Mob ntshav qab zib thiab XE: kev suav thiab nyiaj pub rau txhua hnub

Peb xav kom koj nkag siab zoo rau koj tus kheej ntawm cov ntawv ntawm cov ncauj lus: "Yuav ua li cas los ntsuas ntshav qab zib ib hnub" nrog cov lus los ntawm cov kws tshaj lij. Yog tias koj xav nug ib lo lus nug lossis sau cov lus pom, koj tuaj yeem ua qhov yooj yim li hauv qab no, tom qab kab lus. Peb tus kws tshaj lij endoprinologist yuav teb rau koj.

Cov qhob cij ua ntshav qab zib yog dab tsi? Ntxhuav thiab muab xam

Chav nyob qhob cij rau cov ntshav qab zib hom 2, ib lub rooj ntawm cov khob cij - tag nrho cov no yog cov paub zoo rau cov neeg muaj ntshav qab zib. Peb yuav txheeb xyuas lawv luv luv thiab peb.

Mob ntshav qab zib mellitus yog qhov ua txhaum ntawm cov txheej txheem hauv metabolic (protein, rog thiab carbohydrate metabolism) hauv tib neeg lub cev nrog kev mob siab ntev ntawm glycemia (ntshav qabzib). Ntawm cov ntshav qab zib, qhov hloov ntawm cov piam thaj (ib qho khoom lag luam rhuav tshem tawm ntawm cov khoom noj) thiab cov amino acids (ib qho khoom tawg ntawm cov protein) mus rau hauv cov nqaij yog qhov nyuaj.

Cov qauv ntshav qab zib tseem ceeb yog hom I thiab ntshav qab zib hom II, uas feem ntau hu ua mob ntshav qab zib hom 1 thiab ntshav qab zib hom 2. Nrog T1DM, pancreatic hormone secretion ntawm cov tshuaj insulin yog qhov tsis taus; nrog T2DM (cov ntsiab lus ntawm tsab xov xwm no), qhov kev ua ntawm cov insulin tsis muaj zog.

Cov qub lus "insulin-dependant" thiab "insulin-ywj siab" mob ntshav qab zib "World Health Organization" tau thov kom tsis txhob siv ntxiv vim muaj qhov sib txawv hauv cov txheej txheem kev txhim kho ntawm cov no ob yam kabmob sib txawv thiab lawv tus kheej qhov kev ua kom pom tseeb, nrog rau qhov tseeb ntawm qee theem ntawm tus neeg mob lub neej, kev hloov ntawm insulin-nyob rau hauv daim ntawv mus rau ib daim ntawv nrog kev ua tiav ntawm kev siv tshuaj insulin thiab kev ua neej nyob ntawm kev txhaj tshuaj ntawm cov tshuaj no yog ua tau.

Cov kab mob ntawm cov khoom noj tsis haum ntawm cov khoom noj carbohydrates kuj tseem cuam tshuam nrog T2DM, nrog ob qho tib si tshaj tawm insulin tsis kam (cuam tshuam los ntawm cov tshuaj insulin rau sab hauv lossis sab nraud ntawm cov nqaij mos) thiab kev tsim kho tsis zoo ntawm lawv tus kheej insulin nrog sib txawv ntawm kev sib txheeb ntawm lawv. Tus kab mob loj hlob, raws li txoj cai, maj mam, thiab nyob rau hauv 85% ntawm cov neeg mob nws tau txais los ntawm niam txiv. Nrog rau cov xwm txheej hnyav, cov neeg laus dua 50 xyoo tau mob T2DM nrog yuav luag tsis muaj kev zam.

Kev Ua Neej T2DM pab rau rog dhau, tshwj xeeb tshaj yog lub plab hom, nrog kev cia siab ntawm visceral (sab hauv) rog, thiab tsis rog rog.

Cov kev sib raug zoo ntawm ob hom kev sib txuam roj hauv lub cev tuaj yeem tshawb pom los ntawm kev txheeb xyuas kab mob hauv lub tsev hauv cov chaw tshwj xeeb, lossis (muaj tsawg heev) kev ntsuas cov roj hauv tsev-rog nrog cov kev ua haujlwm ntawm kwv yees kwv yees tus nqi ntawm visceral rog.

Hauv T2DM, kev ua rog rau tib neeg lub cev, thiaj li yuav kov yeej cov ntaub so ntswg insulin tsis kam, raug yuam kom muaj kev nce qib ntawm cov tshuaj insulin hauv cov ntshav piv rau ib txwm, uas ua rau lub cev txo ntawm cov pancreatic reserves rau insulin ntau lawm. Insulin tsis kam ua rau muaj kev nce siab ntxiv ntawm cov rog lub cev thiab kev noj zaub mov kom muaj fiber ntau tsis txaus.

Thaum pib thawj zaug ntawm kev txhim kho ntawm T2DM, qhov txheej txheem yuav rov ua tau los ntawm kev kho cov khoom noj khoom haus thiab qhia kev ua kom lub cev ua haujlwm tsis pub dhau qhov ntxiv (mus rau theem ntawm cov metabolism hauv tsev neeg ib txwm muaj thiab kev tsim tawm) txhua hnub tau noj 200-250 kcal ntawm lub zog hauv aerobic ce hom, uas sib haum rau kwv yees li kev ua si:

• taug kev 8 km
• Nordic taug kev 6 km
• khiav tsev 4 km.

Ntau npaum li cas carbohydrate noj nrog cov ntshav qab zib hom II

Lub hauv paus ntsiab lus ntawm kev noj zaub mov zoo hauv T2DM yog qhov kev txo qis ntawm kev cuam tshuam ntawm cov khoom noj hauv lub cev rau qhov kev cai, uas tus neeg mob xav tau qee yam kev qhia tus kheej nrog kev hloov pauv hauv kev ua neej.

Nrog kev ua haujlwm ntawm cov ntshav qabzib hauv cov neeg mob, txhua hom metabolism pib txhim kho, tshwj xeeb, cov ntaub so ntswg pib nqus zoo dua cov piam thaj, thiab txawm tias (qee tus neeg mob) rov qab kho (rov ua dua tshiab) cov txheej txheem hauv cov txiav ua ke. Hauv lub caij nyoog ua ntej insulin, kev noj haus yog kev kho mob ntshav qab zib nkaus xwb, tab sis nws tus nqi tsis tau poob qis hauv peb lub sijhawm. Qhov xav tau los sau tshuaj rau cov ntshav qab zib kom tsawg hauv daim ntawv ntawm cov ntsiav tshuaj mus rau tus neeg mob tshwm sim (lossis mob siab) tsuas yog tias cov piam thaj hauv siab tsis txo qis tom qab kev noj zaub mov zoo thiab kev ua kom lub cev yuag. Yog tias cov tshuaj txo cov ntshav qab zib tsis pab, tus kws kho mob sau tawm kho cov tshuaj insulin.

Qee zaum cov neeg mob raug yaum kom tso tseg cov suab thaj yooj yim, tab sis kev tshawb fawb soj ntsuam tsis paub tseeb txog qhov kev hu no. Cov piam thaj hauv cov khoom noj ntawm cov zaub mov nce glycemia (piam thaj hauv cov ntshav) tsis siab dua qhov sib npaug ntawm cov hmoov txhuv nplej siab hauv calories thiab qhov hnyav. Yog li, cov lus qhia rau kev siv cov ntxhuav tsis txaus ntseeg. glycemic Performance index (GI) cov khoom lag luam, tshwj xeeb tshaj yog vim qee tus neeg mob nrog T2DM tau ua tiav lossis tsis muaj qab zib ntawm cov khoom qab zib tsis tshua zoo.

Txij lub sijhawm, noj khaub noom lossis khoom qab zib tsis pub tus neeg mob xav tias lawv muaj kev tsis zoo (tshwj xeeb vim tias nws tsis nyob ntawd). Ntawm qhov tseem ceeb tshaj li GI cov khoom yog lawv tus naj npawb tag nrho, cov khoom noj uas muaj nyob hauv lawv yam tsis tas yuav faib ua cov qauv yooj yim thiab cov nyom. Tab sis tus neeg mob yuav tsum paub tag nrho cov nyiaj uas tau txais cov nyiaj carbohydrates ib hnub, thiab tsuas yog tus kws kho mob tuaj koom tuaj yeem kho tus neeg no qhov tseeb, raws li kev tshuaj ntsuam thiab kev soj ntsuam. Nrog rau cov ntshav qab zib, qhov feem ntawm cov carbohydrates hauv tus neeg mob lub cev kev noj haus tuaj yeem txo qis (nce txog 40% hauv calories tsis yog li 55%), tab sis tsis qis dua.

Tam sim no, nrog txoj kev loj hlob ntawm daim ntawv thov rau lub xov tooj ntawm tes, uas tso cai, los ntawm kev siv yooj yim, kom paub cov khoom noj hauv carbohydrates hauv cov khoom noj uas tau npaj tseg, cov nyiaj no tuaj yeem tsim ncaj qha rau hauv grams, uas yuav xav tau ua ntej qhov kev hnyav ntawm cov khoom lag luam lossis tais, kawm daim ntawv lo (piv txwv, protein ntau), Kev pab ntawm cov ntawv qhia zaub mov ntawm cov tuam txhab ua khoom noj, lossis kev paub txog qhov hnyav thiab muaj pes tsawg leeg ntawm kev muab zaub mov noj raws li kev paub.

Txoj kev ua neej zoo sib xws tam sim no, tom qab kuaj pom, yog koj tus qauv, thiab qhov no yuav tsum tau txais.

Keeb kwm, ua ntej lub caij ntawm iPhones, cov txheej txheem sib txawv rau kev xam cov zaub mov carbohydrates tau tsim - dhau los ntawm chav ua mov ci (XE), tseem hu ua carbohydrate cov chav nyobCov. Chav nyob qhob cij rau cov ntshav qab zib hom 1 tau qhia rau qhov ntsuas qhov ntsuas cov tshuaj insulin uas yuav tsum tau ua rau kom ua kom tau cov carbohydrate. 1 XE yuav tsum muaj 2 yam tshuaj tua kab mob rau thaum yav sawv ntxov, 1.5 thaum noj su, thiab tsuas yog 1 thaum yav tsaus ntuj. Qhov nqus ntawm cov carbohydrates hauv qhov nyiaj ntawm 1 XE nce glycemia los ntawm 1.5-1.9 mmol / L.

Tsis muaj lub ntsiab lus meej ntawm XE, peb muab ntau tus lej keeb kwm txhais cov ntsiab lus. Chav tsev qhob cij tau qhia los ntawm cov kws kho mob German, thiab txog xyoo 2010 nws tau txhais tias yog qhov nyiaj ntawm cov khoom muaj 12 g ntawm zom zom (thiab yog li nce glycemia) carbohydrates nyob rau hauv daim ntawv ntawm cov suab thaj thiab qab zib. Tab sis nyob hauv Switzerland XE tau pom tias muaj 10 g ntawm carbohydrates, thiab hauv cov teb chaws Askiv hais lus nws yog 15 g. Qhov tsis sib xws hauv cov lus txhais tau ua rau qhov tseeb tias txij xyoo 2010 tau pom zoo kom tsis txhob siv lub tswvyim ntawm XE hauv Tebchaws Yelemees.

Hauv Lavxias, nws tau ntseeg tias 1 XE sib raug rau 12 g ntawm carbohydrate zom, lossis 13 g ntawm carbohydrates, suav txog cov khoom noj muaj fiber ntau hauv cov khoom lag luam. Kev paub txog qhov feem pua ​​no tso cai rau koj kom koj txhais tau yooj yim (ntxaws hauv koj lub siab, raws nraim ntawm lub laij lej ua rau hauv lub xov tooj txawb) XE mus rau hauv cov roj carbohydrates thiab hloov ua lwm yam.

Ua piv txwv, yog tias koj noj 190 g ntawm persimmon nrog cov paub carbohydrate cov ntsiab lus ntawm 15.9%, koj noj 15.9 x 190/100 = 30 g ntawm carbohydrates, lossis 30/12 = 2.5 XE. Yuav ua li cas thiaj xav txog XE, mus rau qhov ze feem kaum ntawm ib feem, los yog puag ncig rau cov zauv - koj txiav txim siab. Hauv ob qho xwm txheej, qhov nruab nrab "nruab nrab" hauv ib hnub yuav txo.

Lo lus nug: Nyob zoo. Kuv nyeem ntau yam ntawv, tab sis kuv tsis tuaj yeem nkag siab - yuav ua li cas thiaj suav cov khob cij rau cov ntshav qab zib? Nws yog qhov nyuaj rau kuv tau tswj tias kuv tsis xav noj lawm, txoj kev ua kom tsis nkag siab no yog li boring.

Cov lus teb yog: Nyob zoo Tav Xam cov qhob cij khob qab zib rau cov ntshav qab zib yeej tsis nyuaj li koj xav. Ua ntej koj yuav tsum tau txais lub rooj tshwj xeeb rau cov neeg mob ntshav qab zib, uas qhia ntau npaum li cas hauv 1 XE ntawm ib qho khoom lag luam.

Nws kuj tseem pom zoo kom muaj cov rooj sib txig hauv tshuab ntawm tes. Feem ntau pub siv tau cov khob cij ib hnub ib zaug yog xam los ntawm tus kws kho mob koom nrog, suav rau hauv kev ua haujlwm ntawm lub cev thiab tus mob ntawm tus neeg mob. Xws li koj cov haujlwm tsis cuam tshuam nrog lub zog ua haujlwm lub cev.

Feem ntau yuav luag, tus kws kho mob yuav pom zoo 10 XE ib hnub. Thaum noj mov thawj zaug, noj 2 XE, thib 2 - 1 XE, 3 - 3 XE, 4 - 1 XE, thiab hauv pluas mov thib tsib, uas yog, noj hmo - 3 XE. Tom qab ntawd nqa lub rooj thiab, coj mus rau hauv tus account cov lus pom zoo piav qhia, ua cov ntawv qhia zaub mov. Piv txwv li, koj noj tshais tej zaum yuav muaj li ntawm 250 ml ntawm kefir thiab 100 g ntawm pob kws nplej zom.

Peb nyob hauv kev tes hauj lwm

Pab koj zoo siab, feem ntau koj yuav tsis muaj ntshav qab zib.

Hmoov tsis zoo, ib tus neeg lub hnub nyoog thiab poj niam txiv neej, txawm tias tus menyuam yaus, tuaj yeem mob tus kabmob no. Yog li, hais kom koj cov neeg koj hlub nrog ua qhov kev sim no thiab tshem tawm qhov kev pheej hmoo ntawm kev muaj ntshav qab zib. Tom qab txhua, kev tiv thaiv kab mob yog pheej yig dua thiab zoo dua li kev kho mob tas mus li. Ntawm cov kev tiv thaiv tiv thaiv cov ntshav qab zib, kev noj zaub mov kom raug, ua kom lub cev qoj ib ce, tsis muaj kev ntxhov siab thiab kuaj ntshav qab zib (ib zaug hauv 3-6 hlis) tshwj xeeb.

Yog tias ib qho ntawm cov tsos mob no tau pib thab koj lossis koj cov phooj ywg, peb xav kom koj hu rau koj tus kws kho mob tam sim ntawd. Nco ntsoov tias cov tsos mob ntawm tus mob ntshav qab zib hom 1 feem ntau tshwm sim tam sim ntawd, thaum hom ntshav qab zib hom 2 tuaj yeem tsis muaj asymptomatic rau ntau xyoo thiab tus neeg yuav tsis xav tias nws mob.

Tib txoj kev kuaj mob ntshav qab zib yog kuaj koj cov ntshav thiab cov zis.

Kev txiav txim los ntawm qhov ntsuas pom, nws muaj feem ntau koj yuav muaj ntshav qab zib.

Koj yuav tsum tau mus ntsib kws kho mob sai thiab mus kuaj mob. Ua ntej tshaj plaws, peb pom zoo kom coj mus kuaj rau glycated hemoglobin thiab kuaj zis rau ketones.

Tsis txhob ncua sijhawm mus ntsib kws kho mob tshwj xeeb, vim tias yog koj tsis tiv thaiv kev txhim kho ntshav qab zib hauv lub sijhawm, koj yuav tsum tau kho tus kab mob no tas koj lub neej. Thiab thaum ntxov koj tau kuaj pom tus mob, qhov tsawg dua kev pheej hmoo ntawm ntau yam mob.

Muaj qhov pheej hmoo tias koj yuav muaj ntshav qab zib. Tsis txhob quav ntsej cov cim no, vim tias yog tias muaj tus kab mob tshwm sim, nws yuav muaj peev xwm kho nws tsis tas li thiab kev kho mob tas li yuav xav tau. Nco ntsoov sab laj tus kws kho mob.

Txawm hais tias koj tsis muaj ntshav qab zib, cov tsos mob uas koj tau qhia tias koj kev noj qab haus huv tsis zoo.

Chav nyob qhob cij rau cov ntshav qab zib: ib hnub nyiaj thiab hnub xam

Ntshav qab zib mellitus yog ib qho txaus ntshai tshaj plaws ntev dhau los, uas tsis muaj kev kho kom zoo txaus tuaj yeem ua rau muaj kev phom sij txaus ntshai uas yuav ua rau tus neeg mob lub neej. Tus kab mob no yog tus cwj pwm los ntawm kev ua txhaum ntawm cov metabolism hauv cov metabolism, uas ua rau cov ntshav nce ntxiv mus thiab, raws li, hauv cov zis.

Cov kev hloov pauv no ua rau muaj kev tsis sib xws, nrog rau cov protein thiab rog rog, thiab dej-ntsev tsis txaus.

Qhov haujlwm tseem ceeb tshaj plaws ntawm cov ntshav qab zib yog tswj cov pluas noj kom ua raws li qhov xav tau ntawm lub cev, qhov no lub khob cij pab rau cov ntshav qab zib. Nws yog dab tsi thiab yuav ua li cas yog lawv xam nyob rau hauv cov zaub mov nqa tawm, nyeem cov ntawv sau npaj los ntawm peb lub portal.

Kev tswj ntshav qab zib: dab tsi yog cov qhob cij thiab vim li cas thiaj suav nws

Cov phiaj xwm kev noj zaub mov zoo rau cov ntshav qab zib tau npaj los ntawm tus kws kho mob uas xav txog ntau yam tseem ceeb, suav nrog hom, chav kawm ntawm tus kabmob, hnub nyoog, tub los ntxhais, lub cev nyhav, qhov kuaj pom lossis tsis muaj kab mob concomitant, thiab qib kev tawm dag zog.

Txij li nws yog qhov tseem ceeb los tswj cov nyiaj uas tau siv los tswj cov khoom siv ntshav qab zib kom thiaj li txiav txim siab cov tshuaj insulin txhua hnub uas tus neeg mob xav tau, cov kws qhia zaub mov German tau qhia lub sij hawm ua mov ci (XE), chav nyob ua ke rau xam cov ntsiab lus carbohydrate hauv cov zaub mov.

Rau qhov yooj yim ntawm cov ntshav qab zib, cov rooj noj mov tau tsim uas nthuav tawm tus nqi XE hauv ntau pab zaub mov:

• chaw yuj nyuj
• ci ci
• cereals
• qos yaj ywm thiab pasta
• pastry khw
• txiv ntoo
• zaub
• legumes
• txiv ntoo
• txiv hmab txiv ntoo qhuav
• dej qab zib
• npaj zaub mov noj.

Rau qhov yooj yim ntawm cov ntshav qab zib, cov rooj noj mov tau tsim uas nthuav tawm tus nqi ntawm XE hauv ntau pawg zaub mov.

Hauv qab no estet-portal.com yuav qhia koj ntau ntxiv:

• yuav suav cov XE
• ntau npaum li cas XE tuaj yeem noj ib hnub.

Kev kuaj mob ntshav qab zib: vim li cas thiab yuav ua li cas yog qhov muab xam ntawm cov khob cij

Raws li koj paub, cov khoom xyaw ntawm cov khoom noj khoom haus muaj cov khoom noj carbohydrates (lub hauv paus ntawm lub zog), thiab cov protein (lub ntsiab "lub tsev tsim khoom ntawm lub cev"), thiab cov rog, thiab cov vitamins, thiab cov zaub mov, thiab dej. Tag nrho cov tshuaj no yog qhov tsim nyog rau kev ua haujlwm ntawm lub cev, txawm li cas los xij, lub cev tsis muaj peev xwm siv cov piam thaj uas tau los ntawm cov khoom noj hauv qab zib hauv ntshav qab zib yuav tsum muaj kev tswj kom pom tseeb ntawm cov nyiaj ntawm cov khoom siv no, uas yog vim li cas siv cov khob cij.

Lub hom phiaj tseem ceeb ntawm kev xam cov qhob cij yog txiav txim siab cov koob tshuaj insulin uas xav tau kom muaj ntshav qab zib tom qab noj mov tas. Muaj qhov cuam tshuam ncaj qha nyob nruab nrab ntawm tus nqi ntawm cov carbohydrates noj thiab insulin, uas koj yuav tsum nkag mus tom qab.

Cov ntaub ntawv tseem ceeb: kev siv ntawm 1 lub khob cij ua rau cov ntshav qab zib ntau ntxiv los ntawm 1.5-1.9 mmol / l.

1 chav tsev qhob cij muaj txog 10-12 g ntawm carbohydrates.

Rau cov metabolism hauv ntawm 1 XE, 1.4 chav nyob ntawm luv luv ua yeeb yam insulin xav tau.

Nws yog tsim nyog sau cia tias hauv Is Taws Nem koj tuaj yeem nrhiav ntau lub laij lej tshwj xeeb uas pab tau yooj yim rau lub neej ntawm cov neeg mob ntshav qab zib, vim tias lawv tso cai koj yooj yim suav cov txiaj ntsig tsim nyog.

Kev suav cov XE hauv cov khoom tiav tsis yog qhov nyuaj: rau qhov no koj yuav tsum paub koj tus kheej nrog cov ntaub ntawv ntawm nws cov ntim, qhov twg cov nyiaj carbohydrates feem ntau yog qhia rau 100 g. Tus nqi no yuav tsum muab faib los ntawm 12 (1 XE), thiab muab cov txiaj ntsig tau los ntawm qhov loj ntawm cov khoom.

Txhawm rau txiav txim siab XE rau hauv cov tais diav hauv tsev, koj yuav tsum siv lub rooj.

Sau npe thiab ntim cov khob cij tso ntshav qab zib rau cov ntshav qab zib

Mob ntshav qab zib mellitus yog ib qho kab mob endocrine cuam tshuam nrog kev hnov ​​lus tsis zoo ntawm qabzib. Thaum xam xyuas cov khoom noj khoom haus, tsuas yog tus nqi ntawm cov carbohydrates noj yog coj mus rau hauv tus account. Txhawm rau xam qhov hnyav ntawm lub cev, lub khob cij siv rau cov ntshav qab zib.

Chav nyob qhob cij yog ntsuas ua kom pom tseeb tsim los ntawm cov khoom noj khoom haus. Nws yog siv los suav cov khoom noj cov khoom noj uas muaj carbohydrate. Xws li lub laij lej tau qhia txij thaum pib ntawm xyoo pua 20th los ntawm tus kws ntsuas zaub mov German Karl Noorden.

Ib chav ua mov ci yog sib npaug rau ib daim khob cij ib nti ntev, muab faib ua ib nrab. Qhov no yog 12 grams ntawm cov khoom noj zom tau yooj yim (los yog ib diav piam thaj). Thaum siv ib qho XE, qib ntawm glycemia hauv cov ntshav nce siab los ntawm ob mmol / L. Rau qhov kev tshem tawm ntawm 1 XE, 1 txog 4 units ntawm cov kua dej yog siv. Txhua yam nws yog nyob ntawm kev ua haujlwm thiab sijhawm ntawm ib hnub.

Chav nyob qhob cij yog kwv yees nyob rau hauv kev txheeb xyuas ntawm kev noj zaub mov carbohydrate. Kev noj tshuaj ntawm cov tshuaj insulin yog xaiv cov nyiaj noj rau hauv XE noj.

Thaum yuav cov khoom ntim hauv ib lub khw, koj xav tau ntau ntawm cov khoom noj carbohydrates ib 100 g, qhia hauv daim ntawv lo muab faib ua 12 feem. Qhov no yog yuav ua li cas cov khob cij qhob rau cov ntshav qab zib tau laij, thiab lub rooj yuav pab tau.

Qhov nruab nrab ua kom ntau carbohydrate yog 280 g ib hnub. Qhov no yog hais txog 23 XE. Khoom hnyav yog xam los ntawm qhov muag. Calorie cov ntsiab lus tsis cuam tshuam rau cov ntsiab lus ntawm chav ua mov ci.

Thoob plaws ib hnub, faib ib qho 1 XE yuav tsum muaj qhov sib txawv ntawm cov kua dej:

• thaum sawv ntxov - 2 chav nyob,
• thaum noj su - 1.5 units,
• thaum yav tsaus ntuj - 1 chav nyob.

Qhov tau noj ntawm cov tshuaj insulin nyob ntawm qhov ua rau lub cev, lub cev ua si, hnub nyoog thiab cov neeg rhiab rau lub cev.

Ntawm hom 1 mob ntshav qab zib, tus txiav ua tsis tau tsim insulin txaus los zom cov carbohydrates.Hauv ntshav qab zib hom 2, tiv thaiv kab mob rau cov tshuaj insulin tshwm sim.

Mob ntshav qab zib muaj ntau yam tshwm sim thaum cev xeeb tub los ntawm cov teeb meem metabolic. Nws ploj lawm tom qab yug menyuam.

Tsis hais hom mob ntshav qab zib, cov neeg mob yuav tsum ua raws li kev noj haus. Txhawm rau kom paub tseeb cov khoom noj tau txo, cov khob cij siv rau cov ntshav qab zib.

Cov neeg uas muaj ntau cov kev tawm dag zog sib txawv yuav tsum muaj tus nqi ntawm cov khoom noj txhua hnub kom hnyav.

Cov lus ntawm kev noj txhua hnub ntawm chav nyob qhob cij hauv cov neeg ntawm ntau yam kev ua

Tus nqi txhua hnub ntawm XE yuav tsum tau faib ua 6 zaub mov noj. Qhov tseem ceeb yog peb qho:

• noj tshais - txog 6 XE,
• yav tav su tshuaj yej - tsis ntau tshaj 6 XE,
• noj hmo - tsawg dua 4 XE.

Cov XE ntxiv yog faib rau cov khoom noj txom ncauj tau nruab nrab. Feem ntau ntawm cov carbohydrate load ntog rau thawj cov zaub mov. Nws tsis pom zoo kom haus ntau dua 7 ib zaug. Kev noj cov ntshav ntau dhau ntawm XE ua rau cov ntshav qab zib nce siab. Kev noj zaub mov zoo muaj 15-20 XE. Qhov no yog qhov zoo tshaj ntawm cov nyiaj carbohydrates uas them rau cov kev xav tau txhua hnub.

Qhov thib ob ntawm ntshav qab zib yog tus cwj pwm los ntawm ntau cov kev txuam nrog cov rog. Yog li, qhov muab xam ntawm cov khoom noj carbohydrate feem ntau yuav tsum muaj kev txhim kho ntawm cov khoom noj kom zom tau yooj yim. Kev noj txhua hnub ntawm XE yog los ntawm 17 txog 28.

Cov khoom noj siv mis, cereals, zaub thiab txiv hmab txiv ntoo, nrog rau cov khoom qab zib, tuaj yeem noj tau rau hauv kev sim.

Feem ntau ntawm cov carbohydrates yuav tsum yog cov zaub mov yuav tsum yog zaub, hmoov nplej thiab khoom noj siv mis. Cov txiv hmab txiv ntoo thiab khoom qab zib tsis pub tshaj 2 XE nyob rau ib hnub.

Lub rooj nrog cov zaub mov noj ntau dua thiab cov ntsiab lus ntawm chav ua mov ci nyob hauv lawv yuav tsum nco ntsoov tuav ntawm tes.

Cov khoom noj siv mis ua kom muaj kev kub ntxhov sai, ua kom lub cev nrog cov khoom noj muaj txiaj ntsig zoo, tswj kom muaj cov ntshav qab zib kom tsawg.

Cov ntsiab lus rog ntawm cov khoom siv mis nyuj yuav tsum tsis pub tshaj 20%. Kev siv txhua hnub - tsis ntau tshaj ib nrab ntawm ib liter.

Cereals yog ib qhov chaw ntawm ua kom tau carbohydrates. Lawv ua rau lub hlwb, cov leeg thiab cov plab hnyuv siab raum. Rau ib hnub nws tsis pom zoo kom haus ntau dua 120 grams ntawm cov khoom lag luam hmoov.

Kev siv cov hmoov txhuv ntau dhau ua rau cov ntshav qab zib thaum ntxov.

Zaub ntsuab yog qhov uas muaj cov vitamins thiab antioxidant. Lawv tuav lub redox tshuav nyiaj, thiab tiv thaiv qhov tshwm sim ntawm ntshav qab zib muaj teeb meem. Cov nroj tsuag fiber cuam tshuam nrog kev nqus ntawm cov piam thaj.

Kev kho cua sov ntawm cov zaub nce cov glycemic Performance index. Koj yuav tsum tau txwv qhov kev nkag ntawm rhaub carrots thiab beets. Cov zaub mov no muaj ntau npaum li cas ntawm cov qhob cij.

Cov txiv ntoo tshiab muaj cov vitamins, cov zaub mov thiab lwm yam. Lawv saturate lub cev nrog cov tshuaj uas tsim nyog uas ua rau kom ua sai ntawm cov metabolism hauv lub ntsiab.

Ib nrab ntawm cov txiv neej ua rau lub cev ua kom tso cov kua dej tawm los ntawm cov txiav, kho cov ntshav qabzib.

Cov nyob hauv cov txiv hmab txiv ntoo muaj cov ntoo fiber ntau, cov vitamins thiab cov zaub mov. Lawv txhawb cov plab hnyuv kom ua lub zog, ua kom lub cev tsis muaj zog.

Tsis yog txhua cov txiv ntoo puav leej muaj txiaj ntsig zoo ib yam. Nws raug nquahu kom ua raws li lub rooj ntawm cov txiv ntoo uas tau tso cai thaum sau daim ntawv noj mov txhua hnub.

Yog tias ua tau, qab zib yuav tsum zam. Txawm tias ib qho me me ntawm cov khoom lag luam muaj ntau cov carbohydrates. Pab pawg no cov khoom tsis muaj cov txiaj ntsig tseem ceeb.

Cov ntsiab lus ntawm XE hauv cov khoom lag luam cuam tshuam los ntawm cov txheej txheem npaj. Piv txwv, qhov hnyav nruab nrab ntawm cov txiv hmab txiv ntoo hauv XE yog 100 g, thiab hauv cov kua txiv 50 g. Cov qos yaj ywm ua kom cov ntshav qab zib cov ntshav nce siab dua li cov qos yaj ywm hau.

Nws raug nquahu kom tsis txhob siv cov kib, nqaij thiab nqaij rog. Nws muaj cov roj fatty acids uas yog, uas nyuaj rau zom thiab nyuaj rau nqus.

Lub hauv paus ntawm kev noj zaub mov noj txhua hnub yuav tsum yog cov khoom noj uas muaj qhov tsawg ntawm XE. Hauv cov zaub mov noj txhua hnub, lawv sib faib yog 60%. Cov khoom no suav nrog:

• Cov nqaij uas muaj rog tsawg (noj nqaij qaib thiab nqaij nyug),
• ntses
• qaib qe
• zucchini
• radish
• radish
• zaub xas lav nplooj
• zaub ntsuab (dill, zaub txhwb qaib),
• ib lub txiv ntoo
• tswb neeb
• txaij
• dib
• Txiv lws suav
• nceb
• ntxhia dej.

Cov neeg mob ntshav qab zib yuav tsum nce ntxiv ntawm cov nqaij ntshiv kom txog peb zaug hauv ib as thiv. Ntses muaj protein thiab fatty acids uas yog cov rog tsawg. Qhov no txo ​​txoj kev pheej hmoo ntawm kev tsim cov hlab ntsha tawg, plawv nres, thromboembolism.

Thaum muab tso ua ke ib qho kev noj haus txhua hnub, cov ntsiab lus ntawm cov khoom noj muaj piam thaj ntau hauv cov zaub mov noj tau raug suav nrog. Cov zaub mov no suav nrog:

Noj zaub mov nqaij muaj protein thiab cov zaub mov tseem ceeb. Tsis muaj khob cij. Txog li 200 g ntawm nqaij yog pom zoo rau ib hnub. Nws tuaj yeem siv rau hauv cov tais diav ntau. Qhov no yuav siv mus rau hauv tus account ntxiv cov khoom sib xyaw uas yog ib feem ntawm cov zaub mov txawv.

Cov zaub mov uas tsis muaj glycemic Performance index yuav tsis ua mob rau lub cev thiab yuav txaus rau lub cev nrog cov vitamins thiab cov zaub mov zoo. Kev siv cov khoom noj uas muaj cov ntsiab lus XE tsawg yuav pab kom tsis txhob muaj suab thaj ntau, uas tiv thaiv qhov tshwm sim ntawm cov teeb meem ntawm cov khoom noj tsis haum rau lub cev.

Kev ntsuas khoom noj kom zoo rau ntshav qab zib tiv thaiv kev loj hlob ntawm cov teeb meem loj. Txhawm rau suav cov kev noj mov rau txhua hnub, nws yog qhov tsim nyog yuav tsum muaj phau ntawv sau cia thiab sau cov khoom noj tsis tau. Raws li qhov no, tus kws kho mob sau cov tshuaj insulin kom tsawg thiab ntev ntev. Qhov ntau npaum no yog xaiv tau ib tus zuj zus raws li kev tswj hwm ntawm cov ntshav glycemia.

Yuav ua li cas suav cov qhob cij qhiav rau hom 1 thiab ntshav qab zib hom 2?

Hauv tebchaws Lavxias, cov neeg muaj ntshav qab zib muaj ntau dua peb lab leej. Ntxiv rau kev siv insulin lossis tshuaj tsis tu ncua, cov neeg mob ntshav qab zib yuav tsum soj ntsuam lawv cov zaub mov kom tsis tu ncua. Hauv no hais txog, cov lus nug yuav cuam tshuam: yuav suav cov khob cij li cas.

Nws yog feem ntau nyuaj rau cov neeg mob kom nws tus kheej ua cov kev suav, tsis tas li hnyav txhua yam thiab suav tsis yooj yim. Txhawm rau ua cov txheej txheem no, lub rooj noj mov-suav lub rooj noj mov suav tau siv cov npe XE tus nqi rau txhua yam khoom.

Chav ua khob cij yog ib qho kev taw qhia tshwj xeeb uas tsis tseem ceeb tshaj li qhov glycemic index rau ntshav qab zib. Los ntawm kev laij cov XE kom raug, koj tuaj yeem ua tiav kev ywj pheej ntawm insulin, thiab txo cov ntshav qab zib.

Rau txhua tus neeg, kev kho mob ntshav qab zib pib nrog kev sib tham nrog tus kws kho mob, thaum tus kws kho mob qhia meej txog cov yam ntxwv ntawm tus kab mob thiab pom zoo kom noj zaub mov tshwj xeeb rau tus neeg mob.

Yog tias xav tau kev kho mob nrog cov tshuaj insulin, tom qab ntawd nws cov koob tshuaj thiab kev coj noj coj ua sib tham tau sib tham. Lub hauv paus ntawm kev kho mob yog feem ntau niaj hnub kawm txog cov naj npawb ntawm cov khob cij, nrog rau kev tswj ntshav qab zib.

Yuav kom ua tau raws li cov cai ntawm kev kho mob, koj yuav tsum paub txog kev xam CN, ntau npaum li cas cov tais diav los ntawm cov khoom noj uas muaj carbohydrate kom noj. Peb yuav tsum tsis txhob hnov ​​qab tias nyob ntawm kev cuam tshuam ntawm cov zaub mov zoo li no hauv cov piam thaj hauv ntshav ntxiv tom qab 15 feeb. Qee cov carbohydrates nce qhov ntsuas no tom qab 30-40 feeb.

Qhov no yog vim tus nqi ntawm assimilation ntawm cov khoom noj uas tau nkag mus hauv tib neeg lub cev. Nws yooj yim kawm “ceev” thiab “qeeb” carbohydrates. Nws yog ib qho tseem ceeb kom kawm paub txog kev laij koj tus lej txhua hnub li cas, muab cov ntsiab lus tsis muaj txiaj ntsig ntawm cov khoom thiab qhov muaj qhov ua puas tsuaj thiab muaj txiaj ntsig zoo hauv lawv. Txhawm rau ua txoj haujlwm no, lo lus tau tsim nyob hauv lub npe "chav tsev mov ci".

Lo lus no tau txiav txim siab tseem ceeb hauv kev muab glycemic tswj nyob rau hauv ib qho kab mob xws li mob ntshav qab zib. Yog tias cov neeg mob ntshav qab zib xav txog XE, qhov no ua kom qhov txheej txheem ntawm kev them nyiaj rau cov tsis ua haujlwm ntawm cov khoom noj uas yog hom carbohydrate pauv. Tus lej uas raug them nyiaj lawm yuav raug tso tseg kev kho mob cuam tshuam nrog cov qis qis.

Yog tias peb xav txog ib chav ua mov ci, ces nws sib npaug nrog 12 gram carbohydrates. Piv txwv li, ib qho mov ci txhuv nyhav kwv yees li 15 gram. Qhov no raug rau ib qho XE. Hloov ntawm cov lus hais “chav nyob qhob cij”, qee qhov lus txhais tias “chav nyob hauv carbohydrate” siv, uas yog 10-12 g ntawm carbohydrates nrog rau kev zom tau yooj yim.

Nws yuav tsum raug sau tseg tias nrog qee cov khoom lag luam uas muaj qhov sib faib me me ntawm kev zom zaub mov carbohydrates. Feem ntau cov neeg mob ntshav qab zib yog cov khoom noj uas zoo rau cov neeg mob ntshav qab zib. Hauv qhov no, koj tuaj yeem tsis suav cov khob cij. Yog tias tsim nyog, koj tuaj yeem siv cov nplai lossis sab laj lub rooj tshwj xeeb.

Nws yuav tsum raug sau tseg tias lub laij lej tshwj xeeb tau tsim uas tso cai rau koj kom suav cov khob cij qhob cij thaum qhov xwm txheej xav tau. Ua raws li cov yam ntxwv ntawm tib neeg lub cev hauv cov ntshav qab zib mellitus, qhov sib piv ntawm cov tshuaj insulin thiab kev nqus ntawm carbohydrates tuaj yeem sib txawv.

Yog hais tias kev noj haus suav nrog 300 grams ntawm carbohydrates, ces tus nqi no sib raug rau 25 khob cij. Thaum xub thawj, tsis yog txhua tus mob ntshav qab zib tswj kom loog XE. Tab sis nrog kev xyaum tas mus li, ib tus neeg tom qab lub sijhawm luv luv yuav tuaj yeem "ntawm qhov muag" txiav txim siab seb muaj pes tsawg chav nyob rau hauv ib qho khoom lag luam.

Ua haujlwm dhau sijhawm, qhov kev ntsuas yuav dhau los ua kev txiav txim siab tau.

Lub rooj ntawm cov khob cij rau cov neeg mob ntshav qab zib! Yuav nyeem XE li cas?

Lub khob cij qhob cij yog ib qho ntsuas siv los txiav txim siab ntawm cov khoom noj carbohydrates hauv cov zaub mov. Lub tswv yim nthuav tawm tau qhia tshwj xeeb rau cov neeg mob ntshav qab zib uas tau txais insulin los khaws lawv cov haujlwm tseem ceeb. Tham txog cov qhob cij qhob cij, xyuam xim rau qhov tseeb tias:

• qhov no yog lub cim uas tuaj yeem coj los ua lub hauv paus rau kev ua kom txawm tias los ntawm cov neeg uas muaj kev noj qab haus huv zoo,
• muaj ib lub rooj tshwj xeeb hauv qhov uas cov ntsuas no tau qhia rau ntau yam khoom noj thiab tag nrho cov khoom noj,
• Xam txog cov qhob cij tuaj yeem ua thiab yuav tsum tau ua kom tiav ua ntej noj mov.

Xav txog ib qho qhob cij qhob cij, them sai sai rau qhov tseeb tias nws yog sib npaug rau 10 (tsis suav cov khoom noj muaj fiber) lossis 12 grams. (suav nrog cov khoom xyaw ntawm cov khoom xyaw). Nyob rau tib lub sijhawm, nws yuav tsum muaj 1.4 pawg ntawm cov insulin rau txoj kev ceev thiab tsis muaj teebmeem ntawm lub cev. Dua li ntawm qhov tseeb tias cov chav ua mov ci (cov lus) yog nthuav tawm pej xeem, txhua tus mob ntshav qab zib yuav tsum paub tias yuav ua li cas cov lus teb suav, thiab ntau npaum li cas cov khoom noj carbohydrates hauv ib qho khob cij.

Thaum qhia lub tswv yim nthuav tawm, cov kws qhia zaub mov noj ua lub hauv paus ua cov khoom lag luam zoo rau txhua tus - cov mov ci.

Yog tias koj txiav thoob ib qho loaf lossis av ci ntawm cov ncuav ci ua tej daim me me (li ib cm tuab), tom qab ntawd ces ib nrab ntawm cov txiaj ntsig muaj 25 phaus. yuav sib npaug rau ib chav ua mov ci hauv cov khoom lag luam.

Tib yam yog qhov tseeb, piv txwv li, rau ob tbsp. l (50 gr.) Buckwheat lossis oatmeal. Ib qho me me ntawm txiv apple los yog pear yog qhov ntau ntawm XE. Kev suav ntawm cov khob cij tuaj yeem nqa tawm ntawm nws tus kheej los ntawm tus mob ntshav qab zib, koj tuaj yeem tshawb xyuas cov rooj noj mov tas li. Ntxiv rau, nws yooj yim dua rau ntau tus xav txiav txim siab siv online laij lej los yog yav tas los tsim cov zaub mov nrog tus kws qhia noj zaub mov. Hauv cov zaub mov zoo li no, nws yog sau dab tsi raws nraim cov mob ntshav qab zib yuav tsum tau noj, ntau npaum li cas cov khoom siv muaj nyob rau hauv ib qho khoom lag luam, thiab qhov sib piv ntawm cov zaub mov zoo li cas ua raws. Nws raug nquahu tias:

• cov neeg mob ntshav qab zib hom 1 yuav tsum vam khom XE thiab suav lawv tshwj xeeb, vim tias qhov no cuam tshuam rau kev suav ntawm kev noj tshuaj insulin txhua hnub,
• tshwj xeeb, qhov kev txhawj xeeb no yog qhov qhia txog ntawm cov tshuaj tiv thaiv hormonal ntawm luv luv lossis ultrashort hom kev raug. Dab tsi yog nqa tawm tam sim ntawd ua ntej noj mov,
• 1 XE nce cov piam thaj ntau ntawm 1.5 mmol txog 1.9 mmol. Tias yog vim li cas lub khob cij chav ua mov ncuav yuav tsum nyob ntawm tes ua kom yooj yim suav cov lus.

Yog li, cov ntshav qab zib xav tau kom paub txog kev suav cov khob cij qhob txhawm rau kom muaj cov ntshav qab zib kom cov ntshav qab zib. Qhov no yog qhov tseem ceeb ntawm hom 1 thiab 2 yam kab mob. Qhov zoo dua yog tias, thaum piav qhia kom paub laij kom raug, lub laij lej online tuaj yeem siv nrog rau kev suav nrog phau ntawv suav.

Thaum nruab hnub, tus neeg xav tau siv ntawm 18 txog 25 chav nyob qhob cij, uas yuav tau muab faib ua tsib txog rau pluas noj. Txoj cai no tsis cuam tshuam tsis tsuas yog mob ntshav qab zib hom 1, tab sis kuj tseem cuam tshuam rau hom ntshav qab zib 2. Lawv yuav tsum tau laij raws qhov sib lawv liag: rau pluas tshais, su, hmo. Cov pluas noj no yuav tsum muaj los ntawm peb txog tsib chav khob cij, thaum khoom noj txom ncauj - ib lossis ob chav nyob rau hauv thiaj li yuav cais tawm cov kev tsis zoo rau qib ntawm cov piam thaj hauv tib neeg cov ntshav.

Hauv ib pluag mov yuav tsum tsis txhob noj ntau tshaj xya khob cij.

Cov kws kho mob tau qhia txog qhov tseeb txog tus mob ntshav qab zib! Mob ntshav qab zib yuav ploj mus nyob rau hauv 10 hnub yog tias koj haus nws sawv ntxov. »Nyeem ntxiv >>>

Rau cov neeg mob ntshav qab zib, nws yog ib qho tseem ceeb tias feem ntau ntawm cov khoom muaj cov carbohydrates tau coj los tau meej meej thaum thawj ib nrab ntawm hnub.

Tham txog qhob cij qhob cij hauv ntshav qab zib, lawv them rau qhov tseeb tias yog koj tswj kom noj ntau dua li tau npaj cia, tom qab noj mov tas koj yuav tsum tos me ntsis. Tom qab ntawd qhia cov tshuaj insulin me me, uas tshem tawm qhov nyiam ntawm kev hloov hauv qab zib.

Cov lus ntawm kev siv tau ntawm XE rau cov neeg sib txawv

Qhov teeb meem yog tias koj tsis tuaj yeem ua qhov no ntau dhau thiab siv ntau dua 14 units ntawm insulin (ua ntej) ua ntej noj mov rau ib zaug. Vim li ntawd nws thiaj tseem ceeb heev uas koj yuav tau xav thiab suav ua ntej tias yuav noj dab tsi rau ib hnub rau cov neeg mob ntshav qab zib hom 2. Yog tias cov piam thaj qib siab zoo tshaj plaws ntawm cov pluas noj, koj tuaj yeem noj txhua yam hauv 1 X XE yam tsis tas yuav siv tshuaj insulin. Nws yuav tsum tsis txhob hnov ​​qab tias lub rooj ntawm cov qhob cij rau cov neeg mob ntshav qab zib yuav tsum tau nyob ntawm tes.

Cov khoom uas yuav tuaj yeem noj thiab xav kom tshem tawm

Txhua yam zaub mov uas yuav los yog noj tsis tau los ntawm cov ntshav qab zib tsim nyog tshwj xeeb. Ua ntej tshaj, koj yuav tsum tau them sai sai rau cov hmoov nplej. Ib yam ntawm lawv cov ntau yam uas tsis nplua nuj yuav noj tau los ntawm tus mob ntshav qab zib. Txawm li cas los xij, nws yuav tsum nco ntsoov tias:

• qis tus nqi tau pom nyob hauv cov qhob cij Borodino (li 15 grams) thiab hauv cov hmoov nplej, nplej zom,
• dumplings thiab pancakes nrog tsev cheese yog qhov txawv ntawm qhov feem ntau ntawm cov chav ua mov ci, yog li ntawd lawv tsis pom zoo kom qhia rau hauv cov khoom noj muaj txiaj ntsig,
• Tsis pom zoo noj cov zaub mov los ntawm qeb hmoov nplej hauv ib pluag mov tsis pom zoo.

Sib tham txog cereals thiab cereals, cov kws tshaj lij tau mob siab rau cov txiaj ntsig ntawm buckwheat, oatmeal. Nws yuav tsum tau yug los hauv lub siab tias kua porridge yog yam ntxwv los ntawm kev nqus nrawm dua. Hauv qhov no, nrog cov piam thaj siab nws tau pom zoo kom ua cov zaub mov tuab, thiab nrog qab zib tsawg - semolina, piv txwv li. Qhov xav tau tsawg kawg rau kev siv nyob rau hauv daim ntawv teev yog cov kaus poom pob kws thiab cov pob kws hluas.

Kev ceeb toom tag nrho cov yam ntxwv ntawm cov khoom noj tau siv, ib tus tsis tuaj yeem pab tab sis them nyiaj rau cov qos yaj ywm thiab, tshwj xeeb, hau qos yaj ywm. Ib nrab qos qos yog ib tug XE. Mashed qos yaj ywm rau hauv cov dej nce siab hauv qab zib theem, thaum cov qos yaj ywm hau tag nrho nce tus nqi qeeb dua. Lub npe kib yuav ua txawm ntau qeeb dua. Cov hauv paus qoob loo uas tseem tshuav (carrots, beets, taub) yuav zoo rau hauv kev noj haus, tab sis nws yog qhov zoo tshaj plaws los siv cov npe tshiab.

Hauv daim ntawv teev cov khoom noj mis nyuj, cov uas tau cim los ntawm qhov feem pua ​​ntawm cov roj tsawg yuav yog qhov tsim nyog tshaj. Hauv qhov no, piv txwv, koj yuav tsum tso tseg kev siv mis nyuj tag nrho. Txawm li cas los xij, txhua hnub koj tuaj yeem siv ib khob kefir, ib qho me me ntawm tsev tshiab tshiab cheese, rau cov txiv ntoo twg thiab lwm cov khoom lag luam (piv txwv, zaub ntsuab) tuaj yeem ntxiv.

Yuav luag txhua cov txiv ntoo thiab txiv hmab txiv ntoo pom zoo thiab siv tau rau cov ntshav qab zib.Txawm li cas los xij, txij li lawv, zoo li legumes, suav nrog ntau ntawm carbohydrates, nws yog qhov tsim nyog yuav tau kho lawv qhov sib piv kom tsis suav cov dhia hauv ntshav qab zib. Yog tias cov ntawv qhia ua zaub mov kom haum, tom qab ntawd cov kws kho ntshav qab zib tau noj cov txiv hmab txiv ntoo thiab cov khoom qab zib ntau, muaj kev lom zem rau cov txiv pos nphuab tsis muaj khoom qab zib hauv khw.

Cov kws kho mob pom zoo kom noj cov txiv pos nphuab, txiv ntoo qab zib, gooseberries, xim liab thiab xim dub. Txawm li cas los xij, xav txog cov txiv ntoo ntawm cov txiv ntoo qab zib, cov txiv ntoo qab zib. Muaj pes tsawg lub khob cij muaj? Nws yog qhov tseem ceeb heev uas yuav tau txiav txim ua ntej los ntawm kev nyeem lub rooj tshwj xeeb. Nws tseem yuav tseem ceeb:

• txwv tsis pub siv cov kua txiv uas tau yuav thiab muab coj los sib xyaw vim tias muaj cov khoom txuag thiab lwm yam khoom tsis zoo hauv lawv,
• tshem tawm cov khoom qab zib thiab khoom noj los ntawm cov khoom noj. Qee zaum, koj tuaj yeem npaj cov ncuav qab zib txiv ntoo, ncuav qab zib hauv tsev, siv lawv tsis tshua txaus siab tom qab,
• ntses thiab nqaij khoom tsis raug rau XE, vim tias lawv tsis muaj carbohydrates. Txawm li cas los xij, kev sib koom ua ke ntawm nqaij lossis ntses thiab zaub yog ib lub caij nyoog los xam cov ntsuas uas tau nthuav tawm.

Yog li, txhua tus mob ntshav qab zib yuav tsum paub txhua yam txog cov khob cij thiab lawv cov kev xam. Qhov ntsuas no yuav pab tswj hwm cov ntshav qab zib kom zoo thiab txo qhov uas ntxim muaj teeb meem. Tias yog vim li cas nyob rau hauv tsis muaj qhov xwm txheej yuav tsum tsis txhob raug saib tsis taus lub sijhawm ua tiav ntawm cov khob cij.

1. 
   Tsyb, A.F. Radioiodine kho mob thyrotoxicosis / A.F. Tsyb, A.V. Dreval, P.I. Garbuzov. - M .: GEOTAR-Media, 2009. - 160 p.
2. 
   Vitaliy Kadzharyan und Natalya Kapshitar hom 2 mob ntshav qab zib mellitus: niaj hnub txuas rau kev kho mob, LAP Lambert Kev Kawm Tshaj Tawm - M., 2015. - 104 p.
3. 
   Kev kho ntawm cov kab mob endocrine. Hauv ob ntim. Ntim 1, Meridian - M., 2014 .-- 350 p.

Cia kuv qhia kuv tus kheej. Kuv lub npe yog Elena. Kuv tau ua haujlwm li endocrinologist rau ntau tshaj 10 xyoo. Kuv ntseeg hais tias tam sim no kuv yog tus kws tshaj lij hauv kuv daim teb thiab kuv xav pab txhua tus neeg tuaj saib lub vev xaib kom daws qhov nyuaj thiab tsis yog li cov haujlwm. Txhua cov ntaub ntawv rau lub xaib tau sau thiab ua tib zoo ua kom tiav thiaj li xa ntau li ntau tau cov ntaub ntawv tsim nyog. Ua ntej thov cov ntaub ntawv uas tau piav qhia hauv lub vev xaib, kev sab laj yuav tsum nrog tus kws tshaj lij yog ib txwm tsim nyog.

Cov ncauj lus yooj yim

Thawj thawj zaug, lo lus “chav ua mov ci” (sau ua luv XE) tshwm sim thaum pib ntawm xyoo pua 20th. Lub tswv yim no tau raug qhia los ntawm tus kws paub txog zaub mov zoo hauv German Karl Noorden.

Tus kws kho mob hu ua chav ua mov ci qhov nyiaj ntawm cov khoom noj carbohydrates, thaum noj, cov piam thaj hauv ntshav siab yuav nce siab li 1.5-2.2 mmol ib liter.

Txhawm rau kev ua tiav kev sib cais (sib cais) ntawm ib tus XE, ib mus rau plaub units ntawm insulin yog qhov yuav tsum tau ua. Kev noj cov tshuaj insulin feem ntau nyob ntawm lub sijhawm ntawm kev noj zaub mov (thaum yav sawv ntxov cov sijhawm ntau ntawm cov kua dej yuav tsum tau, thaum yav tsaus ntuj - tsawg dua), qhov hnyav thiab hnub nyoog ntawm tus neeg, kev tawm dag zog txhua hnub, thiab tseem nyob ntawm tus neeg mob lub cev tsis txaus siab rau insulin.

Ib qho XE yog hais txog 10-15 gram ntawm cov zaub mov carbohydrates uas yooj yim. Qhov sib txawv no tau piav qhia los ntawm txoj kev sib txawv los xam xyuas XE:

• XE sib npaug rau 10 gram carbohydrates (fiber ntau tsis tau txiav txim siab)
• XE sib npaug rau 12 gram carbohydrates lossis cov roj qab zib tag nrho (suav nrog kev noj haus fiber ntau),
• XE sib npaug rau 15 gram carbohydrates (qhov ntsuas no tau coj los ua lub hauv paus los ntawm cov kws kho mob los ntawm Asmeskas).

Ib tus neeg XE xav tau ntau npaum li cas?

Tus nqi ntawm XE tsim nyog rau tus neeg tshwj xeeb yog nyob ntawm ntau yam: kev ua neej (nquag lossis sedentary), kev noj qab haus huv, lub cev nyhav, thiab lwm yam .:

• qhov nruab nrab tus neeg muaj qhov hnyav thiab qhov nruab nrab qoj ib ce thaum nruab hnub yuav tsum tsis pub ntau dua 280-300 grams ntawm cov khoom noj zom zaub mov tau yooj yim hauv ib hnub, i.e. tsis ntau tshaj 23-25 ​​XE,
• nrog kev ua kom lub cev qoj ib ce (ua kis las lossis siv zog ua haujlwm) cov neeg xav tau 30 XE,
• rau cov neeg muaj lub cev tsawg, nws txaus los haus 20 XE ib hnub,
• nrog rau kev ua neej nyob sedentary thiab kev ua haujlwm sedentary, nws yog ib qho tsim nyog yuav tsum tau txwv cov nyiaj ntawm carbohydrates rau 15-18 XE,
• cov neeg mob ntshav qab zib tau pom zoo kom haus los ntawm 15 rau 20 XE ib hnub (tus nqi pes tsawg yog nyob ntawm seb qhov mob hnyav npaum li cas thiab yuav tsum tau xam los ntawm tus kws kho mob koom nrog),
• thiab chav khob rau cov ntshav qab zib hom 2 yog dab tsi? Nrog rau kev rog loj, kev noj txhua hnub ntawm carbohydrates yog 10 XE.

Txhawm rau suav tus nqi XE rau hauv ib qho khoom lag luam tshwj xeeb, koj yuav tsum nrhiav kom paub cov khoom noj hauv carbohydrates hauv 100 grams ntawm cov khoom no thiab faib qhov ntsuas no los ntawm 12 (tus lej ntawm cov calories hauv cov zaub mov noj tsis tau txiav txim siab).

Cov neeg muaj kev noj qab haus huv yuav luag tsis pom txoj kev suav, tab sis cov neeg mob ntshav qab zib yuav tsum xam XE txhawm rau xaiv cov tshuaj insulin rau lawv tus kheej (ntau XE uas ib tug neeg noj, ntau qhov nws yuav xav tau kom zom cov carbohydrates).

Tom qab xam xyuas tus nqi txhua hnub ntawm XE, tus mob ntshav qab zib yuav tsum tau faib cov zaub mov noj kom txaus rau txhua hnub. Cov kws kho mob qhia lawv cov neeg mob noj fractionally thiab faib cov nyiaj txhua hnub ntawm XE ua rau rau 6 pluas noj.

Nws tsis txaus ntseeg kom paub dab tsi XE yog rau mob ntshav qab zib mellitus, nws kuj tseem yuav tsum ua raws li qee txoj cai rau lawv cov kev faib tawm txhua hnub:

• koj yuav tsum tsis txhob noj ib lub sijhawm twg uas muaj ntau tshaj xya lub khob cij (muaj ntau cov carbohydrates ntau dhau los yuav ua rau cov piam thaj hauv ntshav nce siab thiab yuav ua rau muaj qhov xav tau ntau ntawm cov tshuaj insulin),
• XE tseem ceeb yuav tsum tau noj nyob rau hauv peb pluas noj: rau pluas tshais thiab su, nws raug nquahu kom noj cov zaub mov uas tsis muaj ntau tshaj rau tus XE, rau noj hmo - tsis pub ntau tshaj plaub tus XE,
• ntau tus XE yuav tsum noj nyob rau thawj ib nrab ntawm hnub (ua ntej 12-14 teev ntawm ib hnub),
• cov qhob cij uas tseem tshuav ntxiv yuav tsum tau faib cov khoom noj txom ncauj nruab nrab ntawm cov zaub mov tseem ceeb (kwv yees li ib los yog ob XE rau ib qho khoom noj txom ncauj),
• Tus neeg mob ntshav qab zib yuav tsum coj mus rau hauv tus account tsis tsuas yog theem ntawm XE nyob rau hauv cov zaub mov noj, tab sis tseem saib xyuas cov calories ntau ntawm cov khoom noj (cov khoom noj muaj calorie tuaj yeem ua rau lub cev hnyav ntxiv thiab ua rau lub cev tsis zoo).
• thaum suav tus XE, tsis tas yuav luj cov khoom lag luam ntawm cov nplai; yog tias xav tau, ntshav qab zib yuav tuaj yeem laij ntsuas qhov ntsuas ntawm kev txaus siab los ntawm kev ntsuas tus naj npawb ntawm cov khoom hauv cov diav, tsom iav, thiab lwm yam.

Yog tias tus neeg mob ntshav qab zib muaj teeb meem nyuaj rau suav cov khob cij, nws yuav tsum tau sab laj nrog nws tus kws kho mob.

Tus kws kho mob yuav pab tsis tau tsuas yog xam tus nqi XE rau hauv cov khoom lag luam, tab sis kuj ua rau cov zaub mov kwv yees rau lub lim tiam, suav txog qhov mob ntawm tus neeg mob, hom ntshav qab zib thiab qhov xwm txheej ntawm tus kabmob.

Txhawm rau kom suav cov nyiaj carbohydrates hauv ntau cov tais diav, nrog rau qhov yuav tsum tau tsim nyog ntawm cov tshuaj insulin kom zom cov zaub mov muaj txiaj ntsig, cov ntshav qab zib xav paub ntau npaum li cas ntawm ib qho khoom muaj ib qho XE.

Cov neeg muaj mob ntshav qab zib yuav tsum ua tib zoo suav tias ib tus XE yog:

• ib nrab ntawm daim khob cij ib nti ntev,
• ib nrab ntawm ib tug cheesecake,
• ob lub me nplawm,
• ib qho pancake, cheesecake lossis fritters,
• plaub lub dumplings
• ib lub txiv tsawb, kiwi, txiv ntoo paj lossis txiv ntoo,
• ib qho me me ntawm cov qhiav ntsej lossis dib liab,
• ob lub txiv duaj lossis apricots,
• 10-12 cov txiv ntoo ntawm cov txiv pos nphuab lossis txiv ntoo qab zib,
• ib tug tablespoon ntawm qos hmoov txhuv nplej los yog hmoov nplej,
• ib thiab ib nrab diav ntawm pasta,
• ib tug tablespoon ntawm boiled buckwheat, mov, barley, millet los yog semolina,
• peb dia roj taum, taum lossis pob kws,
• rau dia ntawm nyob kas poom los ntsuab peas,
• ib tug nruab nrab beet los yog qos,
• peb nruab nrab carrots,
• ib khob mis, qab zib, fermented ci mis, kefir lossis yogurt tsis muaj dab tsi ntxiv,
• ib tug tablespoon ntawm prunes, qhuav apricots los yog figs,
• ib nrab khob dej ci, kua txiv lossis kua txiv kab ntxwv,
• ob rab diav suab thaj los yog zib mu.

Thaum xam xyuas XE thaum lub sijhawm ua noj, koj yuav tsum xav txog txhua yam khoom xyaw uas siv. Piv txwv li, yog tias tus mob ntshav qab zib txiav txim siab ua noj qos yaj ywm, nws yuav tsum nthuav tawm XE cov muaj nyob hauv cov qos yaj ywm hau, butter, thiab mis nyuj haus.

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Yuav ua li cas thiaj suav tau cov qhob cij rau cov ntshav qab zib:

Cov neeg mob ntshav qab zib uas soj ntsuam cov ntshav qab zib yuav tsum tau them nyiaj tshwj xeeb rau kev suav sau lawv cov zaub mov noj kom noj qab nyob zoo txhua hnub. Thaum xaiv cov khoom noj rau cov neeg mob ntshav qab zib, ib qho yuav tsum coj mus rau hauv seb muaj pes tsawg lub khob cij muaj nyob hauv ib qho khoom lag luam. Txoj kev ua no yuav pab kom cov neeg muaj ntshav qab zib hauv lub cev thiab laij cov koob tshuaj insulin uas koj yuav tsum tau noj tom qab noj mov. Ntxiv mus, txhua tus mob ntshav qab zib yuav tsum nkag siab tias tsawg dua cov carbohydrates yuav muaj nyob hauv cov khoom, kev txhaj tshuaj insulin tsawg dua nws yuav xav tau.

• Stabilizes qib qab zib kom ntev
• Rov kho cov tshuaj insulin pancreatic

Moog kawm ntawv ntxiv. Tsis yog qaug tshuaj. ->

Cov khoom noj uas siv tau txhua hnub hauv lub khob ua qab zib rau ntshav qab zib

Qhov kev pom zoo thiab tus ciam ntawm XE nyob rau ib hnub rau txhua tus neeg yog txiav txim los ntawm tus kws kho mob, raws li lub cev qhov hnyav, kev ua si, hnub nyoog thiab tub los ntxhais ntawm tus mob ntshav qab zib. Qhov nruab nrab, cov nqi txhua hnub hauv XE muaj raws li hauv qab no:

1. Nrog lub cev hnyav:

• kev ua neej nyob sedentary - ntau kawg ntawm 15 qhob cij qhob cij,
• sedentary ua hauj lwm - qhov siab kawg ntawm 18 qhob cij qhob cij,
• qhov nruab nrab ntawm kev qoj ib ce yog qhov ntau tshaj ntawm 25 qhob cij qhob cij,
• theem siab ntawm kev ua haujlwm hauv lub cev - qhov siab tshaj plaws ntawm 30 lub khob cij.

1. Rog dhau:

• kev ua neej nyob sedentary - ntau kawg ntawm 10 qhob cij qhob cij,
• sedentary ua hauj lwm - qhov siab tshaj plaws ntawm 13 qhob cij muaj zog,
• qhov nruab nrab ntawm kev qoj ib ce yog qhov ntau tshaj ntawm 17 lub khob cij,
• theem siab ntawm kev qoj ib ce - qhov siab tshaj plaws ntawm 25 qhob cij.

Nws yog ib qho tseem ceeb kom nco qab tias ntshav qab zib yog ib yam kab mob uas yuav tsum muaj kev qhuab ntuas los ntawm tus neeg mob: ua raws li cov lus qhia los ntawm tus kws kho mob tuaj koom, soj ntsuam cov ntshav qab zib kom tau, kev noj zaub mov kom raug, thiab qib kev tawm dag zog ntawm tus kheej los ntawm kws kho mob.

Xws li cov kev sib koom ua ke yuav pab tsis tsuas tswj tau cov ntshav qab zib kom muaj txiaj ntsig, tab sis kuj txo qis kev pheej hmoo ntawm lub plawv, mob ntshav nres thiab lwm yam kev phom sij ntawm tus kab mob.

Chav nyob qhob cij - XE - rau ntshav qab zib (lub rooj rau cov ntshav qab zib)

Hauv tebchaws Lavxias, raws li cov ntaub ntawv ntawm nom tswv tau tshaj tawm, ntau dua 3 lab tus neeg mob tau kuaj mob ntshav qab zib. Qhov tseeb, muaj ntau dua ntawm cov neeg no, vim tias tsis yog txhua tus neeg muaj tus kabmob no tau kuaj pom los ntawm lub sijhawm. Tab sis muaj tsawg tus neeg uas muaj yam tsawg kawg thawj zaug lub tswv yim ntawm yam qhob cij mov (XE) yog.

Qhov kev ntsuas no tsis muaj npe lub npe. Yog li ntau carbohydrates yog pom nyob rau hauv lub li ib txwm daim ntawm qhob cij, uas txiav rau noj hmo. Cov lus teb ntau dua muaj raws li nram no: 1 daim qhob cij = 25 g - 30 g = 12 g ntawm carbohydrates = 1XE.

Hloov chaw ntshai cov neeg mob ntshav qab zib nrog qhov tseeb tias koj tsis tuaj yeem noj khoom qab zib, txwv tsis pub cov piam thaj yuav nce siab thiab cov metabolism yuav cuam tshuam, nws yog qhov zoo dua los qhia lawv yuav ua li cas npaj cov zaub mov kom huv. Txhawm rau ua qhov no, nws txaus kom muaj peev xwm ntsuas tau tus nqi XE rau hauv cov khoom noj uas siv rau ntshav qab zib.

XE nyob rau hauv cov ntshav qab zib yog tus nqi uas txiav txim siab cov zaub mov noj kom ntau. Conventionally 1 XE = 12 g ntawm carbohydrates. Cov 12 g ntawm carbohydrates, thaum noj, nce glycemia los ntawm 2.77 mmol / L. Nrog txoj haujlwm nyuaj no, 2 ntu ntawm cov kua dej yuav tsum paub daws teeb meem tom qab. Txij li txhua hnub ntawm tus nqi tshuaj insulin yog qhov tsis xav tsim kom nce, koj yuav tsum tau txwv koj tus kheej hauv cov khoom lag luam, thiab qee tus txawm cais tawm ntawm cov khoom noj.

Paub txog cov khob cij pub muaj rau cov neeg mob ntshav qab zib ib hnub twg yog lub luag haujlwm tseem ceeb ntawm txhua tus neeg mob ntshav qab zib. Nws yog qhov tshwj xeeb tias chav tsev no yog thoob ntiaj teb, yog li tus lej XE yog qhov yooj yim heev rau kev suav thaum muab kev yuav khoom. Txhua pob ntawv muaj cov ncauj lus qhia txog tus lej ntawm carbohydrates hauv 100 g ntawm qhov khoom. Muab tus lej no faib rau 12, koj tau txais tus lej XE.

Lub rooj ntawm cov khob cij rau cov neeg mob ntshav qab zib thiab nws siv

Txhawm rau suav cov cai, nws tsis yog qhov yuav tsum tau ua tas li ua cov kev suav hnyav hauv lub siab. Nws yooj yim dua los siv lub rooj uas koj yuav tsum muaj hauv chav ua noj, thiab tom qab ntawd nco nws. Qhov no yuav tsis tsuas yog tiv thaiv kom tsis txhob muaj cov piam thaj ntau hauv lub cev, tab sis kuj tuaj yeem hloov cov khoom siv tsis zoo nrog cov khoom tsis zoo lossis nrog XE tsawg.

Qhov tsim nyog niaj hnub ntawm lub cev yog 18 - 25 XE. Faib tus nqi no rau 4-5-6 pluas noj. Ib txoj kev nkag los yog suav rau ntawm tsis pub ntau tshaj 7 chav ua khob cij rau cov neeg mob ntshav qab zib, ntau dua li ib nrab ntawm tag nrho cov nyiaj los noj rau pluas su thiab noj hmo.

Ntshav Qab Zib: Koj puas tuaj yeem suav? Nyeem?

Yam teeb meem dab tsi uas mob tshaj plaws rau tus mob ntshav qab zib? Cev tsis taus suav qhob cij? Irresistible txoj kev ntshaw ntawm cov txiv txwv tsis pub noj - zaub mov qab zib? Los yog tsis muaj kev nkag siab dab tsi txog cov carbohydrates yog li cas? Ntawm cov no thiab lwm qhov teeb meem sib luag ntawm nplooj ntawv ntawm Kev Noj Qab Haus Huv rau Txhua Cov Ntawv Xov Xwm, Aili Saukas, tus kws saib xyuas mob ntawm endocrinology chaw ntawm Ida-Tallinn Central Tsev Kho Mob, tab tom tsom mus rau nws.

Cov teeb meem ntawm cov ntshav qab zib hom 2 tseem yog tias lawv tsis noj cov tshuaj raws li kev coj ua, thiab yog tias, cov piam thaj hauv ntshav nce siab heev - kev puas tsuaj rau cov hlab ntsha hauv lub plawv, lub hlwb, qhov muag, thiab ceg yuav ua raws. Yog tias koj tsis nco qab noj tshuaj lossis muab txhaj tshuaj kom raws sijhawm, tom qab ntawv qab zib yuav dhia mus dhau los thiab cov kev mob nyuab yuav dhau tus neeg mob sai dua li kev tswj hwm tus kabmob.

Lwm zaj dab neeg hauv cov neeg mob ntshav qab zib hom 1 feem ntau yog cov neeg hluas. Feem ntau lawv txav ntau heev, tab sis nyob rau hauv lawv cov ntaub ntawv, qhov tsis muaj peev xwm lossis tsis txaus siab los suav cov qhob cij sib npaug nrog cov carbohydrates ua lub luag haujlwm tsis zoo. Tshwj xeeb: thaum muaj qab zib ntau hauv cov ntawv qhia, tom qab ntawd yuav tsum muaj insulin ntau dua, thiab koj yuav tsum ua tib zoo ntsuas ntau npaum li cas ntawm cov insulin no koj yuav tsum nkag. Hmoov tsis zoo, qhov no tsis yog ib txwm ua tau rau tib neeg.

Yuav ua li cas sim koj qhov qab los noj mov

Muaj tseeb, tib neeg tsis tuaj yeem ua yam tsis muaj qab zib. Qee lub sij hawm koj tuaj yeem kho koj tus kheej rau, hais, qab zib, tab sis tom qab ntawd koj yuav tsum paub tias nws nce cov ntshav qab zib sai dua li ib qho qhob cij dawb. Yog li, daim no yuav tsum tau muab pov tseg. Thiab yog tias koj taug kev tom qab xws li nqus cov khoom qab zib, ces cov piam thaj hauv cov ntshav yuav tsis sawv.

Ib qho ntxiv yog yog tus neeg zaum hauv TV yog kom ntsiag to noj ob peb qhov khoom qab zib. Cov carbohydrates ceev ceev thaum tsis muaj kev txav mus ib txwm ua rau kev nce ntshav qab zib.

Nws tshwm sim uas tus neeg mob ntshav qab zib tau nug cov lus nug: nws tsis yooj yim dua rau qhov tso tseg cov khoom noj carbohydrates hloov pauv tsis suav tas li suav cov khob cij qhob cij? Cia siv chromium-based bioadditives, uas yog xav kom tsis txhob muaj kev nqhis dej qab zib. Txawm li cas los xij, kev noj zaub mov zoo, txawm hais tias lawv tsis txwv siv, ntshav qab zib tsis kho.

Txoj kev kho raws li cov qauv qhia los ntawm tus kws kho mob yog tseem xav tau. Tshuaj nrog chromium yeej pab tswj kev qab los noj mov, tab sis lawv cov txiaj ntsig ntawm chav kawm ntawm tus kab mob no muaj ntsis tsawg dua yog tias ib tug neeg coj mus rau tus account twg cov zaub mov twg nce qab zib ntau dua, uas tsawg dua, uas ua rau nws maj mam, uas sai sai.

Raws li lawv, chrome tsis pab qee tus neeg txhua lub sijhawm, thaum lwm tus hais tias lawv pom qee yam kev hloov zoo los ntawm nws. Cov tshuaj pabcuam ntxiv yuav tsis ua qhov txuj ci tseem ceeb.Es tsis txhob, qab los noj mov yuav pacified nyob rau hauv ib txoj kev siv tau ntau dua, maj mam txo tsis tsuas yog cov ntsiab lus ntawm calorie ntawm cov tais diav, tab sis kuj lawv qhov ntim.

Cov neeg uas tau txais kev kho mob insulin yuav tsum muaj txoj hauv kev hloov pauv. Piv txwv tias, hais tias, kev noj mov ntau dhau, tus neeg mob ntshav qab zib tuaj yeem "ua" los ntawm kev nce rau cov ntsuas ntawm insulin luv. Txawm li cas los xij, hauv kev kho mob ntawm cov tshuaj insulin ntev ntev, cov koob tshuaj tsis tuaj yeem nce ntxiv. Nws qhov kev txiav txim yog tsim los rau 24 teev, thiab kev tsis txaus siab ntawm cov tshuaj ntau dua tuaj yeem ua rau cov ntshav qab zib poob qis - cov ntshav qog ntshav qab zib, txaus ntshai rau tus neeg mob.

Cov neeg tu ntshav qab zib qhia: yog tias koj xav tau txwv tsis pub - sib npaug nws rau tib lub khob cij. Hais tias, noj ncuav ncuav ib qho me me sib npaug nrog 4 lub khob cij, uas yog, ob ncuav ncuav. Tom qab ntawd nws yuav tsim nyog los txo cov zaub koj nyiam qos yaj ywm los yog nplej zom los ntawm ntau ntau - hauv lwm qhov lus, txo qhov tsawg ntawm lwm cov carbohydrates.

Tsis muaj kev txwv tawv tawv

Muaj FDA cov qauv (kev tswj hwm cov khoom lag luam zoo thoob ntiaj teb), raws li cov ntawv cim cov khoom lag luam yuav tsum nrog cov ntaub ntawv ntawm lawv cov nqi zog thiab qhov sib piv ntawm cov suab thaj, carbohydrates, cov rog. Yog li cas tiag tiag nws yog rau tus neeg mob ntshav qab zib los taug qab cov lej ntawm cov ntawv lo? Ntawd puas raug? Ntawm chav kawm muaj. Rau tus neeg uas muaj cov rog thiab rog siab, thiab txawm tias cov ntshav qab zib, nws tseem ceeb uas yuav tsum muaj txoj kev xaiv kom xaiv cov khoom lag luam zoo rau nws.

Tsis muaj tus nais maum mob ntshav qab zib yuav hais tias ib tus neeg mob ntshav qab zib soj ntsuam kilocalories txhua hnub - lawv cov txiaj ntsig rau cov ntsuas suab thaj yog kho kom haum xeeb, thaum nws nce ntxiv ncaj qha rau feem ntau los ntawm carbohydrates. Nws yuav tsum nkag siab meej tias 1 lub khob cij qhob cij muaj 10 g ntawm carbohydrates - qhov nyiaj uas nce me ntsis cov ntshav qab zib.

Piv txwv li, ntshav qab zib yog 5 mmol / l, ib tus neeg noj kua txiv (10 g ntawm carbohydrates) - thiab tom qab 2 teev nws cov piam thaj nce los ntawm qhov nruab nrab ntawm 2 pawg - nws dhau los ua 7 mmol / l.

Cov kws tshawb fawb tau pom txoj hauv kev ua tiav kom muaj kev sib npaug, vim kev tshawb fawb tsis txwv qhov tshwj xeeb ntau yam khoom cuam tshuam rau cov ntshav qab zib: yuav ua li cas lawv nqus, ntau npaum li cas lawv lub peev xwm sib raug rau cov khob cij. Rau tus neeg mob ntshav qab zib, txhawm rau tswj hwm nws tus kab mob, nws yog ib qho tseem ceeb kom siv cov lus pom zoo tsim kho kom zoo.

Khoom noj khoom haus rau cov ntshav qab zib, insulin-tiv thaiv ntshav qab zib mellitus, chav ua noj ncuav

Yog tias koj muaj ntshav qab zib, koj txhaj insulin nrog koob txhaj tshuaj, koj puas tuaj yeem noj zoo li lwm tus neeg? Koj muaj peev xwm heev. Tab sis rau qhov no koj yuav tsum ua raws li cov kev cai uas mus rau hauv txoj kev ua neej ntawm tus neeg mob ntshav qab zib.

Yog li, hauv tus neeg tsis muaj ntshav qab zib, cov ntshav qab zib cov ntshav yuav tsis nce siab tshaj 7.8 mmol / L. Peb hu ua qhov mechanism no "autopilot" ntawm tus txiav. Tab sis koj muaj autopilot tsis kam. Ntawd yog, cov kua dej tsis nkag mus rau cov ntshav.

Yog tias tsis muaj cov tshuaj insulin nyob rau hauv cov ntshav, tom qab ntawd tsis muaj cov piam thaj hauv ntshav tom qab noj mov, cov ntshav qab zib tsis tsuas yog mus dhau theem ib txwm muaj, tab sis kuj dhau qib siab hlaus, yog li cov piam thaj pib nkag hauv cov zis.

Thaum lub "autopilot" tsis kam, peb yuav tsum khaws lub helm. Cia peb sim hloov mus rau "phau ntawv tswj". Txhawm rau ua qhov no, koj yuav tsum kawm kwv yees kev nce ntshav qab zib tom qab noj mov. Cov zaub mov muaj peb pawg tseem ceeb ntawm cov as-ham: cov nqaijrog, rog thiab carbohydrates. Cov zaub mov tseem muaj cov vitamins, ntsev ntxhia thiab dej. Qhov tseem ceeb tshaj plaws ntawm tag nrho cov ntawm no rau koj yog carbohydrates.

Tsuas yog ua kom tau carbohydrates tam sim ntawd tom qab noj mov nce ntshav qab zib. Tag nrho lwm cov khoom xyaw tsis cuam tshuam rau qib qab zib tom qab noj mov. Yog tias koj tau noj lub qhaub cij nrog butter, thiab tom qab ib nrab teev koj cov ntshav qab zib cov ntshav nce siab, ces qhov no tau tshwm sim los ntawm khob cij, tsis yog los ntawm butter.

Muaj qhov tsis zoo li cov ntsiab lus calorie. Calorie yog qhov ntau ntawm lub zog uas tsim nyob rau hauv lub xias ntawm lub cev thaum "sib xyaw" hauv nws los ntawm cov tshuaj yeeb dej caw. Tsis muaj qhov sib txuas ncaj qha ntawm cov calories ntawm cov zaub mov thiab qhov nce hauv cov ntshav qab zib. Yog li, thoob plaws ntiaj teb, cov kws kho mob thiab cov neeg mob uas muaj thawj hom mob ntshav qab zib mellitus ntseeg hais tias koj tsis tas yuav txiav txim siab cov calories yog tias koj tsis muaj lub cev hnyav dua.

Tsuas yog cov khoom noj muaj carbohydrate-nplua nuj tsa koj cov ntshav qab zib. Yog li, peb yuav txiav txim siab tsuas yog cov khoom lag luam no rau hauv cov zaub mov noj. Tab sis! Koj yuav tsum ua raws li tag nrho cov lus pom zoo rau kev ntsuas tus kheej.

Yog tsis tau niaj hnub, rov ntsuas tus kheej hauv cov ntshav qab zib cov ntshav, koj yuav tsis tuaj yeem soj ntsuam kev noj zaub mov dawb.

Nws muaj ob hom carbohydrates:

1. Kev zom (nce ntshav qab zib)

ceev ceev-zom (suab thaj) qeeb-zom cov (qos yaj ywm, cereals)

2. Tsis muaj zom zom (tsis nce ntshav qab zib)

insoluble (ntawv, ntoo tsob ntoo) soluble (zaub qhwv).

Peb yuav coj mus rau hauv tus account tag nrho cov zaub mov carbohydrates. Rau qhov yooj yim ntawm kev xam cov zom cov zaub mov carbohydrates, lawv siv lub tswv yim xws li chav ua mov ci (XE). Ib tus XE tso nyiaj rau 10 - 12 grams. zom cov zaub mov carbohydrates. Paub txog tus kab mob XE, tus neeg mob tuaj yeem kwv yees muaj pes tsawg carbohydrates hauv cov zaub mov uas nws xav noj. Yog li, nws tuaj yeem yooj yim laij cov tshuaj xav tau ntawm cov tshuaj insulin luv luv.

Ib qho tshuaj insulin tsis txaus ua ib qho nce ntxiv rau cov ntshav qab zib kom ntau npaum li ib nrab ntawm 1.5 - 1.9 mmol / L. Paub txog cov nyiaj XE uas koj noj, koj tuaj yeem txiav txim siab seb cov ntshav qab zib cov ntshav yuav nce siab npaum li cas, thiab yog li, nws yuav tuaj yeem siv tshuaj insulin kom raug. Piv txwv ntawm cov khoom noj muaj txiaj ntsig uas muaj cov carbohydrates zom:

ib daig mov ci - 1 XE. Nov yog cov khob cij zoo li qub, nws cov tuab tuab li 1 cm., Breadcrumbs - 1 tablespoon - 1 XE, hmoov nplej thiab hmoov txhuv - 1 tablespoon - 1 XE, nplej zom - hauv peb dia ncuav nplej zom - 2 XE, cereals thiab cereal, 1 XE muaj nyob rau hauv 2 daim kab lis kev cai twg ua noj siav.

Peb dia ntawm cov nplej zom yuav nce cov ntshav qab zib kom zoo ib yam li 4 diav ntawm buckwheat, zoo li 2 lub ncuav ncuav, vim tias txhua kis koj yuav noj 2 XE. Qhov kev xaiv ntawm cov khoom tsuas yog nyob ntawm koj thiab koj tastes, cwj pwm.

Dab tsi ntawm cov porridge uas koj nyiam tshaj - friable lossis "mess"? Qhov no tsis tseem ceeb. Koj tsuas yog yuav tsum nkag siab tias ntau cov zaub mov ua tau siav ntau, qhov kev nqus sai dua yuav tshwm sim. Kev ua kua semolina yog qhov yooj yim tshaj plaws, yog li, tom qab noj nws, cov ntshav qab zib cov ntshav yuav nce siab dua thaum noj mov tuab.

Cov txiv ntseej, taum, taum pauv raws li XE tuaj yeem siv tau, vim tias 1 XE muaj nyob hauv 7 diav ntawm cov khoom no. Yog tias koj noj 7 lossis ntau tshaj 7 diav ntawm taum pauv, ces koj yuav suav nws.

Khoom noj siv mis. Ib khob mis - 1 XE. Cov roj thiab qaub cream tsis tas yuav suav hais tias yog. Qab zib Qab Zib - 1 tablespoon - 1 XE. Mis nyuj khov (100g.) - 1.5-2XE. Cov nqaij thiab ntses cov khoom lag luam. Cov khoom no tsis muaj carbohydrates, yog li lawv tsis tas yuav txiav txim siab raws li XE. Kev xaiv tus account tsuas yog tsim nyog nrog txoj kev ua noj tshwj xeeb. Thaum koj ua cov cutlets, koj ntxiv cov ncuav ci nyob rau hauv cov mis rau cov nqaij minced. Ua ntej kib, cutlets yog dov nyob rau hauv breadcrumbs, thiab ntses nyob rau hauv hmoov. Nqaij ntses qee zaum kib hauv khob noom cookie. Hauv cov rooj plaub no, nws yog qhov tsim nyog los laij cov nqi XE hauv cov khoom qub nyob rau hauv txoj hauv kev ib yam li peb xav hauv pancakes. Cov hauv paus qoob loo. XE txheeb xav tau cov qos yaj ywm. Ib lub qos nrab tsuas yog 1 XE. Ua raws li cov qauv ntawm kev npaj, tsuas yog tus nqi ntawm kev nqus ntawm carbohydrates hauv plab hloov. Txoj kev zoo tshaj plaws yog los nce ntshav qab zib ntau ntau ntawm cov qos yaj ywm hauv dej, tag nrho cov qos yaj ywm hau - qeeb qeeb, thiab kib - txawm tias qeeb qeeb. Cov qoob loo uas tseem tshuav tuaj yeem tsis quav ntsej yog tias koj siv lawv hauv qhov ntau tsis tshaj 1 XE.
Carrots - 3 loj - 1 XE.
Beets - 1 loj - 1 XE, Txiv Hmab Txiv Ntoo, berries. Txiv kab ntxwv muaj ntau ntawm cov carbohydrates: 3 - 4 txiv hmab loj - 1 XE. Ib nrab txiv kab ntxwv qaub, txiv tsawb lossis pob kws - 1 XE. Kua, txiv duaj, txiv kab ntxwv, txiv moj coos, persimmon, hlais mooj lossis dib liab - 1XE. 3-4 qhov nruab nrab loj ntawm tangerine, apricot, plum - 1XE. Txiv pos nphuab, txiv ntoo qab zib, txiv ntoo qab zib - ib hom ntawv ci - 1XE. Raspberries, txiv pos nphuab, blueberries, blueberries, currants, lingonberries, blackberries - ib khob - 1 XE. Dej qab zib. 1XE muaj nyob rau hauv 1/3 khob kua txiv txiv kab ntxwv,? khob kua kua txiv, 1 khob ntawm kvass, npias.

Cov lus pom zoo dav

Rau ib pluas noj rau ntawm kev txhaj tshuaj ntawm cov insulin luv luv, nws raug nquahu kom noj tsis ntau tshaj 7XE. Yog tias koj yuav tsum noj ntau, ces koj yuav tsum tau ua ib qho tshuaj ntxiv los ntawm insulin. Los ntawm cov lus "ib pluag mov" peb txhais tau tias thawj zaug thiab thib ob noj tshais, noj su lossis noj hmo.

Neeg tsis noj nqaij paum. Qhov kev noj zaub mov zoo no siv tau rau cov neeg mob ntshav qab zib. Nws yog ib qho tsim nyog yuav tsum xyuas kom lub cev lub cev xav tau protein txaus.

Kev tshaib plab. Kev noj haus zoo li no yog qhov tsis txaus ntseeg rau cov neeg mob ntshav qab zib. Qhov tsis muaj cov carbohydrates hauv lub cev tuaj yeem ua rau kev hloov pauv hauv cov ntshav qab zib, uas yuav nyuaj rau kev them nyiaj.

Lub XE system nws muaj nws qhov tsis zoo: xaiv kev noj haus raws XE ib leeg tsis yog physiological, vim txhua yam tseem ceeb ntawm cov zaub mov yuav tsum muaj nyob hauv cov khoom noj: carbohydrates, proteins, fats, vitamins, thiab microelements.

Nws raug nquahu kom faib cov khoom noj txhua hnub hauv calorie ntawm cov zaub mov raws li hauv qab no: 60% carbohydrates, 30% protein, 10% rog. Koj tsis tas yuav xam tshwj cov protein, rog thiab calories ntau. Tsuas yog noj cov roj thiab cov roj tsawg uas ua tau thiab muaj zaub thiab txiv hmab txiv ntoo ntau li ntau tau. Cov hauv paus zaub mov zoo no yog siv rau txhua tus neeg, tsis yog cov neeg mob ntshav qab zib.