Cov niam txiv ntawm cov menyuam yaus uas muaj ntshav qab zib hom 1 tab tom xav tias qhov mob loj no tuaj yeem tswj hwm tau yam tsis muaj kev txhaj tshuaj insulin txhua hnub. Cov tshuaj tseem ceeb hais tias qhov no ua tsis tau. Lub sij hawm honeymoon sai sai, thiab nws tsis muaj peev xwm yuav ua yam tsis muaj kev siv tshuaj insulin txhua hnub. Txawm li cas los xij, kev coj ua tau pom tias kev noj haus cov zaub mov uas tsis muaj cov rog ua rau nws ntev lub cev ntev ua rau honeymoon ntev. Yog tias koj hloov tus menyuam mus rau qhov kev noj haus no, tom qab ntawd cov tshuaj insulin tsis tuaj yeem raug txhaj rau ob peb xyoos, thiab tejzaum nws tag nrho nws lub neej txog thaum laus.
Lub vev xaib ntshav qab zib -Med.Com lub vev xaib txhawb kev noj zaub mov kom tsis txhob rog rau qhov kev tswj ntawm hom 1 thiab ntshav qab zib hom 2 ntawm cov neeg mob Lavxias. Cov khoom noj no ua rau cov neeg muaj ntshav qab zib ua kom cov ntshav qab zib nyob ruaj khov, xws li cov neeg noj qab nyob zoo. Yog tias koj hloov koj tus menyuam txoj kev noj zaub mov noj los ntawm thawj hnub ntawm mob ntshav qab zib hom 1, koj tuaj yeem txuas koj li zib ntab zib ntab, uas yog ua rau muaj kev phom sij. Hauv qab no yog kev xam phaj nrog tsev neeg uas tau taug txoj kev no, thiab lawv tus tub tau nyob ntev dua ib xyoos yam tsis muaj tshuaj insulin. Cov kws kho mob lees tias lawv tsis tau pom ib yam dab tsi ua ntej. Txawm li cas los xij, lawv tsis maj hloov pauv lawv cov txheej txheem dhau los rau kev kho mob ntshav qab zib hom 1 hauv menyuam yaus.
Kirovograd yog ib lub nroog nyob hauv nruab nrab ntawm Ukraine uas muaj neeg nyob txog 250 txhiab tus neeg. Tsev neeg [tshem tawm lub npe ntawm kev thov ntawm neeg txiv plig tus thawj coj], uas nyob hauv nws, thaum pib ntawm lub Kaum Ob Hlis 2013 muaj lub khaum - tus tub 6 xyoo pib mob ntshav qab zib hom 1. Thaum xub thawj muaj txhua yam, zoo li txhua tus neeg tau muaj - tus mob hnyav ntawm tus menyuam, ntshav qab zib 12.7, kev khomob sai, thiab thaum mus pw hauv tsev kho mob, glycated hemoglobin yuav luag 11%. Cov kws kho mob tua cov piam thaj, tshuaj noj ntawm cov tshuaj insulin ruaj khov, tau muab xa mus rau kev kuaj mob hauv Kiev thiab raug tso tawm hauv tsev.
Thiab tom qab ntawd txhua yam mus tsis zoo li lwm tus neeg. Hnub peb, rov qab los ntawm thawj qhov kev poob siab, lub tsev neeg lub taub hau tau tshawb hauv Is Taws Nem. Nws nyeem txhua yam ua ntu, suav nrog Diabetes-Med.Com lub vev xaib. Thiab hnub tom qab tus menyuam tau pauv mus rau cov khoom noj muaj protein tsawg. Cov txiaj ntsig tau tshwm sim tam sim ntawd. Tsis yog tias lawv muaj peev xwm tsis kam lees txhaj tshuaj insulin, tab sis txawm tias qhov xav tau tshwm sim kom tshem tawm lawv. Vim tias qhov twg los txhaj tshuaj insulin yog tias cov piam thaj hauv ntshav tuav 4.0-5.5 mmol / l ...
Lub taub hau ntawm tsev neeg tau xa thawj cov lus ntawm rau hnub rau, thaum lawv tau sim noj zaub mov kom qis-carbohydrate. Peb tau ntseeg tias nws txo qis qab zib, thiab cov kws kho mob tau tawm tsam nws. Ntawm ob peb lub asthiv tom ntej, nws txuas ntxiv xa cov lus zoo siab. Kev noj zaub mov tsis muaj carbohydrate tsawg yuav pab tau zoo; tus me nyuam muaj suab thaj 4.0-5.5, tsis tas yuav txhaj tshuaj insulin. Mus noj mov nrog tag nrho tsev neeg, kawm ua noj mov ntau yam qab heev. Cov tswv yim hais txog lub peev xwm ntawm lub hlwb thiab kev coj tsis ncaj ntawm cov kws kho mob tau ua rau muaj kev co ...
Tom qab 3 lub hlis, Lub Plaub Hlis 2, 2014, nyob rau hauv cov lus hais nkag "ketoacidosis uas mob ntshav qab zib," Ivan sau tias tus menyuam pom muaj acetone nyob rau hauv cov zis, nyob hauv nruab nrab lub ntsiab lus. Hauv qhov no, tsis muaj tsos mob ntawm ketoacidosis, lub xeev kev noj qab haus huv yog ib txwm. Nws tau hais tias yog tias koj ua raws li cov zaub mov tsis muaj carbohydrate, ces qhov no yog qhov qub, cov roj ntsha hauv cov zis yuav nyob rau thiab txhua lub sijhawm. Nws tau kwv yees tias qhov no yog qhov tsis muaj mob, vim tias tib neeg ob lub raum raug yoog rau cov xwm txheej zoo li no. Tsis tas yuav ua dab tsi ntxiv kom txog thaum tus me nyuam cov piam thaj zoo li qub.
Ivan qhia meej tias cov piam thaj tseem zoo heev - 4.0-5.5, glycated hemoglobin poob qis rau 5.5%. Lawv pib tau ntau dua dej rau tus menyuam nrog kua - thiab cov tshuaj ua kua hauv cov zis tsawg dua, thiab qee zaum qee qhov ntsuas pom tias nws tsis muaj dab tsi hlo li. Cov kws kho mob qhia kev pub mis rau menyuam yaus kom tshem cov tshuaj acetone, tab sis cov niam txiv yuav tsis ua qhov no. Lub Plaub Hlis 10, 2014, tus thawj coj hauv tsev kawm ntawv tau tham nrog nws tsev neeg [tshem nws lub npe ntawm kev thov ntawm tus txiv plig tus thawj coj] ntawm Skype. Hauv qab no yog cov kab lus hloov ntawm cov lus sib tham no. Cov ntaub ntawv zoo li ntxim nyiam thiab muaj txiaj ntsig zoo rau cov neeg laus thiab niam txiv ntawm cov menyuam muaj ntshav qab zib hom 1. Kuj tseem muaj cov lus hais hauv qab no.
Acetone nyob rau hauv cov zis muaj cov khoom noj uas muaj cov carbohydrate tsawg
- Thawj qhov kuv xav nug. Tam sim no koj tau kawm tias tus me nyuam muaj acetone nyob rau hauv qhov zis, thiab kuv sau rau koj tias nws yuav txuas ntxiv mus. Koj yuav ua li cas txog qhov no?
- Peb tau ntxiv dej ntau ntxiv, tus menyuam tau pib haus, tam sim no tsis muaj acetone. Hnub no peb tau sim dua, tab sis peb tseem tsis tau paub txog qhov txiaj ntsig.
- Rov ntsuam xyuas yog dab tsi? Ntshav lossis zis?
- Kuaj tsom rau cov qog glucosuric.
"Koj puas tau hla tib txoj kev tsom xam ntxiv?"
- muaj
- Vim li cas?
- Lub sijhawm dhau los, kev txheeb xyuas pom ob ntawm peb qhov zoo hauv cov roj ntsha. Lawv thov kom rov raug muab dua, thiab peb ua qhov no kom peb tsis txhob sib cav nrog tus kws kho mob ib zaug ntxiv.
- Yog li tom qab txhua yam, acetone hauv zis yuav txuas ntxiv, kuv tau piav qhia rau koj.
- Tam sim no tus me nyuam pib haus ntau yam kua, Kuv ua noj nws compotes. Vim tias qhov no, tsis muaj cov acetone nyob rau hauv cov zis, tsawg kawg ntawm cov ntawv xeem tsis hnov mob, txawm hais tias kuv tseem tsis paub xyov qhov kev kuaj ntawd yuav ua li cas.
- Koj puas muaj acetone ntawm daim phiaj ntsuas?
- Yog, qhov ntsuas ntsuas tsis cuam tshuam txhua. Sij hawm dhau los, nws tawm tsam tsawg kawg yog me ntsis, tsaus muag xim daj, tab sis tam sim no nws tsis hnov mob txhua. Tab sis kuv pom tias sai li sai tau thaum tus me nyuam haus dej tsawg dua, tom qab ntawd acetone tshwm me ntsis. Nws haus dej ntau dhau - qhov ntawd yog txhua yam, muaj kiag li tsis muaj acetone.
- Thiab dab tsi ua acetone qhia? Ntawm txoj kab sim coj lossis hauv kev noj qab haus huv?
- Tsuas yog ntawm kab ntawv xeem, peb tsis txhob ceeb toom nws ntxiv lawm. Nws tsis tuaj yeem pom nyob hauv lub siab lossis hauv lub xeev kev noj qab haus huv ntawm tus menyuam.
- Koj puas nkag siab tias cov tshuaj acetone rau ntawm cov zis ntsuas ntawm cov zis yuav txuas ntxiv rau txhua lub sijhawm? Thiab yog vim li cas tsis ntshai ntawm qhov no?
- Yog lawm, tau kawg, lub cev nws tus kheej tau hloov mus rau lwm yam kev noj haus txawv.
"Nov yog yam uas kuv sau rau koj ... Qhia rau kuv, cov kws kho mob puas pom tej kev tshwm sim no?"
- Dab tsi?
- Zis tsom rau cov acetone.
- Dab tsi ua nws dhau los ua tsawg?
- Tsis muaj, hais tias nws yog txhua.
- Ua siab ncaj, kws kho mob tsis txhawj txog qhov no, vim tias cov piam thaj tsis nyob hauv cov zis. Rau lawv, qhov no tsis qhia tias yog ntshav qab zib, vim tias tsis muaj piam thaj ntxiv. Nws hais tias, lawv tau hais, txoj kev txhim kho khoom noj khoom haus, tsis suav cov nqaij, ntses, noj porridge. Kuv xav tias - yog, twv yuav raug hu ...
"Koj puas nkag siab tias koj tsis tas yuav hloov mus ua lwm yam khaub noom?"
- Tseeb tiag, peb tsis yog yuav mus.
"Kuv xav paub tias lawv yuav muab cov khoom noj carbohydrates rau hauv tus menyuam hauv tsev kawm ntawv yog li ua rau acetone ploj." Nrog lawv nws yuav dhau los. Kuv ntshai tias qhov no ua tau.
- [Niam] Peb yuav mus kawm ntawv thaum lub Cuaj Hli. Lub Cuaj Hlis Kuv coj mus so thiab lawv yuav nyob ntawm lub luag haujlwm ntawd kom ntev ib hlis, pom zoo nrog tus xibfwb. Kuv xav tias tus kws qhia ntawv tsis yog kws kho mob, lawv tau kawm ntau dua.
- Tos. Tus xibfwb tsis quav ntsej. Koj tus menyuam tsis tau txhaj tshuaj insulin, uas yog, tus kws qhia ntawv tsis muaj teebmeem. Tus me nyuam yuav noj nws cov nqaij-cheese tsis muaj carbohydrates, tus nais khu yog lub teeb ci. Tab sis hais tias muaj tus kws saib xyuas neeg nyob hauv chaw ua haujlwm. Nws pom tias tus menyuam muaj acetone hauv nws cov zis. Txawm hais tias muaj me ntsis acetone thiab tus me nyuam tsis hnov dab tsi li, tus neeg saib xyuas neeg mob yuav muaj kev ywj pheej - muab suab thaj kom cov acetone tsis muaj nyob.
- [Txiv Plig] Thiab nws yuav pom li cas?
- [Niam] Kuv xav saib ntawm qhov kev soj ntsuam peb dhau hnub no. Tej zaum peb yuav tsis qhia cov tshuaj acetone txhua lub sijhawm. Tom qab ntawd, thaum lawv kom koj pub koj cov ntshav rau cov glucosuric profile, peb yuav pub nws, tab sis hnub no peb yuav tso dej rau tus menyuam nrog kua kom txaus.
- Hauv koj txoj kev ntsuas zis rau cov tshuaj acetone, muaj ob ntawm peb qhov pluses. Tom qab ntawd tej zaum yuav muaj ib qho ntxiv, tab sis nws feem ntau yuav tseem muaj ...
- Nws tsis ua li cas, vim hais tias tus kws kho mob txog qhov no tsis tau qhia ib qho kev txhawj xeeb txhua. Nws hais tias kho cov zaub mov, tab sis tshwj xeeb tshaj yog hais txog qhov no tsis thab.
- Nws tau muab cov lus qhia rau koj uas yog sau rau hauv nws cov lus qhia: yog tias muaj acetone - muab cov carbohydrates. Koj yuav tsis ua li no, thiab ua Vajtswv tsaug. Tab sis lwm tus neeg lwm qhov kev xav tau zoo tshaj plaws yuav coj koj tus menyuam mus rau tom tsev kawm ntawv thiab hais tias, hais, noj khoom qab zib, ncuav qab zib lossis lwm yam kom koj tau txais cov acetone. Nov yog ib qho txaus ntshai.
- [Niam.] Hais qhov tseeb, Kuv ntshai heev ntawm lub tsev kawm ntawv, vim nws yog menyuam yaus, thiab nws tsis tuaj yeem raug cais tawm ...
- Zoo li cas tiag?
- Tias nws tau noj tej yam tsis ncaj qhov chaw. Peb muaj ib zaug uas peb noj peb caug, txawm tias muaj neeg nyiag los nyob hauv tsev. Tom qab ntawd peb tau pib ua kom muaj ntau yam ntawv qhia zaub mov, muab nws lub walnuts, thiab qee zaum nws calmed.
- Qhov no yog thaum twg? Thaum twg koj tau txhaj cov insulin, lossis tom qab ntawd, koj tau hloov mus rau qhov kev noj zaub mov tsis muaj zaub mov kom tsawg?
- Peb muaj cov tshuaj insulin rau tsuas yog 3 hnub. Peb tau mus rau lub tsev kho mob lub Kaum Ob Hlis 2, peb tau sau tshuaj insulin los ntawm thawj hnub, peb tau txhaj tshuaj insulin ob zaug, Kuv tau mus rau hauv tsev kho mob nrog nws thaum noj su. Tus me nyuam tam sim ntawd xav tias tsis zoo, qhov tshwm sim rau insulin yog vwm.
"Nws nyuam qhuav muaj piam thaj ntau heev, kom cov insulin muaj dab tsi ua rau nws ..."
- [Niam. Raws li qhov tshwm sim, qab zib dhia mus txog 18.
- [Txiv] Kuv nyeem thiab xav tias - nws tshwm sim li cas? Vim li cas thiaj li muaj piam thaj 12 thiab dhau los ua 18?
- [Niam] Vim tias nws noj pilaf thiab peb twb tuaj txog hauv tsev kho mob nrog piam thaj 18.
"Yog li, dua li ntawm acetone, koj puas tseem noj cov zaub mov muaj roj tsawg?"
- Tau kawg.
- Thiab cov kws kho mob tsis tshua muaj siab tshem cov acetone no?
- Tsis yog, tus kws kho mob pom tsis muaj kev ua ub no.
Kab mob ntshav qab zib hom 1 hauv menyuam yaus tuaj yeem tswj tau yam tsis muaj kev txhaj tshuaj insulin txhua hnub, yog tias koj hloov mus rau kev noj haus uas tsis muaj cov carbohydrate los ntawm thawj hnub ntawm tus kabmob. Tam sim no cov txheej txheem muaj tag nrho ua lus Lavxias, tsis pub dawb.
Khoom noj rau tus menyuam muaj mob ntshav qab zib hom 1 hauv qib pib thiab tsev kawm ntawv
- Ntawd yog, koj tsis tau mus kawm ntawv tseem muaj, tab sis tsuas yog mus, zoo?
- Yog, txog tam sim no peb tsuas yog yuav npaj mus, thiab peb muaj txhua yam kev tswj hwm.
- Thiab rau qib K?
- Txij thaum mus kawm qib kindergarten peb coj nws tam sim ntawd.
- Sai li nws tag nrho cov pib?
- Tau, peb maj mam coj nws; nws tsis mus ib hnub rau ntawm kindergarten.
- Vim li cas?
- Vim tias lawv hais tias: cov zaub mov uas tau muab rau hauv qib kindergarten haum rau cov menyuam muaj ntshav qab zib. Peb tsis pom zoo. Nws tsis haum txhua. Peb txawm nyob hauv tsev kho mob - 9 lub rooj - muab compote nrog qab zib.
- Qhov ntawd yog, nyob rau hauv qib pib koj yuav tsis pom zoo kom pub yam koj xav tau?
- Tsis yog, qhov tseeb, koj tab tom tham txog dab tsi ... Kuv ua tus menyuam noj txhua hnub ...
“Thiab koj yuav tsum cia nws nyob hauv tsev?”
- Yog lawm, peb khaws cia hauv tsev, yawg muaj kev cuam tshuam, thiab tus me nyuam nyob hauv tsev nrog peb, peb tau coj nws los ntawm qib menyuam yaus.
Txo cov piam thaj kom ib txwm rau peb tus kheej, thiab tom qab ntawd rau phooj ywg
- Nov yog koj li kev noj haus - nws ua haujlwm ntau heev ... Kuv tus neeg ua haujlwm muaj ntshav qab zib hom 2. Nws, ntawm chav kawm, tsis mloog kuv thaum xub thawj. Nws hais tias peb tuaj yeem muaj buckwheat, thiab lwm yam. Lawv noj buckwheat - thiab qab zib tom qab nws 22. Tam sim no lawv tau noj zaub mov tsis muaj carbohydrate tsawg, thiab nws yeej tsis muaj qab zib. Thaum ntej nws hu kuv ua ntau yam. Nws tus txiv rub tawm, lawv hais, hu lawv, sab laj yog tias kuv tuaj yeem muaj cov khoom lag luam lossis cov no. Nws mloog kuv lus, thiab tam sim no lawv noj lawv yam nkaus li peb cov menyuam noj.
“Koj puas tau muab lawv lub xaib rau?”
- Lawv tsis muaj internet
- Yog, Kuv pom.
"Lawv yuav tsis yog lawm." Lawv npaj, tau kawg, tab sis cov no yog cov neeg ntawm lub hnub nyoog so haujlwm, yog li nws tsis zoo li. Tab sis tsawg kawg lawv tau mloog kuv thiab tsis ua raws li cov kws kho mob pom zoo. Tam sim no nws muaj 4-5 suab thaj, thiab qhov no nrog tus txiv neej laus.
- Ntawd yog, koj tsis dhuav lub neej, koj puas tseem qhia phooj ywg?
"Kuv sim, tab sis tib neeg tsis mloog tiag."
"Tsis txhob txhawj txog qhov no." Vim li cas koj thiaj txhawj xeeb txog lawv? Koj txhawj txog koj tus kheej ...
"Peb ua qhov ntawd." Peb feem ntau muaj qhov ntxeev ntawm hmoo. Peb muaj ib tus phooj ywg - hom 1 mob ntshav qab zib txij thaum menyuam yaus. Kuv tsis paub yuav mus cuag nws thiab hais li ntawd. Nws noj txhua yam hauv ib kab, thiab tsis yog noj xwb ... Nws tsis tuaj yeem piav qhia rau ib tus neeg, txawm hais tias nws pheej muaj kev mob ntshav qab zib thiab peb pom nws.
“Koj puas tau hais rau nws?”
- Tsis yog, Kuv tsis tau hais tias nws tseem; feem ntau yuav yog, nws tsis zoo.
"Tsis txhob txhawj txog lawv tag nrho." Leej twg xav tau - nws pom. Koj tau scrupulously tau tshawb. Qhia rau kuv, rau lwm tus neeg koj qhia? Hais tias koj muaj phooj ywg muaj ntshav qab zib hom 2. Nws puas yog tib tug?
- Qhov no yog ib tus neeg paub, thiab tseem muaj ib tus ntxhais uas peb tau ntsib hauv tsev kho mob. Kuv xav caw nws rau kuv lub tsev thiab qhia nws txhua. Kom deb li deb nws tsuas yog tham, thiab nws ntau dua los yog tsawg adheres rau cov zaub mov uas tsis muaj carbohydrate.
"Lawv tsis muaj Internet thiab?"
- Yog lawm, lawv tsis muaj lub computer, nws los hauv xov tooj. Kuv kuj tau muaj kev sib cuag nrog tsev kho mob, thaum peb nyob hauv Kiev, Kuv tau ntsib kuv niam los ntawm Lutsk. Nws kuj nug kuv txog ntaub ntawv.
Yuav cob qhia koj tus menyuam li kev noj zaub mov zoo
- Tus txiv pom koj tam sim ntawd, ntawm thawj hnub. Peb tau mus pw tsev kho mob rau hnub Monday, thiab txog rau hnub kawg ntawm lub asthiv peb twb tau pib tsis kam yuav cov tshuaj insulin. Thawj lub sijhawm lawv tsis kam, vim tias qhov twg yuav txhaj tshuaj insulin yog tias tus menyuam muaj suab thaj 3.9?
- [Txiv] Lawv tau pub nws borsch nrog zaub qhwv, tom qab ntawd lawv tau txhaj tshuaj insulin, raws li xav tau los ntawm cov qauv kev khomob, thiab tus menyuam pib mob ntshav qab zib. Txog li qhov peb tau 2.8 qab zib nyob rau hauv cov nqe lus ntawm glucometer, uas yog me ntsis overpriced.
- [Niam] Tus me nyuam nyob rau qhov phem, Kuv ntshai kawg li.
"Kuv xav nug: koj tuaj yeem nrhiav tau kuv li cas?" Rau cov lus nug twg, koj puas tsis nco qab?
- [Dad] Kuv tsis nco qab, Kuv tab tom nrhiav txhua yam ua ke, Kuv tab tom nrhiav Is Taws Nem mus rau ntawm lub siab. Nws zaum rau peb hnub, nyeem txhua yam.
- [Niam] Raws li peb pom koj, tam sim no koj tsis nco qab, vim tias thaum ntawd peb tsis tau xav txog, tab sis tsuas yog quaj.
- Koj twb muaj hmoo, vim tias lub xaib tseem muaj tsis muaj zog, nws yog qhov nyuaj nrhiav. Koj tus menyuam yuav coj li cas tom tsev kawm ntawv? Nyob ntawd nws yuav muaj kev ywj pheej ntau dua tam sim no, thiab kev sim siab yuav tshwm sim. Ntawm ib sab, ib tus neeg laus yuav sim pub nws kom nws tsis muaj acetone. Ntawm qhov tod tes, tus menyuam yuav sim ua qee yam nws tus kheej. Koj xav tias nws yuav coj li cas?
- Peb yeej vam rau nws, vim nws hnyav thiab ywj siab. Thaum xub thawj, txhua tus neeg qhuas nws ua siab ntev. Lwm cov menyuam yaus hauv chav tsev kho mob tau noj txiv tsawb, txiv tsawb, khoom qab zib, thiab nws tsuas zaum ntawm qhov ntawd, mus txog nws txoj kev lag luam thiab nws tsis hnov mob. Txawm hais tias cov zaub mov hauv tsev kho mob mob heev dua li nyob hauv tsev).
“Puas yog nws yeem tawm tsam tag nrho cov khoom zoo no, lossis koj puas tau yuam nws?”
- Lub luag haujlwm tau ua los ntawm qhov tseeb tias nws mob hnyav los ntawm cov tshuaj insulin. Nws nco ntsoov qhov xwm txheej no ntev thiab tau pom zoo txhua yam, yog tias tsuas yog nws yuav tsis tau txhaj tshuaj insulin. Txawm tam sim no nws nce hauv qab lub rooj, hnov cov lus "insulin." Yuav kom ua tau zoo yam tsis muaj insulin, koj yuav tsum tswj koj tus kheej. Nws paub tias nws xav tau nws. Cov khoom noj kom tsim nyog - qhov no yog rau nws, thiab tsis yog rau kuv txiv thiab kuv, nrog rau kev ua si ntawm lub cev.
- Nws yuav nthuav kom saib xyuas koj thaum lub caij nplooj zeeg, yuav ua li cas txhua yam mus ntxiv, thaum nws yuav muaj kev ywj pheej hauv tsev kawm ntawv hais txog khoom noj khoom haus.
- Peb yuav saib zoo rau peb tus kheej thiab muab sijhawm rau koj saib peb.
Cov niam txiv muaj me nyuam mob ntshav qab zib li cas thiaj sib haum nrog kws kho mob
"Koj puas tau hais rau tus kws kho mob txog qee yam hauv chav ua noj?"
"Lawv tsis xav mloog." Hauv Kiev, Kuv hais me ntsis, tab sis pom sai sai tias nws tsis tuaj yeem hais qhov no txhua. Lawv tau hais qhia rau kuv qhov no: yog tias ib yam khoom ntxiv qab zib rau menyuam, ces koj yuav tsum tsis txhob lees qhov khoom no ib qho twg. Txoj kev txhaj tshuaj zoo dua, tab sis pub mis rau tus menyuam noj.
- Vim li cas?
- [Niam] Kuv tsis nkag siab.
- [Kuv txiv] Kuv tus niam laus yog kws kho mob yug nws tus kheej, yog ib tug kws kho mob, thiab ntawm no peb tau raug foom tsis zoo thawj hnub. Nws tau hais tias tsis ntev tom qab no peb yuav hloov mus rau hauv insulin. Nws tshoov peb lub siab nrog qhov kev xav tias lawv hais tias koj muaj tus mob ntshav qab zib menyuam yaus thiab koj muaj ib txoj kev - rau insulin.
- Hauv txoj kev, nws yog lawm, nws yuav tshwm sim lub sijhawm, tab sis peb cia siab rau qhov zoo tshaj plaws, tau kawg. Ib qho lus nug tseem ceeb: nws puas yuav pub koj cov menyuam ua txhaum cai ntawm nws tus kheej? Koj yuav tsum tau txhawj tsis txhob txhawj txog dab tsi nws tshoov koj lub siab, tab sis hais txog qhov xwm txheej thaum nws yuav pub tus menyuam nws tus kheej.
- Qhov no yuav tsis tshwm sim, vim lawv nyob rau lwm lub xeev.
- Lawv hais kom koj coj mus kuaj thiab qhia lawv rau tus kws kho mob nrog qee zaus, txoj cai?
- Ib hlis ib zaug, mus ntsib kws kho mob thiab noj glycated hemoglobin txhua 3 lub hlis.
- Koj puas mus cuag kws kho mob tsis muaj kev ntsuam xyuas? Cia li mus thiab txhua tus?
“Yog lawm, taug kev xwb.”
“Thiab muaj xwm dab tsi tshwm sim rau qhov ntawd?”
- Dab tsi yog zom - mloog, ntsia, nug. Koj noj dabtsi? Koj xav li cas Koj puas khiav mus rau chav dej thaum hmo ntuj? Koj puas xav tau ib co dej? Puas yog koj tsis zoo siab? Tus me nyuam zaum thiab tsis paub yuav hais txog dab tsi txog dej, vim tias ntawm qhov tsis sib thooj Kuv yuam nws haus. Khoom noj muaj protein ntau txhais tau tias koj xav tau kua dej ntau dua. Thiab tam sim no nws tsis paub hais tias yuav hais li cas. Txhawm rau hais tias kuv tsis haus dej lossis xav hais tias kuv haus ntau qhov twg yog qhov tseeb? Kuv qhia nws - tus tub, hais li nws yog. Thiab hais txog yuav ua li cas kuv pub nws ... Lawv nug dab tsi koj pub nws? Kuv teb - Kuv pub txhua tus: kua zaub, borscht, zaub ...
- Ua tau zoo. Ntawd yog, nws yog qhov zoo dua tsis mus nyas txog tag nrho chav ua noj no, puas yog?
- Tsis yog, lawv tsis xav mloog dab tsi. Kuv tus txiv thawj ob peb hnub mus kiag li vwm. Tom qab txhua tus, tus kws kho mob yuav tsum muaj kev xav hloov pauv, tab sis tsis muaj dab tsi. Kuv tsis tuaj yeem ntseeg kuv tus kheej tus muam. Tab sis lub ntsiab tshwm sim rau peb. Thaum Lub Kaum Ob Hlis xyoo tas los, tus me nyuam glycated hemoglobin yog 9.8%, thiab tom qab ntawd dhau mus rau lub Peb Hlis - nws hloov mus rau 5.5%.
Kuaj thiab xiam oob khab rau hom ntshav qab zib hom 1
"Koj tsis mus tsev kho mob rau tsev kho mob lawm, puas yog?"
- Tsis yog.
- Nws yog qhov tseeb tias koj tsis tas yuav. Cov lus nug no, puas yog cov kws kho mob yuam koj mus rau tsev kho mob ib ntus lossis tsis yog?
- Lawv tsuas yuam tau cov neeg xiam oob khab xwb. Lawv tsis muab rau peb xiam oob khab, yog li lawv yuam tsis tau kom peb mus tom tsev kho mob. Dab tsi?
- Cov kev tsis taus tsuas yog muab rau cov uas muaj txim. Tsis yog mob ntshav qab zib hom 1 xwb, tab sis muaj teeb meem.
- Tsis yog, lawv muab tam sim ntawd rau txhua tus neeg uas txhaj tshuaj insulin.
“Nquag heev…”
- Txij li thaum Kiev tsis sau ntawv cov tshuaj insulin rau peb, peb tsis muaj kev tsis taus. Kiev hais tias: xws li tus menyuam hais tias nws yog qhov tsim nyog txhawm rau sau tshuaj insulin rau nws. Lawv saib xyuas peb tau ib lim tiam. Peb tau insulin-dawb ntawm cov zaub mov zoo carbohydrate-nplua nuj. Tab sis tseem, tus kws kho mob hais tias nws nrhiav tsis tau lub sijhawm ib hnub twg txhawm rau txhaj tshuaj insulin me me.
- Kev xiam oob qhab feem ntau yog qhov khoom loj, nws yuav tsis mob yog tias nws.
- Yog, peb kuj xav txog nws.
"Yog li koj tham nrog lawv nyob ntawd."
- Nrog peb tus kws kho mob mus koom?
- Zoo, yog. Tsis muaj leej twg hais tias tus menyuam yuav tsum npaj cov ntshav qab zib kom muaj tshuaj insulin, thiab lwm yam. Tab sis kom pom zoo - nws yuav zoo heev rau koj, vim tias nws muab txiaj ntsig tsim nyog. Kuv xav tias qhov tsis taus tsuas yog muab rau cov neeg uas muaj yam kabmob ntshav qab zib. Thiab yog tias koj hais tias lawv muab txhua tus los ua ke ...
"Yog lawm, lawv muab nws tam sim ntawd, thiab lawv tau mus." Yog tias peb tsis tau mus rau hauv Kiev, peb yuav tau muab qhov ua tsis taus. Tam sim no kuv yuav tsis mus rau Kiev, paub dab tsi kuv twb paub lawm. Vim tias muaj qhov tsis zoo rau hauv tsev kho mob, peb tau muaj lub lim tiam nyuaj.
Yuav kom tswj cov ntshav qab zib hom 1 rau menyuam yaus tsis tas txhaj tshuaj insulin txhua hnub yog qhov muaj tiag. Tab sis koj yuav tsum nruj me ntsis ua raws li tsoomfwv. Hmoov tsis zoo, lub neej nyob hauv nroog tsis pab ua qhov no.
Kev tawm dag zog rau hom ntshav qab zib hom 1 hauv cov menyuam yaus
- Peb tau dhau GAD tshuaj tiv thaiv kab mob hauv Kiev [qhov no yog lub cim ntawm autoimmune kev puas tsuaj ntawm pancreatic beta hlwb, tam sim no feem ntau ntawm cov neeg mob uas muaj ntshav qab zib hom 1]. Thiab hauv ib xyoos peb npaj kom dhau txoj kev tsom xam no ntxiv.
- Vim li cas?
- Ua ntej, peb yuav tuav daim C-peptide. Yog tias nws hloov tawm kom siab dua tam sim no, tom qab ntawd nws yuav raug txiav txim siab los kuaj xyuas cov tshuaj tiv thaiv kab mob ib zaug ntxiv - muaj ntau dua, muaj tsawg dua lossis tus lej qub.
"Koj to taub, tam sim no tsis muaj dab tsi ua tau los cuam tshuam lawv." Peb tsis paub yog vim li cas lawv tshwm sim. Nws tuaj yeem yog qee hom virus lossis gluten nkag rau. Koj puas paub gluten yog dab tsi?
- Yog lawm.
- Gluten yog ib co protein nyob hauv cov nplej thiab lwm cov taum pauv. Muaj cov lus qhia hais tias cov neeg mob ntshav qab zib tsis kam ua nws, thiab qhov no ua rau muaj kev tawm tsam ntawm lub cev tiv thaiv kab mob rau ntawm lub cev.
- [Txiv Plig] Kuv muaj lwm cov ntaub ntawv. Uas yog, tias qhov tshuaj tiv thaiv tsis tshwm sim ntawm gluten, tab sis ntawm casein - nyuj lub mis protein.
- Yog, thiab mis protein kuj muaj nyob, qhov no yog tus naj npawb 2 lub npe tom qab gluten. Ntawd yog, raws li txoj kev xav, koj tuaj yeem sib xyaw ua zaub mov noj zaub mov kom tsawg nrog zaub mov gluten thiab tsis muaj casein dawb hauv menyuam yaus. Tab sis tag nrho cov kwv yees no tseem sau nrog ib rab hmuv.
“Tab sis koj tuaj yeem sim nws.”
"Yog lawm, tab sis muaj ntau cov hemorrhoids." Yog tias koj tseem tsis kam chees, ces kev noj zaub mov yuav nyuaj dua rau kev ua raws.
- Peb tsis txhob twv thiav. Peb ua aerobic ce. Tus sau Zakharov sau hais tias yog tias qhov nruab nrab ntawm cov ntshav qab zib txhua hnub tsawg dua 8.0, tom qab ntawd koj tuaj yeem ua haujlwm nrog ib tus neeg. Txhawb kev tiv thaiv autoimmune nrog kev tawm dag zog aerobic - thiab cov qe hlwb pib rov pib dua. Tam sim no kuv tau suav kev ua pa ua pa ntawm Strelnikova. Lawv muab cov tshuaj tua kab mob ua kom puas tsuaj.
- Txhua yam no tau sau nrog cov hmuv nyob hauv dej. Yog tias ib tug neeg nrhiav txoj hauv kev los kho hom ntshav qab zib hom 1, nws yuav tau txais qhov khoom plig Nobel tam sim ntawd. Peb paub tseeb tias kev noj haus cov zaub mov carbohydrate muaj suab thaj tsawg dua. Tab sis qhov twg hom 1 ntshav qab zib los ntawm - peb tsis paub txog. Tsuas yog ib txhia twv tau ua. Koj tabtom xyaum ua nrog kev qoj ib ce, tab sis tsis muaj kev cia siab rau qhov no.
- Yog tias peb pheej noj tej zaub mov uas tsis muaj roj (carbohydrate) tsawg, ces peb thiaj noj txoj hauv kev no mus tas peb lub neej.
- Yog lawm, nws yuav tsum nyob li ntawd, rau txhua yam uas tau ua tiav. Koj tsuas yog yuav tsum tau piav qhia rau tus menyuam tias vim li cas koj thiaj li tsis noj cov zaub mov raug txwv. Thaum koj noj ib co bun, cov tshuaj insulin nyob ib sab ntawm peb.
- Yog lawm, txhua yam nyob hauv peb lub tub yees.
- Zoo, zoo heev. Ua tsaug rau xav paub ntawm koj tam sim no, kuv kawm. Kuv tsis tau xav tias koj cov neeg mob ntshav qab zib tau muaj qhov tsis zoo hauv Is Taws Nem hauv Kirovograd.
- Yog lawm, peb cov phooj ywg tsis muaj nws, nws tau tshwm sim.
"... Yog li nws nyuaj rau kuv tau txais." Ua tsaug rau kev xam phaj, nws yuav muaj txiaj ntsig ntau rau lub xaib. Peb tseem yuav txuas lus thiab sib nug, tsis muaj ib tus poob.
“Thiab ua tsaug.”
- Thov tsis txhob nqa nrog txiv hmab txiv ntoo compotes, lawv kuj muaj cov khoom noj ua kom muaj roj, muab cov tshuaj ntsuab zoo dua.
- Peb txhua qhov sim, qab zib tsis nce ntxiv.
- Los ntawm cov txiv hmab txiv ntoo thiab berries, carbohydrates yog zom thiab yaj hauv dej. Nws tseem yuav ntim lub txiav, txawm hais tias nws tseem ua.
- Zoo, tsaug.
- Ua tsaug, tej zaum peb niaj hnub xam phaj hnub no - nws yuav yog ib qho xov xwm sib foob.
Cov lus xaus
Yog li, tus menyuam thiab nws cov txheeb ze nyob lub sijhawm zoo nkauj honeymoon, muaj lub suab thaj zoo kawg nkaus thiab tsis muaj tshuaj insulin txhua lub sijhawm. Cov niam txiv hais tias tsis muaj ib tug menyuam twg uas muaj ntshav qab zib hom 1 uas tau dag nrog lawv tus menyuam pw hauv tsev kho mob tsis muaj dab tsi zoo li no. Txhua tus tub ntxhais hluas mob ntshav qab zib tau noj yam tsis tu ncua, thiab tsis muaj ib tug muaj peev xwm nres txhaj tshuaj insulin, txawm hais tias cov ntaub ntawv qhia tias qhov no feem ntau tshwm sim thaum lub sijhawm honeymoon.
Tsev neeg [tshem tawm lub npe ntawm kev thov ntawm neeg txiv plig tus thawj coj] tau txaus siab heev rau qhov tshwm sim uas muab cov khoom noj muaj protein tsawg. Txawm hais tias muaj kev ntshai ntawm acetone hauv cov zis, lawv yuav tsis hloov pauv kev kho mob.
Dr. Bernstein qhia tias kev siv cov khoom noj muaj protein tsawg tuaj yeem ncua sijhawm lub sij hawm muaj zib ntab ua zib tsis muaj txhaj tshuaj insulin rau cov ntshav qab zib hom 1 rau ntau caum xyoo, lossis ib sim neej. Cia siab tias qhov no tshwm sim. Peb tseem soj qab xyuas qhov xwm txheej.
Lub taub hau ntawm tsev neeg tabtom sim sim nrog kev kho mob hom ntshav qab zib 1 nrog kev tawm dag zog. Kuv tsis ntseeg txog qhov no. Tsis muaj leej twg tau los ua pov thawj tias txhua yam haujlwm lub cev nres autoimmune tawm tsam ntawm lub pancreatic beta hlwb. Yog tias muaj qee leej ua tiav, Kuv xav tias qhov khoom plig Nobel tau lav rau tus neeg zoo li ntawd. Nyob rau hauv txhua rooj plaub, qhov tseem ceeb tshaj plaws yog tias tus me nyuam tsis tau tawm ntawm lub pluas noj cov zaub mov uas tsis muaj cov pluas mov, uas peb twb paub tseeb tias nws pab tau. Hauv qhov kev txiav txim siab no, kev pib kawm ntawv yog qhov txaus ntshai heev. Lub caij nplooj zeeg, Kuv yuav sim hu kuv tsev neeg dua kom paub tias lawv yuav sib raug zoo tau li cas. Yog tias koj xav sau npe yuav cov ntawv xov xwm hauv e-mail, sau cov lus hais rau qhov no lossis lwm tsab xov xwm, thiab kuv yuav ntxiv koj qhov chaw nyob rau hauv daim npav xa ntawv.
