30-40 g nyob rau ib hnub. Cov pab pawg thib ob suav nrog cov khoom siv dag, uas tsis yog siab-calorie thiab tsis cuam tshuam rau theem ntawm glycemia. Cov no yog acelsulfam, cyclamate, 1-aspartate. Cyclamate yuav tsum txwv nyob rau hauv kev txiav txim siab raum tsis ua haujlwm, thiab atleeulfam - yog tias lub plawv tsis ua haujlwm. Hauv kev noj ib txwm, cov khoom qab zib tsis muaj mob. Kev tsim thiab siv saccharin tam sim no muaj cwj ciam.

Qhov xav tau ntawm cov neeg mob cov zaub mov noj muaj tsawg kawg yog 40 g ib hnub. Lawv muaj nyob hauv zaub, qoob loo, txiv hmab txiv ntoo thiab ceg ciab (cov lus 9.1). Lawv cov txiaj ntsig hypoglycemic yog piav qhia los ntawm kev ua kom nrawm ntawm kev xa zaub mov los ntawm txoj hnyuv thiab qhov txo qis ntawm kev nqus ntawm cov piam thaj hauv cov kev mob plab. Tsis tas li ntawd, kev noj haus fiber ntau txo qhov nqus ntawm fatty acids thiab cov roj cholesterol, thiab vim yog cov roj ntsha rov ua haujlwm, lawv nce tus nqi ntawm lawv cov excretion.

Thaum sau tshuaj rau kev noj haus, ib qho tseem yuav tsum coj mus rau hauv tus account txhua hnub kev xav tau cov vitamins, uas yog nce ntxiv hauv cov neeg mob ntshav qab zib. Cov neeg mob yog cov dej haus, ua kom zoo nkauj, ntxiv rau ntawm lub duav rose, blueberries, dub currants thiab liab roob tshauv, blackberries, txiv qaub, nrog rau kev noj txaus ntawm lwm cov txiv ntoo thiab zaub.

Noj rau hom ntshav qab zib hom 1

Kev noj haus nrog CD-1 cuam tshuam nrog kev suav ntawm tus nqi chav nyob qhob cij (XE), uas yog qhov tsim nyog los txiav txim siab qhov koob tshuaj uas siv cov tshuaj insulin ua ntej noj mov. 1 XE sib raug rau 10 g ntawm carbohydrates thiab 2 g ntawm ballast yam. Rau qhov kev yaug ntawm 1 khob cij yuav tsum muaj 1-2 chav nyob. tshuaj insulin (nyob ntawm tus neeg mob siab), thiab txhua 10 g ntawm carbohydrates thaum noj ntawm qhov ncauj nce glycemia los ntawm qhov nruab nrab ntawm 1.7 mmol / L.

Qhov kev nce rau hauv cov ntshav qab zib tom qab noj ntau yam zaub mov tau ua rau qhov kev xav tau rau lawv qhov sib txawv raws li lub npe glycemic Performance index (GI)Cov. Thaum siv cov khoom sib txawv, txawm tias muaj tib co carbohydrates, qhov kawg tom qab tau tawg rau hauv txoj hnyuv rau cov khoom sib txawv ntawm cov khoom sib txawv, thiab kev hloov pauv ntawm postprandial glycemia kuj txawv. GI pom qhov hloov pauv ntawm theem ntawm glycemia tom qab siv cov khoom lag luam tshwj xeeb thiab qhia qhov tseeb hyperglycemic effect ntawm ib lossis lwm tivthaiv.

Rooj 9.2. Glycemic Index (GI) (Berger M., Joegens V., 1990)

Nkag siab qhov muaj txiaj ntsig ntawm qhov ntsuas no rau ntau cov khoom noj khoom noj uas yog carbohydrate yog qhov tseem ceeb, vim cov zaub mov uas muaj GI siab yuav tsum zam (cov lus 9.2). Yog li, qhov xav tau rau insulin tom qab noj mov yog nyob ntawm glycemic index, uas, nyeg, cuam tshuam tsis tsuas yog nrog cov hom thiab ntau npaum li cas ntawm carbohydrates, tab sis kuj nrog cov ua noj ua zaub mov, nrog rau nws cov ntsiab lus fiber ntau. Txhawm rau them nyiaj rau ntshav qab zib mellitus, nws yog txaus txaus los xam XE raws li cov khoom xyaw carbohydrate xwb. Hauv qhov xwm txheej no, tsuas yog qhov thiaj li suav xam cov khoom noj khoom haus carbohydrate uas muaj cov khoom noj tau coj mus rau hauv tus account (Cov Lus 9.3).

Rooj 9.3. Cov khoom noj muaj carbohydrate (pub dawb) tsis coj mus rau hauv kev suav thaum xam XE

Cov nyhuv ntawm qee cov khoom lag luam carbohydrate uas muaj nyob ntawm glycemia (cov piam thaj-txo cov nyhuv ntawm cov piam thaj tau tshwm sim yog 100%) tau nthuav tawm hauv qab no:

90-100% - malt qab zib, mashed qos yaj ywm, zib ntab, flakes pob kws, "cua" mov, coca - thiab pepsicol,
70-90% - qhob cij dawb thiab grey, khoom ci, khaub noom qhuav, mov, hmoov txhuv nplej, hmoov nplej, mov ci, ncuav mog me me, npias,
50-70% - oatmeal, tsawb, pob kws, hau qos, qab zib, ncuav, ncuav txiv ntoo tsis muaj suab thaj,
30-50% - mis, kefir, yogurt, txiv hmab txiv ntoo, nplej zom, legumes, mis nyuj khov,
tsawg dua 30% - fructose, lentils, taum pauv, taum, txiv ntoo.

Cov qauv zoo tshaj plaws rau qhov tsis txaus ntawm cov koob tshuaj insulin piv rau cov zaub mov noj yog glycemia zoo tom qab noj mov. Txhawm rau ua qhov no, nws txaus los kwv yees kwv yees tsuas yog cov ntsiab lus carbohydrate hauv cov zaub mov raws li qhov pom XE system tsis muaj qhov hnyav. Cov neeg mob uas muaj ntshav qab zib hom 1 uas tau mus kawm ua haujlwm thiab cov uas muaj kev tswj hwm tus kheej txoj kev noj qab haus huv tau yooj yim thiab kev noj zaub mov kom zoo tau. Yog hais tias tus neeg mob muaj peev xwm tswj tau nyob ze qib glycemic, tom qab ntawd txawm siv sucrose dhau los ua tau, tab sis tsis ntau tshaj 50 g ib hnub.

Yog li, cov hauv paus ntsiab lus ntawm kev noj zaub mov niaj hnub thiab kev noj zaub mov pub dawb hauv cov neeg mob ntshav qab zib hom 1 yog cov hauv qab no:

eukaloric cov khoom noj khoom haus sib xyaw ua ke, nplua nuj txaus hauv cov carbohydrates thiab cov nroj tsuag fibers, tuaj yeem ua kom lub cev hnyav nyob ze rau qhov qub,
qhov kwv yees kwv yees ntawm cov nyiaj ntawm carbohydrates uas cuam tshuam rau cov ntshav qab zib cov ntshav, raws li cov txheej txheem ntawm cov khob cij,
qhov sib txawv ntawm cov khoom lag luam carbohydrate nyob ntawm GI, thiab ntxiv rau lawv faib rau hauv kev txais tos nyob ntawm seb hom tshuaj insulin,
kev txwv rog tsuas yog rau cov neeg mob uas muaj ntshav qab zib hom 1 uas rog dhau los ua kom lub cev rog txhua hnub kom tsawg.

Thaum kawg, cov ntsiab lus ntawm kev noj zaub mov zoo rau cov neeg mob ntshav qab zib hom 1 uas muaj qhov hnyav ib txwm muaj nyob rau hauv tus naj npawb thiab lub sijhawm ntawm kev noj cov khoom noj uas muaj cov khoom noj uas yog carbohydrate, uas qhia meej ntxiv cov ntshav qabzib, insulin hloov kho.

Noj tshuaj kho mob ntshav qab zib hom 2

SD-2 feem ntau ua rau cov keeb kwm yav dhau los ntawm kev rog, uas ua rau kev txhim kho ntawm insulin tsis kam thiab hyperinsulinemia. Yog li, thawj qhov xwm txheej thiab tseem ceeb hauv kev kho mob hom 2 mob ntshav qab zib mellitus yog kev kho mob tsis siv tshuaj nyob rau kev txo lub cev qhov hnyav. Qhov tseem ceeb tshaj plaws lub cev qhov ntsuas(BMI) - tsawg dua 25 kg / m2, qhov ntsuas ntawm 25 txog 27 kg / m2 raug txiav txim siab tau. Hauv feem ntau cov neeg mob, qhov ua tiav ntawm xws li BMI tsis yog qhov tseeb tiag tiag, tab sis kev txo lub cev qhov hnyav txawm tias los ntawm 4-5 kg feem ntau txhim kho cov ntsuas ntawm cov roj carbohydrate thiab lipid metabolism. Yog hais tias tus neeg mob nyob rau hauv theem ntawm kev nce lub cev, tom qab qhov kev tso tseg ntawm nws qhov nce ntxiv yuav tsum tau txiav txim siab ua kom tiav.

Ntxiv rau kev txo cov calories ntau ntawm cov zaub mov, kev ntsuas yuav tsum ua tib lub sijhawm kom nce kev siv zog, uas yog, qib kev siv lub cev muaj zog, tuaj yeem txo cov roj endogenous hyperinsulinemia thiab nce nplooj siab cov ntshav qabzib ntau lawm, nrog rau kev txhim kho cov kua nplaum los ntawm cov ntaub so ntswg. Qhov ntau thiab tsawg ntawm kev tawm dag zog hauv cov neeg mob ntshav qab zib hom 2 yog txiav txim los ntawm lub hnub nyoog, kev pib ua lub cev thiab tus mob ntawm tus neeg mob.

Cov neeg mob zoo li no tau pom zoo kom ua txhua hnub, kev hnav khaub ncaws, dosed kev ua si lub cev txaus, coj mus rau hauv lub xeev qhov ntawm cov hlab plawv system, qib ntshav siab (BP) thiab ua siab ntev rau lawv. Nws paub txog tias kev siv lub cev ua rau txo qis dua ntawm glycemia thaum pib concentration ntawm cov piam thaj hauv cov ntshav tsis ntau tshaj 14 mmol / l thaum pib kev tawm dag zog. Kev teem sijhawm ntawm kev tawm dag zog yuav tsum ua tib zoo saib xyuas glycemia ua ntej, thaum thiab tom qab ua si, thiab hauv cov neeg mob uas muaj mob rau cov hlab plawv, tswj ntshav siab, mem tes, ECG.

Cov kev tawm dag zog ntau dua hauv cov neeg mob ntshav qab zib hom 2 yog taug kev, ua luam dej, caij nkoj, caij tsheb kauj vab, caij skiing. Rau cov neeg laus, 30-45 feeb ntawm taug kev txhua hnub yog qhov txaus. Thaum tsis muaj qhov ua tau ntawm kev soj ntsuam ntxaws ntxaws thiab kev tswj hwm kev noj qab haus huv thaum kawm kev tawm dag zog, ib tus yuav tsum txwv tsis pub tus kheej mus rau "tsev neeg" cov kev thauj khoom ntawm lub cev qis thiab siv qis, piv txwv li, pom zoo taug kev tus neeg mob nyob ntawm qhov qeeb thiab qeeb, pib txij li 10-15 feeb. nrog lub sijhawm nce qis, maj mam nce toj ntawm cov ntaiv (pib txij theem 1), kev koom tes hauv tsev txhua hnub.

Yog li, kev siv tshuaj kho mob ntshav qab zib hom 2 muaj cov hom phiaj hauv qab no:

nyiaj them rau cov khoom noj metabolism carbohydrate,
thawj hauv thawj,
kev kho ntawm dyslipidemia,
txo cov kev pheej hmoo ntawm cov teeb meem lig,
muab nrog cov as-ham tsim nyog, cov vitamins thiab minerals.

Cov lus qhia tam sim no rau kev kho kev noj haus SD-2 raws li cov cai hauv qab no:

calorie txo
fractional khoom noj khoom haus
cais tawm ntawm mono- thiab disaccharides los ntawm kev noj haus,
kev txwv ntawm cov roj nyeem ntxiv,
txo cov roj cholesterol kom tsawg (tsawg dua 300 mg ib hnub),
noj zaub mov muaj fiber ntau,
txo dej cawv kom tsawg (tsawg dua 30 g ib hnub).

Hauv cov neeg mob uas mob ntshav qab zib mellitus-2, kev noj zaub mov noj tuaj yeem siv ua kev kho mob monotherapy, hauv kev sib xyaw ua ke nrog cov tshuaj txo suab thaj thiab ua ke nrog kev kho tshuaj insulin.

Cov Cai Noj Khoom Noj Ntshav Qab Zib 1 Hom Ntshav Qab Zib

Lub hauv paus ntsiab lus ntawm kev noj zaub mov zoo rau hom ntshav qab zib hom 1 yog los txhawb koj cov zaub mov nrog cov khoom noj uas muaj carbohydrates nrog glycemic index tsawg. Txhawm rau ua qhov no, koj tuaj yeem mus taw rooj txuas ntxiv hauv qab no:

Ua ntej koj pib noj mov, koj yuav tsum suav qhov ntau ntawm cov ntsiab lus carbohydrate hauv nws, siv cov txheej txheem tshwj xeeb ntawm chav ua mov ci, raws li cov qauv hauv qab no:

1 chl. chav nyob = 12 g suab thaj los sis 1 chl. chav nyob = 25 g ntawm qhob cij.

Cov kws kho mob tso cai rau cov neeg mob noj tsis ntau tshaj li 2.5 khob cij ib hnub.

Koj tuaj yeem paub txog yuav ua li cas suav cov khob cij kom yog yog los ntawm kev saib yeeb yaj kiab tshwj xeeb:

Nws yog ib qho tseem ceeb uas yuav suav tau ntawm cov khob cij, vim tias nws yog qhov tseeb tias nws muaj ntau yam cuam tshuam rau kev txhaj tshuaj insulin txuas ntxiv kom "tua" cov piam thaj hauv ntshav. Ntxiv mus, tsis tsuas yog cov tshuaj insulin txhua hnub, tab sis kuj txhaj cov tshuaj "insulin" luv luv (uas tus neeg mob noj ua ntej noj mov) nyob ntawm cov ntsuas no.

Cov zaub mov dab tsi pub rau cov neeg mob ntshav qab zib

Cov zaub mov hauv qab no raug tso cai rau khoom noj qab zib:

rye qhob cij
kua zaub los ntawm cov kua zaub los yog ntawm ib qho kua nqaij uas ua los ntawm cov nqaij ntses uas muaj roj tsawg thiab nqaij,
nqaij menyuam nyuj
nqaij nyuj
nqaij qaib ob lub mis
zaub los ntawm daim ntawv uas tso cai,
qe (tsis pub ntau tshaj ob daim ib hnub),
taum
wholemeal pasta (tib lub sijhawm nws yog qhov tsim nyog los txo cov ncuav noj ib hnub),
mis nyuj thiab kefir,
tsev cheese (ntawm 50 txog 200 grams tauj ib hnub),
Kas fes tsis muaj zog
tshuaj yej
cov kua txiv tshiab los ntawm txiv apples lossis txiv kab ntxwv,
butter thiab zaub roj (nyiam dua yog siv rau kev ua noj xwb).

Rau cov neeg mob uas rog dhau, cov kws qhia zaub mov xav kom suav nrog zaub qhwv (tshiab thiab qaub), zaub ntsuab, ntsuab taum ntsuab, thiab txiv lws suav nrog txiv lws suav rau hauv lawv cov zaub mov noj. Cov khoom lag luam no pab kom txaus siab txoj kev tshaib plab rau lub sijhawm ntev.

Txhawm rau khaws txoj haujlwm ntawm daim siab, uas tas li muaj kev tawm tsam nrog kev kuaj mob tau piav qhia, nws yog ib qho tsim nyog yuav tsum tau qiv cov khoom lag luam xws li tsev cheese, kua taum, oatmeal.

Yam khoom noj dab tsi uas txwv tsis pub rau cov neeg mob ntshav qab zib?

Muaj ntau tus naj npawb ntawm cov khoom uas yam 1 mob ntshav qab zib yog nruj me ntsis contraindicated:

chocolate (nyob rau hauv qee zaus, tsaus chocolate yog pub, yog pom zoo los ntawm tus kws kho mob tuaj koom),
tej khoom qab zib thiab khaub noom,
hmoov qab zib
muab nqaij noj
ntsim, savory thiab savory zaub mov
ntsuj plig
dej qab zib
txiv tsawb, dib liab, dib liab,
hnub tim thiab raisins,
hau qos, carrots, beets, zucchini,
mov thiab semolina
qab zib
pickles
mis nyuj khov
daig
cov khoom noj siv mis nrog qhov feem pua ntawm cov roj cov ntsiab lus.

Qee qhov xwm txheej, qee cov khoom txwv tsis pub tseem muaj nyob rau ntawm daim ntawv qhia zaub mov, yog tias pom zoo los ntawm tus kws kho mob tuaj koom.

Hnub Monday ntawv qhia zaub mov

Thawj pluas mov: 0.1-0.2 kg ntawm lub hlaws barley porridge, 50 grams nyuaj cheese, ib daim ntawm rye qhob cij thiab tshuaj yej tsis muaj qab zib lossis kas fes tsis muaj zog (koj tuaj yeem ntxiv cov roj qab zib tsawg).
Qhov thib ob noj mov: 0.1-0.2 kg ntawm zaub xas lav los ntawm ib qho zaub uas tau tso cai, 0.2 kg ntawm borsch ntawm cov roj uas tsis muaj rog, ob qho kev txiav nyiaj, nrog rau 0.2 kg ntawm stewed zaub qhwv, ib qho hlais ntawm cov qhob cij.
Noj txom ncauj tom qab noj su: 100 gram ntawm tsev cheese lossis 3 cheesecakes, 100 gram ntawm cov txiv ntoo (yog tias tsis ntxiv qab zib).
Noj hmo: 130 grams zaub zaub xas thiab 0.1 kg ntawm nqaij siav. Ib nrab ib teev ua ntej yuav mus pw, koj tuaj yeem haus ib khob ntawm tsawg rog rog kefir.

Ntawv qhia hnub Tuesday

Thawj pluas mov: Ob-lub qe omelet, 60 grams nqaij veal, ib qho ncuav ci ntawm rye cij thiab ib qho soob, ua los ntawm cov dej haus tsis muaj qab zib lossis kas fes tsis muaj zog.
Noj su: 170 gram ntawm cov zaub xam lav los ntawm cov zaub uas tau tso cai, 100 grams nqaij qaib mis (ua noj lossis ci), 100 grams taub taub (tsis ntxiv mov).
Noj txom ncauj tom qab noj su: Ib lub txiv kab ntxwv qaub thiab ib khob ntawm qis rog rog kefir.
Noj hmo: 230 grams stewed zaub qhwv, 100 grams ntawm cov ntses siav.

Hnub Wednesday ntawv qhia zaub mov

Noj tshais: 200 gram ntawm cov nqaij stuffed zaub qhwv (tsis ntxiv ntawm mov), ib daim ntawm wholemeal qhob cij thiab tshuaj yej tsis muaj suab thaj ntau.
Qhov thib ob noj mov: 100 gram ntawm cov zaub xam lav los ntawm cov zaub uas tau tso cai, 100 grams spaghetti los ntawm cov hmoov nplej wholemeal, 100 grams cov nqaij siav lossis ntses, ib nrab khob ntawm kua txiv tshiab los ntawm kua txiv (nrog rau qab zib).
Noj txom ncauj tom qab noj su: tsis muaj piam thaj txiv hmab txiv ntoo tshuaj yej thiab ib lub txiv kab ntxwv.
Noj hmo: 270 grams ntawm tsev cheese ua zaub qhwv.

Ration Thursday

Thawj pluas mov: 200 grams ntawm oatmeal nrog cov nplais ntawm cov txiv hmab txiv ntoo tshiab los ntawm daim ntawv pom zoo, 70 grams nyuaj cheese thiab tshuaj yej yam tsis muaj qab zib.
Noj su: 170 gram ntawm pickle, 100 grams broccoli, ib daim ntawm cov mov ci rye, 100 grams stewed lean nqaij.
Noj txom ncauj tom qab noj su: tshuaj yej tsis muaj suab thaj thiab 15 gram ntawm cov txiv ncuav qab zib (biscuit).
Noj hmo: 170 grams nqaij qaib lossis ntses, 200 grams taum ntsuab, tshuaj yej tsis muaj qab zib.

Friday kev sib cav

Thawj pluas mov: 100 grams ntawm dumplings tub nkeeg, 0.2 kg ntawm kefir thiab ib lub kua los yog qhuav apricots / prunes.
Qhov thib ob noj mov: 200 gram ntawm cov zaub xam lav los ntawm cov zaub uas tau tso cai, 0.1 kg ntawm cov qos yaj ywm ci, 0.2 kg ntawm compote tsis muaj suab thaj.
Khoom txom ncauj ua ntej noj hmo: 100 grams ci taub, 200 grams cov txiv hmab txiv ntoo tsis qab zib.
Noj hmo: 100 grams ntawm steamed cutlets, 0.2 kg ntawm zaub xam lav los ntawm txhua cov zaub pub.

Noj cov hnub Saturday

Thawj pluas mov: 30 gram ntawm me ntsis salted salmon, ib lub qe thiab tshuaj yej tsis muaj suab thaj.
Noj su: 0.1-0.2 kg ntawm cov zaub qhwv cov zaub qhwv (tsis ntxiv mov), 0.2 kg ntawm borscht ntawm cov roj uas tsis muaj rog, cov hlais ntawm cov ncuav ci ncuav.
Noj txom ncauj tom qab noj su: 2 lub ncuav thiab 150 grams tsawg-rog kefir.
Noj hmo: 0.1 kg ntawm ci los yog nqaij qaib hau, 100 grams taum tshiab, 170 grams stewed eggplants.

Hnub Sunday ration

Thawj pluas mov: 200 grams ntawm buckwheat cereal siav hauv dej, stewed nqaij qaib, tshuaj yej tsis muaj qab zib lossis kas fes tsis muaj zog.
Noj su: 200 gram ntawm cov kua zaub qhwv lossis zaub kua zaub, ob lub cutlets nqaij qaib, 0.1 kg ntawm stewed taum hauv cov txiv lws suav thiab ib daim ntawm cov mov ci.
Noj txom ncauj tom qab noj su: 100 grams ntawm plums tshiab thiab tib tus nqi ntawm cov nqaij npuas roj uas tsis muaj roj ntau.
Noj hmo: 170 gram ntawm cov rog tsawg-rog kefir thiab 20 grams cov hmoov av tsis muaj qab zib (biscuit), ib qho kua txiv.

Qhov no zaub mov system rau 7 hnub tso cai rau kev siv ntawm ntau yam tshuaj ntsuab infusions, rosehip broth yuav siv tshwj xeeb. Herbal decoctions thiab infusions tuaj yeem haus tau thaum twg los tau, lub ntsiab tseem ceeb yog kom tsis txhob ntxiv ib qho kev ntxiv ntxiv hauv daim ntawv qab zib lossis zib ntab.

Txij lub lim piam no cov zaub mov uas muaj ntshav qab zib muaj xws li noj tshais thiab noj hmo, tsis tas yuav noj tshais ntxiv. Tab sis, yog tias nyob hauv nruab nrab ntawm kev noj tshais thiab su noj ib qho tsis txaus siab ntawm kev tshaib plab tshwm sim, ces koj yuav tsum tsis txhob raug kev txom nyem - koj tuaj yeem muaj peev xwm muaj ib qho tom nrog tib cov zaub xas lav lossis noj kua mis yogurt thiab ib lub txiv.

Yog tias koj txaus siab rau lwm txoj hauv kev kho mob ntshav qab zib hom 1 (tshwj tsis yog noj zaub mov), peb xav kom koj paub koj tus kheej nrog lwm cov hau kev kawm.

Cov lej noj zaub mov 9 rau cov kws kho ntshav qab zib insulin

Cov lej noj mov 9 - yog cov khoom noj zoo tshaj plaws rau cov ntshav qab zib. Txoj cai yooj yim yog txo ntsev noj tsawg kawg, nrog rau ua noj tais diav, ci lossis ua zaub mov noj. Koj yuav tsum tsis kam yauv thiab kib, tab sis vim tias qhov khoom noj ntawm cov zaub mov tsis zoo, tsis tshua muaj qee zaum koj tuaj yeem nplawm koj tus kheej.

Cov zaub mov kwv yees noj ntawm cov pluas noj rau ib hnub zoo li no:

Noj tshais. Tshuaj yej tsis muaj qab zib granulated, tsev cheese nrog qhov feem pua ntawm cov roj nyeem thiab cov mis tsis zoo.
Noj tshais thib ob. Barley porridge nrog nqaij.
Noj su Borsch, uas yuav tsum suav nrog cov zaub qhwv tshiab (siav hauv zaub ntsuab), txiv ntoo jelly, ib qho hlais nqaij lossis kua taum.
Noj sus yav tav su. Ib lub txiv lossis txiv kab ntxwv.
Noj hmo Nqaij siav los yog muab ntses ua noj (ua kom ci tsis muaj roj) hauv cov kua mis, zaub qhwv tshiab raws caij nrog txiv roj roj.

Hloov ua qab zib nrog kev noj haus No. 9, koj tuaj yeem siv cov fructose, sucrose thiab lwm yam khoom qab zib.

Koj tuaj yeem hloov kho koj cov zaub mov noj uas siv cov npe ntawm cov khoom lag luam uas raug tso cai hauv cov zaub mov ntawm hom 1 ntshav qab zib insulin-nyob ntawm cov ntshav qab zib.

Cov yam ntxwv ntawm cov khoom noj zoo rau me nyuam yaus

Yog tias cov kab mob ntshav qab zib tau raug tshawb pom hauv cov menyuam yaus, qee cov kws tshaj lij pom zoo hloov mus rau qhov kev noj zaub mov zoo carbohydrate, qhov twg carbohydrates ua tau 60% ntawm tag nrho cov zaub mov noj. Tab sis, qhov kev rau txim ntawm kev noj zaub mov zoo li no yog ib qho kev dhia ntawm cov ntshav qab zib kom siab los ntawm qhov siab heev rau qis heev, uas cuam tshuam tsis zoo rau kev noj qab haus huv ntawm cov menyuam. Yog li, nws yog qhov zoo dua rau cov menyuam yaus ua raws tib cov zaub mov noj No. 9, qhov twg ntawm cov zaub mov kom yuag tsawg.

Los ua tus me nyuam ntawv qhia zaub mov, koj tuaj yeem siv cov khoom hauv qab no:

Teem zaub - dib, lws suav, zaub qhwv, zaub txhwb nyoos.
Pob tawb ntawm cov txiv hmab txiv ntoo thiab cov txiv hmab txiv ntoo - txiv duaj, txiv pos nphuab, kua txiv, strawberry, kua.
Nqaij pob tawb - muaj cov rog tsawg, nqaij qaib.
Khoom qab zib Fructose thiab sorbitol.

Nws yog nruj me ntsis txwv tsis pub ib tug me nyuam muab cov qhob noom xim kasfes, jam, khoom bakery uas yog ua los ntawm cov hmoov dawb dawb.

Ua ntej ib tug menyuam yaus mus rau kev noj zaub mov tsis muaj rog, nws tsim nyog saib xyuas cov nuances hauv qab no:

Yuav kom muaj peev xwm tiv thaiv kom tsis txhob muaj ntshav qab zib, rau qhov uas nws yog ib qho tsim nyog yuav tsum nco ntsoov khaws cov khaub noom lossis khaub noom ua khoom noj rau lub sijhawm cia.
Thaum lub sijhawm hloov mus rau kev noj zaub mov muaj ntshav qab zib, tus me nyuam yuav tsum ntsuas ntshav qab zib ntau zaus - ua ntej noj mov, 60 feeb tom qab noj mov, ua ntej mus pw. Qhov nruab nrab, nws hloov tawm tias tus menyuam yuav tsum ntsuas ntsuas thaj suab thaj tsawg kawg 7 zaug hauv ib hnub, qhov no tso cai rau koj xaiv qhov kev qhia tseeb tshaj plaws ntawm cov tshuaj insulin thiab txo nws nyob ntawm qhov ntsuas.
Thaum tus me nyuam pib noj raws li kev noj haus ntawm kev noj haus No. 9, nws yog ib qho tsim nyog los tiv thaiv nws los ntawm kev ntxhov siab, kev tawm dag zog lub cev, vim tias qhov no tuaj yeem ua rau kev siv lub zog ntau dua hauv nws, uas nws yuav nres nrog carbohydrates. Thaum kev noj haus zoo zuj zus, koj tuaj yeem pib ua kis las ua si.

Nyeem ntxiv txog cov yam ntxwv mob ntshav qab zib hom 1 hauv menyuam yaus - nyeem ntawm no.

Yuav ua li cas pub rau tus menyuam muaj ntshav qab zib?

Nws raug nquahu kom cov menyuam yaus, uas nws cov khoom noj khoom haus txaus tso siab rau lawv niam, yuav tsum pub niam mis kom ntev li ntev tau. Cov mis uas kuaj pom tus mob ntshav qab zib hom 1 yuav tuaj yeem tau txais khoom noj khoom haus zoo tsim nyog thiab raug lub cev ntev li ntev tau.

Yog tias qee lub laj thawj lactation tsis muaj peev xwm, tom qab ntawv rau koj cov menyuam koj yuav tsum yuav cov khoom siv tshwj xeeb uas muaj cov piam thaj hauv qab zib. Nws yog ib qho tseem ceeb heev uas yuav tau soj ntsuam tib qho kev cuam tshuam ntawm pluas noj.

Kev noj zaub mov zoo rau cov neeg mob hluas tuaj yeem qhia txog ib xyoos raws li hom no: ua ntej, tus menyuam tau noj zaub nrog zaub thiab kua txiv, tab sis zaub mov, uas muaj ntau cov carbohydrates, tau qhia rau hauv tus menyuam txoj kev noj zaub mov hauv qhov kawg.

Video: Yuav noj li cas nrog hom 1 ntshav qab zib?

Mob ntshav qab zib tsis yog kab lus, tab sis yog ib txoj kev ua neej nyob, cov kws kho mob hais. "Tsiv" koj cov ntshav qab zib - muaj peev xwm! Nws tsuas yog tsim nyog los soj ntsuam xyuas qib theem ntawm cov piam thaj hauv ntshav, txhaj tshuaj insulin thiab xaiv cov khoom noj kom raug raws li lawv cov glycemic index:

Yog tias koj xav paub ntxiv txog ntshav qab zib hom 1, tom qab ntawv no yuav pab koj.

Hmoov tsis zoo, ntshav qab zib yog qhov mob uas tsis tuaj yeem ua, tab sis tias nws tsis thab, nws yog ib qho tseem ceeb kom ua raws li cov cai ntawm kev kho mob, nrog rau kev noj kom zoo. Qhov no yuav pab kom tus neeg mob tsis tsuas yog paub meej thiab muaj zog tag nrho, tab sis kuj tiv thaiv teeb meem.

Noj rau cov neeg mob ntshav qab zib hom 2 tsis tau txais insulin

Lub hauv paus ntsiab lus ntawm kev kho khoom noj khoom haus kho mob hauv cov neeg mob uas muaj ntshav qab zib hom 2 nrog rog thiab rog dhau - txo cov calories ntau ntawm cov zaub mov noj txhua hnub kom tsim tau lub zog tsis zoo lub zog, qhov nruab nrab, los ntawm 500-1000 kcal ib hnub. Nyob rau tib lub sijhawm, hauv cov poj niam, qhov muaj nuj nqis txhua hnub ntawm lub zog caloric yuav tsum tsis pub tsawg dua 1200 kcal, thiab hauv cov txiv neej - tsawg dua 1500 kcal. Nws raug nquahu kom ua tiav cov teebmeem ntawm cov zaub mov tsis ntev tom qab ua tiav, uas zam kom tsis txhob muaj qhov tsis zoo thiab tsis muaj peev xwm ua haujlwm. Nws yuav tsum raug sau tseg tias kev tshaib plab yog contraindicated rau txhua tus neeg mob ntshav qab zib.

Kev suav tus lej ntawm kev noj zaub mov kom tsawg tsuas yog ua ob txoj hauv kev. Siv thawj zaug, cov ntsuas yuav tsum tau cov calories ib hnub twg tau los xam, los ntawm 500 kcal ib hnub twg yog rho. Qhov txiaj ntsig zoo yuav pom zoo rau thawj theem ntawm qhov kev poob phaus. Tom qab 1 lub hlis, yog tias nws txoj kev hloov pauv tsis txaus, calories tuaj yeem txo kom tsawg txawm tias ua ntej mus txog cov hom phiaj tseem ceeb. Kev hloov pauv zuj zus ntawm cov neeg mob noj zaub mov nce ntxiv yuav ua raws li cov txheej txheem kev noj haus.

Qhov txheej txheem thib ob ntawm kev suav cov nyiaj caloric txhua hnub ntawm zaub mov yog ua raws li WHO cov lus pom zoo thiab muaj cai ntau dua. Ua ntej, theoretical tus nqi ntawm cov keeb metabolism hauv paus yog xam rau hauv tus account poj niam txiv neej, hnub nyoog thiab lub cev qhov hnyav ntawm tus neeg mob.

Cov poj niam:
18-30 xyoo = 0.0621 x r.m.t./in kg + 2.0357,
31-60 xyoo = 0.0342 x r.m.t2 ./ Kg + 3.5377,
dhau 60 xyoo = 0.0377 x r.m.t. + 2.7545.

Tus txiv neej:
18-30 xyoo = 0.0630 x r.m.t. + 2,8957,
31-60 xyoo = 0.04884 x r.m.t. + 3.66534,
laus dua 60 xyoo = 0.0491 x r.m.t. + 2.4587.

Qhov tshwm sim yog khoo los ntawm 240 los hloov ntawm megajoules mus rau kilocalories. Tom qab ntawv xam tas nrho kev siv nyiaj txhua hnub. Rau qhov no, tus nqi ntawm cov metabolism hauv paus yog khoo ntawm 1.1 (rau cov neeg muaj kev qoj ib ce qis), los ntawm 1.3 - rau cov neeg uas muaj qhov kev qoj ib nrab los ntawm lub cev lossis ntawm 1.5 - rau cov neeg uas muaj qib siab ntawm kev siv dag zog. Hauv cov neeg mob uas muaj ntshav qab zib hom 2 thiab kev rog dhau, ib qho coefficient ntawm 1.1 feem ntau siv. Tom ntej no, txhawm rau tsim kom lub zog tsis zoo los ntawm tus nqi tau txais hauv kauj ruam dhau los, rho 500-600 kcal.

Cov zaub mov zoo li no tuaj yeem siv rau lub sijhawm ntev yam uas tsis muaj kev cuam tshuam ntawm kev saib xyuas zoo thiab kev noj qab haus huv. Tom qab ncav cuag lub hom phiaj ntawm lub cev qhov hnyav, cov ntsiab lus calories ntau dua ntxiv me ntsis nce, suav mus rau hauv tus account qhov muaj qhov hnyav ntawm lub cev. Kev hloov kho ntawm cov caloric kom tsawg yuav tsum muaj kev sib koom tes ntawm tus kws kho mob thiab tus neeg mob, kev qhia tus neeg mob hauv kev saib xyuas lub chaw khaws khoom noj khoom haus, ua haujlwm nrog lub rooj noj zaub mov muaj calorie ntawm ntau cov zaub mov.

Yog tias tus neeg mob tsis tuaj yeem lossis tsis xav tswj hwm tus nqi ntsuas txhua hnub, tom qab ntawv txhim kho khoom noj yog ua kom muaj txiaj ntsig, faib tag nrho cov khoom cais ua peb pawg: muaj txiaj ntsig zoo, nruab nrab thiab tsis zoo.

Cov khoom noj uas tsis muaj calorie ntau ntau uas tsis muaj cov zaub mov hauv tsev (cog ntoo) yuav pom zoo. Cov no suav nrog cov zaub, tshuaj ntsuab, nceb, dej ntxhia, kas fes, tshuaj yej, dej haus nrog cov qab zib.

Cov khoom lag luam nrog cov ntsiab lus zoo ntawm cov rog uas muaj roj (ghee thiab butter, margarine, lard, sau thiab gravy, cov rog rog, nqaij, nqaij qaib, nqaij nqaij uas haus luam yeeb, cov kaus poom butter, qab zib, qaub cream, rog tsev cheese thiab cheeses, ncuav qab zib, hau, tau muab cais ua cov khoom noj tsis zoo. cov hnyuv ntxwm thiab hnyuv ntxwm, khob noom cookie, mis nyuj khov, chocolate, noob txiv, noob, cawv). Kev nyiam siv yuav tsum tau muab rau cov rog uas tsis muaj qhov txhauv (vim tias lawv cov nyhuv los tiv thaiv atherogenic) muaj nyob hauv cov roj zaub.

Kev noj zaub mov ntawm cov neeg mob ntshav qab zib hom 2 yuav tsum muaj qhov tshwm sim zoo rau cov lipid metabolism. Cov hauv paus ntsiab lus ntawm kev noj zaub mov lipid-txo qis, raws li cov lus pom zoo ntawm European Society rau Atherosclerosis, tau hais hauv Table 9.4. Cov khoom muaj cov ntshiab carbohydrates hauv lawv daim ntawv ntshiab (qab zib, zaub mov ua noj, dej qab zib, txiv hmab txiv ntoo qhuav, npias, zib ntab) tau pom tias nws tsis txaus siab nrog hom ntshav qab zib hom 2. Hloov chaw, nws pom zoo kom siv cov qab zib tsis muaj qab zib.

Rooj 9.4. Cov hauv paus ntsiab lus ntawm lipid-txo cov zaub mov noj (cov lus pom zoo ntawm European Society rau Atherosclerosis)

Qhov nruab nrab yog cov khoom lag luam uas muaj cov khoom noj txom nyem (cov hmoov nplej). Lawv qhov kev siv yog pom zoo kom txo los ntawm ib nrab ntawm ib txwm. Txhua cov hmoov txhuv nplej siab muaj xws li cov qos thiab cereal. Kev xaiv yuav tsum muab rau cov khoom lag luam nrog cov ntsiab lus fiber ntau (cov khoom los ntawm cov hmoov nplej wholemeal, cereal). Cov pab pawg nruab nrab kuj suav nrog cov txiv hmab txiv ntoo, cov txiv ntseej, cov khoom muaj cov protein nrog cov rog lossis rog tsawg (cov nqaij rog tsawg, ntses, nqaij qaib, cheese tsawg dua 30% rog, legumes, cereals, kua).

Yog li, qhov tseem ceeb ntawm cov lus qhia niaj hnub no rau kev kho kev noj haus rau cov neeg mob ntshav qab zib hom 2 nrog kev rog yog qhov txwv ntawm cov calories txhua hnub, feem ntau vim qhov kev txo qis hauv cov rog (tsis ntau dua 20-25% ntawm tag nrho cov nqi zog).

Cov neeg mob uas muaj hom 2 mob ntshav qab zib mellitus, muaj lub cev qhov hnyav thiab tsis tau txais insulin, tsis xav tau kev noj zaub mov hypocaloric, tab sis cov qauv tsim nyog ntawm kev noj haus yuav tsum yog tib yam li saum toj no.

Yam khoom twg raug tso cai?

Hauv kev kho mob ntawm kev noj zaub mov noj, nws yog ib qho tsim nyog tsis xav paub txog cov cai xwb.

Koj yuav tsum tau tsim kho cov zaub mov kom raug, thiab rau qhov no koj yuav tsum tsom rau cov npe uas tau tso cai thiab txwv tsis pub cov ntshav qab zib ntawm 1 yam khoom.

Ntawm cov khoom lag luam uas tso cai yog cov uas muaj txiaj ntsig zoo rau kev noj qab haus huv ntawm tus neeg mob thiab pab txhawb rau kev ua haujlwm zoo.

Cov no suav nrog:

dub khob cij (rye),
zaub kua zaub
soups on ib tug ua los ntawm nqaij ntshiv lossis ntses,
okroshka
borsch ntawm cov nqaij ntshiv,
beetroot kua zaub
pob ntseg
nqaij menyuam nyuj
nqaij qaib (mis),
nqaij nyuj
kefir
mis nyuj
nplej zom ua los ntawm cov hmoov nplej wholemeal (thaum siv lawv, koj yuav tsum txo cov qhob cij),
kua kua txiv
cov roj-dawb cheese hauv tsev loj (tsis ntau tshaj 200 g),
tsev cheese raws cov tais diav (xws li cheesecakes),
qe (siab kawg 2 pcs.),
kua txiv kab ntxwv
tshuaj yej
zaub qhwv (ob qho tib si tshiab thiab pickled),
zaub paj ntsuab
txiv lws suav
zaub ntsuab
dib
Kas fes tsis muaj zog
butter thiab zaub roj (siv tsuas yog hauv cov txheej txheem ua noj ua haus),
zaub nyoos
cereals (oat, buckwheat, pearl barley),
mov (nyoos)
Cov nqaij rog muaj roj tsawg (stewed, hau, ncu),
muaj roj cheese tsawg (tshwj tsis yog cov ntsev zoo),
hiav txwv ntses (hau los yog ci),
cov kaus poom ntses (cov ntses yuav tsum nyob hauv nws cov kua txiv),
protein ntau,
taub dag
txaij
zucchini
taub,
koos loos
mousses
compotes (qab zib pub dawb),
qaub-saj txiv ntoo thiab txiv ntoo,
khoom qab zib thiab ncuav qab zib rau cov mob ntshav qab zib,
seasonings hauv me me.

Ntawm cov khoom lag luam saum toj no, nws yuav tsum ua zaub mov noj txhua hnub kom cov zaub mov sib txawv thiab muab cov khoom siv lub cev nrog cov tshuaj kom tsim nyog.

Nyob ntawm seb tus mob thiab tus yam ntxwv ntawm tus neeg mob, cov npe no tuaj yeem ua ntxiv lossis ua kom luv. Yog li, koj yuav tsum nrhiav tag nrho cov ntsiab lus los ntawm tus kws kho mob ua qhov kev kho mob.

Nyeem ntxiv txog khoom noj khoom haus rau cov ntshav qab zib hauv cov yeeb yaj kiab:

Yuav ua li cas cov khoom lag luam raug txwv?

Cov zaub mov txwv yog qhov tseem ceeb tshaj plaws ntawm cov zaub mov tsim. Los ntawm nws, koj yuav tsum tsis suav cov zaub mov uas tuaj yeem tsim kev puas tsuaj rau tus neeg mob.

Nws suav nrog:

dej qab zib
khoom qab zib
qab zib
mis nyuj khov
daig
haus dej haus,
zib ntab
ncuav qab zib
ci,
ci hmoov
qos yaj ywm
carrots
ntsuab peas
taum
qaub zaub
zaub ntsuab pickles,
cov txiv hmab txiv ntoo qhuav (raisins, hnub tim),
txiv hmab
txiv nkhaus taw
tsawb.

Tsis tas li ntawd, muaj kev txwv rau cov khoom zoo li no:

ntsev
cov kaus poom ntses
pob kws flakes
txhuv dawb
ceev (tshwj xeeb tshaj yog txiv laum huab xeeb),
muab nqaij noj
muesli
sauces npaj kev lag luam.

Qee zaum tus kws kho mob yuav daws qee cov khoom lag luam yog tias tus neeg mob nws zoo. Tab sis lawv feem ntau raug tso cai rau hauv me me. Yog tias cov dej tsis zoo raug pom tom qab lawv siv tas, cov khoom lag luam raug txwv.

Hauv Ntshav Qab Zib Noj Qab Haus Huv Cov Ntawv Qhia

Txawm hais tias muaj cov lus qhia meej, qee cov neeg mob tsis tuaj yeem ua rau cov zaub mov kom raug. Qhov no tuaj yeem pab tus kws tshaj lij, tab sis koj tuaj yeem siv cov piv txwv uas pom hauv Is Taws Nem. Nws tsuas yog tsim nyog los sib piv cov tais diav thiab cov khoom lag luam los ntawm cov ntawv qhia ua zaub mov nrog cov npe uas tau sau los ntawm kws kho mob.

Ib qho piv txwv ntawm cov khoom noj muaj ntshav qab zib hom 1 yog qhia hauv lub rooj:

Mon	Tue	Wed	Th	Hnub Tsib	Sat	Tshav
Noj tshais	Dub khob cij, zaub qhwv tshiab nrog kua txiv txiv qaub, buckwheat porridge, tshuaj yej	Barley porridge nyob rau hauv cov mis nyuj, grated carrots, rye qhob cij, tshuaj yej	Cov ntses hau, pob cij, ncuav qab zib, muaj roj tsawg cheese, tshuaj yej	Oatmeal hauv mis nyuj, qhob cij, zaub ntug hauv paus thiab kua zaub qab ntsev, cov cheese tsis muaj rog, kas fes	Beetroot zaub xam lav, nplej porridge, tshuaj yej, qhob cij	Omelet (2 qe), qhob cij, hau nqaij, nqaij soob, tshuaj yej	Oatmeal, cheese tsis tshua muaj rog, ncuav, haus kasfes
Noj tshais 2	Kua, tseem ntxhia dej	Kua sorbet (1 pc.), Tshuaj yej	Cov txiv kab ntxwv qaub	Berry compote	Kua sorbet	Kua, cov dej ntxhia	Berry compote
Noj su	Cov nqaij ntshiv borsch, hau nqaij qaib, txiv ntseej, ncuav (hmoov nplej), compote	Zaub kua zaub, zaub xam lav, zaub ci (npaj nrog me me ntawm cov roj sunflower), cov ncuav cij, tseem muaj dej ntxhia	Nqaij ntses cov nqaij kua zaub, nqaij qaib hau, zaub qhwv thiab kua zaub pias, qhob cij, kua txiv qaub	Cov qhiav cij, stewed zaub qhwv, hau nqaij hau, qhob cij xim av, tseem muaj dej ntxhia	Taum kua zaub, tsis tau ua tiav cov nqaij siav, nqaij ntses plab (stewed), bran cij, rosehip broth	Ci nqaij qaib, zaub xam lav, taub dag taub (tsis muaj mov)	Pickle, zaub cob pob, zaub mov muaj roj tsawg, tshuaj yej
Muaj cov tshuaj yej siab	Tsev cheese, kua lossis pear, pear	Txiv kab ntxwv, rosehip broth	Kua	Txiv kab ntxwv, rosehip broth	Txiv Hmab Txiv Ntoo Dhia, Dej Ntxhia	Cov txiv kab ntxwv qaub	Ncuav qab zib tsis qab, tshuaj yej
Noj hmo	Zucchini caviar, qhob cij (rye), nqaij cutlets nrog zaub qhwv, tshuaj yej	Tsev cheese lossis txhuv cij, khob cij, hau-hau qe, tshuaj yej	Cabbage schnitzel, sauteed zaub, nqaij pob txha nqaij ntses (nqaij ntshiv), tshuaj yej	Schnitzel los ntawm ntses, bran cij, zaub (stewed), kua txiv qaub	Casserole nrog taub dag, zaub xam lav (dib, txiv lws suav), cutlet (muab cub)	Hau ntses, stewed zaub qhwv, mov ci	Taum txoj hlua, Ci nqaij ntses, kua txiv
2nd noj hmo	Kefir	Ryazhenka	Haus cov kua mis nyeem qaub	Mis	Kefir	Haus cov kua mis nyeem qaub	Mis

Cov ntawv qhia tuaj yeem hloov kho raws li kev nyiam ntawm tus neeg mob thiab seb nws txoj kev kho yog nce li cas.

Lub luag haujlwm ntawm kev noj haus

Kev noj qab haus huv zoo yog lub hauv paus ntawm kev muaj txiaj ntsig zoo. Qhov no muaj tseeb rau txhua tus neeg, tsis muaj kev zam. Txawm li cas los xij, nyob rau hauv cov ntshav qab zib, kev noj zaub mov tsis zoo tuaj yeem tsis tsuas cuam tshuam kev noj qab haus huv, tab sis kuj tseem yuav ua rau lub neej muaj sia. Qhov tseeb yog tias nrog tus kab mob txiav ua tus neeg mob ntshav qab zib, ntshav qab zib tsis tuaj yeem tsim cov tshuaj insulin. Thiab yog tsis muaj nws, ua tiav cov khoom noj khoom haus yog qhov tsis yooj yim sua.

Txog rau hnub no, tsuas yog txoj kev ua tau zoo uas tuaj yeem txhawb nqa cov haujlwm tseem ceeb ntawm tus neeg mob lub cev yog kev txhaj tshuaj insulin tas li. Txawm li cas los xij, cov haujlwm uas cov neeg noj qab haus huv tau ua tiav ntawm tus txiav, mob ntshav qab zib yog yuam kom noj.

Tus nqi ntawm cov tshuaj noj yuav tsum tau ua tib zoo xam, txij li ntau dhau los los yog tsis muaj cov tshuaj insulin tuaj yeem ua rau muaj kev cuam tshuam tsis zoo. Txhawm rau kom tsis txhob ua txhaum nrog qhov ntau npaum, koj yuav tsum kawm paub ntsuas ntsuas qhov ntau thiab cov txiaj ntsig zoo ntawm cov zaub mov noj. Yog li, kev npaj noj cov zaub mov nrog cov ntsuas ua ntej yog thawj yam khoom hauv cov npe kab mob kev kho.

Glycemic thiab insulin cov ntsiab lus

Txhawm rau kom paub qhov zoo tshaj plaws ntawm cov tshuaj insulin, koj yuav tsum paub ntau npaum li cas thiab ntev npaum li cas cov ntshav piam thaj nce siab. Txhawm rau pab txhawb cov kev suav, ib lub tswvyim xws li glycemic Performance index tau qhia. Nws yuav siv mus rau hauv tus account:

tus nqi ntawm fiber ntau
ntau hom carbohydrates,
rog thiab cov ntsiab lus protein
hom kev npaj khoom.

Tus neeg tau txais ntau lub zog los ntawm carbohydrates. Txawm li cas los xij, lawv txawv. Piv txwv li, hauv ib qho khoom noj qab zib ntawm cov zib ntab thiab hauv 100 g ntawm taum stewed, tus nqi ntawm carbohydrates yog qhov qub. Tib lub sijhawm, cov as-ham los ntawm zib ntab yuav luag nkag rau hauv cov ntshav, thiab nws yuav siv sij hawm ntau heev los mus zom cov taum. Raws li kev ntsuam xyuas tus nqi ntawm kev ntsuas khoom ntawm cov khoom, lawv muab ib qho ntsuas.

Nws yog qhov zoo dua rau noj cov zaub mov nrog qhov qis (hauv qhov xwm txheej - nruab nrab) glycemic Performance index, zoo li qhov no cov kua nplaum hauv cov qib pauv tau zoo thiab maj mam.

Kev tshawb nrhiav kho mob tas li tau nthuav tawm qhov tseeb txaus siab - cov khoom lag luam uas tsis muaj cov khoom noj khoom haus carbohydrates kuj ua rau lub cev tsim cov tshuaj insulin. Australian tus kws paub txog J. Brand-Miller tau tsim ib lo lus tshiab - lub suab insulin. Tus nqi yog xav xav txog lub cev los ntawm cov tshuaj insulin rau kev siv ib qho khoom lag luam, uas pab cov neeg mob ntshav qab zib muaj tseeb laij cov tshuaj ntau npaum li cas.

Professor Brand-Miller txoj kev nrhiav pom tsis tshua pom tshwm sim yog qhov tsis sib xws ntawm lub glycemic thiab insulin ntawm cov khoom noj mis nyuj feem ntau. Cov kua mis nyeem qaub yog tshwj xeeb tshaj yog ceeb - nws cov dispersion nyob rau hauv cov nqe lus yog 80 units (glycemic Performance index 35, thaum insulin Performance index 115).

Chav ua mov ci

Yuav luag txhua tus neeg mob ntshav qab zib tas li siv cov ntsuas no ua lub khob cij (lossis khoom noj) thaum ua zaub mov. Tus nqi tau tsim los ntawm cov kws tshawb fawb German los kwv yees cov nyiaj uas tau los yuag cov zaub mov carbohydrates.

Ib koog muaj 10 grams ntawm carbohydrates, uas yog sib npaug rau noj lub khob cij txheem (20-25 g). Li no lub npe ntawm qhov taw qhia.

Koj tuaj yeem paub tus naj npawb ntawm cov khob cij nyob hauv ib qho khoom lag luam los ntawm cov rooj tshwj xeeb. Txawm hais tias xam ywj siab kuj tsis nthuav qhia cov kev nyuaj. Qhov muaj pes tsawg leeg ib txwm qhia ntawm pob. Koj yuav tsum nrhiav cov ntsiab lus carbohydrate. Piv txwv, hauv 100 g ncuav qab zib, 76.0 g ntawm carbohydrates. Yog li ntawd, qhov muab xam yog raws li nram no:

(100 × 10) ÷ 76.0 = 13,2 g

Hauv lwm lo lus, 13,2 g = 1 chav tsev qhob cij lossis 10 g ntawm carbohydrates. Ntawd yog, txhawm rau suav, koj xav tau 1000 muab faib los ntawm tus nqi ntawm carbohydrates qhia hauv pob. Qhov tshwm sim yuav qhia tias qhov ntau ntawm qhov khoom sib raug mus rau ib lub khob cij.

Cov hauv paus ntsiab lus ntawm khoom noj khoom haus

Lub hauv paus rau kev kho cov mob ntshav qab zib yog cov muaj npe rationally zaub mov. Nws yuav tsum tau yug los hauv lub siab tias khoom noj khoom haus rau ntshav qab zib hom 1 yuav tsum ua raws li cov cai hauv qab no:

Xam cov calories tag nrho raws koj lub zog noj.
Noj xwm yeem, rhuav cov zaub mov ua tej ntu me me.
Zam tsis txhob noj cov carbohydrates thiab cov nqaijrog tib lub sijhawm.
Cov khoom noj muaj mis tsuas pub rau sawv ntxov xwb, rau khoom noj txom ncauj lawv tsis haum.
Tsis txhob sib xyaw ua ke tsis zoo ntawm cov rog thiab cov roj sai hauv ib pluag mov.
Tas li saib xyuas tus nqi glycemic txhua hnub. Rau qhov no, nws yog qhov zoo dua los siv cov khoom lag luam nrog qis glycemic index.
Nws raug nquahu kom ua rau pluas tshais ntxov tshaj cov protein.
Txog kev noj hmo, kev noj zaub mov zoo ntawm cov carbohydrates, cov rog thiab cov nqaijrog tau pom zoo kom txo ntau li ntau tau.
Tsis suav cov rog thiab cov zaub mov noj qis.

Cov teeb meem loj rau cov neeg mob ntshav qab zib yog cov ntshav qab zib ntau ntau. Txo nws, koj yuav tsum ua raws li qee qhov kev pom zoo:

Txwv lossis txiav cov kua txiv, kua txiv qaub, thiab lwm yam dej qab zib. Cov tshuaj yej thiab kas fes yuav tsum tau noj nrog qhov tsawg kawg ntawm cov khoom qab zib, thiab zoo dua yog tias tsis muaj lawv txhua.
Thaum muas cov khoom lag luam, xaiv qhov kev xaiv kom haum ntawm cov hom tsis muaj qab. Los ntawm kev noj qab zib koj cov zaub mov, nws yooj yim los tswj cov piam thaj.
Kawm nrhiav qhov tsim nyog hloov rau koj cov khoom qab qab zib kom nyiam. Piv txwv li, es tsis txhob siv mis chocolate, xaiv tsaus.

Pub thiab Txwv cov Khoom

Tus kab mob tso cov kev txwv tseem ceeb rau cov khoom noj muaj ntshav qab zib. Txawm li cas los xij, nrog txoj hauv kev kom zoo, cov zaub mov sib txawv thiab nthuav dav tuaj yeem tsim los ntawm cov khoom lag luam tsim nyog. Qhov loj tshaj plaws yog kom nco ntsoov tias cov tais diav twg muab kev nyiam rau, thiab cov twg yog qhov zoo dua kom xyuam xim.

Cov khoom lag luam pom zoo suav nrog:

Cov cij qhob cij.
Cov nqaij muaj roj tsawg: nqaij luav nqaij, nqaij qaib tsis muaj nqaij qaib, nqaij qaib ntxhw, quail, nqaij tawv, thiab lwm yam.
Cov qe dawb, zoo tshaj plaws nyob rau hauv daim ntawv ntawm omelet.
Cov khoom noj siv mis, nrog rau cov rog tsev uas tsis muaj rog thiab yogurt yog ntuj.
Kua zaub on zaub broth, qee zaum koj tuaj yeem ntxiv nceb.
Porridge tau ua los ntawm buckwheat, pob kws, oats, millet, barley, thiab legumes.
Ntses - tsuas yog nqaij ntses, muaj roj ntau hom, nws yog qhov zoo dua kom ci los yog npau npau.
Los ntawm cov zaub: zaub xam lav, zaub qhwv, taub dag, eggplant, dib, kua txob qab zib, zucchini.
Cov txiv ntoo: yuav luag txhua hom, tshwj tsis yog cov kua qab zib.

Ntau cov khoom tuaj yeem noj, tab sis nrog qee qhov kev txwv:

Cov khoom siv hmoov nplej ua los ntawm rye lossis grey hmoov tau yuav los ntawm cov kws saib xyuas ntshav qab zib tshwj xeeb.
Qaub cream, cheeses, ncuav pastries ua los ntawm cov khoom noj siv mis (piv txwv, cheesecakes, tsev cheese casserole).
Lub teeb ntses lossis nqaij nqaij txhaws - txog li 2 zaug hauv ib asthiv.
Noodles, semolina, barley raug txwv vim lawv cov ntsiab lus siab gluten.
Kib ntses.
Qe yolks, hau qe - tsis pub ntau tshaj 1-2, tsis ntau tshaj 1-2 zaug ib lub lim tiam.
Marinades, pickles, txuj lom - yog tias ua tau, txo.
Qaub los yog qab zib thiab txiv hmab txiv ntoo qaub - hauv kev sim, txog li 300 g ib hnub.

Muab cov yam ntxwv ntawm kev ua haujlwm ntawm lub cev ntawm cov ntshav qab zib, nws yog qhov pom tseeb tias qee cov khoom lag luam, thaum noj, ua rau lub cev tsis muaj zog nyob hauv tus mob. Yog li ntawd lawv txwv tsis pub cais:

Khoom qab zib, zib ntab, mis nyuj khov thiab lwm yam khoom qab zib.
Yaj thiab nqaij npuas rog.
Rog cov nqaij ntses, nrog rau cov nqaij ntsw, hnyuv ntxwm, nqaij nqaij.
Ci thiab khoom ci bakery.
Qab zib txiv hmab txiv ntoo thiab txiv ntoo: persimmons, txiv quav ntswv nyoos, txiv tsawb, thiab lwm yam.
Cawv hauv ib daim ntawv.

Cov khoom qab zib

Hloov rau cov piam thaj, cov ntshav qab zib tau raug yuam kom siv cov khoom hloov pauv ua cov qhob cij stewed, khaub noom thiab cov khoom qab zib. Nws yog dav ntseeg tias lawv qhov kev siv yog kev nyab xeeb kiag li. Txawm li cas los xij, qhov no tsis muaj tseeb nkaus. Ua ntej tshaj, cov yam ntxwv ntawm cov khoom qab zib nyob ntawm nws ntau yam. Cov txiv qab zib yog:

Ntuj - muaj cov khoom xyaw ntuj.
Khoom cua - tsim artificially los ntawm cov tshuaj sib txuas.

Ntuj

Kev hloov pauv hauv ntuj muaj kwv yees li ntawm calories ntau li suab thaj. Nyob rau tib lub sijhawm ua tsis zoo rau nws hauv cov khoom qab zib. Yog li ntawd, lawv yuav tsum tau txuas ntxiv ntau dua, cuam tshuam nce cov calories ntau tag nrho ntawm cov zaub mov.

Qhov kev zam tau yog stevia. Cov khoom qab zib no yog txoj kev cawm seej tiag rau cov ntshav qab zib. Nws yog ntuj tag, thaum tsis yog-calorie thiab noj qab nyob zoo. Muaj ntau hom, uas tso cai rau koj xaiv qhov kev xaiv yooj yim tshaj plaws.

Ntawm cov nta, nws tsim nyog sau cia muaj qhov tshwj xeeb aftertaste nrog me me kev iab. Txawm hais tias xws li ib qho txawv txawv saj sai sai yuav paub thiab txawm tias muab cov zaub mov txawv li ib txwm piquancy.

Khoom cua

Cov khoom noj khoom haus ua rau qab zib, ua yeeb yam ntawm cov paj saj, qhib lub cev kom ntxov ua ntej ntawm cov carbohydrates. Txawm li cas los xij, lawv tsis muaj calories, uas yog, cov zaub mov tsis raug xa mus. Xws li qhov kev dag ntxias tau qhia sai heev. Lub koom haum uas muaj lub cev uas hnov qab tau ua rau lub cev tsis muaj qhov xav kom tau cov carbohydrate feem ntau los ntawm qhov kev xav ntawm kev tshaib plab.

Cov khoom siv hloov hluavtaws feem ntau muaj ntau yam sib kis thiab qhov tshwm sim tsis zoo. Yog li ntawd, nws yog qhov xav kom txo lawv txoj kev siv lossis tso lawv tawm hauv qhov pom zoo ntawm qhov ntuj.

Cov zaub mov txawv

Kev noj zaub mov zoo rau cov ntshav qab zib hom 1 tau lees tias kev ruaj khov ntawm lub xeev kev noj qab haus huv. Txawm li cas los xij, cov kev txwv tsis tu ncua tuaj yeem ua rau tus neeg mob tsis muaj kev xyiv fab thiab kev xav zoo, ua rau kev chim sib npaug. Yog li ntawd, qee zaum nws tsim nyog kho koj tus kheej. Koj tuaj yeem xaiv daim ntawv qhia rau koj saj.

Qab buckwheat zaub movCov. Cov khoom noj muaj txiaj ntsig zoo tshaj plaws rau cov ntshav qab zib yog buckwheat. Los ntawm nws koj tuaj yeem tsis tsuas yog ua noj lub porridge li niaj zaus, tab sis kuj tseem ua cov khoom noj txom ncauj uas yooj yim thiab qab heev. Fry 300 g nqaij ntshiv nqaij qaib rau hauv saucepan nrog ib qho tuab hauv qab tshaj li tshav kub. Ntxiv me ntsis ntsev thiab txuj lom, npog. Cais, Fry lub dos, ntxiv nws rau cov nqaij. 10-15 feeb kom kib ib khob ntawm buckwheat hauv butter. Ncuav cov cereal rau hauv lub lauj kaub ntau. Ncuav 2 khob dej. Tom qab npau npau, txo cov cua sov. Simmer rau 20-25 feeb.
Capelin caviar appetizerCov. Cov zaub mov yog siav hauv ob peb feeb. Tib lub sijhawm, nws zoo heev thiab tsis txhaum txoj cai ntawm kev noj haus. Tsis siv neeg lub khob tawg lossis tartlets npaj sau nrog caviar. Txhawm rau dai tartlets, koj tuaj yeem siv cov txiv ntseej, cws, txhua yam zaub ntsuab.
MarmaladeCov. Rau ua noj ua haus, koj xav tau hibiscus tshuaj yej, gelatin thiab qab zib. Ncuav gelatin nrog dej. Thaum nws o o tuaj, ua tshuaj yej. Ntxiv cov khoom qab zib. Ntxiv cov hibiscus qab zib rau hauv ib lub taub ntim nrog gelatin. Sov cov kua kom txog thaum cov kua roj gelatinous kom yaj. Lim los ntawm ib sab cib, cia kom txias. Hauv ob peb teev, cov zaub mov yog npaj tau. Cov ntsiab lus ntawm cov calories ntau yog nyob ntawm cov khoom qab zib uas siv.

Txog hnub, tsis muaj txoj kev kho mob ntshav qab zib tsis muaj. Cov tshuaj tsis sawv ntsug. Tseem niaj hnub tshawb fawb hauv thaj chaw no. Muaj txawm tias qee qhov kev tshwm sim. Txawm li cas los xij, kev tswj hwm insulin thiab kev noj zaub mov zoo rau cov ntshav qab zib hom 1 tseem yog txoj hauv kev kho mob rau tus mob xwb.

Yam dab tsi koj yuav tsum xav txog hauv kev noj zaub mov noj rau ntshav qab zib hom 2

Yog hais tias tus neeg mob tsis ua raws li daim ntawv qhia zaub mov noj, tom qab lub hlwb yuav poob rau cov tshuaj insulin, uas txhais tau hais tias lawv yuav tsis nqus cov suab thaj kom zoo, uas ua rau cov piam thaj ntau hauv cov ntshav.

Yuav kom zam dhau tus nqi siab, koj yuav tsum ua raws li cov cai no:

Yuav tsum tau haus cov carbohydrate feem ntau thaum sawv ntxov.
Txhua pluas noj yuav tsum yog kwv yees sib npaug hauv KBLU.
Tsis kam noj cov khoom noj uas muaj suab thaj, muab kev nyiam rau yoghurts thiab txiv ntoo.
Tus nqi ntawm cov khoom qab zib yuav tsum tau saib xyuas los ntawm tus kws kho mob.
Haus ib nrab ib liter dej txhua hnub.
Tsis txhob noj ntau dhau.
Tsis nco qab txog rhuav tshem.
Kev siv dej cawv thiab qab zib hauv ib qho ntau hauv qee qhov tsawg yog txaus ntshai rau tus neeg mob ntshav qab zib.

Tso cai khoom hauv ib qhov ntau:

Txhua hom zaub qhwv (zaub paj, zaub paj, zaub pob, Zaub pob, thiab lwm yam), asparagus, zucchini, txaij, zaub ntsuab, nceb, nceb, zaub xam lav, avocado, dos, kua txob, txiv lws suav, thiab lwm yam.
Txiv qaub, avocado, txiv hmab txiv ntoo.
Txiv laum huab xeeb, txiv ntseej.
Cod daim siab roj (ntses).
Cov nqaij ntses nruab nrab, nqaij nruab deg.
Cov qe (tsis pub ntau tshaj peb daim ib hnub).
Cov nqaij tsis muaj roj tsawg, qhov tawm.

Daim ntawv teev cov khoom lag luam pub nyob hauv cov khoom ntiag tug tsawg rau hom 2:

40 gram ntawm cov buckwheat qhuav txog 2 zaug hauv ib lim tiam (nchuav dej sov hmo ntuj),
celery, carrots, turnips, radishes, qos qos, lentils, taum (tsis ntau tshaj 30 grams tauj ib lim tiam),
linseed roj.

Daim ntawv teev cov khoom txwv tsis pub rau hom 2:

Qab zib nyob rau hauv ib yam ntawm nws tshwm sim.
Ci ntawm txhua yam.
Cov khoom noj muaj rog (rog cov nqaij, ua kua ntses, nqaij npuas).
Cov khoom tiav ib hlis twg.
Trans nqaijrog.
Tsis txhob noj txhua yam txiv ntoo hauv qab zib (txiv ntoo qhuav, txiv av, thiab lwm yam) thiab txiv hmab txiv ntoo (persimmons, txiv tsawb, thiab lwm yam)

Cov Ntsiab Lus txog Khoom Noj rau Tus Mob Ntshav Qab Zib 1

Thawj hom ntshav qab zib yog tso thaum lub hnoos qeev nres tsim cov tshuaj insulin. Lub hauv paus ntsiab lus tseem ceeb ntawm kev noj zaub mov zoo rau cov neeg mob ntawm thawj hom yog kev siv cov khoom noj nrog qhov glycemic index.

Cov khoom uas tuaj yeem noj tau los ntawm hom 1:

Cov tseem grain, nplej rye thiab cov pastries bran.
Kua zaub
Tsawg-rog nqaij thiab nqaij qaib (tsis muaj tawv nqaij).
Cov muaj rog ntses tsawg.
Zaub.
Berries thiab txiv hmab txiv ntoo.
Buckwheat thiab oatmeal.
Cov khoom noj muaj roj tsawg.

Cov tshuaj tiv thaiv rau cov ntshav qab zib hom 1:

Txhua yam khoom muaj suab thaj.
Nqaij Cov Nqaij
Semolina, nplej zom, mov.
Cov pa luam yeeb khoom noj, pickles thiab marinades.
Cov khoom noj kaus poom.
Ci thiab ci.
Cov mis los ua zaub mov.
Txiv hmab txiv ntoo muaj cov piam thaj hauv ntuj siab (txiv tsawb, txiv quav ntswv, persimmons, thiab lwm yam) thiab cov txiv hmab txiv ntoo qhuav.
Cov pa roj carbon thiab cawv cawv.

Mob ntshav qab zib Gestational

Mob ntshav qab zib muaj mob tuaj yeem tshwm sim hauv tus poj niam cev xeeb tub. Feem ntau nws nyob ntawm noob caj noob ces. Txhawm rau kom tsis txhob muaj kab mob ntshav qab zib ntxiv hauv niam thiab tus menyuam, yuav tsum ua zaub mov noj kom nruj.

Tus qauv noj haus zoo rau mob ntshav qab zib gestational:

Txo txoj kev ua kom txaus carbohydrate thiab ua kom tshem tag nrho cov carbohydrates yooj yim.
Txwv txiav cov nplej zom thiab cov qos noj.
Cov khoom noj rog, cov zaub mov tiav thiab cov hnyuv ntxwm yog txwv tsis pub.
Cov txheej txheem kev npaj ntawm cov khoom yuav tsum tau xaiv nyob rau hauv dej siab ntawm kev kho mob chav, ncu thiab ci.
Noj txhua txhua 3 teev.
Haus dej kom ntau nyob rau txhua hnub.

Coob tus neeg xaus lus tias kev noj zaub mov zoo rau cov neeg mob ntshav qab zib tsis yog ntau haiv neeg thiab txaus siab, tab sis hauv Is Taws Nem koj tuaj yeem nrhiav tau ntau yam zaub mov txawv rau cov neeg mob ntshav qab zib.

Kev noj haus rau cov neeg mob ntshav qab zib hom 2

Hauv cov neeg mob uas lub cev nyhav tau txais cov tshuaj insulin, txoj ntsiab cai ntawm kev kho kev noj haus tsis txawv dua li ntawm hom 1 ntshav qab zib mellitus. Nws muaj isocaloric khoom noj khoom haus, kev xam ntawm cov carbohydrates uas ua rau cov ntshav qab zib nce siab raws li XE, hloov cov koob tshuaj "zaub mov" insulin nyob ntawm seb XE npaum li cas thiab tsis tas yuav txo qis cov rog.

Yog tias muaj cov tshuaj insulin ua rau cov neeg mob rog dhau thiab rog dhau, ces kev noj zaub mov noj yog tseem ua rau suav nrog cov ntsiab lus siv hauv CD-1, thiab suav txog cov qauv uas tau sib tham saum toj saud, uas yog, sib txuas cov kab ke ntawm cov chav ua noj thiab ua kom suav nrog cov rog tsawg.

1. Khoom noj khoom haus yuav tsum muaj kuab

Cov hauv paus ntsiab lus ntawm khoom noj khoom haus zoo tau piav qhia txhua yam hauv cov ntawv sau "Rational Nutrition". Yog tias koj tsis paub meej tias nws yog dab tsi, koj yuav tsum kawm cov ntaub ntawv ntawd. Yog tias tsis muaj cov ntsiab lus tseem ceeb ntawm kev noj zaub mov zoo, koj yuav tsum tsis suav nrog kev them nqi zoo rau cov ntshav qab zib.
Kev faib cov khoom noj tseem ceeb hauv cov khoom noj rau cov ntshav qab zib hom 1 tsis muaj kev rog yuav tsum yog cov hauv qab no.

Daim duab. 1

Muab cov protein ua lub tsev tsim cov khoom ntawm lub cev, qhov no "cov khoom siv" (hauv daim ntawv ntawm nqaij, ntses, nqaij qaib, tsev cheese) yuav tsum tau noj txhua hnub.

Peb kov cov kev nkag siab tsis meej tias qhov kev txwv ntawm cov rog hauv cov ntshav qab zib hom 1 txhim kho kev them nyiaj.

Ib txoj kev tshawb ntawm cov nyhuv ntawm caloric kom tsawg ntawm kev xav tau insulin tau qhia tias qhov txo qis hauv calorie kom tsawg vim tias cov ntsiab lus ntawm cov rog tsis muaj kev cuam tshuam rau cov tshuaj insulin thiab, yog li ntawd, kev them nyiaj los ntawm kab mob.

Daim duab. 2 Qhov xav tau insulin hauv pluas noj nrog 40%
thiab 5% rog (Dunn & Carrol, 1988)

Cov ntaub ntawv no qhia tias lub tswv yim hais txog cov txiaj ntsig qab zib-ua los ntawm cov zaub mov rog tsis raug.

2. Kev soj ntsuam tsis tu ncua ntawm cov zaub mov zom cov zaub mov carbohydrates raws li cov kab ke ntawm cov khob cij

Lub peev xwm los ua kom txawv cov khoom lag luam uas muaj cov carbohydrate nyob ntawm qhov glycemic index thiab muab faib rau hauv kev txais nyob ntawm seb hom tshuaj insulin.

Lub peev xwm suav cov XE thiab kho lawv tus lej txuas nrog qhov tshuaj ntawm cov tshuaj insulin luv luv yog txoj cai tseem ceeb tshaj plaws rau cov ntshav qab zib hom 1.

Ua li no khoom noj khoom haus ntawm tus neeg muaj ntshav qab zib hom 1 uas tsis rog dhau sijhawm, hauv nws cov kev sib txawv, muaj txiaj ntsig zoo, tshuav nyiaj li cas, muaj peev xwm siv zog (calories) yuav tsum tsis txhob txawv ntawm kev noj zaub mov ntawm tus neeg noj qab haus huv, nrog qhov sib txawv tsuas yog XE yuav tsum raug txiav txim siab.

Dab tsi yog cov qhob cij thiab cov lej glycemic

Ua ntej tham txog cov ntsiab lus no, xav txog cov carbohydrates hauv kev nthuav dav.

Carbohydrates (tsis muaj protein thiab cov rog) yog lub hauv paus tseem ceeb ntawm lub zog rau lub cellCov. Kev tsis muaj cov carbohydrates ua rau lub zog ntawm kev tshaib plab ntawm cov cell thiab cov teeb meem metabolic.
Yog li ntawd, nws yog ib qho tseem ceeb heev uas lub cev tau txais tsawg kawg 55% ntawm lub zog txhua hnub los ntawm carbohydrates.
Peb nco koj tias feem ntawm cov protein nyob hauv cov khoom noj muaj kuab yog 15-20%, cov rog - 25-30% (yog tias tsis muaj ib qhov hnyav tshaj).

Nyob ntawm seb cov carbohydrates muaj qhov nqus hauv txoj hnyuv lossis tsis, yog li ntawd, lawv nkag mus rau hauv cov hlab ntshav thiab nce glycemia lossis tsis, lawv tau txawv. zom tau
thiab tsis zom mov carbohydrates.

Daim duab. 3

Peb yuav tsum tuaj yeem nrhiav cov zom zaub mov zom hauv cov zaub mov thiab suav raws li XE. Indigestible carbohydrates, vim tias tsis muaj txiaj ntsig ntawm glycemia, XE tsis suav.

Thawj qhov kev xav indigestible carbohydratesCov. Raws li tuaj yeem pom los ntawm lub rooj, lawv yog cov soluble thiab insoluble.

Insoluble tsis-digestible carbohydrates, rau cov cellulose twg yog, ib tug neeg tsis noj, vim tias lawv yog cov tawv nqaij uas tawv, tsis yooj yim rau kev zom cov zaub mov. Lub hauv paus loj ntawm cellulose hauv qhov yog ntoo. Qhov chaw ntawm cellulose rau tib neeg tuaj yeem tsuas yog cov roj ntsha ua haujlwm ntxiv nyob rau hauv uas nws suav nrog.

Soluble tsis-digestible carbohydrates Puas yog fiber ntau pawg, uas suav nrog fiber ntau, pectin, guar. Tsis tau txais kev nkag mus rau hauv cov ntshav, lawv dhau los ntawm kev mob plab tag nrho hauv kev hloov chaw, coj nrog lawv thiab tshem tawm hauv lub cev tag nrho cov tsis tsim nyog thiab tsim kev puas tsuaj uas tau tsim los ntawm cov metabolism lossis tuaj sab nraud (co toxins, microbes, radionuclides, hnyav hlau, roj cholesterol) lwm yam).

Yog li, tsis yog qhov ua kom muaj zog (tsis zoo li cov zom zom zom), zaub mov
cov hlab ua haujlwm tsis muaj qhov tseem ceeb rau lub cev: xws li txhuam hniav, lawv "huv si", "ntxuav" peb cov hnyuv, tiv thaiv cov khoom ua kom puas tsuaj los ntawm nqus mus rau hauv cov ntshav thiab muaj cov tshuaj lom, ua rau lub hlwb muaj teeb meem (uas ua rau muaj ntau yam teeb meem kev noj qab haus huv).

Yog li ntawd, nws yog ib qho tseem ceeb heev uas nyob rau hauv kev noj haus ntawm txhua tus neeg niaj hnub nyob deb ntawm ib puag ncig zoo tagnrho ib puag ncig (tso pa tawm, tso pa tawm, tshuaj tua kab,
nitrates, dyes, tshuaj, thiab lwm yam), raws li cov lus pom zoo los ntawm cov kws kho mob, yog tsawg kawg 40 g ntawm kev noj haus fiber ntau txhua hnubCov. Nov yog lwm txoj cai ntawm kev noj zaub mov zoo uas koj yuav tsum nco ntsoov.

Cia peb soj ntsuam hauv kev nthuav dav ntxiv seb fiber ntau, pectin, guar.

Daim duab. 4

Npuas sawv cev ntawm phab ntsa ntawm cov nroj tsuag.
Cov khoom noj muaj fiber ntau suav nrog cov nplej thiab cov txhuv rye, pob cij wholemeal nrog cov cij, cereals (buckwheat, pearl barley, oat), thiab cov zaub ntxhw muaj ntxhib.

Raws li koj tuaj yeem pom los ntawm cov lus piv txwv, fiber ntau tso cai rau koj los daws cov teeb meem cem quav thiab muaj zog tsis qab los. Kev xeb thiab hau txos txo cov kev ua los ntawm fiber ntau.

Daim duab. 5

Pectins - tej yam uas sib cog cov nroj tsuag. Pectin muaj ntau nyob rau hauv cov txiv hmab txiv ntoo, berries thiab qee cov zaub. Lub luag haujlwm ntawm pectins hauv lub cev yog qhia hauv daim duab 6.

Daim duab. 6

Qhov cuam tshuam rau ntawm fiber ntau thiab pectins ntawm lub cev yuav tsum raug txiav txim siab ua ib feem ntawm qhov txiaj ntsig tag nrho ntawm kev noj haus fiber.
Yog li ntawd, qee yam khoom lag luam (taum pauv, taum ntsuab, pob zeb, zaub qhwv, roj beets, zaub txhwb qaib, txiv tsawb, zaub xas lav, thiab lwm yam) muaj qhov ua tau zoo tshaj qhov yuav cia siab rau hauv cov ntsiab lus fiber ntau (saib cov lus hauv qab).

Tus nqi ntawm fiber ntau, g	Cov khoom noj khoom haus
Ntau tshaj 1.5 - loj heev	Nplej nyom, raspberries, taum, txiv ntoo, hnub, txiv pos nphuab, apricots, oatmeal, chocolate, raisins, currants dawb thiab liab, cranberries, gooseberries, prunes
1-1.5 - loj	Buckwheat, hlaws barley, barley, oat flakes "Hercules", taum mog, qos yaj ywm, carrots, zaub qhwv dawb, ntsuab peas, txaij, kua txob qab, taub dag, sorrel, quince, txiv kab ntxwv, txiv qaub, lingonberries
0.6-0.9 - nruab nrab	Noob cij qhob cij, hmoov nplej, dos ntsuab, dib, beets, txiv lws suav, radishes, zaub paj dawb, qab zib, txiv duaj, txiv duaj, txiv duaj, txiv duaj, txiv quav ntswv nyoos, txiv tsawb, txiv kab ntxwv
0.3-0.5 - me	Nplej khaub cij los ntawm hmoov nplej qib 2, mov, nplej txhaws, zucchini, zaub xas lav, dib liab, txiv ntoo, txiv plum, txiv ntoo.
0.1-0.2 - me me heev	Cov hmoov nplej ntawm qib 1, hmoov nplej ntawm hmoov nplej ntawm qib 1 thiab qib siab tshaj plaws, semolina, nplej zom, khaub noom

Kwv Txhiaj Hmoob - pectin-zoo li cov tshuaj muaj nyob hauv algae. Cov khoom muaj txiaj ntsig zoo sib xws nrog cov khoom siv ntawm lwm cov tsiaj.

Lub caij nyoog tsis muaj cov khoom noj muaj fiber ntau ua rau cem quav, ua rau muaj qhov tshwm sim ntawm diverticulosis, polyposis thiab mob cancer ntawm lub qhov quav thiab cov nyuv, hemorrhoids, yog
ib qho ntawm cov pheej hmoo pheej hmoo rau kev nthuav dav ntawm atherosclerosis, cholelithiasis.

Tam sim no xav txog cov zaub mov carbohydrates hauv kev nthuav dav ntxiv.
Ua raws li kev nqus nrawm, lawv muab faib ua nrawm thiab qeeb. Kev maj mam zom cov carbohydrates yuav tsum ua kom 80% ntawm tag nrho cov carbohydrates hauv cov zaub mov ntawm ib tug neeg.
ceev - tsuas yog 20% xwb.

Cov carbohydrates ceev ceev , uas suav nrog cov piam thaj, fructose (monosaccharides), sucrose, lactose thiab maltose (disaccharides), pib yuav tsum tau nqus tau twb nyob hauv qhov ncauj kab noj hniav thiab tom qab 5-10
feeb tom qab noj, lawv twb muaj nyob hauv cov hlab ntshav. Cov piam thaj (txiv kab ntxwv piam thaj) feem ntau nqus tau sai.
Yog vim li ntawd, txiv hmab, kua txiv hmab, raisins, nplua nuj nyob hauv qabzib, thiaj li ua rau cov ntshav qabzib hauv cov ntshav sai sai thiab yog vim li cas cov piam thaj yog qhov zoo tshaj plaws kom tso tseg (tshem tawm) cov ntshav qog ntshav qab zib tsawg.

Fructose nws yog nqus tau me ntsis qeeb dua cov piam thaj, tab sis nws txawm li cas los xij pom sai sai rau hauv cov hlab ntshav thiab nce glycemia, thiab ntau, ntau
hais txog insulin tsis txaus. Lub hauv paus tseem ceeb ntawm fructose yog cov txiv hmab txiv ntoo, berries, zib ntab. Zib ntab muaj 35% qabzib, 30% fructose thiab 2% sucrose.

Lactose - mis nyuj muaj piam thaj hauv whey.
Tag nrho cov khoom noj siv mis uas muaj whey muaj lactose (cov no yog cov kua mis ua kua: mis, kefir, fermented ci mis, kua mis nyeem qaub, qab zib, haus kua txiv yoghurts).
Txhawm rau kom nws nkag siab yooj yim rau kev nkag siab ntawm cov khoom noj mis nyuj, saib iav mis nyuj. Whey muaj lactose sai sai.
Txhua yam uas tau sau los ntawm cov mis nyuj sab saum toj - "saum" - tsis muaj dab tsi zoo li cov rog zoo coj los rau ntawm peb lub rooj nrog butter, qab zib, qab zib.
Thiab thaum kawg, dab tsi tseem nyob ntawm mis nyuj, thaum whey thiab rog raug tshem tawm ntawm nws, cov no yog cov protein - tsev cheese.

Mej xeev - malt qab zib. Nws yog ib qho khoom lag luam ntawm cov hmoov txhuv nplej siab nruab nrab los ntawm cov nroj tsuag thiab cov noob qoob loo (malt) enzymes, thiab cov txiaj ntsig maltose tau tawg rau cov piam thaj. Maltose muaj nyob hauv daim ntawv dawb hauv npias, kvass, zib ntab, malt extract (kua txiv maltose), thiab malt mis.

Sucrose , los yog tsuas yog muaj suab thaj, pom nyob hauv nws daim ntawv dawb huv (granulated qab zib lossis cov qab zib ua kom zoo), ntxiv rau hauv cov khoom tsis sib haum, kua txiv, kev cog lus, kev khaws cia.

Tag nrho cov carbohydrates ceev khiav rau hauv cov ntshav.

Puas yog qhov zoo lossis tsis zoo? Zoo - los tawm tsam kev mob ntshav qab zib, qhov tsis zoo - vim qhov tseeb tias glycemia tom qab noj cov khoom noj khoom haus sai sai nce sai, sai dua li cov tshuaj insulin tuaj yeem ua, thiab koj muaj kev pheej hmoo yuav kis glycemia ntau heev txawm tias koj tau txhaj cov tshuaj insulin txaus.

Tsis tas li ntawd, cov piam thaj qib "yuav tawm" tom qab noj cov "carbohydrates" sai, qhov ntau koj tau haus lawv ntau dua. Lub cev lub cev ntawm cov khoom cuam tshuam rau tus nqi ntawm kev nqus ntawm carbohydrates (txhua yam hauv cov kua ua yog nqus tau sai dua, yog li ntawd sai sai cov khoom noj carbohydrates hauv cov kua ua kua yuav nce glycemia feem ntau nrawm: tshuaj yej nrog qab zib lossis zib ntab, kua tsis muaj pulp, qab zib dej), khoom kub (txhua yam sov yog nqus tau sai dua, piv txwv li cov tshuaj yej kub nrog qab zib yuav nce glycemia sai dua li haus dej haus los ntawm lub tub yees).

Yuav ua li cas koj tuaj yeem ua kom qeeb ntawm qhov kev nqus ntawm cov zaub mov carbohydrates sai thiab yog li tiv thaiv qhov nce sai ntawm glycemia, yog tias koj xav tau "qab zib"?

Nws yog qhov zoo dua rau siv cov nyiaj carbohydrates ceev hauv qhov txias es tsis yog daim ntawv kub.
Noj cov carbohydrates nrawm tom qab noj mov, tsis nyob ntawm lub plab khoob.
Nws zoo dua rau noj cov zaub mov uas tsis yog zom cov zaub mov tsis muaj qab zib (zib ntab, caramel, dej qab zib), tab sis kuj muaj fiber ntau (cov txiv hmab txiv ntoo, roj, cov khoom ci), cov rog (xws li ice cream lossis chocolate), protein (protein cream) uas ua rau qeeb kev nqus.

Lwm cov lus qhia: tsis txhob noj ntau ntawm carbohydrates nyob rau hauv ib lub sijhawm, txij li thaum ntau cov carbohydrates koj noj nyob rau ib lub sijhawm, ntau dua qhov nce ntawm glycemia.

Qeeb carbohydrates - Qhov no yog cov hmoov txhuv nplej siab, uas yog ib qho polysaccharide, uas yog, cov khoom siv ua kom tau zoo. Ua ntej nkag mus rau hauv cov hlab ntshav, cov hmoov txhuv nplej yuav tsum tau zom nrog enzymes hauv plab mus rau cov kua nplaum ntev, txwv tsis pub nws yuav tsis hla dhau ntawm cov hnyuv phab ntsa thiab yuav tsis nkag rau cov ntshav. Cov txheej txheem hmoov txhuv nplej siab yuav siv sijhawm rau qee lub sijhawm, yog li cov khoom noj muaj cov hmoov txhuv nplej siab ntau dua glycemia qeeb dua qhov kev zom zaub mov carbohydrates. Qeeb-zom cov carbohydrates muaj xws li cov khoom bakery, qos yaj ywm, pob kws, taum pauv, nplej zom.

Qeeb carbohydrates mus rau hauv cov hlab ntshav.
Cov hmoov txhuv yooj yim dua thiab yooj yim dua kom zom cov mov thiab semolina dua li los ntawm millet, buckwheat lossis pearl barley, thiab los ntawm cov qos yaj ywm thiab khob cij sai dua los ntawm taum pauv los yog taum pauv. Qhov no ntxiv dua vim muaj cov "inhibitors" ntawm kev nqus mus rau hauv carbohydrate, tshwj xeeb hauv cov qauv piv txwv.

Txhua txhua 10 gram ntawm cov zom zaub mov (sai thiab qeeb) nce glycemia los ntawm qhov nruab nrab ntawm 1.7 mmol / L.
Txawm li cas los xij, thaum noj cov khoom sib txawv nrog cov ntsiab lus qub ntawm carbohydrate, qhov nce ntawm glycemia yuav txawv, yog li, qhov xav tau tshuaj insulin kuj yuav sib txawv raws li cov khoom lag luam.
Xav txog cov txiaj ntsig ntawm "kev ntsuas" ntawm tus nqi glycemia (kev ua zaub mov noj, tag nrho lossis zom ntawm cov zaub mov, cov nyhuv ntawm qhov kub thiab txias), qhov sib pauv glycemic index tau tsim uas pom tias ntau npaum li cas glycemia yuav nce ntxiv yog tias ib lossis lwm cov khoom noj tau noj. Qab zib-boosting nyhuv ntawm qabzib yog npaum li 100%.

Glycemic indices ntawm qee yam khoom

90—110% - maltose, mashed qos yaj ywm, zib ntab, "mov" saum huab cua, pob kws flakes, Coca-Cola thiab Pepsi-Cola,
70—90% - khob cij dawb thiab grey, khoom ci, tsej tsem, txhuv, hmoov txhuv nplej, hmoov nplej, mov ci, ncuav mog me me, npias,
50—70% - oatmeal, txiv tsawb, pob kws, qos yaj ywm hau, qab zib, ceg
khob cij, khob cij rye, kua txiv tsis muaj piam thaj,
30—50% - mis, kefir, yogurt, txiv hmab txiv ntoo, nplej zom, legumes, mis nyuj khov.

Chav nyob qhob cij

Txhawm rau kom correlate tus nqi ntawm cov zaub mov carbohydrates noj nrog qhov kev siv tshuaj ntawm cov yeeb yam luv luv siv tshuaj, ib qho system ntawm cov chav ua mov ci tau tsim.
Rau 1 XE, suav tias yog 10-12 g ntawm carbohydrate zom.

1XE = 10-12 g ntawm carbohydrate zom
1 XU xav kom 1 mus rau 4 chav luv ntawm cov khoom noj luv luv (khoom noj) insulin
Hauv nruab nrab, 1 XE yog 2 chav nyob ntawm luv luv ua yeeb yam insulin
Txhua tus nyias muaj nyias qhov kev xav tau ntawm insulin ntawm 1 XE.
Txheeb xyuas nws nrog tus kheej qhov chaw khaws ntaub ntawv tus kheej
Lub khob cij yuav tsum tau muab suav nrog lub qhov muag, tsis suav cov khoom hnyav

Yuav xam pes tsawg XE noj ib hnub?
Txhawm rau ua qhov no, koj yuav tsum rov qab mus rau lub ncauj lus "Khoom Noj Khoom Noj", suav cov khoom noj txhua hnub ntawm cov zaub mov tsis zoo, noj 55 lossis 60% ntawm nws, txiav txim seb muaj pes tsawg kilocalories uas yuav tsum tuaj nrog carbohydrates.
Tom qab ntawd, faib cov nqi no los ntawm 4 (txij li 1 g ntawm carbohydrates muab 4 kcal), peb tau txais cov nyiaj niaj hnub ntawm carbohydrates hauv grams. Paub tias 1 XE yog sib npaug nrog 10 gram ntawm cov carbohydrates, faib cov txiaj ntsig niaj hnub no ntawm carbohydrates los ntawm 10 thiab tau txais txhua hnub ntawm XE.

Piv txwv, koj cov lus qhia txhua hnub calorie yog 1800 kcal, 60% nws yog 1080 kcal. Faib 1080 kcal rau 4 kcal, peb tau 270 grams carbohydrates. Muab faib 270 grams los ntawm 12 grams, peb tau txais 22.5 XE.

Yuav faib cov chav nyob thoob plaws ib hnub li cas?
Muab qhov pom ntawm 3 pluas mov loj (noj tshais, noj su thiab noj hmo), feem ntau ntawm cov carbohydrates yuav tsum tau faib nruab nrab ntawm lawv, xav txog cov ntsiab cai ntawm kev noj zaub mov kom zoo (ntau dua thaum sawv ntxov, tsawg dua yav tsaus ntuj) thiab, yog qhov tseem ceeb rau koj qhov kev xav noj.
Nws yuav tsum tau yug los hauv lub siab tias thaum ib pluas noj nws tsis pom zoo kom noj ntau dua 7 XE, vim tias ntau cov khoom noj carbohydrates koj noj ntawm ib pluag mov, qhov ntau dua ntawm glycemia thiab qhov koob tshuaj luv luv insulin yuav nce. Thiab cov koob tshuaj ntawm luv luv, "zaub mov", insulin, muab ib zaug, yuav tsum tsis pub ntau tshaj 14 units.

Yog li, kwv yees kev faib tawm ntawm carbohydrates ntawm cov zaub mov tseem ceeb tuaj yeem ua raws li hauv qab no:

6 XE rau pluas tshais (piv txwv li, oatmeal - 10 diav (5 XE), ib qho qhaub cij nrog cheese lossis nqaij (1 XE), cov tsev so uas tsis muaj qab zib nrog cov tshuaj yej ntsuab lossis kas fes nrog qab zib).
Noj su - 6 XE: zaub qhwv kua zaub nrog kua qaub (tsis yog XE) nrog ob lub ncuav ntawm ncuav (2 XE), nqaij npuas los yog ntses nrog zaub xam lav hauv cov roj zaub, tsis muaj qos yaj ywm, pob kws thiab legumes (tsis yog XE) mashed qos yaj ywm - 4 tablespoons (2 XE), ib khob kua txiv.
Noj hmo - 5 XE: zaub omelet ntawm 3 lub qe thiab 2 txiv lws suav (tsis suav los ntawm XE) nrog 2 ncuav mov (2 XE), kua mis nyeem yog (2 XE), kiwi (1 XE).

Yog li, tag nrho ntawm 17 XE tau txais. "Thiab nyob qhov twg tshuav 4,5 XE?" Koj nug.

Cov XE ntxiv yuav siv tau rau lub sijhawm ua khoom noj txom ncauj nruab nrab ntawm cov zaub mov tseem ceeb thiab hmo ntuj. Piv txwv li, 2 XE nyob rau hauv daim ntawv ntawm 1 txiv tsawb tuaj yeem noj 3-4 teev tom qab noj tshais, 1 XE ua kua txiv li 3-4 teev tom qab noj su thiab 1 XE thaum hmo ntuj, thaum 22.00, thaum koj txhaj koj "tsaus ntuj" insulin ntev Cov.

Puas yog cov pluas noj nruab nrab thiab ib hmos uas yuav tsum tau txhaj rau txhua tus neeg uas tau txhaj tshuaj insulin?
Tsis xav tau ntawm txhua tus. Txhua yam yog tus neeg thiab nyob ntawm koj qhov kev kho mob ntawm kev kho mob insulin. Feem ntau ib qho yuav tsum ntsib qhov xwm txheej zoo li no thaum tib neeg noj tshais lossis noj su thiab tsis xav noj txhua 3-4 teev tom qab noj mov, tab sis, nco ntsoov cov lus pom zoo kom muaj khoom noj txom ncauj thaum 11.00 thiab 16.00, lawv yuam “khoom” XE rau hauv lawv tus kheej thiab caum cuag cov piam thaj.

Yuav tsum tau noj zaubmov kom tsawg rau cov neeg uas muaj kev pheej hmoo ntawm cov ntshav qab zib ntshav siab 3-4 teev tom qab noj mov. Feem ntau qhov no tshwm sim thaum, ntxiv rau cov tshuaj insulin luv luv, insulin ntev ntev yog txhaj rau thaum sawv ntxov, thiab qhov siab dua nws cov koob tshuaj, ntau dua qhov mob ntshav qab zib nyob rau lub sijhawm no (lub sijhawm ntawm kev tso siab ntawm cov nyhuv siab tshaj plaws ntawm insulin luv thiab pib ntawm insulin ntev).

Tom qab noj su, thaum ntev ntev insulin yog nyob rau ntawm qhov siab tshaj ntawm kev ua thiab yog superimposed ntawm lub ncov ntawm kev ua ntawm luv luv insulin, muab ua ntej noj su, qhov ntxim nyiam ntawm hypoglycemia tseem nce thiab 1-2 XE yog qhov tsim nyog rau nws kev tiv thaiv. Thaum tsaus ntuj, thaum 22-23.00, thaum koj tswj cov tshuaj insulin ntev ntev, khoom noj txom ncauj hauv 1-2 1-2 XE (maj mam zom) rau kev tiv thaiv hypoglycemia xav tau yog tias glycemia lub sijhawm no tsawg dua 6.3 mmol / l.

Nrog glycemia saum toj no 6.5-7.0 mmol / L, ib qho khoom noj txom ncauj thaum hmo ntuj tuaj yeem ua rau sawv ntxov hyperglycemia, vim tias yuav tsis muaj cov tshuaj insulin hmo ntuj txaus.
Cov zaub mov muaj txiaj ntsig tsim los txhawm rau tiv thaiv hypoglycemia thaum nruab hnub thiab hmo ntuj yuav tsum tsis pub ntau dua 1-2 XE, txwv tsis pub koj yuav kis hyperglycemia hloov hypoglycemia.
Rau cov pluas noj zaub mov nruab nrab tau coj los ua kev tiv thaiv kab mob hauv qhov nyiaj tsis ntau tshaj 1-2 XE, tshuaj insulin tsis ntxiv rau ntxiv.

Ntau cov ntsiab lus tau hais txog chav ua mov ci.
Tab sis vim li cas koj thiaj li yuav tsum muaj cuab kav suav lawv? Xav txog ib qho piv txwv.

Piv txwv koj muaj cov ntsuas ntshav qabzib thiab koj ntsuas glycemia ua ntej noj mov. Piv txwv li, koj, ib txwm, txhaj 12 units ntawm insulin uas koj tus kws kho mob tau noj, tau noj ib lub tais ntawm porridge thiab haus ib khob mis. Nag hmo koj kuj muab tib tug tshuaj thiab noj tib lub txiv mis thiab haus tib co mis, thiab tag kis koj yuav tsum ua ib yam nkaus.

Vim li cas? Vim tias sai li sai tau koj cuam tshuam los ntawm kev noj haus li ib txwm, koj cov glycemia ntsuas tam sim hloov, thiab lawv tsis zoo ib txwm lawm. Yog tias koj yog ib tus neeg tau paub kev paub thiab paub suav cov XE, kev hloov kev noj haus zoo li no yuav tsis txaus ntshai rau koj. Paub tias ntawm 1 XE muaj qhov nruab nrab ntawm 2 tus PIECES ntawm cov tshuaj insulin luv luv thiab paub txog suav cov XE, koj tuaj yeem hloov cov khoom sib xyaw, thiab yog li ntawd, cov koob tshuaj insulin raws li koj pom zoo, tsis muaj kev cuam tshuam cov nyiaj mob ntshav qab zib. Qhov no txhais tau tias hnub no koj tuaj yeem noj porridge rau 4 XE, 2 slices ntawm qhob cij (2 XE) nrog cheese lossis nqaij rau noj tshais thiab ntxiv cov insulin luv rau cov 6 XE 12 thiab tau txais txiaj ntsig zoo glycemic.

Tag kis sawv ntxov, yog tias koj tsis muaj lub siab tsis haum, koj tuaj yeem txwv koj tus kheej rau ib khob dej tshuaj yej nrog lub qhaub cij (2 XE) thiab nkag rau tsuas yog 4 chav nyob ntawm luv insulin, thiab tib lub sijhawm tau txais txiaj ntsig zoo glycemic. Ntawd yog, txheej txheem ntawm chav nyob ntawm cov khob cij pab kom txhaj cov tshuaj insulin sai npaum li tsim nyog rau qhov nqus ntawm cov carbohydrates, tsis muaj ntau dua (uas yog fraught nrog hypoglycemia) thiab tsis muaj tsawg dua (uas yog fraught nrog hyperglycemia), thiab tswj hwm cov ntshav qab zib kom zoo.

Txhawm rau kom nws yooj yim dua rau ntiaj teb ntawm chav ua khob cij, cov duab qhia hauv qab no qhia qhov chaw ntawm txhua daim phaj yog qhov nyiaj ntawm cov khoom sib haum rau 1 XE.