Xam cov qhob cij faib raws cov ntxhuav

Txog ntau yam mob ntev, cov kws kho mob pom zoo kom noj zaubmov kom txo qis qhov muaj feem ua rau ntau qhov mob. Txawm li cas los xij, tsuas yog nrog kev txhim kho ntawm hom 1 thiab hom 2 mob ntshav qab zib mellitus, nws yog qhov yuav tsum tau ua raws li kws kho mob cov lus pom zoo rau kev noj haus, vim nws yog txoj kev kho mob tseem ceeb. Chav nyob rau hauv cov ntshav qab zib mellitus yog lub hauv paus ntawm daim ntawv qhia noj zaub mov noj, vim tias nws tau tsom qhov txo qis ntawm cov khoom noj carbohydrates, cov rog thiab carbohydrates, uas, ua ke nrog zaub mov, nkag mus rau hauv lub cev. Muaj ntau ntau cov khoom noj sib txawv, lawv muaj cov sib txawv: cov protein, carbohydrates, cov rog, calories. Txhawm rau ua kom yooj yim cov txheej txheem los ua cov khoom noj muaj roj tsawg los ntawm cov kws qhia zaub mov noj, ib qho kev faib tawm cov qauv tsim muaj cov txheej txheem ntawm cov chav ua mov ci hauv ib qho khoom lag luam twg. Raws li qhov no, XE lub rooj tau tsim, uas yuav tsum tau coj mus rau hauv hom 1 thiab ntshav qab zib hom 2. Xav txog cov yam ntxwv ntawm kev tsim cov lus rau cov zaub mov, yuav ua li cas qhov taw qhia ntawm cov khob cij tau txiav txim siab thiab vim li cas nws tseem ceeb uas yuav tsum tau ua tib zoo xav txog thaum kos cov zaub mov noj txhua hnub.

Dab tsi yog XE?

Chav nyob qhob cij yog ntsuas seb muaj pes tsawg leej. Nws yog ib qho tsim nyog los suav cov khoom noj carbohydrates hauv koj qhov kev noj zaub mov, kom tswj thiab tiv thaiv hyperglycemia.

Nws tseem hu ua chav tsev carbohydrate, thiab nyob rau hauv cov tib neeg - cov ntsuas ntshav qab zib.

Lub xam ntsuas tus nqi tau raug qhia los ntawm tus neeg noj zaub mov thaum pib ntawm xyoo pua 20th. Lub hom phiaj ntawm kev siv qhov ntsuas: kwv yees cov piam thaj uas yuav muaj hauv cov ntshav tom qab noj mov.

Qhov nruab nrab, ib chav tsev muaj 10-15 g ntawm carbohydrates. Nws tus naj npawb tseeb nyob ntawm cov qauv kho mob. Rau tus naj npawb ntawm European lub teb chaws XE sib npaug 15 g ntawm carbohydrates, thaum nyob hauv Lavxias - 10-12. Pom, ib chav yog ib nrab ntawm ncuav cij nrog tus tuab txog rau ib centimeter. Ib chav tsev kom nce qib qab zib kom txog 3 mmol / L.

Kev suav txhij txhua ntawm cov ntsuas tseem ceeb dua rau hom ntshav qab zib hom 1. Qhov ntau ntawm cov tshuaj, tshwj xeeb tshaj yog ultrashort thiab kev txiav txim luv, nyob ntawm no. Ntawm hom 2 Ntshav Qab Zib, lub ntsiab lus tau them rau qhov faib kev faib tawm sib npaug ntawm cov carbohydrates thiab cov calories tag nrho cov ntsiab lus ntawm cov zaub mov. Kev npaj rau lub khob cij chav ua noj yog qhov tseem ceeb tshaj plaws thaum hloov qee yam khoom noj nrog lwm tus.

Lub khob qhob cij yog dab tsi thiab vim li cas nws qhia?

Chav nyob qhob cij - ib qho kev ntsuas tus mob uas tau tsim los ntawm cov khoom noj khoom haus los xam cov khoom noj carbohydrates kom raug rau hauv cov zaub mov ntau yam. Thaum xav txog cov yam ntxwv ntawm chav ntsuas ntawm kev ntsuas, peb them sai sai rau cov ntsiab lus hauv qab no:

1. Nws ntseeg tias 1 chav ua mov ci yog 10-12 grams ntawm carbohydrates. Hauv qhov no, hom carbohydrates tsis yog qhov tseem ceeb tshwj xeeb, vim txhua tus ntawm lawv thauj los ntawm cov tshuaj insulin tom qab noj.
2. Chav nyob qhob cij lossis 10 grams carbohydrates ua rau kev nce ntshav qab zib ntau ntau los ntawm 2.77 mmol / L. Muab cov qauv no, qhov no yog qhov nce ntxiv hauv ntshav qab zib.
3. Rau qhov kev nqus ntawm cov piam thaj, uas tau tsim los vim kev noj zaub mov hauv carbohydrates hauv qhov nyiaj ntawm 1 lub khob cij, tsawg kawg ntawm 1.4 pawg ntawm insulin yog qhov yuav tsum tau ua. Lub cev muaj peev xwm ua nws tus kheej tsim cov nqi sib luag zoo li no, thiab tsuas yog ua tiav nrog pancreatic kawg ntawm cov roj ntsha tsis nkag rau hauv lub cev los ntawm kev txhaj tshuaj nkaus xwb.

Nws yuav tsum tau yug hauv siab tias qhov ntsuas hauv nqe lus nug tau qhia tshwj xeeb rau cov neeg mob ntshav qab zib. Ntawm cov ntshav qab zib mellitus, ib lub rooj nrog XE yog coj mus rau hauv kev txiav txim txhawm rau tshem tawm qhov ntxim nyiam ntawm kev muaj ntshav qab zib tsawg.

Ntawm ntshav qab zib hom 2, kho mob nrog insulin kuj tsis tshua muaj tshwm sim. Raws li txoj cai, XE qhov taw qhia yog tswj tau ncaj qha tsuas yog cov neeg uas raug mob los ntawm hom 1 yam mob hauv nqe lus nug. Qhov no yog vim qhov tseeb tias nrog kev txhim kho ntawm cov ntshav qab zib hom 1, qhov nyiaj ntawm cov tshuaj insulin yuav tsum tswj hwm kom meej meej.Nrog cov tshuaj insulin ntau, nws yuav ua rau kom cov ntsiab lus ntawm cov piam thaj hauv cov ntshav txo qis mus rau qhov tsawg kawg nkaus tus nqi: qhov no, ntau cov tsos mob ntawm kev noj zaub mov tsis txaus ntawm cov hlwb thiab cov plab hnyuv siab raum tau tshwm sim.

Kev siv lub rooj noj mov tshwj xeeb rau hom 2 thiab hom 1 ntshav qab zib mellitus ua rau nws muaj peev xwm teeb tsa cov khoom noj qis tshaj cov roj carbon ntau, uas tshem tawm qhov ntxim nyiam ntawm kev txhim kho hypoglycemia.

Lub tswv yim ntawm chav ua mov ci tuaj tau li cas?

Raws li tau sau tseg yav dhau los, kev ntsuas hauv nqe lus nug yog tsim los ntawm cov khoom noj khoom haus. Hauv kev suav, cov khoom siv yooj yim tshaj plaws tau siv - khob cij. Yog tias koj txiav lub khob cij rau hauv cov qib txheem, uas muaj tuab li ntawm 1 centimeter thiab qhov hnyav txog 25 grams, ces cov khoom no yuav muaj 1 lub khob cij.

Nws tau kwv yees tias ib tus neeg xav tau tsawg kawg 18-25 chav nyob qhob cij ib hnub. Tsuas yog hauv qhov no, lub cev yuav tau txais qhov tsim nyog ntawm lub zog, tab sis nws yuav tsis muaj qhov tseem ceeb ntxiv rau cov piam thaj. Nyob rau tib lub sijhawm, nws raug nquahu kom faib cov cai no rau hauv tsawg kawg yog 5-6 qhov kev pabcuam. Nrog cov khoom noj muaj feem, koj tuaj yeem nce tus nqi metabolic, uas tshem tawm qhov muaj peev xwm ntawm kev mob ntshav qab zib tsawg. Thaum hom thib ob lossis thawj hom ntshav qab zib nce zuj zus, kev noj zaub mov txhua hnub yuav tsum tsis pub ntau tshaj 7 khob cij. Nws kuj tseem tsim nyog kom nco ntsoov tias nyob hauv thawj ib nrab ntawm hnub nws pom zoo kom haus cov khoom noj ntawm cov carbohydrates feem ntau, txij li ua ntej mus pw, cov metabolism hauv thiab cov metabolism ua qeeb qeeb.

Vim li cas cov ntshav qab zib xav tau cov ntxhuav

Muaj cov zom zom zom thiab zom kom zom kom ntau thiab tsis zom zom. Thawj zaug suav cov nyiaj carbohydrates ceev, uas nqus rau hauv 10 feeb. Cov no yog sucrose, qabzib, maltose, lactose, fructose. Lawv nqus sai rau hauv lub plab thiab nkag mus rau hauv qhov kev tsim kho ntshav.

Cov qeeb carbohydrates (cov hmoov txhuv nplej siab) yuav nqus tau hauv 25 feeb. Kev zom zaub mov tsis zoo rau kev noj haus fiber ntau (pectin, fiber, guar) thiab cellulose tsis cuam tshuam rau cov ntshav qab zib. Txhawm rau suav cov naj npawb ntawm cov zom zaub mov thiab cov nyiaj ntawm cov tshuaj hormones txhaj, ib chav cij (XE) cov txheej txheem tau tsim rau cov neeg mob ntshav qab zib.

Tseem Ceeb! Rau 1 XE, nws yog kev coj los xav txog 10-12 g ntawm cov nyiaj carbohydrates ceev (kwv yees li 50 kcal). Txhua chav tsev nce qab zib los ntawm 2, 7 mmol / l.

Siv cov ntaub ntawv tiag tiag hauv cov ntxhuav, koj tuaj yeem ua kom ntau cov zaub mov tsis muaj qhov phom sij kom nce cov khoom noj uas tau ua kom tau cov carbohydrate. Piv txwv li, tsis txhob muab kua zaub, noj lwm lub tais nrog cov ntsiab lus XE zoo sib xws. Nrog cov ntaub ntawv hais txog txhua yam khoom lag luam, tus mob ntshav qab zib tuaj yeem paub tseeb tias nws yuav qhia qhov kev tsim nyog ntawm cov tshuaj hormones kom cov zaub mov tsis ua rau muaj kev cuam tshuam.

Bolus Xam

Thaum ua txoj kev kho tshuaj insulin, lawv siv zog coj nws kom ze li sai tau rau lub cev kev tso dag ntawm insulin. Kev sib xyaw ua ke ntawm cov tshuaj hormones ntawm lub sijhawm ntev (hauv paus) thiab luv luv (bolus) pab ua rau qog cov txiav.

Qhov kev xav tau ntawm insulin yog hloov tas li. Nws nyob ntawm qhov zoo thiab ntau ntawm cov zaub mov noj, qhov hnyav, hnub nyoog, mob (cev xeeb tub hauv poj niam, lub sijhawm loj hlob hauv menyuam yaus). Lub chaw muag mis nyuj ntawm kev tswj yus tus kheej pab los laij qhov ntau thiab tsawg. Tus kws kho mob laij thawj zaug koob tshuaj, thiab tom qab ntawd kho nws. Txhua lub sijhawm no, kuaj ntshav thiab tso zis kuaj cov ntshav.

Tseem Ceeb! Txog 1 XE, txij li 1 txog 4 PIECES (ntawm qhov nruab nrab 2 PIECES) ntawm cov insulin luv xav tau.

Thaum nruab hnub, 1 XE yuav tsum muaj cov tshuaj hormones ntau sib txawv. Xav txog calculus ua piv txwv:

1 XE sib npaug rau 12 g suab thaj. Qhov no sib raug rau 25 g ntawm qhob cij. Txij li 1 XE nce qab zib thaj tsam li 2 lossis 2.77 mmol / L, tom qab ntawd 2 lub PIECES ntawm insulin thaum sawv ntxov yuav tau them rau nws, ib nrab PIECE tsawg dua thaum noj su thiab ib qho PIECE muab thaum yav tsaus ntuj.

Kev suav ntawm XE hauv ntshav qab zib

Txhawm rau kom paub seb muaj pes tsawg lub khob cij ua rau ib hnub, lawv suav lub zog ntawm cov zaub mov muaj txiaj ntsig thiab txiav txim seb muaj pes tsawg calories nyob hauv ib tus neeg noj nrog cov khoom lag luam carbohydrate.

Ib gram ntawm cov suab thaj yooj yim yog sib npaug rau 4 kcal, yog li faib cov txiaj ntsig los ntawm plaub. Yog li, qhov niaj hnub xav tau ntawm carbohydrates yog tau thiab muab faib los ntawm 12.

Piv txwv, carbohydrate zog tus nqi ntawm 1200 kcal:

1. 1200 kcal / 4 kcal = 300 g ntawm carbohydrates.
2. 300 g / 12 g = 25 carbohydrate units.

Txhawm rau zam kom tsis txhob muaj teeb meem, cov kws kho mob endocrinologist pom zoo kom siv 7 chav carbohydrate ib zaug. Daim ntawv teev cov khoom noj kom noj kom lub ntsiab ntawm cov carbohydrate load ntog ua ntej noj hmo.

Tseem Ceeb! Cov khoom noj muaj protein ntau uas koj noj, koj yuav nyuaj rau koj tswj koj cov ntshav qab zib! Nquag, tswj hwm ntawm cov insulins luv luv yuav tsum tsis pub tshaj 14 ib hnub.

Kev kwv yees kwv yees ntawm XE ib hnub rau ntshav qab zib:

Hauv tag nrho, 19 chav nyob ua kom tau carbohydrate tuaj tawm. Cov seem 5 tau faib rau cov khoom noj txom ncauj thiab 1 XE thaum hmo ntuj. Cov kev ntsuas no yog qhov yuav tsum tau ua rau cov neeg uas muaj kev pheej hmoo ntawm kev txo cov piam thaj tom qab noj mov me me. Qhov no feem ntau tshwm sim nrog kev qhia ntawm cov insulin ntev.

Yuav suav li cas?

Lub khob cij suav tau txiav txim siab los ntawm phau ntawv qhia, raws li cov ntaub ntawv ntawm cov ntawv tshwj xeeb.

Txog qhov tshwm sim muaj tseeb, cov khoom lag luam raug ntsuas ntawm qhov tsis sib npaug. Ntau tus neeg mob ntshav qab zib twb muaj peev xwm txiav txim qhov no "los ntawm qhov muag". Ob lub ntsiab lus yuav xav tau rau hauv kev xam: cov ntsiab lus ntawm cov khoom hauv cov khoom, cov nqi ntawm cov carbohydrates ib 100 g Qhov ntsuas kawg tau muab faib nrog 12.

Kev cai txhua hnub ntawm chav ua mov ci yog:

• thawj - 10,
• mob ntshav qab zib - txij li 15 txog 20,
• nrog kev ua neej nyob sedentary - 20,
• tom cov nrawm - 25,
• mob lub cev hnyav - 30,
• thaum nce phaus - 30.

Nws raug nquahu kom faib cov tshuaj txhua hnub rau hauv 5-6 ntu. Cov khoom siv khoom noj kom sov yuav tsum siab nyob rau hauv thawj ib nrab, tab sis tsis ntau tshaj 7 ntsuas. Qhov ntsuas ntsuas saum toj no nce qib qab zib. Them nyiaj rau cov zaub mov tseem ceeb, qhov seem ua rau cov khoom noj txom ncauj. Cov khoom noj khoom haus txhawb kom cov neeg muaj ntshav qab zib noj 15-20 ntau. Cov ntsiab lus no carbohydrate npog cov kev xav tau txhua hnub.

Cov kab mob hauv nruab nrab, cov txiv hmab txiv ntoo thiab zaub, thiab cov khoom siv mis nyuj yuav tsum muaj nyob hauv cov zaub mov uas muaj ntshav qab zib. Daim ntawv qhia txog lub rooj yuav tsum nyob ze, rau kev yooj yim nws tuaj yeem luam tawm lossis khaws cia ntawm txawb.

Lub system ntawm cov chav nyob muaj ib qho tseem ceeb drawback. Kev xyaw ua kom yuag yuag yuag tsis yooj yim - nws tsis xav txog cov khoom tseem ceeb (cov protein, cov rog, carbohydrates). Cov kws qhia zaub mov zoo raug qhia kom faib cov calories zoo li no: 25% protein, 25% rog thiab 50% carbohydrates ntawm cov zaub mov noj txhua hnub.

Dab tsi yuav tsum txiav txim siab thaum xav txog lub rooj?

Lub rooj ntawm chav nyob qhob cij tuaj yeem muaj qhov pom sib txawv heev.

Thaum xav txog lawv, koj yuav tsum xav txog:

1. Txhua lub rooj los ua kom yooj yim tshawb rau cov khoom lag luam ntawm kev txaus siab tau muab faib ua ntau pawg: khoom noj siv mis, zaub mov mis, txiv mis thiab lwm yam. Ntxiv mus, yog tias tsis muaj cov khoom lag luam tshwj xeeb hauv lub rooj tsim, ces koj yuav tsum nrhiav cov ntaub ntawv kom zoo dua.
2. Qhov taw qhia tseem ceeb yog chav ua mov ci. Txhawm rau kom yooj yim piv rau cov kev suav, nws tau qhia tias muaj pes tsawg grams lossis ml ntawm cov khoom ib qhov ntsuas ntsuas.
3. Qee qhov xwm txheej, lub rooj kuj qhia tau ntau npaum li cas cov khoom tsim tawm rau 1 chav ua mov ci thaum xav txog cov twj ntsuas nrov. Ib qho piv txwv yog cereals: taw qhia rau grams thiab dia.

Thaum muab tso ua ke ib qho khoom noj, cov khob cij khob lub rooj yuav tsum tau siv txhua zaus. Hauv qhov no, cov rooj uas tau tsim los ntawm cov chaw kho mob ntseeg siab yuav tsum xav txog.

Txhua hnub XE ntawm qhov hnyav

Muaj cov kev pabcuam tshwjxeeb lossis lub laij lej los txiav txim siab cov npluas roj tsis txaus. Txawm li cas los xij, tus neeg mob yuav tsum xam XE tom qab sab laj nrog kws kho mob, vim tias qhov ntsuas yog nyob ntawm qhov hnyav, kev siv dag zog thiab tub los ntxhais ntawm tus mob ntshav qab zib. Piv txwv li, cov txiv neej uas ua haujlwm hnyav rau lub cev xav tau ntau tus XE. Tus naj npawb ntawm cov koog carbohydrate yog xam rau cov neeg mob, muab lawv cov haujlwm:

• kev siv dag zog - 30,
• qhov nruab nrab cov haujlwm - 18-25,
• lub cev tsis ua haujlwm - 15.

Rau Kev rog

Xam XE nrog cov hnyav dhau los yog ua raws cov zaub mov hypocaloric. 600 kcal yog rho tawm los ntawm tag nrho cov kev siv lub zog ntawm ib tus neeg uas muaj lub cev hnyav. Nrog rau cov nyiaj no lub zog, tag nrho tus neeg mob poob txog 2 kg hauv ib hlis.Ntshav qab zib cov lus rau cov rog yog xam noj mus rau hauv tus account cov kev ua:

• kev ua haujlwm siab - 25 XE,
• nruab nrab - 17 XE,
• lub cev tsis ua haujlwm - 10 XE,
• rog rog 2 degree B nrog lub cev tsis ua haujlwm - 8 XE.

XE lub rooj rau hom 1 thiab ntshav qab zib hom 2

Txhawm rau kom tsis txhob xam qhov hnyav ntawm cov khoom ntawm 1 XE txhua lub sijhawm, nws raug nquahu kom siv cov rooj noj mov npaj siv rau hauv tus nqi lub zog. Nws zoo dua los sau lawv thiab siv cov ntaub ntawv rau kev ua noj. Cov nqaij, cov nqaij thiab lwm cov zaub mov muaj protein tsis muaj carbohydrates zoo. Muaj kev zam rau cov hnyuv ntxwm.

Khoom noj siv mis

Bakery khoom

Cov nplej zom thiab cereals

Xaus

Noj zaub mov kom ntshav qab zib yuav tsum ua kom sib npaug. Cov neeg mob yuav tsum xam XE, muab ntau thiab muaj peev xwm ntawm ntau yam khoom lag luam nce nce qab zib. Nws yog ib qho tsim nyog yuav tsum nkag siab txog cov yam ntxwv ntawm kev noj, kom paub txog cov khoom noj sai li sai tau. Thawj qhov uas yuav tsum nco ntsoov yog khoom noj. Koj tuaj yeem tsis tuaj yeem tshaib plab, tab sis cov kws kho mob kuj tsis qhia kev yaum.

Glycemic Performance index

Los sau lawv cov zaub mov noj, cov neeg mob ntshav qab zib coj mus rau hauv tus lej glycemic index.

Nws qhia txog lub peev xwm los ua kom cov piam thaj nrog ib qho khoom lag luam.

Txog nws txoj kev noj haus, cov ntshav qab zib yuav tsum xaiv cov uas muaj glycemic index tsawg. Lawv kuj raug hu ua cov roj carbohydrates ib txwm.

Hauv cov khoom muaj qhov ntsuas qis lossis qis qis, cov txheej txheem hauv lub cev zom zaub mov tshwm sim tau zoo.

Cov kws kho mob pom zoo tias cov neeg mob ntshav qab zib ua lawv cov khoom noj uas muaj zaub mov GI tsawg. Cov no suav nrog legumes, ntau yam txiv hmab txiv ntoo thiab zaub, buckwheat, nplej xim av, qee cov qoob loo hauv paus.

Cov zaub mov muaj qhov ntsuas siab vim hloov ceev ceev tseem ceev hloov cov piam thaj hauv cov ntshav. Raws li qhov tshwm sim, nws yog qhov ua rau mob ntshav qab zib thiab ua rau muaj kev pheej hmoo ntawm hyperglycemia. Cov kua txiv, jam, zib ntab, dej qab zib muaj GI siab. Lawv tuaj yeem siv tsuas yog thaum siv ceev xwmphem hypoglycemia.

Lub rooj ua tiav ntawm glycemic cov cim khoom noj tuaj yeem rub tawm ntawm no.

Cov khoom lag luam uas tsis suav

Nqaij thiab ntses tsis muaj carbohydrates txhua. Lawv tsis koom nrog qhov muab xam los ntawm cov khob cij. Tsuas yog ib qho uas yuav tsum tau txiav txim siab yog tus txheej txheem thiab qauv ntawm kev npaj. Piv txwv li, mov thiab khob cij muab ntxiv rau cov nqaij me me. Cov khoom no muaj XE. Hauv ib lub qe, carbohydrates yog txog 0.2 g. Lawv cov nqi tsis tseem coj mus rau hauv tus account, vim nws tsis tseem ceeb.

Cov hauv paus qoob loo tsis xav tau cov txheej txheem kev daws teeb meem. Ib qho me me beet muaj 0.6 units, peb lub carrots loj - txog 1 chav. Tsuas yog cov qos yaj ywm koom nrog hauv qhov kev xam - ib lub hauv paus qoob loo muaj 1.2 XE.

1 XE raws li feem ntawm cov khoom lag luam muaj:

• nyob rau hauv lub khob ntawm npias lossis kvass,
• hauv ib nrab ntawm txiv tsawb
• hauv ½ khob kua txiv,
• hauv tsib lub pob me me lossis txiv ntoo,
• ib nrab lub taub hau ntawm pob kws
• nyob rau hauv ib persimmon
• nyob rau hauv ib daim ntawm cov txiv ntseej / dib yaj,
• hauv ib lub kua
• hauv 1 tbsp hmoov
• hauv 1 tbsp zib ntab
• hauv 1 tbsp granulated qab zib
• hauv 2 tbsp tej cereal.

Cov kab ntsuas ntawm qhov ntsuas ntawm cov khoom lag luam sib txawv

Cov rooj suav suav tshwj xeeb tau tsim. Hauv lawv, cov ntsiab lus carbohydrate hloov pauv mus rau chav ua mov ci. Siv cov ntaub ntawv, koj tuaj yeem tswj hwm tus nqi ntawm cov carbohydrates thaum noj mov.

Groats, qos yaj ywm, nplej zom:

Cov khoom qab zib thiab khoom qab zib:

Tus neeg mob ntshav qab zib yuav tsum laij cov khob cij. Thaum tswj koj txoj kev noj zaub mov zoo, koj yuav tsum nco ntsoov cov zaub mov uas sai thiab maj mam nce qab zib.

Cov khoom noj uas muaj calorie ntau thiab cov khoom lag luam glycemic index tseem yuav muaj kev suav nyiaj. Kev noj zaub mov kom zoo tsim nyog yuav tiv thaiv kom tsis txhob muaj suab thaj ntau ntxiv thaum nruab hnub thiab yuav muaj txiaj ntsig zoo rau kev noj qab haus huv tag nrho.

Chav nyob qhob cij rau ntshav qab zib

Txog kev kho mob pob qij txha, peb cov neeg nyeem tau siv DiabeNot siv tau zoo.Pom qhov nrov ntawm cov khoom no, peb tau txiav txim siab muab nws rau koj kom txaus siab.

Mob ntshav qab zib, tshwj xeeb tshaj yog hom 1, nws yog ib qho tsim nyog yuav tsum tau tso tseg ntau cov zaub mov zoo, txhawm rau txhim kho cov zaub mov tshwj xeeb. Cov kws tshaj lij tau tsim lo lus tshwj xeeb lo lus "chav ua mov ci", uas yooj yim ua rau lub neej muaj ntshav qab zib thiab pab los laij cov khoom noj uas yog carbohydrate hauv zaub mov.

• Lub khob cij qhiav yog dab tsi?
• Cov ntsiab cai thiab kev cai rau xam XE
• XE rooj rau hom 1 thiab ntshav qab zib hom 2
• Ntshav qab zib lub khob cij khoom noj khoom haus

Cov theem ntawm cawv ntawm xaiv txoj kev ua noj?

Hauv cov ntshav qab zib mellitus, lub rooj tsuas yog siv rau kev txiav txim tsis raug ntawm yam ua tau raug cuam tshuam rau lub cev thaum noj zaub mov. Qhov no yog vim qhov tseeb tias cov kev xaiv ua noj ua haus muaj peev xwm hloov pauv qhov taw qhia muaj pes tsawg lub suab thaj muaj nyob hauv cov zaub mov. Ib qho piv txwv yog ua noj los ntawm kib thiab kub npau npau. Kuj tseem muaj qhov sib txawv ntawm cov kua txiv ntoo thiab kua txiv hmab txiv ntoo. Yog vim li cas koj yuav tsum xav txog cov txheej txheem ntawm kev npaj thiab ua tiav ntawm cov khoom noj tau siv.

Cov kev tshawb fawb pom tias kev noj zaub mov txias thiab cov zaub mov muaj roj ntau tuaj yeem txo qis cov txiaj ntsig cov piam thaj, kev noj ntsev ntau ntau rau cov txheej txheem no.

Cov lus pom zoo ua noj muaj raws li nram no:

1. Tsuas yog thaum ua noj, muab cub, ci yuav qhov tshwm sim ntawm qhov tseem ceeb ntawm XE ntsuas tau raug tshem tawm. Nws yog txwv tsis pub kib zaub mov, zoo li qhov no, kis ntawm qhov kub thiab txias thiab kev siv cov roj ntau ntxiv cov roj (cholesterol) thiab cov piam thaj.
2. Thaum ua zaub mov noj, nws tsis pom zoo siv roj qab rog, ntau qhov txuj lom thiab ntsev, muaj roj rog. Tag nrho cov khoom xyaw no tuaj yeem cuam tshuam txog kev noj qab haus huv.
3. Yog tias cov txheej txheem ua noj ua haus muaj qhov cuam tshuam, muaj qhov siab tias cov chav ua ncuav nyob hauv cov khoom yuav nce siab. Ib qho piv txwv yog qhov pib ntawm kev haus luam yeeb thaum ci.

Yog li ntawd nws tau pom zoo kom xav txog cov khob cij khob nrog ib qho npoo ntawm qhov kev taw qhia me.

Cov khob cij faib rau dab tsi?

Lub hom phiaj ntawm kev kho mob rau cov neeg mob ntshav qab zib yog ua ntsiag to tso lub ntuj tso insulin los ntawm kev xaiv cov koob tshuaj thiab cov kev coj noj coj ua kom cov qib glycemia nyob ze rau cov qauv uas tau lees txais.

Niaj hnub nimno cov tshuaj muab cov tshuaj insulin kho mob nram qab no:

• Tshuaj
• Ntau txoj kev txhaj tshuaj
• Khaus

Thaum xam cov koob tshuaj ntawm cov tshuaj insulin, koj yuav tsum paub txog XE npaum li cas los ntawm cov khoom lag luam xam cov khoom noj (txiv hmab txiv ntoo, khoom noj siv mis thiab zaub mov qab zib, qab zib qab zib). Cov zaub ntsuab muaj qhov nyuaj ua kom zom cov carbohydrates thiab tsis ua lub luag haujlwm tseem ceeb hauv kev nce ntxiv cov piam thaj.

Ib qho ntxiv, koj xav tau kev soj ntsuam cov ntshav qab zib (glycemia) tas li, uas nyob ntawm lub sijhawm ntawm hnub, khoom noj khoom haus thiab qib ntawm kev tawm dag zog ntawm tus neeg mob ntshav qab zib.

Cov kev siv tshuaj insulin ntau ntxiv muab rau kev tswj hwm (theem pib) ntawm kev siv lub sijhawm ntev ntawm cov insulin (Lantus) ib hnub ib zaug, tiv thaiv cov keeb kwm twg ntawm cov tshuaj ntxiv (bolus) kev txhaj tshuaj tau suav, uas tau muab ua ntej noj zaub mov ncaj qha lossis hauv peb caug feeb. Rau lub hom phiaj no, cov yeeb yam luv luv siv.

Yuav ua li cas los xam cov XE hauv cov khoom lag luam?

Nws yog ib qho tseem ceeb txaus kom laij kom paub pes tsawg lub khob cij nyob hauv txhua cov khoom lag luam uas tau suav nrog cov khoom noj nyob hauv ib hnub. Raws li txoj cai, lub muab xam yog nqa tawm raws li hauv qab no:

1. Thaum muas cov khoom muag hauv kev ntim khoom, koj tuaj yeem them mloog rau cov muaj pes tsawg leeg tau teev tseg los ntawm cov tuam txhab tsim khoom.
2. Tag nrho cov khoom lag luam qhia tus nqi ntawm carbohydrates ib 100 grams ntawm cov khoom lag luam. Rau qhov xam, qhov ntsuas yuav tsum tau muab faib los ntawm 12 thiab kho raws qhov loj ntawm qhov khoom.
3. Nws yog qhov nyuaj heev los laij XE hauv tsev noj mov lossis khw muag khoom noj, vim tias qhov no ntau npaum li cas ntawm cov khoom xyaw siv yuav tsum tau qhia hauv cov ntawv qhia zaub mov.

Thaum xav tias yuav ua li cas txiav txim siab ntsuas qhov ntsuas, peb xyuam xim rau cov ntsiab lus hauv qab no:

1. Qee cov khoom lag luam tsis muaj ntshav qab zib, txhais tau tias XE qhov taw qhia yog 0. Cov qe yuav raug hu ua piv txwv, tab sis lawv tsis pom zoo siv rau hauv qhov ntau vim tias muaj cov ntsiab lus siab ntawm cov tshuaj phem.
2. Qhov piv txwv muab xam yog muaj raws li nram no: 1 khob mis (250 ml) = 1 XE, 1 tablespoon ntawm hmoov = 1 XE. Ob khob mis yuav yog 2 XE - kev suav yog yooj yim heev.
3. Ib lub cutlet txog 70 grams yog tsim los ntawm khob cij thiab nqaij. Thaum ua noj, hmoov nplej siv. Raws li kev suav, peb tuaj yeem hais tias 1 cutlet muaj 1 XE.

Nws yog qhov yooj yim heev los nqa tawm kev suav nrog kev ua noj rau tus kheej. Koj yuav tsum paub meej meej cov khoom sib xyaw thiab dab tsi kom muaj nuj nqis muaj nyob hauv cov pes tsawg leeg. Txwv tsis pub, nws yuav tsis muaj peev xwm suav qhov ntau ntawm carbohydrates.

Lub khob cij qhiav yog dab tsi?

XE (chav ua mov ci) yog lub sijhawm tshwj xeeb tshaj tawm, hom kev ntsuas ntawm cov nqi ntawm carbohydrates rau cov ntshav qab zib. 1 lub khob cij los sis carbohydrate yuav tsum muaj 2 ntu ntawm cov insulin rau nws cov khoom siv. Txawm li cas los xij, qhov kev ntsuas no yog kev txheeb ze. Yog li, piv txwv li, txhawm rau txhawm rau 1 XE thaum sawv ntxov, 2 chav nyob yog qhov tsim nyog, thaum tav su - 1.5, thiab yav tsaus ntuj - 1.

1 XE sib npaug rau kwv yees li 12 gram zom cov zaub mov lossis ib pob cij “cib” uas tuab li ntawm 1 cm. Tsis tas li ntawd, tus nqi ntawm cov khoom noj yog muaj nyob hauv 50 gram ntawm buckwheat lossis oatmeal, 10 grams qab zib lossis kua txiv apple.

Rau ib pluag noj koj yuav tsum noj 3-6 XE!

Cov ntsiab cai thiab kev cai rau xam XE

Nws yog ib qho tseem ceeb rau cov neeg mob ntshav qab zib kom paub - cov chav dej carbohydrate ntau dua uas tus neeg mob yuav tau noj, insulin ntau dua nws yuav xav tau. Yog li, cov neeg mob ntshav qab zib yuav tsum ua tib zoo npaj lawv cov zaub mov noj kom noj qab haus huv txhua hnub, vim tias cov tshuaj txhua hnub txhua hnub ntawm insulin yog nyob ntawm cov zaub mov noj. Thaum xub thawj, cov neeg mob ntshav qab zib yuav tsum hnyav tag nrho cov khoom noj uas lawv yuav noj, dhau sijhawm, txhua yam suav nrog "los ntawm qhov muag".

Ib qho piv txwv ntawm yuav ua li cas los xam tus nqi ntawm XE hauv ib yam khoom lossis tais: Thawj yam uas ua rau qhov tseeb suav yog nrhiav seb cov nyiaj hauv carbohydrates muaj nyob hauv 100 g ntawm cov khoom. Piv txwv, 1XE = 20 carbohydrates. Cia li 200 g ntawm ib yam khoom muaj 100 g ntawm carbohydrates. Qhov muab xam yog raws li nram no:

Yog li, 200 g ntawm cov khoom lag luam muaj 4 XE. Tom ntej no, koj yuav tsum ntsuas qhov khoom hnyav thiab tshawb pom qhov nws hnyav npaum li cas txhawm rau ntsuas xE kom yog.

Daim npav hauv qab no yuav muaj txiaj ntsig zoo rau cov ntshav qab zib:

Txog rau pluas tshais, cov neeg mob ntshav qab zib raug pom zoo kom noj 3-4 XE, rau ib qho khoom noj txom ncauj tom qab noj tshais - 1-2 XE, rau noj su - 5 XE, rau cov tshuaj yej tav su - 1-2 XE, noj hmo - 4 XE thiab ob peb teev ua ntej yuav mus pw - 2 XE Cov.

Cereals thiab hmoov

Qos yaj ywm thiab tais diav los ntawm nws

Qhov ntsuas ntawm qhob cij qhiav txawv vim qhov tseeb tias qos yaj ywm tuaj yeem kho tau kub.

Ntshav qab zib lub khob cij khoom noj khoom haus

Txhua tus tuaj yeem ua lawv cov zaub mov noj rau lawv tus kheej, ua cov ntxhuav tshwj xeeb. Peb muab cov qauv ntawv qhia zaub mov noj rau koj tus mob ntshav qab zib txhua lub lim tiam, muab cov nqi XE:

• Sawv ntxov Ib lub tais ntawm cov dej qab ntsev sib tov ntawm kua thiab zaub ntug hauv paus, lub khob kas fes (tshuaj yej los xaiv).
• Hnub. Lenten borsch, qab zib-dawb uzvar.
• Rau yav tsaus ntuj. Ib daig ntawm nqaij qaib hau fillet (gr. 150) thiab 200 ml ntawm kefir.

• Sawv ntxov Ib lub tais ntawm zaub xam lav sib xyaw ntawm zaub qhwv thiab kua txiv qaub, ib khob kas fes nrog mis nyuj.
• Hnub. Cov nqaij ntshiv borsch, cov txiv hmab txiv ntoo raws caij nyoog tsis muaj qab zib.
• Rau yav tsaus ntuj. Cov nqaij ntses npau npau lossis dej npau, 200 ml ntawm kefir.

• Sawv ntxov 2 me txiv ntoo qaub, 50 g qhuav apricots, tshuaj yej lossis kas fes (xaiv tau) yam tsis muaj qab zib.
• Hnub.Cov zaub kua zaub thiab kua txiv hmab txiv ntoo siav thaum lub caij tsis muaj suab thaj.
• Rau yav tsaus ntuj. 150-200 g ntawm ci los yog chav nqaij qaib nqaij ntses, khob ntawm kefir.

• Sawv ntxov 2 me me kua txiv apples, 20 g ntawm raisins, ib khob ntsuab tshuaj yej.
• Hnub. Zaub kua zaub, txiv hmab txiv ntoo compote.
• Rau yav tsaus ntuj. Ib lub tais ntawm xim av txhuv tsw qab nrog kua zaub, ib khob ntawm kefir.

• Sawv ntxov Ib lub tais ntawm zaub xam lav sib tov ntawm kua txiv apples thiab txiv kab ntxwv, ntsuab dej (kas fes) yam tsis muaj qab zib.
• Hnub. Zaub qhwv kua zaub, 200 g txiv ntoo compote.
• Rau yav tsaus ntuj. Ib lub tais ntawm buckwheat cov khoom noj nrog kua ntses thiab ib khob ntawm cov kua mis nyeem tsis muaj qab hau uas tsis muaj cov tshuaj ntxiv.

• Sawv ntxov Ib lub tais ntawm cov dej qab ntsev sib xyaw ntawm txiv apples thiab carrots caij nrog kua txiv qaub, ib khob kas fes nrog mis nyuj.
• Hnub. Zaub qhwv kua zaub, 200 g txiv ntoo compote.
• Rau yav tsaus ntuj. Feem ntawm cov nplej zom nyuaj ntau yam nrog lws suav muab tshuaj, ib khob ntawm kefir.

• Sawv ntxov Ib feem ntawm kev sib tov sib xyaw ntawm ib nrab ntawm txiv tsawb thiab 2 txiv kab ntxwv me me, ib khob dej ntsuab.
• Hnub. Neeg tsis noj nqaij borscht thiab compote.
• Rau yav tsaus ntuj. 150-200 g ntawm ci los yog chav nqaij qaib nqaij ntses, khob ntawm kefir.

Cov neeg muaj ntshav qab zib yuav tsum tau soj ntsuam lawv txoj kev noj zaub mov noj, tswj lawv tus kheej cov ntshav qab zib, tsim cov zaub mov tshwj xeeb thiab ua raws txhua tus kws kho mob cov lus qhia. Nws yog qhov tau txais txiaj ntsig los txhawm rau kev suav qhov tseeb ntawm cov zaub mov ntawm cov qhob cij tsim tshwj xeeb rau cov neeg mob ntshav qab zib, nws yog nrog lawv cov kev pab uas koj tuaj yeem tsim koj cov zaub mov tshwj xeeb yam tsis muaj qhov hnyav rau ib qho twg ntawm cov nplai.

Yam 2 lub khob cij qhob cij qhob noom xim kasfes kab ntsig: cov khoom lag luam

Nrog mob ntshav qab zib mellitus 2, nrog rau hom 1, nws yog ib qho tseem ceeb kom tswj tau cov khoom noj kom zoo. Ua tib zoo tshaj plaws, cov neeg mob yuav tsum muaj feem xyuam rau qhov sib npaug ntawm cov khoom noj uas ua rau cov khoom noj uas nkag mus rau hauv lawv lub cev.

Kev saib xyuas tshwj xeeb yog them rau cov carbohydrates, vim tias nws yog lawv, yog tias noj, uas txhawb kev tsim cov piam thaj, uas yog, nce cov piam thaj ntau (qhov no yuav tsum tau suav nrog cov neeg mob ntshav qab zib hom 1) thiab txhawb kev tsim cov tshuaj insulin (uas yog qhov tseem ceeb rau cov neeg mob) mob ntshav qab zib mellitus 2 daim ntawv). Yog li, lawv txoj kev noj mov yog pom zoo kom txo qis, thiab lawv txoj kev mus rau hauv lub plab yuav tsum tau hnav thoob plaws ib hnub.

Cov Nta Tseem Ceeb

Chav ua khob cij hauv ntshav qab zib tsuas yog tso cai rau koj los txiav txim seb muaj pes tsawg carbohydrates hauv cov zaub mov. Txhawm rau kom nkag siab zoo dua pawg khob cij yog dab tsi, nws tsim nyog muab piv txwv. Piv txwv li, rau chocolate, lawv cov ntsiab lus yog kwv yees li 5 XE hauv qhov bar. Tib lub sijhawm, 65 g ntawm mis nyuj khov yog ib qho XE. Conventionally, nws muaj ib qho hehe hauv ib daim ntawm lub khob cij dawb, hnyav 20 g.

Ntawd yog, qhov ntim lossis qhov hnyav ntawm carbohydrates muaj nyob hauv 20 g ntawm qhob cij nplej tau sib npaug rau 1 XE. Hauv grams, qhov no yog kwv yees li 12. Tab sis qhov no yog txhais lus ntawm XE rau Russia. Hauv Tebchaws Asmeskas, chav tsev no hais txog 15 carbohydrates. Qhov no ua rau cov khob cij qhob cij hauv ntshav qab zib tsis yog qhov yooj yim tshaj plaws rau kev suav cov khoom noj carbohydrate.

Qhov tsis zoo ntawm qhov kev sib hais haum

• Hauv cov teb chaws sib txawv, lub rooj ntawm cov khob cij rau cov ntshav qab zib tuaj yeem sib txawv. Qhov no yog vim tias muaj qhov sib txawv ntawm ntau npaum li cas cov carbohydrates coj rau 1 XE hauv ib lub tebchaws tshwj xeeb (ntawm 10 txog 15 grams). Rau tib qho laj thawj, XE lub rooj yuav txawv ntawm nyias tus sau. Raws li qhov tshwm sim, ib qho yuam kev yuav tshwm sim hauv cov kev suav, uas yuav ua rau tsis zoo rau kev noj qab haus huv,
• Ntawm kev ntim khoom ntawm cov khoom lag luam, cov ntsiab lus ntawm cov pov npav tau qhia hauv grams (qhov taw qhia tau sib tham yog tsis tshua muaj thiab feem ntau tsuas yog tshwj xeeb rau cov khoom noj muaj ntshav qab zib tshwj xeeb). Nws tsis yooj yim rau kev txhais cov ntawv ntawd rau hauv XE rau suav thiab muaj qhov pheej hmoo ntawm qhov ua txhaum
• Thaum xam hauv qhov ntsuas no, cov XE xav tau rau kev noj ib hnub yuav tsawg heev, ua rau nws yuav luag tsis yooj yim los xam qhov tseeb ntawm cov tshuaj insulin. Yog tias qhov no tsis cuam tshuam ntau nrog cov ntshav qab zib hom 2, tom qab ntawd nrog hom 1 ntshav qab zib nws yuav tsim kev tsis yooj yim.

Ntawd yog, ua ntej noj mov, koj yuav tsum xub paub seb muaj pes tsawg lub khob cij muaj nyob hauv ib qho kev pab, ces laij cov insulin.Thiab nrog tag nrho cov no, qhov tshwm sim ntawm qhov yuam kev tseem yog qhov siab heev. Yog li, ntau tus neeg mob tsis kam lees txais cov kab mob zoo li no, thiab cov kws kho mob tsis tau qhia nws kom siv.

Kev siv tus nqi

Rau cov ntshav qab zib hom 2 (thiab nyob rau qee qhov ua ntej), kev noj zaub mov muaj cov carb qis raug pom zoo, uas yuav txo qis kom cov piam thaj tso rau hauv cov ntshav. Txo cov kev noj haus ntawm cov feem yuav ua rau qhov tseeb tias qhov hnyav yuav poob (yog tias tsim nyog), cov tshuaj insulin kuj tseem yuav poob, thiab ntshav qab zib yuav tau nyiaj rov qab.

Nrog rau kev noj zaub mov zoo li no, qhov kev xam qhov feem ntau tau ua nyob rau hauv cov grams thiab cov nyiaj txog 25-30 g ntawm carbohydrates ib hnub rau hom 1 thiab ntshav qab zib hom 1. Qhov no ua rau kwv yees li 2 - 2.5 hex hauv ntshav qab zib mellitus ib hnub. Ntxiv mus, tus nqi ntawm carbohydrates yuav tsum tau noj nrog kev sib xyaw nrog cov tshuaj protein ntau ntxiv, kom tsawg dua, cov rog.

Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias kev nqus ntawm cov carbohydrates yuav tsum zoo ib yam. Rau txhua pluas noj, kwv yees li 0.5 - 0.8 XE lossis 6 - 8. g Tsis muaj ib yam dab tsi nyuab uas yuav ua li cas ntsuas ntsuas qhov ntsuas no tseeb rau hauv cov khoom lag luam. Saib ntawm kev ntim, yeej ib txwm muaj cov lus qhia ntawm carbohydrates nyob rau hauv cov khoom, uas tseem qhia cov ntsiab lus ntawm cov protein thiab cov rog. Kho tus lej no ntu qhov nyhav ntawm cov khoom. Muab cov lej faib rau 12. Qhov tshwm sim yog tus lej XE.

Lo lus nug thib ob tseem ceeb yog yuav ua li cas los laij cov tshuaj insulin raws li cov ntaub ntawv no. Kev siv ntawm ib qho XE yam tsis muaj kev qhia txog ib qho kev noj tshuaj ua kom muaj suab thaj ntau ntxiv hauv qib ntawm cov piam thaj hauv lub cev los ntawm qhov nruab nrab ntawm 1.7 - 2 mm / L. Raws li qhov no, txiav txim siab cov koob tshuaj insulin.

XE Ntxhuav

Qhov nruab nrab XE cov ntsiab lus ntawm qee cov khoom lag luam nrov tshaj plaws tau suav. Lawv kuj tsim nyog vim tias tsis yog txhua yam zaub mov raug muag hauv ntim. Lub rooj ntawm chav ua mov ci thaum noj mus rau hauv tus account tias 1 XE yog 12 g tau muab rau hauv qab no. Lawv tau tsim los ntawm Kev Tshawb Fawb Kev Tshawb Fawb Kev Tshawb Fawb Txog Kev endocrinological (ESC) raws li cov qauv ntawm Lavxias rau suav.

Kev zom cov zaub mov carbohydrates tau yooj yim

Ntawm hom 2 Ntshav Qab Zib, cov khoom no yuav tsum raug tshem tawm tag nrho. Nrog 1 daim ntawv ntawm kev tsim kho tus kabmob, lawv tuaj yeem siv, tab sis tsuas yog thaum muaj kev phom sij tiag tiag ntawm kev mob ntshav qab zib.

Muaj qee qhov nyuaj nyob hauv kev yuav suav cov kev nyob hauv qhov no. Lub khob thiab khob iav muaj qhov ntau thiab tsawg ntawm 150 txog 350 ml thiab nws tsis ib txwm qhia ntawm lub lauj kaub tais diav. Txawm li cas los xij, yog tias ntshav qab zib tsis muaj nyiaj txaus, nws yog qhov zoo dua rau qhov tsis kam lees kua txiv (txoj cai no siv rau txhua hom ntshav qab zib).

Txhua hom ntshav qab zib kuj tseem muaj kev txwv cov txiv hmab txiv ntoo. Lawv muaj ntau cov piam thaj thiab yooj yim zom tau cov carbohydrates.

Txog kev kho mob pob qij txha, peb cov neeg nyeem tau siv DiabeNot siv tau zoo. Pom qhov nrov ntawm cov khoom no, peb tau txiav txim siab muab nws rau koj kom txaus siab.

Txij li thaum nws muaj peev xwm haus tsuas yog 2 - 2,5 rau cov ntshav qab zib, zaub uas tsis muaj zaub mov ntau hauv kev ua kom muaj zaub mov yog kom pom zoo kom noj ntau npaum li cov zaub mov uas pab rau cov kev xav tau txhua hnub ntawm ntshav qab zib rau XE txaus.

Hmoov nplej thiab khoom noj ci

Hauv cov ntshav qab zib mellitus, cov lus saum toj no yog qhov tseem ceeb tshaj.Txhawm rau nrhiav nws qhov kev pab ntau npaum li cas XE nyob rau hauv cov khoom uas tus neeg mob noj, nws yuav tsum tau ntsuas kom hnyav. Qhov ntsuas phoo hluav taws xob muaj tseeb yuav pab tau kom muaj kev suav qhov tseeb ntawm cov khob cij thiab tsis tsim nyog rau cov ntshav qab zib.

Noj qab zib rau cov ntshav qab zib

Kev noj zaub mov noj rau ob hom ntshav qab zib muaj txiaj ntsig ua rau noj tshuaj. Nws tswj hwm qhov kev nqus ntawm cov txwv tsis pub thiab cov khoom muaj txiaj ntsig nrog cov khoom noj mus rau hauv lub cev. Kev noj haus kom zoo rau hauv cov ntshav qab zib mellitus (DM) yog tus yuam sij rau kev kho kom zoo hauv kev dav dav. Nrog rau cov mob ntshav qab zib hom mob ntshav qab zib hom 2 tsawg tsawg, kev noj zaub mov kom zoo yog qhov txheej txheem yooj yim. Cov mob ntshav qab zib hauv nruab nrab thiab hnyav (2 tons) yuav tsum muaj kev sib xyaw nrog kev noj zaub mov nrog kev siv tshuaj insulin lossis cov ntsiav tshuaj ua kom qab zib. Lub luag haujlwm txhawb nqa yog ua los ntawm kev noj haus rau ntshav qab zib hom 1. Cov khoom noj dab tsi tuaj yeem noj tau, cov zaub mov zoo li cas yuav tsis zoo, ib tus neeg muaj ntshav qab zib thiab nws cov txheeb ze yuav tsum paub.

Cov hauv paus ntsiab lus ntawm kev noj haus rau ntshav qab zib

Txhua qhov siv los ntsuas kev sib xyaw ua ke muaj cov txiaj ntsig zoo ntawm lub cev, pab tswj nws txoj haujlwm. Lub ntsiab lus tseem ceeb ntawm kev kho mob yog kev noj haus. Rau txhua yam ntshav qab zib, kev ua raws li yog ib qho yuav tsum muaj.

Cov pluas noj nyob rau hauv txhua kis tau raug suav los ntawm kws kho mob, cov khoom sib txuas ua ke ib tus neeg raug xaiv. Feem ntau hauv cov neeg laus uas muaj ntshav qab zib, muaj ntau dhau ntawm qhov kev hnyav ntawm lub cev - nws yuav tsum tau txo qis. Kev noj haus ntawm cov tub ntxhais hluas mob ntshav qab zib yog qhov txawv - feem ntau lawv yuav tsum nce phaus, vim tias nws tsis txaus rau lawv txoj kev loj hlob.

Txhua tus neeg mob ntshav qab zib yuav tsum paub txog cov ntsiab lus yooj yim tab sis tseem ceeb ntawm kev noj haus rau ntshav qab zib, uas nws yuav tsum ua raws nws lub neej tag nrho, thiab cov cai kav kev yuav khoom noj:

• koj yuav tsum txaus siab rau yam khoom twg hauv cov zaub mov muaj txiaj ntsig, muaj ntau npaum li cas koj tuaj yeem noj cov khoom noj carbohydrates, cov protein, cov rog hauv ib hnub,
• kawm los laij cov "chav ua mov ci" (lawv yuav tham txog ntau yam hauv qab no), saib xyuas cov zaub mov noj kom tsawg, suav txog glycemic index ntawm cov khoom lag luam,
• koj ib txwm yuav tsum ua tib zoo kawm cov khoom noj khoom haus uas koj yuav tau noj ntawm cov zaub mov ntim,
• koj yuav tsum paub koj tus kheej kom paub txog kev ua noj ua haus sib txawv, vim tias muaj pes tsawg calories yuav txawv rau tib cov zaub mov, nyob ntawm seb nws ua li cas,
• yuav tsum kawm txog cov cai ntawm kev ua ke ntawm cov tais diav. Piv txwv li, kev noj zaub mov carbohydrates nrog cov nqaijrog lossis cov rog "zoo" (ceev, roj zaub) tsis ua rau muaj qabzib ntau dhau,
• tsis txhob noj cov zaub mov txwv uas ua rau kev loj hlob ntawm cov ntshav qab zib uas muaj cov carcinogens,
• hauv kev noj, koj tsis tuaj yeem maj: lawv zom ntsuas, tsis txhob nqos cov nplais uas tsis pom zoo. Rau lub hlwb kom tau txais lub teeb liab zaum, nws siv sijhawm qee lub sijhawm (tsawg kawg 20 feeb). Tias yog vim li cas cov khoom noj khoom haus pom zoo kom tawm ntawm lub rooj noj mov nrog kev xav ntawm kev tshaib plab me ntsis. Tsuas yog tias tom qab 20 feeb kev tshaib plab tsis ploj, coj ib qho me me ntxiv. Yog li koj tuaj yeem zam dhau qhov kev saib xyuas,
• txhawm rau kom poob phaus yam muaj kev nyab xeeb (yog tias muaj qhov hnyav tshaj hauv ntshav qab zib), lawv khaws cov ntawv qhia tshwj xeeb, sau cov khoom noj uas ntim hauv nws. Nws tseem sau tau ntau npaum li cas ntawm cov zaub mov.

Txawm hais tias kev noj haus rau cov ntshav qab zib muaj qhov ua tau zoo ntawm cov khoom noj uas txwv tsis pub noj mov thiab cov kev txwv ntau, qhov no tsis tau txhais hais tias ib tus neeg tau tag nrho txoj hauv kev los noj mov, txaus siab rau pluas noj. Muaj ntau yam zaub mov txawv uas yuav pab kom cov neeg muaj ntshav qab zib sib txawv, npaj cov qab, cov qub, cov tais diav zoo.

"Chav Nyob Mov Ci"

Kev noj haus ntshav qab zib muaj feem cuam tshuam nrog lub tswv yim xws li chav ua mov ci. Tag nrho cov khoom lag luam sib txawv ntawm kev sib xyaw ua ke, tshuaj lom neeg thiab lub cev zoo nkauj. “Chav khob cij” (XE) yog qhov ntsuas tshwj xeeb. Ib lub khob cij muaj nyob ntawm 12 txog 15 gram ntawm carbohydrates nqus los ntawm lub cev, uas tsis yog nyob ntawm ntau yam thiab ntim ntawm qhov khoom.Ib chav ua noj qhob cij ua rau cov ntshav qabzib nce siab txog 2.8 mmol / l, 2 chav dej ntawm insulin yog qhov xav tau rau nws txoj kev nqus.

Thaum nruab hnub, lub cev ntawm cov neeg muaj ntshav qab zib yuav tsum tau txais ntawm 18 txog 25 XE. Nws yog ntshaw kom faib lawv rau 6 cais txais tos.

Cov kab ntawv qhia cov kwv yees kev faib tawm:

Kev noj haus rau cov neeg mob ntshav qab zib kuj tswj hwm lub sijhawm tau txais cov khoom noj muaj txiaj ntsig. Piv txwv li, ib feem peb ntawm tag nrho cov zaub mov yuav tsum poob rau hauv Pluas tshais 1 thiab 2, 1/3 - rau pluas su, khoom noj txom ncauj thaum tav su. Qhov so yog noj hmo thiab ua hmo 2. Cov neeg mob tau txais cov lus qhia ntxaws ntxiv los ntawm cov kws ntsuas zaub mov thiab cov kws kho keeb.

Koj yuav tsum tau noj mentsis, tab sis tsis tu ncua, thaum kwv yees sib npaug (peb teev). Yog li, kev muab cov tshuaj insulin thiab lwm cov tshuaj yuav tsis zoo ib yam, tsis muaj cov rog ntau dhau yuav tsim nyog.

Glycemic Performance index

Koj yuav tsum nco ntsoov xav txog cov txiaj ntsig uas tau noj zaub mov muaj nyob hauv qab zib cov ntsiab lus hauv lub cev. Lub glycemic index (GI) ntawm cov khoom noj khoom noj yog qhov taw qhia txog kev muaj peev xwm ib yam khoom noj li cas ntawm kev cuam tshuam qhov kev xav ntawm cov piam thaj hauv cov ntshav. Ua ntej koj ob lub qhov muag, tus mob ntshav qab zib yuav tsum muaj rooj noj mov nrog cov ntaub ntawv qhia GI (nws tuaj yeem yooj yim luam tawm hauv Is Taws Nem koj tus kheej lossis thov kom los ntawm tus kws kho mob hauv chaw kho mob).

Raws li GI, cov khoom lag luam raug faib ua peb pawg:

1. Siab GI, cov zaub mov muaj protein tsawg thiab fiber ntau. Qhov no suav nrog: mov nplej, nplej zom, khoom noj qhob cij los ntawm hmoov nplej dawb, qos yaj ywm, ncuav qab zib, ncuav ci, ncuav ncuav.
2. Cov zaub mov nrog qhov nruab nrab GI: zaub, txiv hmab txiv ntoo. Qhov tshwj tsis yog kua txiv npaj los ntawm qee cov txiv hmab txiv ntoo, nrog rau cov txiv ntoo qhuav, kev tiv thaiv txiv hmab txiv ntoo.
3. Cov zaub mov noj uas muaj GI tsawg - muaj protein ntau, fiber ntau. Peb tab tom tham txog cov nqaij ntshiv, noob, noob txiv, cereals, taum, nqaij nruab deg.

Khoom noj khoom haus rau cov ntshav qab zib yuav tsum tau txwv cov khoom ntawm thawj qeb. Cov khoom lag luam nrog cov nruab nrab thiab qis GI tuaj yeem siv tau yog tias lawv muaj txiaj ntsig, ua tau raws li cov cai thiab ntau txaus.

Pub Rau Khoom Noj

Kev noj zaub mov zoo ntawm cov neeg mob ntshav qab zib muaj qhov sib txawv me me los ntawm qhov ntawd rau cov neeg tsis tshua hnyav. Txhawm rau txhim kho qhov xav ntawm satiety, cov neeg rog yuav tsum noj cov zaub mov uas muaj qhov muaj nqis ntawm cov tshuaj fiber (zaub, tshuaj ntsuab).

Khoom noj khoom haus ntawm cov ntshav qab zib nrog lub cev hnyav yog tsom rau nws. Txhawm rau txhim kho daim siab (nws muaj kev puas tsuaj heev hauv ntshav qab zib), cov khoom siv ntshav qab zib tau siv uas muaj cov sib tov lipotropic (tsev cheese, oatmeal, kua).

Kev noj qab zib rau cov ntshav qab zib yuav txo qhov kev noj ntawm cov noj ntau dhau, cov zaub mov muaj roj, ua kom cov nqaij siav. Pub rau cov khoom noj xyaw kom pom zoo kom npaj siab zoo.

Muaj ntau ntau cov zaub mov sib txawv rau cov ntshav qab zib, tab sis lawv txhua tus ua raws li kev noj haus zaub mov 9 (raws li Pevzner).

Kev noj haus rau ntshav qab zib pub rau siv cov khoom lag luam:

• zaub kua zaub
• nqaij, nqaij qaib (nqaij qaib, nqaij qaib, qaib cov txwv, nqaij nyuj),
• ntses - qhia kom noj ntau yam pluas noj,
• zaub - tais diav los ntawm zucchini, beets, carrots. Nws yog tseem ceeb rau noj ntau yam zaub nyoos, thiab cucumbers, txiv lws suav, radishes, zaub qhwv. Cov zaub ntsuab yuav tsum noj cov nqaij nyoos, hau siav, ci nqaij.
• cereals, legumes. Nws tau zoo thaum koj tuaj yeem noj cov qoob loo tsis tau npaj,
• qe - nyob rau hauv daim ntawv ntawm chav omelettes, hau muag-hau,
• txiv hmab txiv ntoo - nws yuav tsum noj lawv cov qaub thiab qab zib thiab qaub ntau yam. Ntawm txiv apples, nws raug nquahu kom noj ib Antonovka. Koj tseem tuaj yeem noj txiv qaub, liab currants, cranberries. Cov txiv hmab txiv ntoo uas noj tau yog noj nyoos lossis stewed,
• kefir, kua mis nyeem qaub, rog uas tsis muaj roj ntau hauv tsev cheese. Koj tuaj yeem noj cov tsev cheese nyob hauv nws txoj hauv ntuj lossis ua khoom qab zib los ntawm nws,
• dej qab zib - kas fes tsis muaj zog, tshuaj yej, tshuaj ntsuab kho kom zoo nkauj,

• khoom qab zib - qab zib yog hloov nrog ntuj sweeteners. Dav siv nyob rau hauv niaj hnub endocrinology, stevia - "qab zib nyom", khoom noj rau ntshav qab zib pub rau nws.Nws yog kaum lub sij hawm qab zib ntau dua li cov piam thaj tsis tu ncua, siv rau qhov tsis muaj calories, tsis nce lub cev qhov hnyav. Feem ntau siv cov khoom qab zib ua hluavtaws - Aspartame, Saccharin thiab lwm tus. Cov Supermarkets muaj ntau yam khoom qab zib tshwj xeeb - rau cov neeg mob ntshav qab zib. Txawm li cas los xij, txawm tias cov goodies no yuav tsum tsis raug tsim txom.

Nws raug nquahu kom noj cov ncuav ci ci. Nws yog ib qho zoo uas yuav tsum tau noj cov khoom qab zib sai sai ua ntej siv, kom tsis txhob muaj zaub mov tsis huv, txhawm rau tshem tawm cov kev pheej hmoo ntawm kev noj zaub mov, ua rau mob ntawm cov txiav.

Hauv kev noj zaub mov ntawm cov neeg mob ntshav qab zib yuav tsum muaj lub siab kom zoo ("zoo") cov rog - txiv ntseej roj, txiv ntoo (almond, Walnut), avocado. Txawm hais tias cov khoom noj tau tso cai tsuas yog siv rau kev txaus noj ib hnub.

Txhua tus neeg mob ntshav qab zib yuav tsum nco qab cov npe khoom noj “txwv tsis pub”. Koj tsis tuaj yeem noj cov khoom qab zib, ncuav pastries, jams, zib ntab thiab lwm yam.

Lawv siv macaroni tsawg tsawg los ntawm kev txo cov naj npawb ntawm cov khoom ci. Noj cov ntshav qab zib kom tshem tawm cov "hydrogenated" cov rog uas pom hauv cov khoom noj ceev ceev, cov zaub mov yooj yim nrog lub txee ntev.

Koj tsis tuaj yeem noj cov zaub mov ntau ntau uas muaj ntau ntau ntawm cov hmoov tshaib. Nws yog ib qho tsim nyog kom tsis txhob muaj ntsev, cov khoom noj txom ncauj, cov tsiaj rog, kua txob. Tsis txhob haus cawv. Ntawm cov txiv hmab txiv ntoo, kev siv txiv tsawb, raisins, txiv quav ntswv nyoos, persimmons, thiab figs yog txwv. Kev txwv cov zaub mov ua rau cov piam thaj ntau dhau hauv cov ntshav.

Cov hauv paus ntsiab lus ntawm kev npaj zaub mov noj qab zib

Cov ntau yam khoom noj muaj txiaj ntsig (ob qho tib si thiab muaj txiaj ntsig) uas cov khoom noj xav tau nyob rau hauv ntshav qab zib mellitus yuam cov neeg mob kom ua raws qee yam kev noj haus. Lawm, zaub mov yuav tsum tsis tsuas yog noj qab nyob zoo, tab sis kuj qab, ntxim nyiam. Nws yog qhov yooj yim los ua kom muaj kwv yees li ntawm cov ntawv qhia rau ib lim tiam. Cov ntawv qhia uantej rau cov ntshav qab zib yuav txo qhov hnyav hauv lub cev, ua kom nws nyob qhov qub, tswj xyuas tus nqi thiab ntau yam khoom noj.

Lawv yeej tsis hla pluas tshais, lawv yuav tsum txaus siab rau, lawv yuav tsum pib hnub pib.

Qhov tshais thib ob feem ntau zoo li noj khoom txom ncauj me me uas txhawb txoj haujlwm ntawm lub plab zom mov (lub plab zom mov) - lawv siv cov ncuav qab zib nrog tshuaj yej, txiv hmab txiv ntoo, thiab yogurt.

Rau noj su, pluas noj muaj lub ua ntej, thib ob thiab thib peb tais diav. Stewed zaub qhwv, txaij, zucchini tuaj yeem ua zaub mov thib ob. Los ntawm cereals nws tsis pom zoo kom siv cov txhuv, semolina. Zoo dua muab cov buckwheat, oatmeal.

Cov khoom noj ua kua yuav tsum muaj nyob hauv cov khoom noj:

• zaub kua zaub,
• cov kua zaub mov, zaub qhwv,
• kev noj haus pickle
• cov kua zaub uas tsis muaj dej nyob (ntses, nqaij).

Noj hmo yuav ua tau nqaij, ntses, tsev cheese. Txog kev noj hmo zaum ob, koj tuaj yeem xaiv cov kefir uas tsis muaj rog lossis roj av yogurt. Lawv yog cov sib, tsis txhob ua haujlwm ntau dhau txoj hnyuv thaum hmo ntuj. Txog hnub, koj yuav tsum tau noj ib co zaub ntsuab, tshuaj ntsuab thiab txiv hmab txiv ntoo los ntawm daim ntawv tso cai. Tsis muaj piam thaj ntxiv rau dej qab zib. Nws hloov nrog stevia, saccharin, aspartame. Qee zaum lwm cov khoom qab zib hluavtaws kuj raug siv - xylitol, sorbitol.

Qauv ntawv qhia zaub mov txhua lub limtiam

Tus nqi zaub mov nyob ntawm qhov hnyav thiab ntshav qab zib. Kev noj haus yuav tsum ua kom sib npaug.

Piv txwv ntawm cov ntawv qhia noj txhua hnub:

• Noj tshais nrog mov ci, zaub ntsuab ntsuab 4 lub rooj. l (txiv lws suav + cucumbers), hau los yog thiav buckwheat los ntawm yav tsaus ntuj (3 diav), ib lub txiv apple, cov rog tsawg. Txog caij noj su, haus kua txiv lws suav lossis noj lws suav. Thaum noj su, txaus siab rau borsch (tsis muaj nqaij), zaub xam lav (5 diav), buckwheat porridge (3 diav), hau ntses, ib khob ntawm unsweetened Berry compote. Khoom noj txom ncauj ntawm cov kua txiv lws suav. Noj hmo noj qos (1 pc.), Roj tsawg rog kefir, kua.
• Rau pluas tshais, npaj cov nqaij luav (muab tso rau ob daim me me), 2 rooj. l oatmeal, noj cov zaub ntug hauv paus, kua, haus cov txiv qaub tsis muaj qab zib. Noj su, txiv kab ntxwv qaub. Rau pluas su, noj kua zaub nrog meatballs, mashed qos yaj ywm (150 gr.), Ob lub khob cij, haus ib khob txiv hmab txiv ntoo compote.Rau ib qho khoom noj txom ncauj thaum tav su - blueberries. Noj hmo buckwheat nrog zoo hnyuv ntxwm, haus kua txiv los ntawm txiv lws suav.
• Thawj pluas tshais noj cov qhob cij, kua txiv lws suav thiab dib (2 diav), hlais tawv tawv. Lub tshais thib 2: ib qho txiv duaj, ib khob ntawm unsweetened tshuaj yej. Txog su, ua zaub ua kua zaub, khob cij, buckwheat, zaub xam lav, kua. Rau yav tsaus ntuj tshuaj yej - bio-yogurt. Noj hmo muaj oatmeal, steamed ntses patties, txiv qaub tshuaj yej.
• Pluas tshais nrog cov dumplings (6 pcs.) Ua tsev, khob noom (3 pcs.), Kas fes. Noj su - 5 txiv hmab txiv ntoo apricot. Thaum noj su - ib feem ntawm buckwheat kua zaub, mashed qos yaj ywm, zaub zaub nyoos, compote. Khoom txom ncauj rau ib qho kua. Rau noj hmo relies boiled nqaij qaib mis, zaub xam lav, roj tsawg rog kefir.

Cov no yog cov qauv qauv txhua hnub. Qhov tsim nyog, lawv tau tsim kho ib tus zuj zus. Lub cev qhov hnyav ntawm cov ntshav qab zib, ntsuas cov ntshav qab zib, kev ua neej, kev ua si ntawm tus neeg mob, kev siv lub zog rau tus kheej. Tus kws kho mob (tus kws kho mob endocrinologist, tus kws qhia noj zaub mov zoo) yuav qhia cov neeg mob ntshav qab zib kom tsim nyog thiab ua kom tsim cov zaub mov rau ib hnub lossis ib lim tiam.

Tag nrho cov no tsis txhais tau tias kiag li txhua lub lim tiam thiab hnub koj xav noj monotonously. Koj tuaj yeem hloov cov khoom siv hauv cov zaub mov hauv cov txheej txheem lossis rau lub lim tiam tom ntej, txawm li cas los xij, koj yuav tsum nco ntsoov ntsuas glycemic qhov ntsuas ntawm cov khoom lag luam (lub rooj tshwj xeeb yuav tuaj rau hauv kev cawm), cov ntsiab lus ntawm cov calories, cov yam ntxwv ntawm cov neeg mob, tus kheej tsis txaus ntseeg ntawm qee yam zaub mov.

Yuav ua li cas kom tswj hwm koj cov piam thaj kom huv?

Lub khob cij qhob cij yog qhov ntsuas uas ua ke nrog ntau yam ntxwv, tsis yog tsuas yog hauv cov nyiaj carbohydrates, tab sis cov calories. Tias yog vim li cas txawm tias qhov tsis muaj qhov yuav tsum tswj hwm tus naj npawb ntawm cov calories, koj tuaj yeem siv XE.
Pib ua raws li kev noj haus thiab tsuas yog thaum ntsib nrog cov lus nug ntawm cov ntsiab lus nrog rau hauv cov khoom, nws yog qhov nyuaj heev rau kev txiav txim siab tus nqi ntawm XE. Tias yog vim li cas nws pom zoo kom tsim lub rooj tshwj xeeb uas coj mus rau hauv tus account:

1. Hom khoom siv.
2. Tus nqi ntawm XE raws li lub rooj.
3. Ntshav qab zib tau los.

Thaum tsim lub rooj, ib hnub yuav tsum tau faib tshwj xeeb, uas tso cai rau koj los mus qhia lub luv luv XE uas nkag hauv lub cev thaum noj zaub mov.

Hauv kev xaus, peb nco ntsoov tias koj yuav tsum nco ntsoov qhov ntsuas ntawm lub khob cij chav rau cov khoom lag luam feem ntau. Tas li siv ib lub rooj los tswj cov nyiaj ntawm carbohydrates hauv zaub mov yuav luag tsis yooj yim. Koj tseem tuaj yeem siv cov ntawv thov tshwj xeeb rau cov khoom siv txawb thiab khoos phis tawm los sau cov ntaub ntawv. Lawv qhov zoo yog nyob rau hauv qhov tsis siv neeg xam ntawm XE raws li cov neeg siv cov ntaub ntawv nkag.

Yuav ua li cas los laij cov qhob cij rau cov ntshav qab zib

Nrog kom paub tias muaj ntau qhov loj ntawm cov khoom lag luam thiab cov ntsiab lus carbohydrate ntawm 100 grams, koj tuaj yeem txiav txim siab muab cov naj npawb ntawm cov khob cij.

Piv txwv li: pob khoom ntawm tsev me cheese hnyav 200 grams, 100 grams muaj 24 grams carbohydrates.

100 grams ntawm tsev cheese - 24 grams carbohydrates

200 grams ntawm tsev cheese - X

X = 200 x 24/100

X = 48 grams carbohydrates yog muaj nyob hauv ib pob khoom ntawm tsev cheese hnyav txog 200 grams. Yog tias nyob hauv 1XE 12 gram carbohydrates, tom qab ntawd hauv pob khoom ntawm tsev cheese - 48/12 = 4 XE.

Ua tsaug rau qhob cij qhob cij, koj tuaj yeem faib cov khoom noj kom txaus cov nyiaj carbohydrates ib hnub, qhov no tso cai rau koj:

• Noj ntau yam
• Tsis txhob txiav koj tus kheej rau zaub mov los ntawm kev xaiv cov zaub mov sib npaug,
• Ua kom koj glycemia qib tswj.

Hauv Is Taws Nem koj muaj peev xwm nrhiav cov laim lej noj zaub mov noj haus ntshav qab zib, uas suav cov khoom noj kom noj qab nyob zoo txhua hnub. Tab sis zaj lus qhia no yuav siv sij hawm ntau, nws yuav yooj yim rau saib cov rooj ntawm cov khob cij rau cov neeg mob ntshav qab zib thiab xaiv cov zaub mov zoo. Tus nqi ntawm XE uas yuav tsum tau nyob ntawm lub cev qhov hnyav, kev siv dag zog, hnub nyoog thiab tub los ntxhais.

Qhov yuav tsum tau txhua hnub ntawm XE rau cov neeg mob uas lub cev nyhav

Cov neeg rog rog xav tau kev noj zaub mov kom lub cev tsawg, ua kom lub cev ua ub no ntau ntxiv.Cov ntsiab lus ntawm cov calories ntawm txhua hnub ntawm cov khoom noj yuav tsum raug txo kom txog 1200 kcal;

Nrog rog dhau lawm

Nws ntseeg tias qhov nyiaj nruab nrab ntawm cov khoom tsim nyog hauv ib hnub tuaj yeem yog 20-24XE. Nws yog ib qho tsim nyog yuav tau faib cov ntawv no rau 5-6 cov zaub mov. Lub ntsiab txais tos yuav tsum yog 4-5 XE, rau tshuaj yej tav su thiab noj su - 1-2XE. Ib lub sijhawm, tsis txhob pom zoo kom noj ntau dua 6-7XE cov khoom noj.

Nrog rau lub cev nyhav ntawm lub cev nyhav, nws raug nquahu kom nce qhov ntau ntawm XE mus rau 30 ib hnub. Cov menyuam yaus 4-6 xyoo xav tau 12-14XE ib hnub, 7-16 xyoo pom zoo 15-16, txij li hnub nyoog 11-14 xyoo - 18-20 khob cij (rau cov tub hluas) thiab 16-17 XE (rau cov menyuam ntxhais). Cov tub hluas li ntawm 15 txog 18 xyoo xav tau 19-21 chav nyob ib hnub, cov ntxhais muaj 2 xyoos.

Yuav tsum muaj rau kev noj haus:

• Kev noj zaub mov uas muaj cov khoom noj muaj roj: rye cij, millet, oatmeal, zaub, buckwheat.
• Ib tug tsau nyob rau hauv lub sij hawm thiab ntau ntau faib txhua hnub ntawm carbohydrates yog qhov txaus rau cov koob tshuaj insulin.
• Hloov cov khoom noj tau yooj yim zom zom nrog cov khoom noj sib npaug uas xaiv los ntawm cov khob cij muaj txiaj ntsig.
• Ib qho kev txo qis ntawm qhov sib npaug ntawm cov tsiaj rog vim qhov nce ntawm cov zaub mov rog.

Cov neeg mob uas muaj ntshav qab zib hom 2 tseem yuav tsum siv lub rooj noj mov kom tsis txhob noj ntau dhau. Yog tias nws pom tias cov khoom lag luam muaj cov teeb meem carbohydrates muaj qhov pom zoo ntxiv hauv kev noj haus, tom qab ntawd lawv cov kev noj yuav tsum raug txo qis. Koj tuaj yeem ua qhov no rau 7-10 hnub ntawm 2XE ib hnub, nqa mus rau ntawm tus nqi uas xav tau.

Cov phiaj khob rau cov qhob cij ua hom 1 thiab ntshav qab zib hom 2

Cov chaw endocrinological tau suav cov rooj ntawm cov khob cij hauv cov khoom lag luam nrov raws li cov ntsiab lus ntawm 12 gram carbohydrates hauv 1 XE. Ib txhia ntawm lawv coj los rau koj mloog.

Cov kua txiv tuaj yeem noj tau hauv kev them nyiaj ntawm cov ntshav qab zib ntawm thawj thiab hom thib ob, thaum qib ntawm glycemia nyob ruaj khov, tsis muaj qhov cuam tshuam los ntawm ib qho kev taw qhia lossis lwm qhov.

Ntawm cov ntshav qab zib, lawv pom zoo kom noj zaub ntau dua, lawv muaj fiber ntau, thiab muaj calories ntau.

Cov khoom noj siv mis yuav tsum tau noj txhua hnub, nyiam dua yav tav su. Hauv qhov no, tsis tsuas yog cov qhob cij, tab sis kuj tseem qhov feem pua ​​ntawm cov rog ua ke yuav tsum tau muab rau hauv. Cov neeg mob ntshav qab zib pom zoo kom cov khoom noj muaj roj tsawg.