Yuav ua li cas txhawm rau txo cov "ntshav thaum sawv ntxov" hauv cov ntshav qabzib hauv ntshav qab zib hom 2?

Amylin yog yam tshuaj uas nkag hauv lub cev los ntawm beta cov hlwb. Qhov no cov tshuaj hormones inhibits lub secretion ntawm qabzib rau hauv cov ntshav, thiab tseem ua kom peb lub siab puv nkaus tom qab noj mov. Hauv ob hom ntshav qab zib, tso cov tshuaj amylin txo.

Tus incretins yog ib pawg ntawm cov tshuaj hormones uas ua tag nrho cov haujlwm tib yam li amylin. Lawv tsim tawm los ntawm kev mob plab hnyuv plab. Lawv kuj tseem inhibit lub zais cia ntawm glucagon los ntawm tus txiav.

Glucagon yog yam tshuaj tsim los ntawm pancreatic alpha cells. Nws zom cov piam thaj thiab khaws nws tseg. Nyob rau lub sijhawm thaum lub cev tsis tau txais khoom noj, glucagon tso tawm cov piam thaj kom peb thiaj li muaj lub zog tawm mus.

Lub cev ntawm cov neeg noj qab haus huv muaj peev xwm tswj tau theem ntawm cov piam thaj hauv ntshav 24 teev nyob rau ib hnub. Dab tsi tshwm sim thaum tsaus ntuj hauv lub cev muaj ntshav qab zib? Wb tau nws yog.

Hom 2 mob ntshav qab zib mellitus thaum pw

Nrog "kev tau txais" ntawm hom mob ntshav qab zib zaum ob, tib neeg cov ntshav qab zib ploj mus rau hauv kev tswj ntawm cov txheej txheem hauv lub cev.

Lub siab thiab cov leeg ntawm lub cev thaum pw tsaug zog tau txais lub cim qhia tias cov ntshav qab zib hauv lub siab yuav tsis siab, vim tias ib tus neeg tsis noj mov. Qhov no ua rau qhov "tso tawm" ntawm cov piam thaj nyob. Txawm li cas los xij, nws tsis tuaj yeem nres kev tsim cov piam thaj, vim tias muaj cov insulin tsis txaus thiab amylin hauv lub cev cov ntshav qab zib. Qhov no ua rau muaj kev ua txhaum ntawm "cov lus pom zoo" ntawm txhua tus txheej txheem kev zom zaub mov, thiab lub cev ua haujlwm tsis zoo.

Kev ntxhov siab hauv cov txheej txheem hauv lub cev hauv lub cev yog vim muaj cov tshuaj hormones, thiab tsis yog noj hmo lossis khoom noj txom ncauj ua ntej yuav mus pw.

Cov tshuaj muaj ntshav qab zib kom tsawg thaum pw hauv tsev, xws li metformin, tuaj yeem txo cov piam thaj ntau ntau thaum sawv ntxov los ntawm kev txo nws cov khoom thaum hmo ntuj. Metformin tseem ua rau pab poob phaus.

Txhawm rau txhim kho cov ntshav qabzib thaum sawv ntxov hauv cov ntshav, cov kws tshaj lij kuj pom zoo kom poob phaus. Qhov no pab txhawm rau nce cov neeg mob hlwb thiab cov ntaub so ntswg rau insulin, uas txhais tau tias txo qis cov ntshav qab zib. Koj tuaj yeem poob ceeb thawj: txo qis, hloov pauv ntawm kev noj zaub mov zoo, ua kom lub cev. Cov ntshav qabzib hauv cov ntshav yuav poob zuj zus raws qhov xub ntawm qhov sib npaug.

Cov kws kho mob tseem pom zoo noj khoom txom ncauj me me ua ntej yuav mus pw. 20 grams carbohydrates yuav txaus. Cov kws tshaj lij paub tseeb tias qhov no pab txhim kho cov ntshav qab zib thaum sawv ntxov, vim tias nws txo qis lub sijhawm ntawm cov ntshav qabzib ntau ntxiv.

Kev tawm dag zog lub cev ua rau cov tshuaj insulin pab tau ntau dua, yog li txav mus ntau dua! Nws tsis muaj teeb meem npaum li cas lub sijhawm ntawm hnub koj xav tawm dag zog, nws yog ib qho tseem ceeb kom ua nws tsis tu ncua, thiab cov txiaj ntsig yuav tsis siv sijhawm ntev.

Cov ntshav qabzib hauv cov ntshav thaum sawv ntxov kuj tseem tuaj yeem vim qhov thiaj li hu ua "thaum sawv ntxov kaj ntug tshwm sim." Glucose yog qhov tsim nyog rau ib tus neeg raws li kev paub txog, txij li nws yog nws leej twg muab nws tsim nyog lub luag haujlwm ntawm vivacity rau tag nrho ib hnub. Ua ke nrog koj tus kws kho mob, ua haujlwm tawm txhua txoj kev xaiv thiab kev sib piv ntawm cov piam thaj hauv koj cov ntshav, kuaj lub sijhawm twg hnub nws cov peev xwm feem ntau ncav cuag lub ncov siab.

Ntshav qab zib

Ua ntej yuav ntsuas ua kom cov ntshav qab zib kom tsawg, koj yuav tsum nkag siab meej dab tsi ntsuas uas pom tau tias yog dab tsi. Txhawm rau paub cov qib ntawm cov piam thaj los ntawm cov ntiv tes lossis txoj hlab ntshav, cov ntshav tau noj, uas yog kho nrog cov tshuaj tshwj xeeb. Tom qab ntawd, nrog kev pab ntawm photoelectric locators, qhov xim xim ntawm lub cev roj ntsha thiab cov cim glycemia tau txiav txim siab.

Xws li txoj kev tshawb nrhiav yuav tsum tau nqa tawm ntawm lub plab khoob, vim tias tom qab noj mov, cov kua nplaum hauv lub ntsej muag hloov pauv. Tab sis hnub no, piam thaj tuaj yeem nrhiav tau nyob hauv tsev, siv ntsej muag glucometer.

Txawm li cas los xij, thaum ua kev tshawb xyuas, nws tsim nyog nco ntsoov tias nyob rau hauv cov ntshav (4-6.8 mmol / l) cov ntshav, qhov ntsuas yuav siab dua hauv cov hlab ntsha (3.3-5.5 mmol / l). Ntxiv mus, ntxiv rau cov zaub mov, lwm yam tseem cuam tshuam cov txiaj ntsig, xws li kev ua haujlwm hauv lub cev, kev xav hauv lub xeev, hnub nyoog thiab muaj qee yam kabmob.

Yog li, cov ntsuas hauv qab no suav hais tias ib txwm muaj:

cov me nyuam mos - 2.8-4.4 mmol / l,
los ntawm 1 xyoos txog 60 xyoo - 3.9-5 mmol / l,
laus dua 60 xyoo - 4.6-6.4 mmol / l,
cev xeeb tub - nce txog 5.5 mmol / l,
nrog mob ntshav qab zib mellitus - 5-7 mmol / l.

Tab sis yuav ua li cas nrog cov ntshav qab zib cov ntshav? Yog tias cov piam thaj kom muaj zog ntau ntxiv, tom qab ntawd nws tuaj yeem hloov kho tau ntau txoj hauv kev.

Tab sis ib qho ntawm txoj hauv kev zoo tshaj plaws ntawm kev tso tseg hyperglycemia yog kev noj zaub mov noj thiab kev kho mob nrog tshuaj ntsuab tshuaj.

Ntshav Qab Zib Noj Qab Haus Huv

Kev noj haus yuav tsum raug pom nrog txhua yam kab mob, tab sis nws yog qhov tshwj xeeb tshaj yog yuav tsum ua raws li kev noj haus kom raug rau ib hom tshuaj insulin-tiv thaiv kab mob. Nyob rau tib lub sijhawm, cov kev cai tseem ceeb yog kom cais tawm cov zom zaub mov sai sai ntawm cov zaub mov noj txhua hnub thiab sib npaug ntawm kev noj cov protein, cov rog thiab carbohydrates.

Hais txog zaub mov noj, tom qab ntawd los ntawm tag nrho cov khoom noj khoom haus, ib qho yuav tsum muab kev nyiam rau ib qho uas tsis muaj GI siab. Nyob rau tib lub sijhawm, nws tsim nyog paub tias tsis muaj zaub mov qab zib, tab sis muaj cov khoom noj uas tsis ua rau muaj mob nrawm nrawm hauv glycemia.

Cov zaub mov no suav nrog cov nqaij nruab deg, los ntawm qhov uas nws tsim nyog muab lub ntsej muag me me, tus nplaig thiab nqaij cw, uas muaj qis tshaj GI. Tsis tas li ntawd, cov zaub mov muaj nplua nuj nyob hauv fiber ntau tsis nce qib qabzib - cereals, legumes (lentils) thiab cov txiv ntoo (almonds, cashews, walnuts).

Tseem nyob hauv cov npe no:

nceb
rapeseed thiab linseed roj,
soy cheeses, nyob rau hauv kev tofu,
txuj lom (cinnamon, mustard, qhiav),
cov zaub (zaub cob pob, zaub qhwv, paj zaub ntsuab, zucchini, tswb kua txob, carrots, txiv lws suav, dib, Jerusalem artichoke, dos),
spinach, zaub xam lav.

Hauv kev sib ntaus cov tiv thaiv ntshav qabzib, qhov chaw tseem ceeb tau muab rau kev noj zaub mov nrog qhov koj tuaj yeem ua tiav them nyiaj rau ntshav qab zib. Ntxiv mus, muaj hom 1, nws saib xyuas yog qhov yuav tsum tau ua, thiab yog tias muaj cov tshuaj insulin-ywj pheej ntawm tus kab mob, rau feem ntau, khoom noj khoom haus yog npaj rau kev kho qhov hnyav.

Hauv cov kab mob hyperglycemia, nws yog ib qho tseem ceeb kom paub cov ntsiab lus yooj yim. Yog li, ib chav ua mov ci yog sib npaug rau 10 g ntawm carbohydrates. Yog li no, cov rooj tshwj xeeb tau tsim rau cov neeg mob ntshav qab zib uas taw qhia GI thiab XE ntawm cov khoom feem ntau.

Thaum tsim cov ntawv qhia zaub mov los ntawm cov khoom noj, koj yuav tsum tshem cov qab zib, cov khoom qab zib, cov tsiaj thiab cov zaub mov kom huv. Thiab kev noj haus ntawm semolina, mov, nplej zom thiab khob cij dawb yuav tsum khaws cia kom tsawg. Qhov kev xaiv yuav tsum muab rau cov khoom noj carbohydrates thiab cov khoom noj muaj fiber ntau, thaum ib qho yuav tsum tsis txhob hnov qab txog kev tswj hwm kev sib npaug.

Noj mov yuav tsum yog fractional. Yog li, kev noj haus txhua hnub tau muab faib ua 3 koob tshuaj thiab 2-3 noj khoom txom ncauj. Cov ntawv qhia zaub mov rau ib tus neeg uas muaj mob hyperglycemia:

Pluas tshais - 1 qe, butter (5 g), qhob cij qhob cij (50 g), cereals (40 g), mis (200 ml).
Qhov tshais thib ob yog qhob cij dub (25 g), cov txiv hmab txiv ntoo uas tsis qab zib (100 g), roj qab ntsev uas muaj roj tsawg (100 g).
Noj su - zaub (200 g), butter (10 g), txiv hmab txiv ntoo qhuav (20 g), qos yaj ywm los yog cov ntses muaj roj tsawg, nqaij (100 g), qhob cij xim av (50 g).
Khoom txom ncauj - mis lossis txiv hmab txiv ntoo (100 g), qhob cij qhob cij (25 g).
Noj hmo - nqaij nruab deg (80 g), qhob cij qhob cij (25 g), zaub, qos yaj ywm lossis txiv hmab txiv ntoo (100 g), butter (10 g).
Cov khoom noj txom ncauj yav tsaus ntuj - 200 ml ntawm cov rog uas muaj roj tsawg.

Feem ntau, thaum tsim zaub mov rau cov neeg mob ntshav qab zib, koj tuaj yeem noj zaub mov noj zaub mov 9 ua lub hauv paus.

Ib qho ntxiv, nws yog ib qho tseem ceeb kom ua raws li ntau txoj cai. Yog li, koj yuav tsum tsis txhob cia noj ntau dhau, txo ntsev ntau thiab ua kom muaj cawv. Tsis tas li ntawd, cov ntsiab lus caloric ntawm cov zaub mov noj txhua hnub yuav tsum nce txog 2000 kcal, tab sis nyob rau hauv muaj kev qoj ib ce.

Qhov ntim txhua hnub ntawm cov kua dej yog tsawg kawg yog ob litres. Hauv qhov no, zaub mov yuav tsum tau ua tib lub sijhawm.

Yog li ntawd, yog tias nws tsis tuaj yeem muaj sijhawm txaus rau pluas su lossis noj hmo, koj yuav tsum muaj tsawg kawg yog tom (piv txwv li noj ib khob mov) lossis haus khob kua txiv.

Kev noj qab zib nyob hauv qis dua pej xeem tshuaj

Ntxiv rau kev noj zaub mov noj qab zib rau cov ntshav qab zib, chav kawm ntawm tus kab mob txhim kho kev siv cov zaub mov txawv uas pom zoo los ntawm lwm cov tshuaj. 10 g ntawm tsob ntoo qhuav yog nchuav nrog cov dej npau npau, thiab tom qab 25 feeb, lim thiab qaug cawv rau hauv daim ntawv sov.

Nyob rau lub caij nplooj ntoo hlav, nws yog ib qho tseem ceeb kom noj zaub xam lav ntawm cov tub ntxhais hluas dandelion nplooj, uas muaj cov tshuaj insulin rau ntuj tsim. Cov zaub mov yog npaj raws li hauv qab no: cov nplooj tau tsau rau 30 feeb. hauv dej, tom qab ntawd qhuav thiab zuaj. Tsis tas li, dill, hau qe nkaub thiab zaub txhwb tau ntxiv rau lub dandelion thiab seasoned nrog cov roj qaub qab qab zib lossis zaub roj.

Txo cov piam thaj kom tsawg, koj feem ntau yuav tsum noj taum dawb thiab dos. Yog li, cov taum pauv nyob rau yav tsaus ntuj, thiab tom qab ntawd ces ob lub noob taum noj rau ntawm lub plab khoob, thiab cov qij dos tau tev, nchuav nrog mis thiab simmer rau ntawm qhov hluav taws kub kom txog thaum cov zaub ua kom mos muag, uas lawv noj. Kev kho mob yog nqa tawm txhua 15 hnub.

Tsis tas li, kom normalize qib qabzib, haus ib decoction ntawm chicory hauv paus. 1 tsp cov khoom siv raw yog hliv nrog dej npau thiab muab hluav taws tso rau 10 feeb. Thaum twg cov khoom yog infused thiab txias nws coj 5 p. ib hnub rau 1 tbsp. diav.

Nyob rau hauv ntev hyperglycemia, chicory tshuaj ntsuab kuj tseem siv tau, los ntawm kev uas ib tug decoction yog npaj. 10 g ntawm qhuav cog yog hliv rau 500 ml ntawm dej npau thiab hais kom txog ib teev. Tom qab cov dej haus tau lim thiab coj 3 p. 0.5 khob ib hnub.

Ib qho zoo tshaj plaws hypoglycemic tus neeg sawv cev yog noog cherry, namely nws cov berries, los ntawm kev uas lub decoction yog npaj. 1 tbsp. l 250 ml dej yog nchuav rau hauv cov ntaub ntawv nyoos, tom qab ntawd txhua yam tso rau ntawm lub qhov cub thiab muab hau li 3 feeb.

Cov tshuaj yog qhov xav tau rau 2 teev, lim thiab coj 3 p. 1/3 pawg ib hnub. ua ntej noj mov. Lub sijhawm tiv thaiv yog 1 lub hlis, tom qab ntawd so ib zaug tau 2-3 lub hlis thiab kev kho mob yog rov ua dua.

Txhawm rau txo cov ntshav qabzib hauv siab, koj yuav tsum npaj cov tshuaj yej tshwj xeeb, uas suav nrog cov khoom hauv qab no:

taum sashes,
mint
blueberry nplooj
nqaij
lingonberry nplooj.

Qhov sib xyaw kom haum yog muab tso rau hauv lub thermos, ncuav dej npau thiab hais kom 8 teev. Txoj kev lis ntshav yog haus cawv ntawm lub plab khoob ib nrab teev ua ntej ib pluas noj. Kuv xav nco ntsoov tias blueberries nrog ntshav qab zib muaj peev xwm tau noj nyob rau hauv lawv daim ntawv dawb huv, txij li thaum lub Berry muaj ntau ntawm cov vitamins.

Cov tshuaj sau cia raws li pob kws stigmas, nplooj pos nphuab, blueberries thiab taum pods tau nrawm nrawm-txo cov nyhuv. Tag nrho cov khoom coj tuaj rau hauv cov nyiaj sib npaug kom tau 1 tbsp. l sib tov thiab ncuav 200 ml dej.

Tom qab cov khoom yog hau rau 5 feeb thiab insisted 1 teev. Cov tshuaj yog lim thiab qaug cawv tom qab noj mov hauv 1/3 khob. 3 p. ib hnub.

Nyob rau hauv ntev hyperglycemia, sau ntawm mint, licorice paus, birch buds (2 qhov txhua), sawv duav thiab motherwort (3 ntu), centaury thiab burdock hauv paus (5 ntu txhua) tau npaj. Ob tbsp. l cheb ncuav 0.5 liv ntawm cov dej npau thiab hais txog 3 teev nyob rau hauv lub thermos. Cov tshuaj yog qaug 3 r. 1/3 khob ib hnub rau 30 feeb. ua ntej noj mov. Lub sijhawm tiv thaiv yog txog 3 hli.

Aspen tawv ntoo yog lwm txoj kev kho mob uas tuaj yeem txhim kho txoj kev noj qab haus huv ntawm cov ntshav qab zib. Ob tbsp. l cov ntaub ntawv nyoos yog hliv nrog dej thiab rhaub 20 feeb. Broth yog qaug cawv me me ntawm txhua hnub.

Tsis tas li, ib qho duav ntawm liab currant thiab hiav txwv buckthorn raum yuav pab txo qis kom muaj suab thaj. Los npaj nws, noj 1 iav ntawm cov nroj tsuag, thiab tom qab ntawd sau lawv nrog 450 ml ntawm dej npau thiab hais kom 2 teev. Haus Txoj kev lis ntshav ntawm 0.5 khob. 3 p. ib hnub rau 20 feeb. ua ntej noj mov.

Oats kuj sai thiab zoo normalize glycemia. Los npaj lub decoction raws nws 3 khob. cereal tau hliv nrog dej npau npau thiab muab tso rau ¼ teev hauv dej da dej. Tom qab ntawd lub cuab yeej tshem tawm thiab hais rau lwm lub sijhawm.

Broth haus 0.5 khob. 3 p. ib hnub rau 30 hnub ua ntej noj mov. Tsis tas li, nrog hyperglycemia, kua txiv muab los ntawm ntsuab stalks ntawm cereal pab. Nws noj ua ntej noj mov 3 p. 0.5 khob rau ib hnub twg rau 21 hnub. Daim yeeb yaj kiab hauv tsab xov xwm no yuav qhia koj kom txo cov piam thaj hauv ntshav qab zib.