Chav nyob qhob cij rau ntshav qab zib. XE lub rooj

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Khoom noj khoom haus rau cov ntshav qab zib mellitus txiav txim siab lub neej.
Kev mob ntawm tus neeg tag nrho, tus nqi ntawm kev puas tsuaj ntawm nws cov hlab ntshav, lub plawv, raum, pob qij txha, qhov muag, nrog rau kev ceev ntawm cov ntshav ncig thiab txoj kev loj hlob ntawm kev zes cev ntawm qhov kawg yog nyob ntawm theem ntawm cov piam thaj hauv cov ntshav ntawm cov ntshav qab zib.

Rau kev tswj txhua hnub ntawm tus nqi ntawm cov nyiaj carbohydrates, cov ntawv qhia zaub mov siv lub npe hu ua chav ua mov ci - XE. Nws tso cai rau koj kom txo tag nrho ntau cov khoom lag luam carbohydrate rau ib qho kev ntsuam xyuas ntau: ntau npaum li cas cov piam thaj yuav nkag rau tib neeg cov ntshav tom qab noj mov. Raws li XE tus nqi rau txhua cov khoom lag luam, cov khoom noj qab zib txhua hnub tau sau ua ke.

Dab tsi yog XE qhob cij chav ua noj?

Kev siv cov khoom noj khob cij hauv cov khoom suav cov tswv yim tau thov los ntawm German tus kws ntsuas khoom noj khoom haus Karl Noorden thaum ntxov xyoo pua 20th.

Lub khob cij lossis cov chav ua noj carbohydrate yog qhov ntau ntawm cov carbohydrate uas yuav tsum tau siv 2 ntawm insulin rau nws qhov nqus. Tib lub sijhawm, 1 XE nce qab zib los ntawm 2.8 mmol / L.

Ib lub khob cij muaj nyob hauv 10 txog 15 g ntawm carbohydrates zom. Tus nqi pes tsawg ntawm qhov ntsuas, 10 lossis 15 g suab thaj hauv 1 XE, nyob ntawm cov qauv kho mob uas lees paub hauv tebchaws. Piv txwv

  • Cov kws kho mob Lavxias ntseeg tias 1XE yog 10-12 g ntawm carbohydrates (10 g - tsis suav cov zaub mov muaj fiber ntau hauv cov khoom lag luam, 12 g - suav nrog fiber ntau),
  • hauv Tebchaws Asmeskas, 1XE sib npaug 15 gram ntawm cov suab thaj.
Chav nyob qhob cij yog kwv yees ntxoo. Piv txwv li, ib pob khob cij muaj 10 g suab thaj. Thiab tseem ua ib qho khob cij yog sib npaug ntawm ib lub khob cij 1 cm tuab, txiav los ntawm cov qauv loaf ntawm "cib".
Koj yuav tsum paub tias qhov sib piv ntawm 1XE rau 2 units ntawm insulin kuj tseem yog qhov ntsuas thiab txawv nyob rau lub sijhawm nruab hnub. Txhawm rau kom yob tib pawg qhob cij thaum sawv ntxov, 2 ntu ntawm insulin yog xav tau, thaum noj su - 1.5, thiab yav tsaus ntuj - tsuas yog 1.

Ib tug neeg xav tau ntau npaum li cas chav ua mov ci?

Kev ntsuas tus nqi ntawm XE yog siv raws tus neeg lub neej.

  • Nrog lub cev ua haujlwm hnyav lossis rov ua kom lub cev hnyav nrog dystrophy, txog 30 XE ib hnub yog tsim nyog.
  • Nrog kev ua haujlwm me me thiab ib ce muaj sia hnyav - txog 25 XE ib hnub.
  • Nrog sedentary ua hauj lwm - txog 20 XE.
  • Rau cov neeg mob ntshav qab zib mellitus - txog 15 XE (qee cov lus qhia kho mob tso cai rau cov neeg mob ntshav qab zib txog 20 XE).
  • Nrog Kev rog - txog 10 XE ib hnub.
Rau ib pluag mov, nws raug nquahu kom noj los ntawm 3 txog 6 XE (tsis ntau dua 7XE).
Feem ntau cov carbohydrates yuav tsum tau noj thaum sawv ntxov. Tus mob ntshav qab zib pom zoo noj fractional tsib zaub mov ib hnub. Qhov no tso cai rau koj kom txo cov piam thaj uas nqus mus rau hauv cov ntshav tom qab txhua pluas noj (cov khoom noj carbohydrates ntau hauv ib pluag mov yuav ua rau muaj kev dhia hauv qabzib hauv cov ntshav).

Cov neeg mob ntshav qab zib raug qhia kom txais cov khob cij hauv qab no thaum nruab hnub:

  • Pluas tshais - 4 HE.
  • Noj su - 2 XE.
  • Noj su - 4-5 XE.
  • Khoom txom ncauj - 2 XE.
  • Noj hmo - 3-4 XE.
  • Ua ntej yuav mus pw - 1-2 XE.

Ob hom khoom noj zoo tau tsim rau cov khoom noj khoom haus ntawm cov ntshav qab zib:

  1. kev sib npaug - pom zoo siv 15-20 XE ib hnub. Nws yog cov khoom noj khoom haus zoo sib xws uas tau pom zoo los ntawm cov neeg noj zaub mov zoo thiab cov kws kho mob ua tus saib xyuas tus kab mob.
  2. Tsis tshua muaj carbohydrate - pom los ntawm qhov tsis tshua muaj carbohydrate tsawg, txog li 2 XE ib hnub. Nyob rau tib lub sijhawm, cov lus pom zoo rau kev noj zaub mov kom tsawg-carb kuj yog qhov tshiab. Kev soj ntsuam ntawm cov neeg mob ntawm cov zaub mov noj no qhia tau tias muaj txiaj ntsig zoo thiab txhim kho, tab sis txog tam sim no hom kev noj zaub mov tsis tau lees paub los ntawm cov txiaj ntsig ntawm cov tshuaj.

Noj rau hom 1 thiab ntshav qab zib hom 2: sib txawv

  • Ntshav qab zib hom 1 yog nrog kev puas tsuaj rau beta hlwb, lawv tso tseg tsim cov tshuaj insulin. Nrog cov ntshav qab zib hom 1, nws yog ib qho tsim nyog yuav tsum xam cov xE thiab cov koob tshuaj insulin, uas yuav tsum tau txhaj ua ntej noj mov. Tsis tas yuav tswj hwm tus naj npawb ntawm calories thiab txwv kev noj zaub mov muaj calories ntau. Tsuas yog cov khoom lag luam nrog lub siab glycemic Performance index yog qhov txwv (lawv tau nqus sai thiab ua rau muaj kev nce siab ntxiv hauv qab zib - kua txiv qab, jam, qab zib, ncuav mog qab zib, ncuav mog qab zib).
  • Ntshav qab zib Hom 2 tsis nrog cov tuag los ntawm beta cell. Nrog hom 2 tus kab mob, muaj cov beta hlwb, thiab lawv ua haujlwm nrog ntau dhau. Yog li, cov khoom noj muaj txiaj ntsig ntawm hom 2 ntshav qab zib txwv qhov kev nkag los ntawm cov khoom noj carbohydrate kom thiaj li pub cov beta ua cov ntshav tau so ntev ntev thiab txhawb tus neeg mob lub cev poob. Nyob rau hauv cov ntaub ntawv no, ob tus nqi ntawm XE thiab calorie tau suav.

Mob ntshav qab zib Calorie

Feem ntau cov neeg mob kuaj mob muaj ntshav qab zib hom 2 yog thawj.
  85% ntawm ntshav qab zib hom 2 yog chiv los ntawm cov rog ntau dhau. Cov txuam nrog cov rog provokes qhov kev loj hlob ntawm cov ntshav qab zib nyob rau hauv muaj ib tug muaj keeb muaj keeb. Kev tswj lub cev hauv cov ntshav qab zib, nyeg, tiv thaiv cov teeb meem. Kev hnyav ua rau tus neeg mob ntshav qab zib nce ntxiv. Yog li, feem ntau cov neeg mob uas muaj ntshav qab zib hom 2 yuav tsum tswj tsis tau tsuas yog XE, tab sis kuj tseem muaj cov ntsiab lus tsis tshua zoo ntawm cov khoom.

Cov calories ntau ntawm cov zaub mov nws tus kheej tsis cuam tshuam rau cov suab thaj hauv cov ntshav. Yog li ntawd, ntawm qhov hnyav nws tuaj yeem tsis quav ntsej.
Qhov kev noj zaub mov kom tsawg txhua hnub kuj nyob ntawm kev ua neej thiab txawv ntawm 1500 txog 3000 kcal. Yuav xam pes tsawg calories xav tau?

  1. Peb txiav txim siab qhov ntsuas ntawm basal metabolism (OO) los ntawm tus qauv
    • Rau txiv neej: OO = 66 + hnyav, kg * 13.7 + qhov siab, cm * 5 - hnub nyoog * 6.8.
    • Rau cov poj niam: OO = 655 + qhov hnyav, kg * 9.6 + qhov siab, cm * 1.8 - hnub nyoog * 4.7
  2. Tau tus nqi ntawm cov coefficient OO yog khoo los ntawm coefficient ntawm kev ua neej:
    • Muaj ntau qhov haujlwm siab - OO * 1.9.
    • Siab ua haujlwm - OO * 1.725.
    • Qhov ua hauj lwm nruab nrab yog OO * 1.55.
    • Kev ua me ntsis - OO * 1,375.
    • Tsawg ua haujlwm - OO * 1.2.
    • Yog tias tsim nyog, ua kom poob phaus, qhov kev ntsuas txhua hnub kom raug txo los ntawm 10-20% ntawm tus nqi ntsuas zoo.
Peb muab ib qho piv txwv. Rau ib tus neeg ua haujlwm hauv chaw ua haujlwm nruab nrab uas hnyav 80 kg, qhov siab txog 170 cm, hnub nyoog 45 xyoos, tus neeg mob ntshav qab zib thiab ua lub neej muaj zog, ua rau cov neeg muaj calorie ntau npaum li 2045 kcal. Yog tias nws mus ntsib cov kis las, tom qab ntawd qhov kev noj zaub mov hauv nws lub cev txhua hnub yuav nce mus rau 2350 kcal. Yog tias nws tsim nyog kom yuag poob, qhov niaj hnub raug txo kom 1600-1800 kcal.
Cov ntsiab lus ntawm cov khoom noj carbohydrates, cov protein, cov rog, cov calorie ntsiab lus ntawm cov khoom tiav yog qhia ntawm pob.
Raws li qhov no, koj tuaj yeem suav seb muaj pes tsawg calories hauv ib lub bun, cov zaub mov hauv kaus poom, fermented ci mis lossis kua txiv. Tus nqi ntawm cov calories thiab carbohydrates yog qhia hauv 100 g ntawm cov khoom no. Txhawm rau txiav txim siab cov ntsiab lus ntawm cov ncuav lo ntawm lub khob cij lossis pob ntawv ntim cov ncuav qab zib, koj yuav tsum suav cov ntsiab lus ntawm cov khoom noj uas yog xim raws qhov hnyav ntawm pob ntawv.

Peb muab ib qho piv txwv.
Calorie cov ntsiab lus ntawm 158 kcal thiab cov ntsiab lus carbohydrate ntawm 2.8 g ib 100 g yog qhia nyob rau pob ntawm qaub cream hnyav 450 g. Peb suav cov calories ntau rau ib pob hnyav ntawm 450 g.
158 * 450/100 = 711 kcal
Ib yam li ntawd, peb rov qab hais txog cov ntsiab lus carbohydrate hauv pob:
2.8 * 450/100 = 12.6 g lossis 1XE
Ntawd yog, cov khoom tsis tshua muaj carb, tab sis tib lub sij hawm siab-calorie.

Chav nyob qhob cij

Peb muab tus nqi ntawm XE rau kev siv ntau hom zaub mov thiab npaj mov.

Khoom npeTus nqi ntawm cov khoom hauv 1XE, gCov calories, kcal ib 100 g
Cov Txiv Hmab Txiv Ntoo, Txiv Hmab Txiv Ntoo thiab Txiv Hmab Txiv Ntoo
Qhuav apricots20270
Tsawb6090
Cwj10042
Pineapple11048
Apricot11040
Lub taub13540
Cov kab npauj15038
Kua15046
Lub txiv duaj17041
Txiv Pos Nphuab19035
Txiv qaub27028
Zib ntab15314
Grain Khoom
Cov khob cij dawb (tshiab los sis qhuav)25235
Tag nrho-hom nplej rye mov ci30200
Oatmeal2090
Cov nplej1590
Mov15115
Pob Tsuas Yaj15160
Hmoov nplej15 g329
Manka15326
Kwv Tuag5032
Cov nplej zom qhuav15298
Zaub
Pob kws10072
Pob Tsuas15090
Ntsuab peas19070
Dib lauj20010
Ua Tsuag Ntau20095
Txaij20024
Cov kua txiv lws suav25020
Taum30032
Carrots40033
Beetroot40048
Ntsuab60018
Khoom noj siv mis
Cheese loj100280
Cov txiv ntoo yogurt10050
Cov mis nyuj haus130135
Cov kua mis uas tsis muaj qab zib20040
Mis, 3.5% rog20060
Ryazhenka20085
Kefir25030
Qaub cream, 10%116
Feta cheese260
Ceev
Lub hleb40568
Cedar50654
Pistachio50580
Txiv mab txiv ntoo55645
Hazelnuts90600
Walnuts90630
Nqaij khoom thiab ntses *
Braised nqaij nyuj0180
Kab mob siab0230
Nqaij nyuj cutlet, minced nqaij nkaus xwb0220
Nqaij npuas tsuav0150
Menyuam yaj tsuav0340
Pluas0170
Tus dej ntses0165
Salmon0145
Lub qetsawg dua 1156

*Tsiaj protein (nqaij, ntses) tsis muaj carbohydrates. Yog li ntawd, tus nqi XE hauv nws yog xoom. Qhov tshwj tsis yog nqaij tais, nyob hauv kev npaj ntawm cov carbohydrates tau ntxiv siv. Piv txwv li, nqaj cij lossis semolina feem ntau ntxiv rau cov nqaij minced.

Cov ntsiab lus carbohydrate ntawm lub qe yog 0.4 g ib 100 g ntawm qe. Yog li ntawd, XE hauv cov qe tsis sib npaug nrog xoom, tab sis nws tsis tshua muaj qhov tseem ceeb.

Dej qab zib
Cov kua txiv kab ntxwv10045
Kua kua txiv10046
Tshuaj yej nrog qab zib15030
Kas fes nrog qab zib15030
Compote250100
Huab Tais Liab250125
Kvass25034
Npias30030
Khoom qab zib
Marmalade20296
Mis chocolate25550
Custard khoom qab zib25330
Mis nyuj khov80270

Cov lus - XE hauv cov khoom tiav thiab cov tais diav

Lub npe ntawm cov khoom tiavTus nqi ntawm cov khoom hauv 1XE, g
Poov mov paj25
Puff pastry35
Damn nws30
Pancake nrog tsev cheese lossis nqaij50
Dumplings nrog tsev cheese lossis nrog nqaij50
Lws suav ntses50
Hau qos yaj ywm70
Mashed qos yaj ywm75
Qaib Bytes85
Nqaij qaib tis100
Syrniki100
Vinaigrette110
Zaub qhwv qaws120
Pea kua zaub150
Borsch300

Glycemic Performance index - nws yog dab tsi thiab nws tseem ceeb npaum li cas?

Lwm qhov taw qhia muaj thiab siv hauv kev suav cov ntawv qhia zaub mov ntawm cov ntshav qab zib - glycemic index. Qhov no yog tus nqi ntawm kev nqus ntawm carbohydrates nyob rau hauv cov hnyuv.

Ib yam khoom muaj qhov siab glycemic index (zib ntab, qab zib, jam, kua txiv qab zib - cov carbohydrates ceev uas tsis muaj roj) yog tus cwj pwm ntawm qhov siab nqus. Tib lub sijhawm, cov ntshav siab kawg yog tsim los sai thiab ncav cuag qhov txiaj ntsig siab tshaj plaws.

Rau cov khoom lag luam nrog lub glycemic qes qis (lawv muaj cov rog ntxiv rau hauv carbohydrates), qhov kev nqus ntawm txoj hnyuv qeeb tau qeeb. Lawv nqus tau ntev dua thiab qeeb dua xa cov piam thaj rau tib neeg cov ntshav (qeeb carbohydrates). Ib qho kev nce siab ntawm cov piam thaj hauv cov ntshav tsis tshwm sim, theem ntawm kev mob vascular yog qhov qis, thiab cov kua dej insulin tsawg dua.

Chav Nyob Cij thiab Tib Neeg Lub Zog Kev Sib Pauv

Ib tus neeg lub zog hauv lub cev yog tsim los ntawm carbohydrates, uas nkag mus rau sab hauv nrog zaub mov. Hauv plab hnyuv, carbohydrates yog zom rau hauv cov suab thaj yooj yim thiab nqus mus rau hauv cov ntshav. Cov hlab ntshav nqa cov suab thaj (qabzib) mus rau lub cev ntawm lub cev. Cov kua nplaum rau lub hlwb yog qhov tseem ceeb ntawm lub zog.

Tam sim ntawd tom qab noj mov, cov piam thaj ntau ntxiv hauv cov ntshav. Qab zib ntau ntau, ntau cov insulin xav tau. Hauv lub cev noj qab nyob zoo, kev tsim cov tshuaj insulin yog tswj hwm los ntawm tus txiav ua ntshav. Ntawm cov ntshav qab zib, ib tug neeg yuav tsum xam seb nws xav tau insulin ntau npaum li cas nkag mus rau hauv cov ntshav txhawm rau kom nqus tau cov zaub mov carbohydrates. Hauv qhov no, ib qho kev noj ntau dhau thiab tsis muaj cov tshuaj insulin yog qhov txaus ntshai ib yam.

Siv cov ntxhuav ntawm cov ntsiab lus ntawm cov khob cij tso rau hauv cov zaub mov thiab tais ua rau koj txiav txim siab sai sai ntawm cov tshuaj insulin uas xav tau thiab kos cov khoom noj muaj ntshav qab zib kom raug.

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