Cov ntawv qhia rau ntshav qab zib hom 1 yog cov ntawv qhia ua piv txwv rau ib lim tiam nrog zaub mov txawv
Qeb 1 ntshav qab zib mellitus yog tus yam ntxwv los ntawm insulin deficiency, uas yog vim li cas lub cev tsis muaj peev xwm siv cov khoom noj carbohydrates rau hauv lub zog thiab ua rau nws lub cev tsis txaus vim kev ua cov rog. Thiab qhov no ua rau muaj kev tso tawm ntawm cov tshuaj lom neeg uas pib cuam tshuam rau lub hlwb. Yog li, nws yog ib qho tseem ceeb heev uas yuav tau ua raws li kev noj zaub mov kom zoo txhawm rau txhawm rau tswj cov ntshav cov ntshav qabzib. Txhua yam khoom, nqaij lossis ntses, yuav tsum tau siav tsuas yog muab daim foos, ci lossis ci. Yuav tsum tsis txhob muaj kib thaum lub sijhawm noj zaub mov. Qhov nyiam siv yuav tsum tau muab rau cov tais diav protein, nrog rau cov khoom noj carbohydrates ntau yam. Noj mov yuav tsum tau nquag. Qhov kev xaiv zoo tshaj plaws yog tsib lossis rau pluas noj.
Nrog ntshav qab zib raug tso cai nram qab no cov khoom:
- cov khoom noj siv mis thiab mis los nrog bifidobacteria,
- muaj roj npuag nqaij tsawg nyob rau hauv daim ntawv ntawm cov ncuav qab zib los yog cij,
- cov kua zaub lub teeb rau zaub kua zaub (okroshka, kua zaub beetroot, pob ntseg, kua zaub kua zaub),
- tawv nqaij liab
- tus noog nrog rau uas daim tawv nqaij yog yav tas los tev,
- tawv rog uas tsis muaj rog ntau uas tsis muaj ntsev ntau,
- Cov rog rog tsis muaj rog ntses tsawg,
- nqaij qaib muaj protein
- cov khoom noj ua ntej (eggplant thiab zaub qhwv, txiv lws suav, taub dag, zucchini thiab dib),
- zaub xas lav nplooj
- qaub-saj txiv ntoo thiab txiv ntoo
- tsis heev muaj zog dub thiab ntsuab ces,
- kas fes nrog mis nyuj
- rosehip si,
- cov kua txiv tshiab los ntawm txiv hmab txiv ntoo thiab zaub,
- zaub roj, tab sis tsis ntau tshaj ib diav ib hnub.
Cov hmoov nplej tseem raug tso cai, tab sis nyob rau hauv tsawg. Thiab nyiam kom yuav tsum tau muab rau buckwheat, oatmeal, millet, barley thiab txhuv xim av. Koj tuaj yeem zom cov khoom noj nrog legumes. Raws li rau cov khob cij, koj yuav tsum xaiv nws los ntawm cov hmoov nplej wholemeal thiab tsuas yog 200 grams ntawm cov khoom no yuav txaus rau ib hnub. Los ntawm qab zib, koj tuaj yeem ntxiv rau koj cov zaub mov tsuas yog pastille, mousse, sorbet thiab jelly, zoo li cov ncuav qab zib tshwj xeeb thiab khoom qab zib nrog qhov sib ntxiv xylitol.
Ntxiv rau cov khoom tau tso cai, muaj cov npe ntawm cov uas txwv tsis pub suav nrog hauv pluas noj rau cov ntshav qab zib hom 1. Nov yog:
- butter thiab hmoov khoom,
- cov kua zaub uas hnyav thiab roj rau
- kua zaub kua zaub
- semolina thiab nplej zom,
- cream thiab qaub cream,
- hnyuv ntxwm,
- nqaij nqaij haus, pickles thiab marinades,
- cov kaus poom ntses thiab nqaij,
- cav noj nqaij
- Goose thiab os nqaij,
- salted thiab txheej txheem cheeses,
- cov txiv hmab txiv ntoo uas muaj qab zib thiab muaj roj, cov txiv ntoo qhuav,
- confectionery, chocolate.
Cov zaub xws li beets, qos yaj ywm thiab zaub ntug hauv paus yuav tsum tau haus kom tsawg. Tab sis butter tuaj yeem muab ntxiv rau hauv cov khoom noj ib hlis ib zaug. Cov khoom qab zib thiab cov txuj lom yuav tsum tau muab pov tseg kiag li. Zoo, kom nws yooj yim rau tus neeg muaj ntshav qab zib mellitus ntawm qib 1 kom lo rau cov zaub mov zoo li no, koj tuaj yeem sim siv cov zaub mov uas twb tau npaj lawm.
Ntawv qhia zaub mov rau ib lim piam nrog hom ntshav qab zib hom 1
Hnub | Ntawv qhia zaub mov |
Hnub Monday | Noj tshais: buckwheat porridge ntawm dej (150 g), coleslaw caij nrog txiv qaub thiab tshuaj yej tsis muaj suab thaj. Txog kev noj tshais thib ob, koj tuaj yeem xaiv ib qho kua txiv qhib thiab ib khob dej muaj cov ntxhia. Noj su: borsch siav rau ntawm cov nqaij ntshiv uas tsis muaj nqaij tawv, ib thooj nqaij nyug hau, txiv ntseej thiab jelly. Khoom txom ncauj: syrniki nrog pear puree. Noj hmo: cabbage thiab nqaij cutlets, ntxiv ib qho qhob cij rye thiab ntsuab unsweetened tshuaj yej rau lawv. Thiab ua ntej mus pw, koj tuaj yeem haus ib khob ntawm kefir. |
Hnub Tuesday | Zavtark: barley nrog grated carrots, ib daim ntawm qhob cij thiab tshuaj yej. Rau noj su, ib hwj ntawm ntuj yogurt thiab tshuaj yej dua yog muab. Noj su: cov kua zaub taub dag, noj zaub stew nrog sib ntxiv me me ntawm cov nqaij ntshiv, dib thiab zaub xas lav. Muaj cov tshuaj yej siab: ib qho txiv kab ntxwv thiab ib qho kua nqaij rosehip. Noj hmo: xim av txhuv tsoos tsho, ib qho qe qaib dawb thiab tshuaj yej. Thaum tsaus ntuj, lub khob ntawm fermented ci mis nyuj. |
Hnub Wednesday | Zavtark: ib daig ntawm cov ntses hau ntses dawb dawb, 150 g ntawm cov muaj roj tsawg xoob curd thiab ntsuab tshuaj yej. Ib me ntsis tom qab koj tuaj yeem noj ib lub txiv kab ntxwv qaub. Noj su: ntses kua zaub, nqaij qaib hau, thiab ua ib sab zaub koj tuaj yeem xaiv pob zaub ntsuab, sprinkled nrog grated cheese. Muaj cov tshuaj yej siab: ib daim ntawm tsev cheese khoom plig. Noj hmo: ntses nqaij ntses thiab schnitzel los ntawm cov zaub qhwv, thiab ua ntej mus pw lub khob muaj kua nyeem yog tsis muaj qab zib. |
Hnub Thursday | Zavtark: millet porridge ci nrog taub dag. Koj tuaj yeem haus ib khob kas fes nrog mis nyuj thiab noj ib npib ntawm tawv cheese. Ib teev tom qab, cov txiv hmab txiv ntoo qhuav compote tau txais. Noj su: porcini nceb kua zaub, ci zaub paj, 150 g ntawm cov nqaij siav. Muaj cov tshuaj yej siab: ib qaub kua ncuav ci nrog zib ntab. Noj hmo: ntses souffle, zaub tshiab, zaub xam lav, kua txiv beetroot. Thiab ua ntej mus pw, koj tuaj yeem haus ib khob mis. |
Hnub Friday | Zavtark: Barley porridge nrog carrots. Beetroot zaub xam lav, ib daim ntawm qhob cij thiab tshuaj yej. Tom qab ib teev thiab ib nrab, koj tuaj yeem noj kua txiv jelly. Noj su: taum kua zaub, stewed mob siab nrog carrots, 100 g ntawm boiled mov. Muaj cov tshuaj yej siab: Cov zaub xam lav ntawm ob lub txiv av txiv ntoo thiab ib lub txiv kab ntxwv. Noj hmo: zucchini ci pancakes nyob rau hauv qhov cub. Thiab tom qab ob teev, lub thawv ntawm tsev cheese. |
Hnub Saturday thiab hnub xya | Hnub so, koj tuaj yeem xaiv ib qho kev noj zaub mov saum toj saud. Qhov loj tshaj plaws yog tsis txhob siv cov roj zaub ntau ntau thiab tsis txhob kib zaub mov thaum ua noj. Qhov kev xaiv zoo tshaj plaws rau kev kho cua sov yog ua noj thiab ncu. |
Ua raws li tag nrho cov cai no thiab cov lus pom zoo hais txog kev noj zaub mov kom zoo, ib tus neeg mob ntshav qab zib qib 1 yuav tuaj yeem tswj hwm nws tus kab mob thiab tswj hwm nws cov piam thaj kom nyob hauv qib.
Cov Hom Ntawm sweeteners
Sweetener | Ib txwm li 1 kg ntawm qhov hnyav, mg |
Saccharin | 5 |
Aspartame | 40 |
Cyclamate | 7 |
Acesulfame K | 15 |
Kev Sucralose |
Muaj qee txoj kev paub tseeb rau cov uas xav noj cov khoom qab zib tiag:
- siv kom txias
- tom qab noj mov
- noj tsis ntau tshaj 50 g suab thaj,
- lawv yuav tsum muaj cov khoom noj protein, ua kom qeeb carbohydrates (berries, ice cream, protein cream).
Kev noj haus thiab kev noj haus rau kev kho mob insulin
Lub sijhawm thiab lub sijhawm noj mov tau txiav txim siab nyob ntawm seb hom tshuaj insulin rau tus neeg mob ntshav qab zib hom 1 siv ntau npaum li cas, nws siv ntau npaum li cas thiab lub sijhawm hnub twg, cov naj npawb ntawm cov qhob cij (carbohydrates) hauv kev noj zaub mov tseem raug faib.
Yog tias tus neeg muaj kab mob ntawm lub plab zom mov ntxiv rau cov ntshav qab zib, tom qab ntawd nws raug nquahu kom tshem tawm cov khoom kib thiab ntsim thiab tsuas yog ua zaub mov noj rau ob peb leeg. Nws tsis yog txwv tsis pub siv cov caij nyoog thiab cov txuj lom ntau dhau los.Qhov ntawm no kev noj haus rau qhov mob ntawm lub pancreas yog zoo meej.
Kev noj haus ntawm cov neeg mob uas muaj hom 1 mob ntshav qab zib mellitus (yog tias tus kab mob tsis yog nrog cov kev cuam tshuam) thiab kev noj zaub mov muaj cov kev txwv hauv qab no:
- txhua pluas noj yuav tsum tsis pub tshaj 7-8 XE (zom zom tau),
- cov khoom noj qab zib zoo hauv cov ua kua yog tso cai, tab sis muab cov suab thaj hauv lawv hloov nrog cov khoom qab zib,
- ua ntej txhua pluas noj, yuav tsum tau suav seb muaj pes tsawg lub khob cij ua ntej, vim tias yuav tau txhaj tshuaj insulin ua ntej noj mov.
Looj Mem Qhia Txog Cov Qub
Nws yog qhov nyuaj heev kom nrhiav tau cov zaub mov noj rau cov tais diav mob ntshav qab zib nrog XE suav, thiab feem ntau koj yuav tsum ua tus lej suav nrog. Ua li no tsis yog qhov nyuaj. Ntawm no yog ib qho piv txwv ntawm cov lus qhia rau kev npaj lub ncuav rustic taub ncuav qab zib nrog kev suav cov khob cij:
- Npaj 450 g ntawm taub, qab zib (stevia) ib nrab tsp, ntsev, qe 5 pcs, cinnamon, butter (cream) 100 g, pob kws hmoov 300 g, 1 pob ntawv ntawm hmoov ci,
- Pib ua noj ua haus los ntawm kev ntxuav thiab rhaub cov taub, thiab tom qab ntawd zom nws nrog rab,
- Muab lub qe ua kom txog thaum cov ntawv tuab ua npuas,
- Rov qab mus rau lub txiaj ntsig taub dag kom huv si thiab ntxiv cov roj ua ntej melted rau nws, nchuav cinnamon nyob rau sab saum toj,
- Ntxiv ntsev thiab ci hmoov rau cov hmoov nplej, tom qab ntawd ntxiv rau lub qe loj thiab sib tov kom huv,
- Ua ke cov taub dag zom nrog cov khob noom cookie, tom qab ntawd xa cov txiaj ntsig mus rau hauv qhov cub thiab ci ntawm 180 ° rau 45 feeb.
Tsuas muaj 22 lub khob cij nyob hauv cov khoom qab zib tiav, ntawm 20 qhov tau los ntawm hmoov nplej, thiab 2 los ntawm taub dag. Koj tsis tuaj yeem noj cov khoom qab zib tam sim ntawd, tab sis tsis noj ib feem rau khoom noj txom ncauj. Muaj ntau cov zaub mov sib xws, qhov tseem ceeb yog kawm kom nkag siab txog lub ntsiab cai ntawm kev xam XE, tom qab ntawv cov suab thaj hauv cov ntshav yuav nyob hauv qhov tsis txaus siab tau txais.
Endocrinologist qhia koj kom ua daim ntawv qhia zaub mov ua ntej rau ib lim piam txhawm rau txhawm rau tsim cov tshuaj insulin thiab yuav cov khoom lag luam tsim nyog. Thaum siv cov lus pom zoo, koj tuaj yeem zam dhau qhov kev nyuaj thiab ua neej nyob muaj kev thaj yeeb yam tsis muaj kev xav txog koj kev mob nkeeg.
Muaj ntau cov tais diav uas koj tuaj yeem noj nrog cov ntshav qab zib. Cov zaub mov txawv yog yooj yim heev thiab tsis tas yuav nqis peev nyiaj ntsuab. Lavxias zaub xas lav yuav ntxiv hom 1 cov ntshav qab zib noj tshais. Nws muaj:
- ntses ntses dawb ntses - 300 g,
- qos yaj ywm - 200 g
- beets - 200 g
- boiled carrots - 100 g,
- cucumbers - 200 g.
Rau kev ua noj koj xav tau:
- Boil ntses fillet nyob rau hauv salted dej kom txog thaum kev sib tw.
- Boil tag nrho cov zaub cais.
- Txiav tag nrho cov khoom xyaw.
- Sib tov thiab lub caij nrog roj zaub.
Yog li tias cov beets tsis xim rau tag nrho cov khoom lag luam, lawv yuav tsum muab tso tom qab lawv tau sau cov zaub xam lav nrog cov roj zaub. Tus neeg uas kuaj pom tus mob ntshav qab zib hom 1 yuav tsum paub noj khoom kom raug.
Cov zaub mov kom zoo yuav ua raws li tus kws kho mob tau hais kom sai, nws kuj tseem yuav muab lus qhia txog kev noj zaub mov noj. Nws raug nquahu tias ib tus neeg muaj ntshav qab zib mus hauv kev ua kis las, qhov no yuav pab tau cov metabolism hauv qhov qub, ua kom lub cev tsis zoo thiab ua kom siab nqig.
Lub luag haujlwm ntawm kev noj zaub mov kom tsawg-kho cov zaub mov yog kom yoog cov zaub mov kom tshem tawm cov piam thaj ntau dua. Tsuas pub tsawg ntawm carbohydrates provokes kev ua ntawm cov rog rog. Kev yoog tau tshwm sim nyob rau hauv 1-2 lub lis piam, uas tso cai rau koj kom lub cev hnyav dua qub, daws kev ntxhov siab los ntawm cov kab mob, thiab tswj cov piam thaj hauv qab.
Kev noj zaub mov kom tsis muaj calorie tsawg yog tsim kho nws tus kheej. Cov hauv paus ntsiab lus:
- cov ntu me me - 6 zaug hauv ib zaug. Tus neeg mob txoj kev ua neej tau muab tso rau hauv kev noj zaub mov noj txhua hnub: rau qhov nquag - 1500-3000 calories, tsis ua haujlwm - 1200-1800 calories,
- lub hauv paus ntawm cov khoom noj yuav tsum yog cov protein,
- txwv txiav cov piam thaj thiab cov txiv ntoo qab zib. Tsuas pub 30 g nyob rau hauv daim ntawv ntawm cov khoom qab zib pub,
- carbohydrates ceev hloov pauv qeeb qeeb
- feem ntau ntawm cov khoom noj tau noj rau pluas tshais thiab pluas su. Noj hmo yog 20% ntawm calories txhua hnub.
- tswj cov dej ntws.
Tam sim no, muaj ntau ntau cov tais diav uas koj xav sim, tab sis muaj cov kab mob txaus ntshai rau lub neej, tib neeg raug yuam kom nrhiav zaub mov txawv rau cov neeg mob ntshav qab zib.
Mob ntshav qab zib mellitus tuaj yeem yog ntawm 2 hom, tab sis nws tsis tseem ceeb, vim tias nrog ib hom twg nws yog ib qho tsim nyog ua raws li kev noj zaub mov kom zoo nrog kev txwv qee yam zaub mov. Tam sim no, muaj ntau ntawm cov tais diav qab tshwj xeeb uas tsim tshwj xeeb rau cov neeg mob ntshav qab zib. Ua tsaug rau cov tais diav no, koj tuaj yeem txuag koj lub neej thiab nyiam ua yam zoo.
Cia peb saib rau qee cov zaub mov txawv rau cov neeg mob ntshav qab zib uas suav nrog kev noj qab haus huv, kev nyab xeeb, thiab qab zoo.
Khoom Noj Khoom Haus Ntshav Qab Zib 1 Ntshav Qab Zib
Lub ntsiab lus tseem ceeb hauv kev npaj zaub mov noj rau tus neeg mob yog kev ntseeg siab tias cov khoom yog cov khoom noj muaj tiag. Tseem tsim nyog them sai sai rau cov hauv qab no:
- Tus neeg mob puas muaj hom mob dab tsi.
- Muaj hnub nyoog qeb ntawm tus neeg mob.
- Qhov hnyav ntawm tus neeg mob.
- Txoj kev kawm txog kev ua neej uas coj tus neeg mob mus.
- Qoj ib ce thoob plaws ib hnub.
Yog tias ib tus neeg muaj mob ntshav qab zib hom 1, tom qab ntawd txhua qhov khoom noj carbohydrates yuav tsum tau cais tawm ntawm nws txoj kev noj zaub mov, tab sis qee zaum nws tau pub rau noj zaub mov nrog cov zaub mov carbohydrates. Qhov kev zam no feem ntau yog siv rau cov menyuam yaus uas pom tias nws nyuaj rau tsis kam noj zaub mov. Nws yog nyob rau hauv xws li mob uas nws yog qhov tseem ceeb heev rau kev suav cov khoom noj carbohydrates hauv cov zaub mov.
Nws tsis tas yuav xav tias kev noj haus zoo rau cov neeg mob ntshav qab zib yuav tsis muaj noj txaus haus, thiab yuav yog qhov kev sim tiag tiag ntawm tus neeg mob lub hom phiaj rau ib sim neej. Cov zaub mov txawv hauv qab no yuav tsoo cov stereotype no txawm tias feem ntau ua tsis tau zoo.
Vim li cas kuv thiaj li xav tau lub yuag yuag?
Kev noj zaub mov noj yog xav tau los tswj ntshav qab zib.
Txhua yam khoom suav nrog qee qhov qab zib lossis carbohydrates. Yog tias ib tus neeg siv tshuaj insulin nce cov piam thaj hauv ntshav, nws yuav muaj qhov tsis zoo. Yog li, koj yuav tsum tau saib xyuas seb cov zaub mov twg nrog hom 1 mob ntshav qab zib uas tus neeg mob noj. Nws txoj kev noj qab haus huv thiab kev kho mob yuav nyob ntawm qhov no.
Endocrinologist tau tsim cov ntawv qhia tshwj xeeb rau cov neeg mob ntshav qab zib ntawm hom 1 thiab hom 2. Khoom noj khoom haus naj npawb 9 muab cov qauv hauv qab no:
Kev noj haus rau ntshav qab zib yuav muab qee yam ntawm kev noj zaub mov. Cov lus 9 qhia txog kev nquag noj zaub mov rau feem tsawg 6-7 zaug hauv ib hnub.
Daim ntawv qhia kwv yees rau lub lim piam twg rau cov ntshav qab zib yog npaj qhia tias cov khoom noj khoom haus yuav tsum muaj ntau yam thiaj li rov ua txhua yam zaub mov tsim nyog hauv lub cev. Daim ntawv qhia ua zaub mov rau tus neeg mob ntshav qab zib yuav tsum yog nyob ntawm seb muaj pes tsawg lub khob cij, tshwj xeeb tshaj yog rau cov neeg mob ntshav qab zib hom 1 lossis daim foos insulin-uas muaj kev tiv thaiv zoo.
Txhawm rau sau cov zaub mov noj rau ib lub lim tiam, koj yuav tsum siv lub rooj tshwj xeeb, uas tuaj yeem nrhiav pom hauv Is Taws Nem lossis nqa ntawm lub tsev kho mob twg.
Nws yog qhov tseem ceeb heev kom nkag siab tias lub zog muaj nuj nqi lossis cov calories ntau ntawm txhua pluas noj thaum nruab hnub yuav tsum yog kwv yees li qub thiab npaj mus los ntawm kev muab xam ntawm lub khob cij ntim raws li lub rooj tshwj xeeb. Tus naj npawb ntawm cov calories niaj hnub tau noj thiab, yog li, cov khob cij suav tau muab xam rau tus kheej ib tus neeg mob los ntawm endocrinologist.
Los xam cov ntsiab lus calorie, ntau lub suab siv, qhov tseem ceeb yog:
- qhov siab, qhov hnyav thiab qhov hnyav ntawm lub cev qhov ntsuas ntawm tus neeg mob nrog kev laij lub cev,
- yoo glycemia thiab tom qab kev tawm dag zog nrog piam thaj,
- ib qho kev soj ntsuam ntawm glycosylated hemoglobin, uas qhia txog qib glycemia hauv 3 lub hlis dhau los.
Tsis tas li tsis muaj qhov tseem ceeb me me yog lub hnub nyoog ntawm tus neeg mob. Concomitant mob mus ntev thiab cov kab mob uas tsis kis, nrog rau kev ua neej.
Ntshav qab zib tsis tau kho kom zoo, yog li, ib tug neeg tas li tswj hwm kev ntshav qab zib kom nws nyob ze rau ntawm qhov ciam teb noj qab haus huv. Lub hauv paus ntawm kev kho yog khoom noj khoom haus, uas cuam tshuam rau cov hlab ntshav thiab kev ua haujlwm ntawm lub cev.
Tus kws kho mob tshwj xeeb ntsuas cov ntawv qhia zaub mov rau tus neeg mob, coj mus rau nws tus kheej tus yam ntxwv, tab sis koj tuaj yeem tawm ntawm cov ntawv noj tshuaj yog tias koj paub yam khoom noj yuav tsum muaj ntshav qab zib thiab cov khoom lag luam twg muaj nyob hauv.
Mob ntshav qab zib yog dab tsi
Mob ntshav qab zib mellitus - cov kab mob endocrine los ntawm qhov tsis muaj tseeb lossis qhov txheeb ze tsis txaus rau hormonal, insulin tsis tsim tawm, vim qhov tshwm sim ntawm qhov mob hyperglycemia. Qhov no yog mob ntev nrog cov khoom noj hauv lub cev tsis txaus siab: protein, rog, carbohydrates, dej tshuav nyiaj li cas.
Cov kws tshawb fawb tau ua pov thawj tias cov ntshav qab zib muaj txiaj ntsig vim qhov muaj keeb caj ces. Qhov kev hloov caj ces nyob ntawm cov neeg mob ntshav qab zib tau sim, nws tsim txoj kev ua kom txuas ntxiv rau caj ces. Thawj hom kab mob yuav tau txais los ntawm tus piv ntawm 3-7% ntawm txiv neej thiab los ntawm 8-10% ntawm leej niam sab.
Yog tias leej txiv thiab leej niam muaj ntshav qab zib, nws tau xav tias tus menyuam yuav tau txais txiaj ntsig 70% ntawm cov mob no. Qhov thib ob hom mob tuaj yeem pom 80% qhov tshwm sim los ntawm leej niam sab, thiab los ntawm txiv neej sab.
Qhov tsawg kawg nkaus carbohydrates
Kev noj zaub mov kom tsis txhob muaj carb ntau rau ob hom zaub mov, nws tuaj yeem yog qhov khoom noj khoom haus sib npaug nrog cov khoom pab.
Yog tias koj ua rau lub plab ua kom hnyav nrog carbohydrates, cov piam thaj hauv ntshav siab thiab insulin ntawm qhov no yuav tsis taus nws tus kheej. Yog tias koj xav tias tsis xis nyob, koj tuaj yeem mob ntshav qab zib tsawg - theem nyuaj ntawm ntshav qab zib.
Ntawm hom 1 Ntshav Qab Zib, cov khoom noj muaj pa roj carbon ntau tswj tus neeg mob. Cov piam thaj yuav muab khaws cia rau hauv qhov ntau ntawm 6.0 mmol / L. Nyob rau tib lub sijhawm, ntau npaum li cas ntawm kev noj tshuaj yog halved, vim tias hypoglycemia yuav tsis tshwm sim.
Muaj ib qho kev piav qhia rau qhov kev tso cai no:
- Kab ntsab cov ntshav qab zib tau zoo uas ib txwm nyob ntawm tes. Ib tus neeg nws tus kheej tuaj yeem ntsuas ntshav qab zib kom paub tseeb tias nws tus mob.
- Kev siv tshuaj insulin ntau ntxiv. Qhov ntau me me ntawm cov tshuaj tau txais ua ntej noj zaub mov tsis tau hloov kho, nws raug tso cai hloov pauv "luv".
- Kev qhia ntawm cov txheej txheem kev qhia rau cov neeg mob, qhov chaw uas lawv ntsuas qhov feem pua ntawm cov carbohydrate hauv cov khoom thiab suav cov feem pua ntawm cov kua dej.
Qhov ua yuam kev ntawm cov neeg feem coob yog tias lawv tsis txaus siab noj cov calories txhua hnub, uas tsis tuaj yeem ua tiav, calories yuav tsum tsis pub dhau ib txwm muaj. Rau txhua qhov hnyav thiab qhov siab, muaj qhov tsim nyog yuav tsum ua kom raug, raws li lub rooj, kwv yees ntau npaum li cas txhua tus neeg yuav tsum tau haus yog xam.Lub fiber yuav tsum muaj qhov ntau txaus.
Kev kawm siab ntev
Cov neeg mob tau qhia txog "kev ua phem" ntawm cov khoom lag luam, lawv tau qhia txog cov khoom noj txwv tsis pub noj ntshav qab zib, seb yuav tswj cov ntshav qab zib li cas. Chaw yog tseg rau cov khoom qab zib.
Cov khoom qab zib tau muab faib ua cov zaub mov tsis muaj qab hau ntawm cov piam thaj thiab tsis muaj txiaj ntsig: xylitol, sorbitol, isomalt, fructose. Calorie hloov pauv tsis cuam tshuam rau qhov nce ntawm cov ntshav qab zib, tab sis tib lub sijhawm lawv muaj ntau calories. Yog li no, xws li cov khoom qab zib tsis pom zoo rau cov neeg uas muaj degrees ntawm kev rog.
Cov lus sib xyaw uas tau maj mam nqus (cov kev cuam tshuam txog carbohydrate) maj mam nce qib ntawm cov piam thaj hauv cov ntshav, qhov no tshwm sim hauv ib teev. Zoo li carbohydrates muaj fiber ntau, pectin, thiab cov hmoov txhuv nplej siab.
Feem ntau cov carbohydrates uas mus nrog cov zaub mov hauv lub cev muaj cov hmoov txhuv nplej siab. Tus neeg tau noj ntau yam zaub mov, mov thiab ncuav. Hauv ib lub qos, 1/5 ntawm cov hmoov txhuv nplej siab. Fiber thiab pectin tuaj yeem pom hauv cov txiv hmab txiv ntoo thiab zaub qoob loo.
Koj yuav tsum tau noj txhua hnub los ntawm 18 g ntawm fiber, piv txwv li, cov no yog 7 cov txiv hmab txiv ntoo nruab nrab siav, 1 feem ntawm cov taum siav lossis 200 g ntawm cov mov ci tag nrho, yuav tsum yog ib feem ntawm cov khoom noj muaj ntshav qab zib.
Cov carbohydrates, cuam tshuam txog kev yooj yim, dhau mus rau cov ntshav rau ib nrab ib teev, yog li nws raug txwv tsis pub siv nrog hypoglycemia, txij li theem ntawm cov piam thaj nce nrawm rau hauv cov ntshav.
Los ntawm xws li cov suab thaj yog qhia:
- Galactose
- Cov piam thaj (ntau nyob hauv ntuj zib muv, kua txiv cov qoob loo),
- Sucrose (tseem nyob hauv zib ntab, qee cov zaub thiab txiv hmab txiv ntoo)
- Fructose
- Lactose (tsiaj keeb kwm),
- Maltose (npias thiab malt).
Cov khoom siv carbohydrate no qab qab zib, tab sis kev nqus yog qhov siv tau. Lub sijhawm ntawm cov ntshav qabzib ntau ntxiv tom qab noj cov khoom noj uas muaj cov khoom noj hu ua carbohydrate yog qhia los ntawm "hypoglycemic index" thiab cov khoom noj rau ntshav qab zib ua qhia txog qhov ntsuas no.
Noj rau thawj hom
Cov ntawv qhia niaj hnub txog kev noj qab haus huv muaj cov ntu sib txawv nrog cov lus qhia tias yuav noj cov ntshav qab zib li cas. Cov kws sau ntawv piav qhia txhua yam ntawm cov khoom noj thiab cov zaub mov txawv rau tag nrho lub lim tiam lossis lub hli, teev qhov qhia tsuas siv.
Kev noj haus no rau thawj hom kab mob yog sau los ntawm kws txawj noj zaub mov zoo, tab sis nws tsis tshua muaj siv nyob hauv tsev ib puag ncig.
Cov kws kho mob soj ntsuam kev coj ua lub neej thaum, vim tsis muaj kev paub, cov neeg muaj tus kab mob ua raws li tus kws kho mob cov lus qhia ua tiav raws li cov ntsiab lus.
Thawj asthiv tus neeg mob ua yeeb yam teem caij ntsib tus kws kho mob. Nws fanatically saib xyuas nws kev noj qab haus huv, noj tsuas yog qee yam zaub mov thiab laij cov ntsiab lus ntawm cov zaub mov hauv lawv. Tab sis tom qab ib hlis no zoo siab ploj, nws tsis yooj yim sua kom ua raws txhua cov lus qhia ntawm cov kws tshaj lij.
Kev noj zaub mov noj rau thawj hom mob ntshav qab zib yuav tsum yog nyob ntawm qhov tseeb tias khoom noj khoom haus yog ze rau cov tib neeg noj qab haus huv. Tib lub sijhawm, kev qab los noj mov rau cov nqi zog tsis txawv, tab sis qhov no siv rau cov neeg mob uas tsis rog dhau.
Kev yoo hloov pauv kom ntseeg tau cov zaub mov zoo noj thiab ib qho zaub mov noj txhua hnub. Vim tias cov khoom lag luam kim, nws tsis yooj yim kom ua raws cov pluas noj rau tus kab mob no. Vim tias qhov no, jumps hauv cov ntshav tshwm sim thaum insulin yuav tsum nyob ntawm tes.
Npaj koj cov zaub mov raws li kev noj zaub mov noj rau tus kab mob txhua xya hnub yog qhov tsis yooj yim hauv lub neej txhua hnub thiab lub siab ntawm lub siab.
Yog li, nws yooj yim dua los kos ib qho kev faib tawm hauv lub sijhawm hauv thawj hom, nruj me ntsis hauv lub sijhawm.
Thaum xaiv cov tais diav raug cai, kwv yees zaub mov raug tsim, muab faib ua 7-8 lub tais. Tib lub sijhawm, cov tais diav yog qhov yooj yim thiab pheej yig, muaj cov khoom tseem ceeb thiab nyab xeeb.
Qhov tseem ceeb tsis yog kom ua tau raws li qhov muaj ntawm cov khoom uas tau tso cai, koj yuav tsum tau txhawm rau kom muaj cov carbohydrates hauv lub cev. Txog rau qhov no, cov dej qab (glucometer) tau noj thiab ib tus neeg tus mob raug kuaj tom qab thawj hnub noj mov thiab hauv qab no.
Ntawv qhia zaub mov rau hnub ntawd
Noj hmo yuav tsum tsis pub dhau 4 teev ua ntej yuav mus pw. Ua ntej noj cov tshuaj insulin ua ntej mus pw, qib ntsuas hauv qab zib yog ntsuas siv lub glucometer. Ib qho kev txheeb xyuas tau txiav txim siab hais tias kev noj zaub mov zoo li cas rau tus neeg nruab hnub, thiab txhaj tshuaj.
Yog tias lub sijhawm nyob ntev yog tsawg dua 4 teev, tom qab ntawd qhov kev ntsuas tsis tuaj yeem nqa tawm, vim tias cov insulin, muab ua ntej noj zaub mov kawg, tsis cuam tshuam rau qab zib.
Kev pleev xim koj cov khoom noj li cas:
- Tus mob ntshav qab zib yuav tau noj tshais thaum 8:00, noj su thaum 13:00 - 14:00, noj hmo thaum 18:00, thiab cov tshuaj tiv thaiv kawg yog qhia thaum 22:00 - 23:00.
- Tus mob ntshav qab zib tau noj tshais ntawm 9.00, noj mov thaum 14.00-15.00, noj mov thaum 19.00, thiab koob tshuaj kawg tau qhia txij 23.00 txog 00:00.
Protein yuav tsum nyob hauv txhua theem ntawm kev noj mov. Protein zaub mov ua tshais ua ntej. Koj yuav tsum pib hnub kom nruj es nws thiaj li yog pluas mov loj. Nws pom zoo kom noj qe ntshav qab zib txhua tag kis. Muaj kuj tseem muaj qhov sai sai ntawm kev qhia cov khoom muaj protein. Ua li no, tus cwj pwm ntawm kev noj hmo thaum ntxov yog tsim los.
Cov hom phiaj noj mov txhua hnub
Cov ntawv qhia rau cov mob ntshav qab zib yog yam ntxwv yog ua los ntawm kev txo cov calories tsawg thiab muaj cov vitamin ntau nyob hauv. Raws li txoj cai, lawv muaj cov khoom xyaw ntuj, yog li ntawd, yog tias cov zaub mov txawv rau cov ntshav qab zib hom 1 yog ua raws lub sijhawm ua noj, cov zaub mov muaj qhov tshwj xeeb txawv saj thiab muaj txiaj ntsig zoo. Cia peb saib kwv yees li ntawv qhia zaub mov rau ib lim tiam rau tus neeg mob uas muaj mob ntshav qab zib hom 1 uas muaj cov khoom lag luam kom paub. Kev noj haus ntshav qab zib pab ua kom lub cev tsis xwm yeem. Thov nco ntsoov tias tag nrho cov khoom qab zib thiab dej qab zib hauv cov ntawv qhia uas tau noj yog tsis muaj qab zib, nws yog qhov zoo dua los siv cov kua qab zib.
Nws yog qhov zoo dua rau cov neeg mob ntshav qab zib kom pib hnub nrog millet porridge thiab zaub qab ntsev lub teeb (daim ntawv qhia yog yooj yim: cov zaub qhwv tau raug txiav, txau nrog kua txiv qaub, cov khoom ua si tau ntxiv rau saj). Ntawm cov dej haus, nws yog qhov zoo dua los muab qhov nyiam rau kas fes nrog qab zib tsawg-rog lossis mis nyuj. Rau noj su, xaiv ib lub txiv av thiab kua zaub rosehip. Rau pluas su peb ua noj:
- Ib qho ntawm cov kua zaub ntshiv.
- Ib me ntsis nqaij qaib hau.
- 2 cov hlais cov mov ci.
- Txiv hmab txiv ntoo jelly thiab compote txiv hmab txiv ntoo qhuav.
Rau cov khoom noj txom ncauj - tsev cheese casserole, kua txiv cranberry. Rau noj hmo, npaj cov nqaij ntshiv patties, zaub qhwv schnitzel thiab tshuaj yej dub.
Tus neeg mob ntshav qab zib raug pom zoo kom pib hnub nrog millet porridge thiab zaub qab ntsev
Cov ntshav qab zib noj tshais tshuab raj muaj buckwheat porridge thiab qab qab zaub ntug hauv qab (koj tuaj yeem hloov kho daim ntawv qhia thiab nchuav me me nrog cov roj lossis txiv qaub kua txiv), nws tseem raug tso cai rau noj me ntsis tsev cheese nrog cov ntsiab lus tsis muaj roj, cov ncuav nplej nrog butter, kas fes nrog mis nyuj thiab qab zib. Tom qab ntawd, es tsis txhob noj su, koj tuaj yeem haus ib khob ntawm cov txiv hmab txiv ntoo qhuav compote. Peb muaj cov khoom lag luam hauv qab no:
- Cov nqaij ntshiv hau.
- Zaub borsch.
- Stewed cabbage.
- Cov cij qhob cij.
- Koj tuaj yeem haus txhua yam nrog dej ntxhia.
Rau ib qho khoom noj txom ncauj thaum tav su, nws zoo dua rau noj ib lub kua. Rau noj hmo - ntses schnitzel, stewed zaub, ib khob dub. Ua ntej yuav mus pw, cov neeg mob ntshav qab zib tuaj yeem haus me ntsis kefir.
Peb pib Wednesday nrog oatmeal siav hauv mis thiab zaub tshiab. Tsis tas li, koj tuaj yeem noj cov hmoov nplej los ntawm qib tsaus ntawm hmoov thiab cheese, txhua qhov no tau ntxuav nrog tshuaj yej dub. Rau cov khoom noj txom ncauj koj tuaj yeem noj me ntsis kua sorbet thiab haus nws nrog dej ntxhia. Noj su:
- Nqaij ci nqaij thiab zaub.
- Zaub kua zaub (200-300 g).
- Zaub tshiab.
- Cov cij qhob cij.
- Cov ntxhia dej.
Rau ib qho khoom noj txom ncauj thaum tav su, koj tuaj yeem noj ib lub txiv kab ntxwv. Rau noj hmo: casserole nrog tsev cheese, hau qe thiab rye cij. Ua ntej yuav mus pw - khob mis.
Peb noj dab tsi hauv ib nrab hnub
Hnub Thursday kev noj haus rau cov ntshav qab zib pib nrog ib daim ntawm cov ntses siav, sib xyaw grated txiv apples thiab carrots, cov nplais roj cheese tsis tshua muaj rog thiab tshuaj yej ntsuab. Peb noj ib lub kua rau noj su. Peb muaj cov tais diav nram qab no: taum kua zaub, hau rwj, nqaij hau stewed. Koj tuaj yeem hloov cov kua zaub rau ntawm heh, tab sis ua noj nws raws li daim ntawv qhia tshwj xeeb (muab tsawg kawg ntawm cov khoom noj). Thaum tav su - txiv hmab txiv ntoo thiab ntxhia dej. Noj hmo: caviar los ntawm zucchini, 2 slices ntawm ncuav cij, cutlets los ntawm zaub qhwv thiab nqaij. Ua ntej mus pw - lub khob ntawm fermented ci mis nyuj.
Thaum noj txom ncauj, nws pom zoo kom noj txiv hmab txiv ntoo thiab dej.
Hnub Friday, pib hnub nrog hlaws barley porridge hauv mis. Thaum noj su, koj tuaj yeem noj cov txiv kab ntxwv qaub thiab ib khob ntawm cov txiv hmab txiv ntoo compote. Rau pluas su: cov nqaij ntses uas muaj muaj roj tsawg, nqaij qaib hau thiab zaub ua ntsev. Rau ib qho khoom noj txom ncauj thaum tav su, noj txiv kab ntxwv. Rau noj hmo: nqaij ntxuag nqaij, hau zaub hau, tshuaj yej uas tsis muaj qab zib. Ua ntej yuav mus pw: ib khob kefir los yog yog ntuj tsis yog mis nyeem qaub.
Hnub Saturday rau pluas tshais peb noj oatmeal hauv mis nyuj, txhoov xyaw thiab kua txiv thiab carrots, kas fes nrog mis nyuj. Thaum noj su, txiv kab ntxwv. Peb muaj cov su noj nrog cov khoom lag luam hauv qab no: ib daim nqaij qaib, nqaij ntses thiab ua kua zaub, zaub xam lav thiab ib khob kua txiv qaub ua tsis muaj qab zib. Koj tuaj yeem noj cov nqaij heh, ntxiv tsawg kawg ntawm qhov muaj roj tsawg. Khoom txom ncauj yog kua. Rau noj hmo: steamed nqaij cutlets, steamed, txiv lws suav tshiab thiab dib.
Hnub Sunday rau pluas tshais: steamed ntses daim, tonic cabbage zaub xam lav, qhob cij dub nplej, ntsuab tshuaj yej. Los yog ib feem me me ntawm heh. Noj su - txiv hmab txiv ntoo sorbet. Noj su: zaub kua zaub nrog nqaij qaib broth, zaub nqaij ci nrog nqaij, mov cij, mov dej. Rau khoom noj txom ncauj - txiv kab ntxwv. Rau noj hmo: caviar los ntawm zucchini, ceg cij, ob peb lean nqaij qaib cutlets. Ua ntej mus pw - yogurt.
Cov phiaj xwm kev noj haus npaj rau ntshav qab zib yuav pab txhim kho lub cev ntawm lub cev kom zoo. Nws pab tswj cov ntshav qab zib. Kev noj haus yuav tsum raug soj ntsuam tas li, tsuas yog txoj hauv kev no koj tuaj yeem ua tiav qhov txiaj ntsig yam xav tau thiab kov yeej ntshav qab zib.
Txij thawj hnub koj tuaj yeem twb tau zoo nyob, cov chav nyob ntawm cov neeg mob tsis xav tias cov txiaj ntsig tom qab thawj lub lim tiam ntawm kev saib xyuas cov cai. Tsis tas li, txhua tais diav muaj kev ncaj ncees rau ntawm kev ua noj. Los ntawm ib lub ncuav mov ci, nws yog qhov zoo dua los muab qhov kev nyiam rau rye, dub thiab bran cij.
Cov ntawv qhia rau ntshav qab zib hom 1: cov ntawv qhia ua piv txwv rau ib lim tiam nrog zaub mov txawv
Ntshav qab zib Hom 1 yog hom kab mob uas tsis txaus siab, uas cuam tshuam rau txoj hauv kev kho nws. Yuav luag txhua tus kws kho mob ntshav qab zib xav kom cov neeg mob tshuaj xyuas lawv cov zaub mov noj, thiab tseem qhia tswv yim rau kev nyiam rau qee cov tais diav.
Txoj kev ua no tso cai rau koj tswj lub cev metabolism ntawm cov piam thaj, kom ua tiav kev ua haujlwm ntawm glycemia, los tiv thaiv nws cov jumps ntse. Thiab rau qhov no koj yuav tsum tsim cov ntawv qhia ua zaub mov rau tus mob ntshav qab zib hom 1, kwv yees li ntawv qhia zaub mov rau ib lim piam nrog cov zaub mov txawv yuav zoo dua.
Yog li, nws yuav muaj txiaj ntsig zoo nyob rau hauv lub xeev ntawm cov plab hnyuv siab raum, uas yuav tsuas txhim kho kev ua rau lub neej muaj ntshav qab zib.
Lub hauv paus rau kev noj zaub mov ntawm cov neeg mob kev txom nyem los ntawm hom ntshav qab zib hom I yog lub hauv paus ntsiab lus ntawm hloov cov zaub mov nrog lub siab glycemic index nrog cov uas muaj glycemic index tsawg.
Cov neeg yuav tsum paub suav cov khob cij kom raug.Ib lub khob cij sib npaug zos rau ib qho ntawm cov qhob cij, uas yog 25 grams, uas muaj txog 12 gram carbohydrates.
Cov kws kho mob tsis pom zoo kom noj ntau tshaj li 2.5 lub khob cij.
Qhov no yog qhov tseem ceeb heev, vim tias raws li tus nqi ntawm cov khoom noj carbohydrates lossis khob cij tau txais, kev siv tshuaj ntawm cov tshuaj insulin tuaj yeem suav tau. Qhov no siv tsis tau rau txhua hnub ntawm qhov kev txiav txim ntawm kev ua, tab sis kuj hais txog dab tsi tau qhia tam sim ua ntej noj mov.
Cov Khoom Uas Tso Cai
Cov neeg mob uas muaj cov kabmob no muaj cov npe tau txais kev pom zoo ntawm cov khoom tsim nyog. Qee tus kws kho mob tsis txwv lawv cov neeg mob noj qab zib yog tias lawv pom tias tswj tau tus kab mob no tau zoo, thiab tus neeg ntawd tau ua txhua yam los txuas ntxiv txoj kev no.
Feem ntau, ntau yam khoom qab zib raug tso cai nyob rau hauv rooj plaub thaum muaj kev kawm lossis ua haujlwm nrog lub cev hnyav. Ib tus neeg dog dig raug tso cai rau noj cov hauv qab no.
- Nag hmo lub rye mov ci.
- Veal nqaij, nqaij nyuj, nqaij qaib mis.
- Kua zaub raws cov zaub kua zaub.
- Cov muaj rog ntses tsawg.
- Qe yam uas tsis muaj qe nyob rau hauv ntau ntau, tsis muaj qe - ntau kawg 2 zaug nyob rau ib hnub.
- Ob txhais ceg.
- Cov nplej zom nyuaj.
- Kas fes lossis dej tshuaj yej, thaum nws tsis tas yuav tsum muaj zog vim nws cov nyhuv hauv cov hlab ntshav.
- Cov dej tshiab tuaj yeem zaws, khw-yuav, tsis pom zoo.
- Butter thiab zaub roj, tab sis nws yog ib qho tseem ceeb uas lawv siv rau kev ua noj. Ntawd yog, qhaub cij lossis zaub nyoos nrog roj yog txwv tsis pub.
- Cov khoom noj siv mis - skim mis nyuj, kefir thiab tsev cheese, kua mis nyeem qaub yog tau tsuas yog tsis muaj cov tshuaj ntxiv. Nws yog qhov zoo dua los ua lawv koj tus kheej los ntawm cov txiv hmab txiv ntoo tsis qab zib - cov txiv ntoo hauv cov txiv ntoo, kiwi, cov txiv tsawb uas tsis qab zib.
Cov neeg uas muaj teeb meem nrog cov rog nyhav dhau heev lawm, nws raug nquahu kom noj zaub mov muaj txiaj ntsig nrog zaub qhwv, taum pauv, dib, lwm yam zaub. Lawv txaus siab qhov kev tshaib kev nqhis vim cov ntsiab lus fiber ntau.
Txhawm rau kom muaj lub siab ua haujlwm zoo, koj yuav tsum them sai sai rau oatmeal, uas yog siav hauv dej, tsev cheese thiab kua zaub. Nws yuav tsum nco ntsoov tias daim siab yog nyob rau hauv lub siab heev vim kev mob ntshav qab zib.
Kev txwv lossis kev txwv yam khoom
Cov ntawv loj heev tsis yog tsuas yog muaj cov khoom muaj cai. Txwv tsis pub tuaj yeem thov nrog lawv ntau yam. Tab sis, raws li tau hais los saum no, qee zaum lawv tuaj yeem siv, tshwj xeeb tshaj yog nyob rau hauv cov teeb meem no thaum muaj kev tswj hwm tus kab mob nyob ntawm theem kom haum. Cov zaub mov nrov tshaj plaws uas yuav tsum tau zam yog:
- chocolate, tshwj xeeb tshaj yog mis, chocolate,
- lollipops, zom zom khaub noom,
- khob noom cookie khoom tshwj tsis yog cov qhob cij rye,
- haus luam yeeb, ntsim, rog, kib, ntsim thiab qab ntsev, qhov no kuj siv rau cov nqaij nrog ntses,
- ib qho dej cawv
- haus dej haus
- txhuv lossis semolina porridge,
- qos yaj ywm hau, tshwj xeeb tshaj yog cov tub ntxhais hluas,
- jam, mis nyuj khov, jam,
- cov khoom noj muaj roj,
- qab zib
- txiv hmab txiv ntoo qhuav.
Nrog rau txoj kev txwv tso cai rau cov txiv ntseej, dib liab, zucchini, carrots. Nws yog qhov zoo tshaj plaws los muab kev nyiam rau zaub, nrog rau cov zaub mov uas muaj nplua nuj nyob hauv fiber. Lawv zoo txaus siab kev tshaib plab thiab me ntsis nce ntshav qab zib.
Cov neeg mob yuav tsum tsis pub ntau tshaj 1400 kcal ib hnub. Daim duab no yog vim muaj qhov tseeb tias cov neeg mob ntshav qab zib feem ntau muaj teeb meem nrog cov rog nyhav dhau los, uas yuav tsum tau txo qis.
Yog tias qhov teeb meem no tsis yog, tom qab ntawd koj tuaj yeem nce me ntsis ntawm cov zaub mov noj.
Cov ntawv qhia rau kev ua noj ua haus feem ntau qhia tau tias nws yog qhov zoo tshaj plaws los siv lub tshuab ua mov qeeb rau lub hom phiaj no, vim nws tsis tas yuav ntxiv cov roj lossis rog.
Kuj nyeem Vim li cas thiaj li paub cov glycemic load ntawm cov khoom
Kev noj haus zoo tshaj plaws yog peb pluas noj nyob rau ib hnub, uas yog, peb qho khoom noj tseem ceeb, nrog ib lossis ob zaug khoom noj txom ncauj. Cov zaub mov tseem ceeb yog cuam tshuam nrog kev txhaj tshuaj insulin luv luv.
Thawj hnub
Pluas tshais: suav nrog 150 grams ntawm barley nrog ob lub ncuav ntawm tawv cheese. Mov ci raws li qhov xav tau, tshuaj yej lossis kas fes yuav tsum tsis muaj zog. Qab zib raug txwv.
Noj su: muaj 200 gram ntawm cov zaub xam lav ntawm zaub qhwv, cucumbers, txiv lws suav lossis lwm yam zaub tshiab. Nws yog qhov zoo tshaj uas tsis yog ua rau lub caij, tab sis tsuas yog muab sib xyaw kom huv thiab noj nyob hauv daim ntawv no. Ob lub ncu nqaij qaib mis cutlets tau ntxiv rau cov zaub xam lav, nrog rau txog 200 grams stewed zaub qhwv. Los ntawm cov kua - borsch yam tsis muaj kib, nws yog qhov tseem ceeb, kua zaub yuav tsum tsis muaj roj.
Rau noj hmo, cov zaub xam lav ntawm 150 grams nrog hlais cov nqaij qaib mis tseem pom zoo.
Cov khoom noj txom ncauj tau tuaj yeem ua raws li hauv qab no: lub khob ntawm tsev cheese lossis 3 cheesecakes, ib qho khoom noj txom ncauj thib ob - ib khob kefir.
Hnub ob
Rau pluas tshais, koj tuaj yeem noj ib qho omelet uas muaj ob lub qe qe thiab ib lub qe. Txhawm rau nws yog ntxiv txog li 100 gram ntawm cov nqaij nyuj muaj hau, ib lub txiv lws suav. Mov ci, tshuaj yej, kas fes raws li xav tau.
Txog caij noj su, nws yog qhov zoo heev rau noj zaub xam lav, vim tias qhov no yog cov zaub mov loj tshaj plaws. Koj xav tau txog 200 gram ntawm cov zaub, koj tuaj yeem ntxiv 100 grams nqaij qaib mis rau nws, lossis noj nws cais. Lwm lub tais yog taub nkig, nws kuj xav tau 100 grams.
Thawj cov khoom noj txom ncauj muaj txiv kab ntxwv qaub thiab khob iav ntawm kefir.
Rau noj hmo - ib qho kev pab ntawm stewed cabbage nrog boiled ntses.
Hnub peb
Xws li nqaij cov nqaij qhwv rau noj ua tshais. Nws yog qhov tsis txaus siab tias lawv muaj nplej. Ua haujlwm - 200 grams, khob cij ntawm yuav.
Noj su suav nrog ib qho zaub xam lav, kwv yees li 100 grams, ib sab zaub mov - nyuaj nplej zom nrog nqaij siav lossis nqaij ntses. Hloov cov tshuaj yej, koj tuaj yeem haus haus ib khob txiv ntoo kua txiv siav hauv tsev.
Khoom txom ncauj - ib txiv kab ntxwv.
Rau noj hmo - taum pauv los ntawm cov nqaij nyuj uas tsis muaj roj, nws tuaj yeem txog 300 grams.
Hnub plaub
Yog tias nws yooj yim los suav rau hnub ntawm lub lim tiam - hnub Thursday, nws yuav zoo siab rau ntau yam hauv qab no. Thawj pluas mov yog oatmeal siav hauv dej. Koj tuaj yeem ntxiv qee cov txiv ntoo tso cai tshiab. Rau tshuaj yej, koj tuaj yeem nqa tawm ob peb daim ntawm cheese, txog li 100 grams.
Rau noj su - 150-200 grams pickle, ib qho ncuav thiab ib qho ncuav.
Qhov khoom noj txom ncauj tej zaum muaj ob mus rau peb lub ncuav ci ncuav qab zib.
Rau noj hmo, taum ntsuab nrog nqaij siav los yog ntses.
Hnub tsib
Qhov kev noj haus nyob rau hnub thib tsib suav nrog kev noj haus zoo rau tshais, noj li 100 grams. Ib khob ntawm kefir thiab ib qho me me ntawm cov txiv ntoo qhuav tau ntxiv rau lawv. Lawv raug tso cai thaum tsim kom muaj lub zog hluav taws xob ua ntej ua haujlwm ntawm lub cev.
Qhov pluas noj thib ob yog zaub xam lav - 200 grams, ci qos yaj ywm - txog li 100 grams thiab compote. Nws yog ib qho tseem ceeb tias qhov compote yog siav tsis muaj qab zib ntxiv rau.
Khoom txom ncauj - haus txiv hmab txiv ntoo, kuj tsis muaj piam thaj, li 1 khob, txog 100 gram ntawm taub dag.
Rau noj hmo koj tuaj yeem ncu cutlets nrog zaub xam lav.
Hnub rau
Hnub Saturday tuaj yeem thov ib daig me me ntawm ntsev salmon nrog lub qe. Yog tias koj tshem lub nkaub los ntawm nws, tom qab ntawd koj tuaj yeem noj 2-3 protein ua kom siav. Tshuaj yej lossis kas fes ntawm qhov siab, qhov loj tshaj plaws yog qab zib.
Rau pluas su - cov zaub qhwv tsis muaj mov, txog 200 grams, kua zaub tsis muaj kib, cov nqaij yuav tsum tsis txhob muab roj. Koj tuaj yeem hlais cov mov mog.
Khoom txom ncauj muaj ob khob cij ua khob cij thiab ib khob ntawm kefir.
Rau noj hmo, koj tuaj yeem noj 100 gram ntawm cov nqaij npuas npau lossis hau, txog li 100 gram ntawm cov taum ntsuab tshiab, thiab txog li 200 grams ntawm lub txiv ntsej muag txaij.
Hnub xya
Hnub Sunday, buckwheat rau dej nrog nqaij qaib stew rau noj tshais. Tus nqi ntawm cov zaub mov tag nrho yog txog 300 grams.
Rau pluas su - zaub qhwv lossis kua zaub rau nqaij qaib lossis kua zaub. Koj tuaj yeem ntxiv cov nqaij qaib cutlet rau lawv, qhob cij yog tias xav tau.
Nyeem ntxiv Dab tsi yog txwv tsis pub noj nrog ntshav qab zib
Khoom txom ncauj muaj 2-3 plums tshiab thiab 100 grams ntawm tsev cheese.
Rau noj hmo, ib khob ntawm kefir nrog ob peb lub ncuav biscuit. Koj tseem tuaj yeem noj ib lub txiv apple me me.
Nrog rau cov khoom noj no, koj tseem tuaj yeem siv txhua hom infusions ntawm cov tshuaj ntsuab ntawm lub cev. Rosehip broth yog tshwj xeeb cov txiaj ntsig. Lawv xyaum tsis muaj calories, yog tias koj tsis ntxiv lawv rau zib ntab, qab zib, kom lawv qab me ntsis. Lawv tuaj yeem siv cov khoom noj rau thaum lub sijhawm txhua hnub. Tus nqi ntawm cov dej kuj tsis txwv, nws muaj txiaj ntsig txawm tias muaj neeg noj qab haus huv.
Qhov txheej txheem no rau lub lim tiam cuam tshuam qhov tsis muaj ntawm ib qho khoom noj txom ncauj thaum noj tshais thiab su.Qhov no yog vim noj tau haus ntau yam thaum sawv ntxov. Tab sis yog tias muaj qhov xav tau los yog muaj kev tshaib plab heev, ces nws yog qhov zoo dua rau kev txaus siab nws los ntawm zaub xam lav, kua mis nyeem yog tsis muaj tshuaj ntxiv lossis txiv hmab txiv ntoo.
Cov yam ntxwv ua noj ntawm tus lej 9 raws li Pevzner
Cov txheej txheem noj mov raws li Pevzner tau tsim los ua kom nrawm dua rov qab rau cov neeg mob uas muaj ntau yam kab mob sib kis, thiab ntxiv rau kev tiv thaiv ntawm exacerbations ntawm cov kab mob.
Mob ntshav qab zib, kab ntawv 9 tau siv, uas yog nyiam tshaj plaws thoob ntiaj teb. Lub hauv paus ntsiab lus tseem ceeb yog txwv ntsev, qab zib thiab kho cua sov kom zoo ntawm cov khoom - ci, muab cub.
Cov lus no txwv tsis pub nqaib lossis kib, tab sis tsis yog categorically, muaj kev hloov me me tau.
Lub sijhawm kwv yees txhua hnub muaj daim foos no.
- Txog rau pluas tshais, cov mis nyuj uas muaj cov ntsiab lus qis ntawm cov rog - tsev cheese, mis lossis kefir, tuaj yeem muab ntxuav nrog tshuaj yej.
- Qhov thib ob noj tshais, lossis, raws li lawv hais txawv teb chaws, noj su, suav nrog cov hlaws barley nrog cov nqaij siav uas tsis muaj ncuav.
- Borsch rau pluas su yuav tsum muaj cov zaub qhwv tshiab, thiab nws txoj kev npaj yuav tsum yog nyob ntawm zaub zaub. Txiv hmab txiv ntoo jelly thiab ib qho me me ntawm cov nqaij siav ntxiv rau nws.
- Ib lub txiv hmab txiv ntoo twg raug tso rau noj khoom txom ncauj thaum noj su thiab noj hmo, nws yog qhov zoo tshaj plaws ntawm cov txiv av lossis kua txiv qaub, tab sis tsis qab li cov txiv duaj.
- Rau noj hmo, nws pom zoo kom noj cov ntses ci tsis tas roj, zaub xam lav, qhov zoo tshaj yog los ntawm zaub qhwv thiab zaub txhwb, nws tuaj yeem xyaw nrog txiv ntseej roj.
Cov piam thaj hloov nrog cov khoom qab zib xws li stevia. Cov khoom noj yog yuav muaj kev hloov pauv, qhov tseem ceeb yog txwv tsis pub los ntawm cov ntawv qhia zaub mov rau txhua yam khoom txwv tsis pub.
Cov yam ntxwv ntawm me nyuam txoj kev noj haus
Ib qhov teeb meem loj dua yog kev nthuav dav ntshav qab zib hauv menyuam yaus. Cov kws kho mob hauv cov xwm txheej no pom zoo kom teem sijhawm tshwj xeeb ntawm kev noj zaub mov carbohydrate, uas tuaj yeem tos txog 2/3 ntawm kev noj haus.
Ib qho ntawm qhov tsis xav tau ntawm cov kauj ruam no yog qhov pheej hloov ntawm glycemia. Lawv tuaj yeem ua rau cuam tshuam rau qhov mob tsis zoo hauv cov neeg mob.
Yog li, txoj hauv kev zoo tshaj plaws ntawm qhov xwm txheej no yog kev siv zaub mov noj zaub mov naj npawb 9 raws li Pevzner.
Los ua cov ntawv qhia zaub mov zoo, koj yuav tsum muab qhov kev nyiam rau cov khoom lag luam:
- cov nqaij - tsis muaj rog ntau yam, nqaij qaib, nqaij npuas thiab nqaij yaj raug suav nrog,
- zaub - carrots, dib, txiv lws suav, txhua hom zaub qhwv,
- txiv hmab txiv ntoo - txiv apples, txiv duaj, txiv ntoo qab zib.
Nws raug nquahu kom tshem tawm cov piam thaj kom huv hauv nws daim ntawv dawb huv, nrog rau ntxiv rau hauv cov khoom lag luam xws li compote, jam. Rau cov khoom qab zib, koj tuaj yeem hloov nws nrog sorbitol lossis fructose, tab sis nws yog qhov zoo tshaj plaws hloov mus rau stevia - lub qab zib ntuj uas muaj cov tsis muaj carbohydrates thiab calories. Bakery khoom, pastries kuj nruj me ntsis txwv tsis pub.
Ua ntej pib noj cov zaub mov no, cov hauv qab no yuav tsum raug txiav txim siab.
- Hypoglycemia yog ua tau, yog li koj yuav tsum kawm paub tiv thaiv lawv li cas.
- Cov piam thaj yuav tsum muaj kev tswj hwm ntau npaum li cas, ntau txog 7 zaug hauv ib hnub. Qhov no yuav tso cai rau koj los sau tshuaj kom tsim nyog ntawm cov tshuaj insulin.
- Nws yog qhov tseem ceeb tshaj plaws los tiv thaiv tus menyuam los ntawm kev ntxhov siab thiab sim ua kom nws nyiam txog qhov qub ntawm kev siv lub cev thiab kev ua si. Qhov no yuav tswj kho cov kua dej, kho cov metabolism hauv kev ua kom yuag, nrog rau kev qhia tus menyuam mos rau lub sijhawm, uas yuav zoo rau nws kev noj qab haus huv yav tom ntej.
Tus mob ntshav qab zib tsis yog kab lus. Thiab qhov tseeb tias cov neeg mob ntshav qab zib noj mov kuj tseem tsis tuaj yeem suav tias yog qhov tseeb. Yog tias koj qhia kev xav, ua rau koj cov zaub mov sib txawv nrog txhua cov khoom lag luam uas tau tso cai, tom qab ntawd tus kab mob yuav rov nco koj tus kheej ntau dua.
Kev noj haus zoo rau hom ntshav qab zib hom 1
Ntshav qab zib Hom 1 yog tshwm sim los ntawm kev ua tsis zoo ntawm tus txiav ntshav. Lub hlwb tsis zoo tuaj yeem tsis muaj peev xwm muab lub cev nrog cov tshuaj insulin, yog li tus neeg mob yuav tsum nkag nws ntxiv.
Qhov loj tshaj plaws nrog hom kabmob no yog xam qhov tseeb ntawm tus nqi ntawm cov tshuaj. Yog tias koj ua nws kom raug, ces tsis tas yuav ua raws li txoj cai nruj hauv cov zaub mov.
Nws yog qhov txaus rau cov neeg mob ntshav qab zib noj kom muaj kuab, xws li cov tib neeg dog dig uas saib xyuas lawv kev noj qab haus huv thiab daim duab.
Qhov tseem ceeb ntawm cov khoom noj kom zoo rau kev kho kom zoo
Yog li, muaj ntshav qab zib hom 1, yeej tsis muaj kev txwv ua noj ua haus.
Lub tsuas nruj contraindication - Cov no yog cov khoom ntim uas muaj suab thaj ntau ntau: zib ntab, confectionery, khoom qab zib, txiv hmab txiv ntoo qab zib, muffins, thiab lwm yam.
Tsis tas li, thaum sau kev noj zaub mov zoo, koj yuav tsum xav txog kev ua si lub cev thiab muaj lwm cov kab mob. Qhov no yuav tsum tau coj mus rau hauv tus account thaum xam xyuas cov zaub mov txhua hnub.
Vim li cas qhov no thiaj tseem ceeb?
Cov neeg mob ntshav qab zib yuav tsum tau noj qee yam tshuaj insulin ua ntej txhua pluas noj kom lawv ceeb toom thiab noj qab nyob zoo. Qhov tsis txaus lossis noj ntau dhau yuav ua rau lub cev tsis muaj zog hauv kev saib xyuas zoo thiab ua rau muaj teeb meem.
Cov khoom noj txhua hnub yuav tsum suav nrog 50-60% carbohydrates thiab kwv yees li 20-25% rog thiab cov proteinCov. Cov kws kho mob feem ntau qhia kom tsis txhob noj cov rog, ntsim ntsim, thiab kib zaub mov.
Cov no yog cov lus qhia tseem ceeb rau cov neeg mob uas, ntxiv rau cov ntshav qab zib, muaj lub cev tsis ua hauj lwm zoo. Cov kev tshawb fawb tsis ntev los no qhia tau tias cov rog thiab cov txuj lom tsis ua rau lub cev tsis muaj kev cuam tshuam ntawm glycemic.
Tab sis nrog kev siv cov carbohydrates, koj yuav tsum tau ceev faj.
Lawv sib txawv hauv tus nqi ntawm assimilation los ntawm lub cev. Cov hu ua "qeeb" carbohydrates yog nqus rau hauv 40-60 feeb thiab tsis ua rau lub ntsej muag ntse hauv cov suab thaj. Lawv muaj nyob hauv cov hmoov txhuv nplej siab, pectin thiab fiber thiab yog ib feem ntawm cov txiv hmab txiv ntoo thiab zaub.
Tej yam yooj yim, yoo zaub mov uas tau zom cov zaub mov tau ua tiav hauv 5-25 feeb thiab pab txhawb kom muaj cov piam thaj ntau ntxiv. Lawv muaj nyob hauv txiv hmab txiv ntoo, zib ntab, qab zib, zib suab thaj, npias thiab lwm yam dej cawv, nrog rau txhua yam zaub mov qab zib.
Txhawm rau xaiv qhov tseeb ntawm cov koob tshuaj ntawm cov tshuaj insulin, koj yuav tsum npaj koj cov zaub mov hauv lub npe hu ua qhob cij (XE). 1 koog yog 10-12 g ntawm carbohydrates. Tsuas yog ntau ntawm lawv nyob hauv ib lub khob cij ntawm 1 cm tuab. Nws pom zoo kom noj tsis ntau tshaj 7-8 XE ib zaug.
Lo lus nug yog: Ntau npaum li cas XE muaj cov khoom qab zib mob ntshav qab zib thiab lawv yuav noj tau ntau npaum li cas?
Cov yam ntxwv thiab hom khoom qab zib
Lawv muab faib ua cov qis thiab high calorie. Qhov kawg hauv calories yog yuav luag sib npaug rau cov piam thaj dog dig, tab sis tom qab lawv glycemia tsis loj hlob li. Txawm li cas los xij, ob hom no tsis tuaj yeem siv nrog kev tswj tsis tau. Muaj cov qauv, cov kev saib xyuas uas tau lees tias ib lub xeev zoo.
Peb muab rau koj kom paub zoo cov npe khoom qab zib. Qhov siab tshaj plaws ntawm lub khob rau ib 1 kg ntawm lub cev qhov hnyav tau qhia nyob rau hauv kev sib koom tes:
- saccharin (5 mg)
- aspartame (40 mg)
- cyclamate (7 mg)
- acesulfame K (15 mg)
- ua tau zoo (15 mg)
Khoom qab zib muag los ntawm stevia. Nws yog lub ntuj tso pa ntawm cov tsis tshua muaj calorie, uas yog qhov pom tiag tiag rau cov neeg mob ntshav qab zib uas muaj qhov ncauj qab zib.
Nrog rau cov txiaj ntsig zoo ntshav qab zib, koj tuaj yeem haus li 50 g suab thaj hauv ib hnub. Qhov no zoo kawg nkaus txhawb ntau qhov ua tib zoo xav txog XE thiab insulin koob thiab txo kev ntxhov siab kev xav.
Yuav ua li cas yog tias koj xav tau khoom qab zib “tiag”?
- Haus kom lawv chilled
- Qhov nyiam muab rau cov khoom noj qab zib uas tseem muaj cov protein, fiber, rog thiab maj mam zom cov zaub mov carbohydrates, piv txwv li, txiv hmab txiv ntoo, berries, yob, ice cream, protein cream.
- Noj khoom qab zib tom qab noj mov, tsis txhob nyob ntawm lub plab khoob
Kev Qhia Txog Khoom Noj Kom Zoo rau cov Ntshav Qab Zib
Feem ntau ntawm cov khoom noj rau cov neeg mob ntshav qab zib muaj qhov glycemic index tsawg. Kev noj haus yuav tsum muaj ntau cov zaub mov tshiab, hauv zaub thiab txiv hmab txiv ntoo nrog cov khoom noj muaj roj thiab fiber ntau, uas ua rau kom nqus tau cov zaub mov zoo thiab cov khoom noj muaj txiaj ntsig zoo dua, thiab tseem yuav pab tshem tawm cov co toxins thiab metabolites tawm ntawm tus neeg mob lub cev. Kev siv cov mis porridges ua tus thawj thiab thib ob tag kis sawv ntxov muab tus neeg mob ntshav qab zib nrog rau cov khoom noj tsim nyog ntawm cov carbohydrates uas tsis ua rau muaj qhov nce siab ntxiv hauv cov piam thaj hauv cov ntshav ntshav.Cov khoom noj muaj roj tsawg ua rau txhim kho txoj haujlwm ua haujlwm ntawm hepatobiliary system ntawm tib neeg lub plab zom mov.
Cov khoom noj muaj ntshav qab zib kuj muaj cov khoom noj qab zib, yog li ntshav qab zib tsis yog kab lus rau cov hniav qab zib. Rau cov neeg nyiam ntawm lub qab zib zaub mov, rau txhua txhua hnub koj tuaj yeem ua rau muaj ntau yam nrog cov tais diav:
- ncuav mog qab zib thiab jelly,
- txiv ntoo siav
- hloov cov tshuaj yej qab zib los yog compote, koj tuaj yeem siv jelly raws oatmeal lossis txiv ntoo punch.
Yog li kev noj zaub mov kom tsis tshua muaj carb tuaj yeem tsis tsuas yog muaj kev noj qab haus huv, tab sis kuj tseem qab thiab txawm muaj ntau yam.
Kho kev noj haus
Endocrinologist tau tsim cov ntawv qhia tshwj xeeb rau cov neeg mob ntshav qab zib ntawm hom 1 thiab hom 2. Khoom noj khoom haus naj npawb 9 muab cov qauv hauv qab no:
Kev noj haus rau ntshav qab zib yuav muab qee yam ntawm kev noj zaub mov. Cov lus 9 qhia txog kev nquag noj zaub mov rau feem tsawg 6-7 zaug hauv ib hnub.
Qauv qhia kev noj haus rau lub lim tiam
Daim ntawv qhia kwv yees rau lub lim piam twg rau cov ntshav qab zib yog npaj qhia tias cov khoom noj khoom haus yuav tsum muaj ntau yam thiaj li rov ua txhua yam zaub mov tsim nyog hauv lub cev. Daim ntawv qhia ua zaub mov rau tus neeg mob ntshav qab zib yuav tsum yog nyob ntawm seb muaj pes tsawg lub khob cij, tshwj xeeb tshaj yog rau cov neeg mob ntshav qab zib hom 1 lossis daim foos insulin-uas muaj kev tiv thaiv zoo. Txhawm rau sau cov zaub mov noj rau ib lub lim tiam, koj yuav tsum siv lub rooj tshwj xeeb, uas tuaj yeem nrhiav pom hauv Is Taws Nem lossis nqa ntawm lub tsev kho mob twg.
Los xam cov ntsiab lus calorie, ntau lub suab siv, qhov tseem ceeb yog:
- qhov siab, qhov hnyav thiab qhov hnyav ntawm lub cev qhov ntsuas ntawm tus neeg mob nrog kev laij lub cev,
- yoo glycemia thiab tom qab kev tawm dag zog nrog piam thaj,
- ib qho kev soj ntsuam ntawm glycosylated hemoglobin, uas qhia txog qib glycemia hauv 3 lub hlis dhau los.
Tsis tas li tsis muaj qhov tseem ceeb me me yog lub hnub nyoog ntawm tus neeg mob. Concomitant mob mus ntev thiab cov kab mob uas tsis kis, nrog rau kev ua neej.
Hnub Monday
Pluas tshais: ib qho qhob noom, tshwj tsis yog mov thiab semolina, hauv ib lub ntim tsis ntau tshaj 200 g, cheese nrog cov roj cov ntsiab lus tsawg dua 20% thiab hnyav tsis tshaj 40 g, rye cij 1-2 ncuav, tshuaj yej tsis muaj qab zib nrog qhov ntxiv ntawm qab zib.
Noj su: tej yam txiv ntoo qaub, pom zoo ntsuab cov txiv av. Tshuaj yej tsis muaj qab zib nrog ncuav qab zib biscuit.
Noj su: vitamin zaub xam lav 100 g, borsch 250 g, chav ua noj cutlet ntawm cov qaib cov txwv nqaij, stewed zaub qhwv, 1 daim ntawm rye qhob cij.
Khoom txom ncauj: grainy curd nrog qhov feem pua tsawg ntawm cov rog, txiv hmab txiv ntoo tshuaj yej (1 khob), txiv ntoo jelly nrog ntxiv ntawm qab zib los yog qab zib.
Noj hmo: zaub xam lav ntawm cov txiv lws suav tshiab thiab dib, hau cov nqaij.
Qhov noj hmo thib ob: ib qho kev haus kua mis uas muaj feem pua ntawm cov rog hauv lub ntim tsis ntau tshaj ib khob.
Qhov no version ntawm kev noj haus nyob rau thawj hnub muaj 1500 kcal.
Thawj pluas mov: omelette yam uas tsis muaj lub ntsej muag nrog rau qhov sib ntxiv ntawm cov tshuaj ntsuab tshiab, ib qho nqaij nyoos los ntawm cov nqaij nyuj muaj roj tsawg, cov txiv lws suav tshiab, cov ncuav ci tag nrho (1 daim), tshuaj yej tsis muaj suab thaj 250 ml.
Qhov thib ob hom: yogurt nrog bifidobacteria, qhob cij.
Qhov thib peb txoj hau kev: vitamin zaub xam lav - 150 g, kua zaub kua zaub - 300 ml, kua mis los ntawm nqaij npuas, ci taub dag, ncuav ci ncuav - 1 daim.
Plaub hom: txiv kab ntxwv qaub, yogurt lub teeb.
Tsib pluas mov: zaub stew nrog ntses steamed - 300 g, freshly nyem kua kua txiv los ntawm qaub ntau yam ntawm txiv apples - 200 ml.
Thib rau pluas noj: tshuaj yej nrog mis nyuj - 250 ml, kua ncuav.
Tag nrho cov calorie ntau ntau ntawm cov tais diav rau hnub Tuesday yog 1380 kcal.
Thawj feem: khoom zaub pob stuffed nrog nqaij nyuj nqaij, tsawg-rog qaub cream, 1 daim ntawm qhob cij thiab tshuaj yej - 250 ml.
Qhov thib ob: cov khob cij tsis muaj qab zib - 3 pcs, txiv hmab txiv ntoo compote nrog cov piam thaj hauv qab.
Qhov thib peb: zaub xam lav nrog nqaij qaib mis - 150 g, zaub ntxuav kua zaub hauv lub ntim ntawm 200 ml, dej ntshiab nrog cov rog tsis muaj roj, txiv hmab txiv ntoo qhuav compote.
Plaub pab: nruab nrab-txiv kab ntxwv, txiv hmab txiv ntoo tshuaj yej - 250 ml.
Thib tsib pab: tsev cheese cheese zaub nrog berries, haus los ntawm ib tug rosehip broth.
Thib rau pabcuam: roj tsawg rog kefir.
Cov ntawv qhia tag nrho cov calories rau hnub no yog 1400 kcal.
Pluas tshais: txhua yam khoom noj, tshwj tsis yog mov thiab semolina, nyob rau hauv lub ntim tsis ntau tshaj 200 g, cheese nrog cov roj cov ntsiab lus ntawm tsawg dua 20% thiab hnyav tsis tshaj 40 g, mov ci khob cij - 1-2 slices, tshuaj yej tsis muaj suab thaj nrog ntxiv cov qab zib.
Khoom txom ncauj: yogurt nrog bifidobacteria, qhob cij.
Noj su: tshiab zaub zaub xas - 100 g, kua zaub kua zaub - 300 ml, ncu nqaij qaib mis, ci taub dag, ncuav ci ncuav - 1 daim.
Khoom txom ncauj: grainy curd nrog qhov feem pua ntawm cov rog tsawg, haus cawv rose - 250 ml, txiv ntoo jelly nrog ntxiv cov qab zib los yog qab zib.
Noj hmo: zaub xam lav ntawm cov txiv lws suav tshiab thiab dib, hau cov nqaij.
Thib ob hmo: kev haus dej qaub-mis nrog cov ntsiab lus ntawm cov rog tsawg dua 3% hauv ib lub ntim tsis ntau tshaj ib khob.
Calorie kev noj zaub mov nyob rau hnub Thursday yog 1450 kcal.
Pluas tshais: buckwheat porridge - 100 g, taub dag plhaw, 1 daim ntawm qhob cij thiab tshuaj yej - 250 ml.
Thib ob noj tshais: khaub noom qhuav - 2-3 pcs, txiv ntseej txiv ntoo nrog cov piam thaj hauv qab.
Noj su: sauerkraut –100 g, zaub kua zaub - 250 ml, mashed qos yaj ywm hauv dej nrog cov rog tsis muaj roj, txiv hmab txiv ntoo qhuav compote.
Khoom txom ncauj: nruab nrab-txiv kab ntxwv, txiv hmab txiv ntoo tshuaj yej - 250 ml.
Noj hmo: tsev cheese cij zaub nrog berries, haus los ntawm rosehip broth.
Thib ob noj mov: qis rog kefir.
Cov ntawv qhia tag nrho cov calories rau hnub no yog 1400 kcal.
Pluas tshais: ntsev ua kua ntsev, 1-2 lub qe hau, 1 daim khob cij thiab ib nrab khob tshiab, tshuaj yej nrog lub qab zib.
Noj su: muaj roj tsawg hauv tsev cheese, cov nqaij qus.
Noj su: Zaub qhwv kua zaub - 200 ml, tub qhwv zaub qhwv, 1-2 ib qho khob cij los ntawm cov hmoov nplej wholemeal.
Khoom txom ncauj: khaub noom yas, tshuaj yej nrog mis nyuj - 250 ml.
Noj hmo: taum mog porridge nrog nqaij nyug cutlet, tshuaj yej tsis muaj suab thaj - 200 ml, ncu qe - 150 g.
Yav tsaus ntuj khoom noj: kua txiv qaub.
Cov calories tag nrho cov ntsiab lus rau hnub yog 1450 kcal.
Hnub Sunday
Pluas tshais: cov zaub qhwv cov zaub qhwv nrog cov nqaij nyug, tsis muaj rog rog qab zib, 1 daim ntawm qhob cij thiab tshuaj yej - 250 ml.
Thib ob noj tshais: khaub noom qhuav - 2-3 pcs., Cov txiv ntoo tshiab ua kua txiv.
Noj su: zaub xam lav los ntawm nqaij siav thiab zaub xas lav nplooj –100 g, zaub kua zaub –– 250 ml, lub tsho hau qos yaj ywm –1–2 pcs.
Khoom txom ncauj: nruab nrab-txiv kab ntxwv, txiv hmab txiv ntoo tshuaj yej - 250 ml.
Noj hmo: tsev cheese cij zaub nrog berries, haus los ntawm rosehip broth.
Thib ob noj hmo: tshuaj yej nrog mis nyuj - 250 ml, txiv ncuav pias.
Tag nrho cov calories kom muaj cov ntsiab lus ntawm cov tais diav rau hnub Tuesday –1380 kcal.
Yuav kom lub ntsiab
Daim ntawv teev cov zaub mov noj kom raug rau cov neeg mob ntshav qab zib mellitus tso cai tsis yog rau cov khoom noj sib txawv thiab ua nws txoj kev kho kom raug, tab sis kuj tswj hwm tus neeg mob kom noj qab haus huv. Nws tsis yog yuav tsum tau siv cov zaub mov noj tau piav qhia hauv kab lus; koj tuaj yeem tsim koj tus kheej cov khoom noj ua noj ua haus. Kev noj zaub mov kom zoo nrog kev noj zaub mov kom tsawg carb pub koj tawm ntawm tus kab mob nyob rau hauv lub xeev muaj txiaj ntsig ntev, uas txo kev pheej hmoo ntawm kev loj hlob sai ntawm cov teeb meem cuam tshuam nrog ntev hyperglycemia.
Cov ntsiab cai dav dav - cov zaub mov twg yuav tsum tau muab cais tawm ntawm kev noj haus?
Ua tsaug rau qhov muaj cov tshuaj niaj hnub no, nws tau dhau los ua kev yooj yim rau cov neeg mob ntshav qab zib nyob - nws ua rau tsis muaj kev nkag siab zoo rau kev coj noj coj ua zoo li yav dhau los. Txawm li cas los xij, qee cov zaub mov yuav tsum tsis nco qab mus tas li:
1. Qab zib - khoom qab zib, chocolate, marmalade thiab lwm yam. Txwv tsis pub categorically. Qhov tshwj tsis yog kev poob qis hauv cov ntshav qab zib, uas tau tshwm sim vim yog qhov kev ua txhaum ntawm lub sijhawm teev kev kho mob insulin lossis noj zaub mov tsis zoo. Ib qho lwm txoj kev yog cov khoom fructose. Thiab tom qab ntawd - hauv kev sim, xws li qee qhov kev hloov biochemical hauv lub cev, fructose tuaj yeem hloov mus rau hauv qabzib. Qhov zoo tib yam rau qab zib - dua li nws, koj yuav tsum siv cov khoom qab zib (yog tias ib tus neeg tsis tuaj yeem nyob tsis muaj tshuaj qab zib lossis kas fes),
2. Cawv - tsis suav nrog hauv txoj hauv paus ntsiab lus, contraindicated txawm nyob rau hauv qhov qis qis tshaj,
3.Cov khoom hluavtaws muaj ntau qhov sib xyaw nrog cov paib E (haus dej nrog dyes, ntau yam khoom tiav ib nrab). Cov "khoom noj" no yuav tsum tsis txhob noj txawm tias tsis muaj ntshav qab zib.
4. Mov ci - kom tsis txhob muaj qhov txwv, nws muaj peev xwm siv cov xim dub nkaus xwb, mov ci, nyiam dua nrog pob kws.
Daim ntawv teev cov khoom lag luam uas tuaj yeem siv tau yam tsis muaj kev txwv
1. Zaub ua zaub (txiv hmab txiv ntoo thiab zaub ntsuab). Tib qho yog tias kev siv cov qos yaj ywm, txiv quav ntswv nyoos thiab cov txiv ntsej muag yuav tsum muaj qee qhov txwv, vim tias qhov no tuaj yeem ua rau nce ntxiv hauv cov piam thaj,
2. Cov khoom noj siv mis, tab sis tsuas yog tsis rog. Tsev cheese, mis, kefir, fermented ci mis nyuj - koj tuaj yeem siv nws,
3. Porridge - buckwheat, pearl barley, oatmeal. Tab sis tsis ntxiv qab zib!
4. Kev noj ntau yam ntawm cov nqaij thiab ntses (nqaij, nqaij qaib, ntses dawb). Txhua lub lauj kaub tais diav yuav tsum tau muab rhaub lossis ci.
Nyuaj rau xaiv cov khoom noj kom muaj ntshav qab zib hom 1
Raws li kev txheeb cais, feem ntau ntawm cov ntshav qab zib hom 1 yog cov menyuam yaus. Hauv qhov no, nws muaj teeb meem tsis yog rau hauv kev sau cov zaub mov nws tus kheej, tab sis kuj hauv kev txhawb nqa tus neeg mob kom ua raws li cov ntsiab lus kev tsim khoom noj khoom haus, vim tias qee qhov cov menyuam yaus tsis to taub lub ntsiab lus ntawm txhua cov haujlwm no. Thiab nws tseem nyob deb ntawm qhov tuaj yeem tswj hwm lawv tau - feem ntau "cov neeg mob ntshav qab zib me ntsis" hauv tsev kawm ntawv tau txais khoom qab zib txaus thiab mus rau hauv chav saib xyuas mob hnyav nrog lub siab tsis nco qab. Thiab ib txhia, ntawm qhov tsis sib xws, tsis kam noj zaub mov vim qee qhov laj thawj. Qhov tshwm sim zoo sib xws, tsuas yog cov kab mob pathogenesis txawv thiab muaj cov ntshav qab zib kom qis.
Ntau ntau yam khoom noj tau txais tos
Muab qhov tseeb tias feem ntau ntawm cov neeg mob, cov neeg mob uas raug tus mob ntshav qab zib hom 1 tau txhaj tshuaj insulin 6 zaug hauv ib hnub, tom qab ntawd cov zaub mov noj yuav tsum yog 6 lub sijhawm. Kev noj haus zoo rau neeg mob ntshav qab zib yog raws li nram no:
- 6.15 - thawj tshais,
- 9.15 - zaum ob noj tshais,
- 12.15 - su,
- 15.15 - cov khoom noj txom ncauj thaum tav su,
- 18.15 - thawj hmo noj mov,
- 21.15 - zaum ob noj hmo.
Los ntawm cov phiaj xwm saum toj no, nws yuav yooj yim twv tias 10-15 feeb ua ntej noj, insulin raug tswj hwm. Cov sijhawm noj mov zoo sib xws yuav tsum yog cov neeg mob ntshav qab zib noj tshuaj insulin nyob rau hauv kev sib xyaw nrog cov tshuaj uas pab txhawb kev nkag mus ntawm cov piam thaj los ntawm phab ntsa cell (Metformin, Diagnizid thiab lwm tus).
Cov phiaj xwm kev hloov tuaj yeem hloov pauv tau yog tias tus neeg mob tau lub "twj" hu ua "ntsia" - qhov no yog ib qho cuab yeej uas tswj hwm qib ntawm cov piam thaj hauv cov ntshav, thiab tso cov kua dej thaum tsim nyog. Cov neeg mob zoo li no tuaj yeem noj 4 zaug nyob rau ib hnub - muaj tseeb, lawv yuav tsum ua raws li cov zaub mov muaj calorie tsawg. Kuj tseem muaj qee qhov xwm txheej zoo li no thaum cov kws kho mob endocrinologist “khaws cia” lawv cov neeg mob ntawm kev txhaj tshuaj insulin ntev ntev ib hnub nrog kev xav tswj cov ntshav qabzib. Ua yeeb yam luv luv tsuas yog qhia thaum muaj suab thaj ntau ntxiv. Tab sis cov txheej txheem no tsis siv rau txhua tus neeg.
Xam nrog lub zog (cov nyiaj tau los thiab nws cov nqi) rau kev ua cov ntawv qhia zaub mov. Txoj kev xaiv no ncaj ncees li cas?
Cov kev qhia yooj yim thaum sau cov ntawv qhia zaub mov tsis yauv pauv txhua qhov hloov - cov calories kom noj yuav tsum them tag. Kev suav ntawm lub zog siv thiab cov calories ntau uas tau noj nrog zaub mov rau cov neeg mob ntshav qab zib hom 1 yuav yooj yim tshaj yog xam raws li lub tswv yim ntawm "Chav Ua Noj" (tom qab no tus nqi yuav raug xa mus rau XE). Raws li nws cov ntsiab lus caloric, 1 XE sib raug rau 12 g ntawm qabzib. Rau ib hnub, tus neeg muaj ntshav qab zib hom 1 muaj cai 18-24 XE. Faib lawv raws li daim ntawv qhia saum toj yuav tsum muaj kwv yees li hauv qab no:
- Thaum noj mov thawj - 9-10 units.,
- Rau pluas su thiab tav su rau 1-2 tog.,
- Noj su, 6-7 units.
- Rau thawj pluas thawj thiab thib ob, 2 chav.
Kev sib tiv thaiv ntawm cov khoom lag luam rau qhov ntau thiab tsawg ntawm XE tuaj yeem xam raws cov ntaub ntawv hauv ib lub rooj tshwj xeeb:
Ntawd yog, ib tus neeg laij seb nws yuav xav tau cov zaub mov ntau npaum li cas (thiab yam twg) txhawm rau kom ntseeg tau tias tau txais cov nyiaj ntawm XE saum toj no mus rau hauv lub cev. Qhov muab xam yog txiav txim siab raws li txhua pluas noj.
Tab sis hauv kev muaj tiag, cov neeg mob tsawg kawg tam sim no tau ua raws li ib txoj kev nruj. Feem ntau cov lus nug ntawm kev xaiv kev noj haus rau cov ntshav qab zib tau daws tau yooj yim dua.
Txawm li cas los xij, kev kho mob insulin raug xaiv hauv tsev kho mob endocrinology department. Nyob ntawd, cov neeg mob tau txais zaub mov noj raws li qhia hauv Zaj 9 raws li Povzner tau hais. Thaum kawg ntawm kev kho mob hauv tsev, nws yuav txaus rau tus neeg mob kom yoog kom mus raws li kev noj haus zoo ib yam. Hauv qhov xwm txheej zoo ib yam, yog tias tus neeg mob txiav txim rau nws cov zaub mov ntau yam, tom qab ntawd nws yuav tsum tau nrog qhov ntau ntawm kev txiav txim ntawm XE.
Nyob rau hauv qhov xwm txheej twg koj yuav tsum tsis ua raws li cov ntsiab cai ntawm kev noj zaub mov?
Hauv ntau tus neeg mob, hom 1 mob ntshav qab zib mellitus hloov zuj zus lub sijhawm (qhov xwm txheej no feem ntau pom nrog qhov xwm txheej autoimmune ntawm tus kabmob, thaum lub cev tiv thaiv tus kabmob ua rau lub hlwb ua haujlwm rau insulin ntau lawm). Hauv qhov no, kev kho tshuaj insulin raws li kev xav tau raug tshuaj xyuas. Yog li ntawd, koj yuav tsum tau hloov sijhawm teem sijhawm noj zaub mov, nrog rau cov khoom lag luam nrog cov khoom noj. Hauv cov kev mob nyuaj tshwj xeeb, cov neeg mob tau ntawm kev noj zaub mov noj rau qee lub sijhawm (uas yog tag nrho cov khoom noj khoom haus - cov protein, cov rog thiab carbohydrates yog muab rau cov leeg ntshav).
Noj cov zaub mov txawv.
Nws tsis tas yuav xav tias kev noj haus zoo rau cov neeg mob ntshav qab zib yuav tsis muaj noj txaus haus, thiab yuav yog qhov kev sim tiag tiag ntawm tus neeg mob lub hom phiaj rau ib sim neej. Cov zaub mov txawv hauv qab no yuav tsoo cov stereotype no txawm tias feem ntau ua tsis tau zoo.
Khoom noj txom ncauj thaum tav su zoo - muaj protein ntau tseg rau ib hnub
Nws yuav tsim nyog los npaj ib feem ntawm cov tais:
200 g rog-free tsev cheese (0%),
250 ml cov roj uas tsis muaj rog haus yogurt,
0.5 txiv tsawb
Tag nrho cov khoom xyaw yuav tsum tau muab nchuav rau hauv rab thiab muab txau kom huv. Tom qab ntawd, txias me ntsis. Cov zaub mov npaj tau noj! Tab sis nws yog tsim nyog sau cia tias cov carbohydrates los ntawm cov kab laum yog nqus tau sai thiab xws li cov khoom noj txom ncauj ua ntej kev tawm dag zog muaj feem xyuam.
Cub Ci Apples
Ntau tus neeg mob ntshav qab zib raug kev txom nyem los ntawm qhov tseeb tias lawv tsis tuaj yeem muaj qab zib. Muaj txoj hauv kev tawm ntawm qhov xwm txheej no.
Los npaj cov zaub mov no (ib qho) koj yuav xav tau:
3-4 txiv apples (loj),
200-300 g ntawm walnuts,
200-300 g ntawm apricots qhuav thiab / lossis prunes.
Apples yog txiav mus rau hauv ob halves, qhov tseem ceeb raug txiav. Prunes thiab qhuav apricots yog dhau mus rau ib qho nqaij grinder. Lub noob txiv walnut yog txiav kom zoo zoo nrog rab riam. Tom qab ntawd, cov txiv hmab txiv ntoo hauv cawv, nrog rau txiv ntoo, yog nchuav rau hauv cov txiv apples, uas tom qab ntawd koom ua ke. Apples yog qhwv hauv ntawv ci thiab xa mus rau qhov cub preheated rau 30-40 feeb. Noj mov los noj mas yog kub!
Kev noj zaub mov zoo rau tus neeg mob ntshav qab zib tsis tseem ceeb tshaj li kev kho mob insulin. Tsuas yog los ntawm kev sib txuas ntawm ob txoj hauv kev no tuaj yeem ua kom ruaj khov ntawm cov xwm txheej dav dav ntawm tus neeg mob.
Qhov kev xaiv zoo tshaj plaws rau kev suav sau koj cov zaub mov noj yog txhawm rau ua raws li cov lus pom zoo ntawm koj tus mob endocrinologist. Thaum tus neeg mob xav siv qee yam zaub mov ntxiv, koj yuav tsum tsom rau ntawm lub rooj ntawm cov khob cij, cov zaub mov glycemic thiab tag nrho cov calories ntau ntawm cov zaub mov noj rau tag nrho ib hnub, ntxiv rau qhov sib xyaw ntawm cov nqi no nrog qhov ntsuas ntawm lub zog siv.
Noj cov ntshav qab zib hom 1 tuaj yeem qab qab - muaj ntau yam zaub mov txawv uas yuav ua rau koj ua zaub mov noj tshwj xeeb los ntawm cov khoom xyaw uas tau tso cai.
Daim ntawv qhia zaub mov ntawm cov tais diav rau cov ntshav qab zib hom 1 rau txhua hnub thiab lub lim tiam
Mob ntshav qab zib mellitus (DM) yog ib qho kab mob hnyav uas tsis muaj tshuaj thiab muaj kev sib kis zuj zus ntxiv. Qhov no yog vim qhov kev txo qis hauv kev tawm dag zog thiab kev koom ua ke ntawm cov khoom lag luam hauv kev phom sij.
Tus kab mob tau muab faib ua 2 hom: cov tshuaj insulin-hom (hom 1) thiab tsis muaj tshuaj insulin.
Txog rau cov ntshav qab zib, koj yuav tsum ua ntawv qhia zaub mov rau txhua hnub ntawm cov zaub mov pub kom tsis txhob cuam tshuam kev noj zaub mov, tab sis nws tsis nyuaj - tsis muaj teeb meem - tsis muaj teeb meem ntawm cov zaub mov qab rau hom 1-2 cov ntshav qab zib.
Pathology Nta
Thawj hom yog hais txog cov kab mob autoimmune, uas muaj cov ntshav qabzib ntau dhau, nqhis dej, tsaug zog, nkees, thiab tso zis tsis tu ncua vim muaj ntau dhau mus ua haujlwm ntawm lub raum. Tus kab mob no tau qhia nyob rau hauv kev tsis muaj cov tshuaj insulin (ib yam tshuaj los thauj ntshav qabzib), nyob rau hauv kev sib txuas nrog qhov no, cov concentration ntawm cov piam thaj hauv lub cev tau loj hlob tas li.
Hom ntshav qab zib tsis yog insulin-hais txog cov ntshav qab zib yog hais txog cov kab mob metabolic thiab tshwm sim vim kev tsim cov tshuaj insulin tsis zoo los ntawm tus txiav los yog nws qhov kev xav tsis zoo los ntawm cov kab mob ntawm lub cev. Cov cim ntawm hom mob thib ib thiab thib ob yuav zoo sib xws.
Cov lus tshaj tawm tshwj xeeb yuav tsum tau ua rau cov zaub mov tshwj xeeb rau cov ntshav qab zib, tshwj xeeb tshaj yog rau cov neeg txom nyem los ntawm nws thawj hom, vim tias lawv yuav tsum ua zaub mov noj rau ib lim piam kom tau txais cov tshuaj uas tsim nyog rau lub cev. Rau cov neeg mob uas muaj hom kab mob pathology thib ob, qhov yuav tsum yog qhov coj ncaj ncees, vim tias tsis yog txhua tus neeg xav tau cov tshuaj insulin.
Nrog rau hom ntshav qab zib hom 1, txhua hnub kev txhaj tshuaj ntawm cov tshuaj hormone thauj ntshav qabzib yog qhov tsim nyog, vim tias tsis muaj nws qhov mob ntshav qab zib poob rau hauv lub cev ntog hyperglycemic lossis tau txais cov kev mob tshwm sim vim muaj kev puas tsuaj vascular. Txhawm rau ua lub neej yooj yim rau cov neeg mob, cov kws kho mob tau qhia lub tswv yim ntawm chav ua mov ci (XE), thiab tus nqi ntawm cov tshuaj txhaj ntxiv nyob ntawm nws qhov kev xam.
Lub khob cij txhais tau li cas?
Tus neeg mob ntshav qab zib yuav tsum tau soj ntsuam cov ntshav qabzib hauv cov ntshav tas mus li, nrog qhov kev txo qis ntawm qhov mob ntshav qab zib tsawg tsawg, thiab nrog rau qhov nce ntxiv - hyperglycemia, thiab ob qho xwm txheej yuav cuam tshuam loj heev rau tib neeg kev noj qab haus huv. Txog qhov no, tus kws kho mob endocrinologist tau txuas rau XE thiab insulin vim tias lub khob cij qhia txog cov nyiaj hauv carbohydrates hauv cov zaub mov thiab yog siv hauv kev suav qhov ntau ntawm cov tshuaj hormones rau kev txhaj tshuaj.
Qhov ntsuas tau txais nws lub npe los ntawm ib daim qhob cij hnyav 24 g, thiab nws ib nrab - 12 g - yog sib npaug rau 1 XE. Lub kaw lus tau txais yuav thoob ntiaj teb thiab tsim nyog rau kev suav cov tais diav. Cov kws kho mob xav kom cov neeg mob ntshav qab zib hom 1 luam tawm ib lub rooj uas qhia cov khoom siv XE los siv thaum tshawb nrhiav cov ntawv qhia rau ntshav qab zib.
Raws li ntau qhov chaw, 1 chav ua mov ci yog los ntawm 10 txog 15 g, qhov no tsis cuam tshuam qhov ntau ntawm cov tshuaj hormones xav tau. Yuav kom ua tiav qhov txiaj ntsig yam xav tau, nws tsis yog qhov tseem ceeb kom tsis txhob xam cov khoom noj carbohydrates, tab sis kuj tseem yuav tsum tau txhaj ua ntej noj mov, yog li cov ntawv qhia zaub mov raug kos ib lim piam ua ntej.
XE suav
Kev siv cov khob cij ua rau lub neej yooj yim dua rau cov neeg mob ntshav qab zib thiab tso cai rau lawv tus kheej ntawm kev tshawb nrhiav qhov xav tau ntawm cov tshuaj insulin.
Tus neeg mob tau swm rau lub system uas nws txiav txim siab los ntawm qhov muag pom ntau npaum li cas XE nws muaj hauv tais. Nws yog qhov yooj yim los ua daim ntawv qhia zaub mov ua ntej rau ib lim tiam kom paub tias yuav siv cov tshuaj hormones ntau npaum li cas.
Cov kws kho mob pom zoo kom faib cov naj npawb ntawm cov khob cij los ntawm hnub, thiab nws yog qhov tsim nyog tias lawv yuav tsawg dua 10 nrog qhov hnyav dua, thiab hauv nws qhov tsis muaj - 15-20. Nws tsis pom zoo kom haus ntau dua 7 XE rau 1 pluas noj, raws li kev noj zaub mov ntawm cov neeg mob ntshav qab zib tau muab xam rau me me tab sis ntau zaus (4-6 zaug ib hnub) cov kev pabcuam. Nrog txoj kev no, yuav muaj ob peb lub khob cij ua khoom noj txom ncauj.
Cov ntawv qhia zaub mov rau hnub hauv XE lub rooj:
Suav yog qhov tsim nyog rau tus mob ntshav qab zib hom 1 uas muaj hom mob ntshav qab zib hnyav, vim tias lawv yuav tsum tau txhaj tsis tsuas yog cov tshuaj qoj ib ce ntev (thaum sawv ntxov thiab yav tsaus ntuj), tab sis kuj noj ib-zaug - ua ntej noj mov.
Cov ntawv qhia ua zaub mov noj tau zoo heev, thiab cov tais diav yog xaiv raws li kev nyiam saj nrog lub qhov muag ntawm cov khoom lag luam uas tau tso cai.
Raws li cov kws qhia noj zaub mov, cov zaub mov uas muaj glycemic qes thiab qis yuav maj mam nkag siab thaum sawv ntxov, vim tias cov piam thaj yuav nyob hauv qhov ib txwm muaj tom qab noj mov tas.
1 lub khob cij yuav ua rau cov ntshav qabzib ntau ntxiv li 2-2.77 mmol / l, yog li hom kab mob ntshav qab zib hom 1 yuav tau them rau cov tshuaj insulin los ntawm kev txhaj tshuaj.Yog li koj tuaj yeem nyob nyab xeeb rau thaum laus tsis muaj teeb meem rau cov ntshav qab zib. Kev xam ntawm cov koob tshuaj ntawm cov tshuaj insulin nyob ntawm lub sijhawm nruab hnub, vim thaum sawv ntxov 1 XE - 2 chav nyob. cov tshuaj hormones, thaum noj su - 1.5 ntsuas, thiab yav tsaus ntuj 1 txog 1.
Nrog ntshav qab zib, nws yog ib qho tsim nyog los tswj cov theem ntawm cov piam thaj hauv lub cev, thiab glucometer yuav pab hauv tsev.
Kev ntsuam xyuas tau ua los ntawm kev siv lub tshuab ua ntej noj mov, thiab tom qab ntawd, tsom mus rau cov lej tau txais, lawv ntxiv XE, uas cov kabmob ntshav qab zib tau npaj los ntawm cov tais diav npaj, thiab txhaj cov tshuaj insulin uas yuav tsum tau.
Ntshav tau tshuaj xyuas rau cov piam thaj hauv qab 2 teev, thiab yog tias qhov tshwm sim 7.6-7.8 mmol / L lossis tsawg dua, cov ntsuas yog muaj tseeb.
Tus mob ntshav qab zib hom 2 tsis yog tas mus kho cov tshuaj insulin, qee zaum kev noj zaub mov zoo thiab kev tawm dag zog yog qhov txaus, tab sis ua ke nrog cov tshuaj qab zib qis. Thaum npaj cov ntawv qhia zaub mov rau lub lim tiam, lawv tseem tsom rau cov khob cij qhob cij, kom tsis txhob muaj ntau tshaj li cov nyiaj carbohydrates hauv zaub mov.
Xam XE hauv cov tais diav
Tus mob ntshav qab zib tau qhia thiab luam tawm cov XE lub rooj rau cov zaub mov kom sai li sai tau suav cov koob tshuaj hormone ua ntej noj mov.
Hauv khw noj mov lossis tsev noj mov koj tuaj yeem pom cov qauv ntawm cov tais thiab kwv yees txog qhov nyhav ntawm cov feem los yog nug tus uas tos. Tom qab ntawd, coj los ntawm lub rooj ntawm chav ua mov ci, ntxiv rau txhua tus lej.
Tsis txhob txhawj xeeb nrog qhov yuam kev me me hauv kev suav, vim tias yog tias cov piam thaj poob, koj tuaj yeem noj cov khaub noom, thiab tsis li ces yuav ntxiv ib koob tshuaj insulin ntxiv.
Cov kws tshaj lij pom zoo kom ua zaub mov noj tom tsev raws li qhia ua zaub mov noj thiaj li ua rau suav. Qhov no yuav pab tiv thaiv kom tsis txhob muaj ntshav txaus hauv cov piam thaj. Ua cov ntawv qhia zaub mov rau lub lim tiam los ntawm lub rooj:
XE Rov Qab
Nws yog qhov nyuaj heev kom nrhiav tau cov zaub mov noj rau cov tais diav mob ntshav qab zib nrog XE suav, thiab feem ntau koj yuav tsum ua tus lej suav nrog. Ua li no tsis yog qhov nyuaj. Ntawm no yog ib qho piv txwv ntawm cov lus qhia rau kev npaj lub ncuav rustic taub ncuav qab zib nrog kev suav cov khob cij:
- Npaj 450 g ntawm taub, qab zib (stevia) ib nrab tsp, ntsev, qe 5 pcs, cinnamon, butter (cream) 100 g, pob kws hmoov 300 g, 1 pob ntawv ntawm hmoov ci,
- Pib ua noj ua haus los ntawm kev ntxuav thiab rhaub cov taub, thiab tom qab ntawd zom nws nrog rab,
- Muab lub qe ua kom txog thaum cov ntawv tuab ua npuas,
- Rov qab mus rau lub txiaj ntsig taub dag kom huv si thiab ntxiv cov roj ua ntej melted rau nws, nchuav cinnamon nyob rau sab saum toj,
- Ntxiv ntsev thiab ci hmoov rau cov hmoov nplej, tom qab ntawd ntxiv rau lub qe loj thiab sib tov kom huv,
- Ua ke cov taub dag zom nrog cov khob noom cookie, tom qab ntawd xa cov txiaj ntsig mus rau hauv qhov cub thiab ci ntawm 180 ° rau 45 feeb.
Tsuas muaj 22 lub khob cij nyob hauv cov khoom qab zib tiav, ntawm 20 qhov tau los ntawm hmoov nplej, thiab 2 los ntawm taub dag. Koj tsis tuaj yeem noj cov khoom qab zib tam sim ntawd, tab sis tsis noj ib feem rau khoom noj txom ncauj. Muaj ntau cov zaub mov sib xws, qhov tseem ceeb yog kawm kom nkag siab txog lub ntsiab cai ntawm kev xam XE, tom qab ntawv cov suab thaj hauv cov ntshav yuav nyob hauv qhov tsis txaus siab tau txais.
Endocrinologist qhia koj kom ua daim ntawv qhia zaub mov ua ntej rau ib lim piam txhawm rau txhawm rau tsim cov tshuaj insulin thiab yuav cov khoom lag luam tsim nyog. Thaum siv cov lus pom zoo, koj tuaj yeem zam dhau qhov kev nyuaj thiab ua neej nyob muaj kev thaj yeeb yam tsis muaj kev xav txog koj kev mob nkeeg.
Noj cov zaub mov zoo tshaj rau cov ntshav qab zib hom 1: cov ntawv qhia thiab khoom lag luam
Los ntawm tsab xov xwm koj yuav kawm paub yuav noj li cas nrog hom 1 ntshav qab zib, yam zaub mov twg tuaj yeem noj tau yam tsis muaj kev txwv, thiab yam uas txwv tsis pub noj. Koj yuav kawm paub suav cov khob cij ntsuas cov khoom noj muaj cov zaub mov noj kom tsawg.
Qee zaum cov neeg mob uas tau ntsib tus kab mob xws li ntshav qab zib hom 1 mob ntshav qab zib ntseeg tau tias nws tsis txaus noj qab zib kom nws cov ntshav nyob rau hauv cov ntshav ntawm insulin tsawg zuj zus thiab nyob li qub.
Tab sis khoom noj khoom haus nrog hom ntshav qab zib hom 1 tsis nyob ntawm tag nrho cov no. Cov piam thaj hauv ntshav nce ntxiv nrog kev rhuav tshem ntawm carbohydrates. Yog li, qhov nyiaj ntawm cov carbohydrates uas ib tug neeg tau noj thaum nruab hnub yuav tsum sib haum nrog cov kev cai ntawm insulin noj.
Lub cev xav tau cov tshuaj hormones no los rhuav tshem suab thaj. Hauv cov neeg muaj kev noj qab haus huv, nws tsim tawm beta hlwb ntawm cov txiav ua kua txiav.Yog tias tus neeg muaj tus mob ntshav qab zib hom 1, ces lub nruab zog tiv thaiv cov kab mob hauv lub cev pib yuam kev tawm tsam beta hlwb.
Vim tias qhov no, insulin tsum tsis tau tsim thiab kev kho mob yuav tsum tau pib.
Tus kab mob tuaj yeem tswj hwm nrog kev noj tshuaj, kev tawm dag zog, thiab qee yam khoom noj. Thaum xaiv cov khoom noj twg los noj qab zib 1, koj yuav tsum txwv koj txoj kev noj haus rau cov zaub mov carbohydrates.
Kev noj haus rau ntshav qab zib hom 1 txwv tsis pub siv cov carbohydrates ceev. Yog li, cov ncuav ci, khoom qab zib, txiv hmab txiv ntoo, haus dej qab zib raug tshem tawm hauv cov ntawv qhia zaub mov kom cov ntshav qab zib tsis nce siab dua li ib txwm.
Cov carbohydrates uas tawg rau lub sijhawm ntev yuav tsum muaj nyob rau hauv kev noj zaub mov noj, tab sis lawv tus lej yog nruj ib txwm muaj.
Qhov no yog lub luag haujlwm tseem ceeb: txhawm rau kho cov zaub mov kom ntshav qab zib hom 1 kom cov tshuaj insulin thiaj tiv taus cov piam thaj hauv cov ntshav uas tau txais los ntawm cov khoom lag luam.
Tib lub sijhawm, zaub thiab zaub mov protein yuav tsum dhau los ua zaub mov noj. Rau cov neeg mob uas muaj ntshav qab zib hom 1, cov zaub mov sib txawv yog ua nrog cov ntsiab lus siab ntawm cov vitamins thiab cov zaub mov.
Lub khob cij qhiav yog dab tsi?
Rau cov neeg mob ntshav qab zib, txoj cai ntsuas 1 XE (chav ua noj ncuav) tau tsim, uas sib npaug ntawm 12 g ntawm carbohydrates. Raws nraim li ntau ntawm lawv muaj nyob hauv ib nrab ntawm ib daim ncuav. Rau tus txheej txheem nqa ib daim ntawm rye qhob cij uas hnyav 30 g.
Cov ntxhuav tau tsim nyob rau hauv uas cov khoom tseem ceeb thiab qee cov tais diav tau hloov mus rau XE, kom nws yooj yim los ua zaub mov noj rau cov ntshav qab zib hom 1.
Xa mus rau lub rooj noj mov, koj tuaj yeem xaiv cov khoom lag luam rau ntshav qab zib thiab ua raws li cov kev cai carbohydrate coj los ntsuas cov koob tshuaj insulin. Piv txwv li, 1XE yog sib npaug rau cov nyiaj ntawm carbohydrates hauv 2 tbsp. spoonful ntawm buckwheat porridge.
Nyob rau ib hnub, ib tus neeg muaj peev xwm tuaj yeem noj txog 17-28 XE. Yog li, tus nqi ntawm carbohydrates no yuav tsum tau muab faib ua 5 ntu. Rau ib pluag mov koj tuaj yeem noj tsis ntau tshaj 7 XE!
Kuv yuav noj dab tsi nrog ntshav qab zib
Qhov tseeb, dab tsi noj nrog ntshav qab zib 1 tsis yog qhov nyuaj rau kev paub. Nrog rau hom ntshav qab zib hom 1, kev noj haus yuav tsum muaj cov carb tsawg. Cov khoom uas muaj ntshav qab zib tsawg hauv carbohydrates (tsawg dua 5 g ib 100 g ntawm cov khoom) tsis suav tias yog XE. Cov no yuav luag txhua cov zaub.
Cov tshuaj noj me me ntawm kev noj zaub mov uas tau noj thaum lub sijhawm 1 nrog cov zaub uas muaj peev xwm noj nrog qhov yuav luag tsis tau txwv.
Daim ntawv teev cov khoom lag luam uas koj tuaj yeem txwv tsis tau thaum sau cov khoom noj rau cov neeg mob ntshav qab zib hom 1:
- zucchini, dib, taub dag, taub dag,
- pias, zaub ntsuab, zaub xam lav,
- ntsuab dos, radishes,
- nceb
- kua txob thiab txiv lws suav
- zaub paj dawb thiab zaub qhwv dawb.
Txhawm rau txaus siab rau kev tshaib kev nqhis hauv cov laus lossis tus menyuam yaus pab cov zaub mov muaj protein ntau, uas yuav tsum tau noj tsawg me ntsis thaum noj tshais, noj su thiab noj hmo. Cov khoom noj rau cov ntshav qab zib hom 1 yuav tsum muaj cov khoom noj protein. Qhov no tseem ceeb heev rau kev tsim cov zaub mov rau cov ntshav qab zib hom 1 hauv cov menyuam.
Hauv Is Taws Nem koj tuaj yeem nrhiav cov ncauj lus kom ntxaws ntxiv XE, uas muaj cov npe nrog cov npe npaj cov tais diav. Koj tseem tuaj yeem nrhiav cov lus qhia txog dab tsi uas koj tuaj yeem noj nrog cov ntshav qab zib kom ua kom yooj yim los tsim cov zaub mov rau cov ntshav qab zib.
Nws raug nquahu kom tsim cov ntawv qhia ntxaws rau cov neeg mob uas muaj ntshav qab zib hom 1 rau txhua hnub nrog zaub mov txawv kom txo lub sijhawm ua noj.
Paub tias muaj pes tsawg carbohydrates hauv 100g, faib cov lej no kom 12 kom tau txais cov naj npawb ntawm cov khob cij qhob cij hauv cov khoom no.
Yuav ua li cas los xam cov nyiaj ntawm carbohydrates
1XE nce plasma ntshav qab zib los ntawm 2.5 mmol / L, thiab 1 U ntawm insulin txo nws los ntawm qhov nruab nrab ntawm 2.2 mmol / L.
Hauv lub sijhawm sib txawv ntawm lub hnub, insulin ua haujlwm txawv. Thaum sawv ntxov, qhov koob tshuaj ntawm cov insulin yuav tsum siab dua.
Cov tshuaj insulin nyob rau hauv thiaj li yuav ua rau cov piam thaj tau los ntawm 1 XE
Lub sijhawm ntawm hnub | Tus naj npawb ntawm cov chav nyob ntawm insulin |
yav sawv ntxov | 2, 0 |
hnub | 1, 5 |
yav tsaus ntuj | 1, 0 |
Tsis txhob tshaj qhov xav tau ntawm cov tshuaj insulin yam tsis tau sab laj nrog koj tus kws kho mob.
Yuav ua li cas ua zaub mov noj nyob ntawm hom insulin
Yog tias 2 zaug ntawm ib hnub tus neeg mob txhaj tshuaj insulin ntawm lub caij nyoog nruab nrab, tom qab ntawd thaum sawv ntxov nws tau txais 2/3 koob tshuaj, thiab thaum yav tsaus ntuj tsuas yog ib feem peb.
Kev noj zaub mov noj hauv hom no zoo li qhov no:
- noj tshais: 2-3 XE - sai li sai tau tom qab tswj hwm dej ntawm insulin,
- noj su: 3-4XE - 4 teev tom qab kev txhaj tshuaj,
- noj su: 4-5 XE - 6-7 teev tom qab kev txhaj tshuaj,
- txom ncauj yav tav su: 2 XE,
- noj hmo: 3-4 XE.
Yog hais tias cov tshuaj insulin ntawm qhov nruab nrab ntev siv 2 zaug hauv ib hnub, thiab kev ua yeeb yam luv luv 3 zaug hauv ib hnub, tom qab ntawd rau 6 zaug hauv ib hnub khoom noj:
- tshais: 3 - 5 HE,
- su noj: 2 XE,
- noj su: 6 - 7 XE,
- khoom txom ncauj txog yav tav su txog: 2 XE,
- noj hmo yuav tsum muaj: 3 - 4 XE,
- noj hmo ob: 1 -2 XE,
Yuav daws tau kev tshaib kev nqhis li cas
Cov hlwb tau txais cov khoom noj khoom haus uas lawv xav tau yog tias insulin kov nrog qhov cuam tshuam ntawm cov carbohydrates. Thaum cov tshuaj tsis tiv nrog qhov nyiaj ntawm cov zaub mov uas muaj cov carbohydrates, cov piam thaj kom siab dua tus txheej txheem thiab cov tshuaj lom hauv lub cev.
Tus neeg yuav pib nqhis dej thiab nqhis dej heev. Nws hloov tawm lub voj voog tsis huv: tus neeg mob overeats thiab rov hnov lub siab tshaib plab.
Yog li ntawd, yog tias tom qab noj hmo koj xav tau lwm yam ntxiv los noj, ces koj yuav tsum tau tos thiab ntsuas qhov ntshav ntshav ntshav qis. Nws yuav tsum tsis siab tshaj 7.8 mmol / l tom qab 2 teev tom qab noj mov.
Raws li cov txiaj ntsig ntawm kev tsom xam, koj tuaj yeem txiav txim siab tias nws yog dab tsi: kev tsis muaj carbohydrates, lossis qhov nce hauv cov ntshav qab zib, thiab kho cov khoom noj muaj txiaj ntsig.
1. Kev mob siab
Qhov xwm txheej no tshwm sim yog tias cov tshuaj insulin tsis tiv thaiv cov roj carbohydrates ntau dhau. Kev tawg ntawm cov protein thiab cov rog tau pib nrog kev tsim ntawm lub cev ketone. Lub siab tsis muaj lub sijhawm ua haujlwm rau lawv, thiab lawv nkag mus rau lub raum thiab zis. Ib qhov urinalysis qhia tau hais tias muaj ntau ntau ntawm acetone.
- muaj zog, tsis nqhis dej tsis txawj nqhis
- qhuav ntawm daim tawv nqaij thiab mob hauv qhov muag,
- nquag tso zis
- qhov txhab kho kom zoo
- tsis muaj zog
- ntshav siab
- arrhythmia,
- qhov muag plooj.
Tus mob yog tshwm sim los ntawm kev dhia hauv cov piam thaj hauv ntshav mus rau theem siab. Tus neeg hnov li kiv taub hau, xeev siab, tsaug zog, qaug zog. Tus neeg mob lub sijhawm yuav tsum tau pw hauv tsev kho mob sai.
2. Mob Hypoglycemia
Kev tsis muaj qabzib tseem ua rau lub ntsej muag ntawm acetone hauv lub cev. Tus mob tshwm sim vim yog muaj zog ntau dhau ntawm insulin, tshaib plab, raws plab thiab ntuav, lub cev qhuav dej, kub siab dhau, tom qab kev tawm dag zog ntawm lub cev.
Tus mob yuav tsum tau mus pw hauv tsev kho mob sai, vim tias kev tshaib plab ntawm lub hlwb hlwb tuaj yeem ua rau tsis nco qab.
Yog tias cov piam thaj hauv qab no qis dua 4 mmol / l, tom qab ntawd tus neeg mob yuav tsum noj cov ntsiav tshuaj qabzib, ib qho me me ntawm cov piam thaj kom huv lossis noj cov khaub noom qab zib.
Kev noj haus thiab cov khoom noj theem pib
- Nws yog ib qho tsim nyog yuav tau ua tib zoo soj ntsuam kev noj zaub mov. Yuav tsum muaj 5 pluas noj nyob rau ib hnub. Hnub kawg noj ib hnub rau noj nrog ntshav qab zib pom zoo kom tsis pub dhau 8 teev tsaus ntuj.
- Tsis txhob hla pluas noj.
- Noj cov ntshav qab zib hom 1 yuav tsum muaj ntau cov vitamins thiab cov zaub mov.
Tseeb tiag, cov zaub mov yuav tsum noj zaub mov kom thiaj li tsis ua rau lub cev loj dua nrog lub cev nrog cov tshuaj phem. Nws yog ib qho tsim nyog los laij cov khoom noj carbohydrates ntawm txhua pluas mov, siv cov txheej txheem kev pom zoo ntawm XE (chav ua mov ci) thiab cov lus pom zoo ntawm cov kws kho mob uas hais dab tsi koj tuaj yeem noj nrog cov ntshav qab zib.
Cov piam thaj hauv qab yuav tsum tsis txhob poob rau 4 mmol / L.
Cov Khoom Uas Ntshav Qab Zib Txwv:
- khoom qab zib hauv dej qab zib (tshuaj yej thiab kas fes nrog qab zib, dej qab zib, kua thiab kua txiv ntawm kev lag luam ntau lawm, thiab lwm yam),
- muffin thiab txiv hmab txiv ntoo qab zib.
Npaj ua ntej noj mov ntau npaum li cas ntawm cov carbohydrates (khob cij qhob cij) yuav tau noj, txij li thaum insulin noj ua ntej noj mov.
Cov khoom lag luam twg yuav tsum nyob rau ntawm daim ntawv qhia zaub mov
- Tsawg-calorie tsev cheese thiab cheese,
- Kab taum, raws li lub zog ntawm lub zog: buckwheat, hlaws barley, nplej, oat, barley,
- Cov khoom noj siv mis: kefir, yogurt, whey, fermented ci mis, kua mis nyeem qaub,
- Ntses, nqaij,
- Cov qe
- Zaub thiab butter,
- Coarse cij thiab txiv hmab txiv ntoo hauv cov khoom me me,
- Cov zaub thiab kua zaub.
- Tsis muaj piam thaj hauv kev sib piv thiab rosehip si.
Cov zaub mov no muab lub hlwb starving nrog cov khoom noj tseem ceeb thiab txhawb lub txiav ua qab. Lawv yuav tsum nyob rau ntawm hom kab mob ntshav qab zib hom 1 rau ib lim tiam. Qhia ua noj yuav tsum yooj yim.
Cov ntawv qhia ua zaub mov noj qab zib rau 1 hnub
Noj | Lub npe ntawm cov tais diav | Nyhav g | Chav Nyob Khob Cij |
1. Noj tshais | Lub lauj kaub | 170 | 3-4 |
Mov ci | 30 | 1 | |
Tshuaj yej tsis muaj qab zib los yog qab zib | 250 | — | |
2. |
Noj tshais thib ob
Noj su
Muaj cov tshuaj yej siab
Noj hmo
Tus kab mob tuaj yeem tswj tau yog tias kev noj zaub mov kom raug rau tus mob ntshav qab zib hom 1 thiab cov tshuaj insulin raws sij hawm. Yog tias muaj piam thaj, vim qhov no, yuav zoo li qub, tom qab ntawd koj tsis tuaj yeem ntshai cov kev mob tshwm sim ntawm tus kab mob no, thiab ua lub neej tag nrho.