Hauv tebchaws Lavxias, cov neeg muaj ntshav qab zib muaj ntau dua peb lab leej. Ntxiv rau kev siv insulin lossis tshuaj tsis tu ncua, cov neeg mob ntshav qab zib yuav tsum soj ntsuam lawv cov zaub mov kom tsis tu ncua. Hauv no hais txog, cov lus nug yuav cuam tshuam: yuav suav cov khob cij li cas.
Nws yog feem ntau nyuaj rau cov neeg mob kom nws tus kheej ua cov kev suav, tsis tas li hnyav txhua yam thiab suav tsis yooj yim. Txhawm rau ua cov txheej txheem no, ib lub rooj noj mov-suav cov rooj noj mov yog siv uas teev XE tus nqi rau txhua yam khoom.
Chav ua khob cij yog ib qho kev taw qhia tshwj xeeb uas tsis tseem ceeb tshaj li qhov glycemic index rau ntshav qab zib. Los ntawm kev laij cov XE kom raug, koj tuaj yeem ua tiav kev ywj pheej ntawm insulin, thiab txo cov ntshav qab zib.
Dab tsi yog chav ua mov ci
Rau txhua tus neeg, kev kho mob ntshav qab zib pib nrog tus kws kho mob sab laj, lub sijhawm uas tus kws kho mob qhia meej txog cov yam ntxwv ntawm tus kabmob thiab pom zoo kom noj zaub mov tshwj xeeb rau tus neeg mob.
Yog tias xav tau kev kho mob nrog cov tshuaj insulin, tom qab ntawd nws cov koob tshuaj thiab kev tswj hwm yog cais sib tham. Lub hauv paus ntawm kev kho mob yog feem ntau niaj hnub kawm txog cov naj npawb ntawm cov khob cij, nrog rau kev tswj ntshav qab zib.
Yuav kom ua tau raws li cov cai ntawm kev kho mob, koj yuav tsum paub txog kev xam CN, ntau npaum li cas cov tais diav los ntawm cov khoom noj uas muaj carbohydrate kom noj. Peb yuav tsum tsis txhob hnov qab tias nyob hauv qab ntawm cov zaub mov zoo li no hauv cov piam thaj hauv ntshav ntxiv tom qab 15 feeb. Qee cov carbohydrates nce qhov ntsuas no tom qab 30-40 feeb.
Qhov no yog vim tus nqi ntawm assimilation ntawm cov khoom noj uas tau nkag mus hauv tib neeg lub cev. Txhawm rau kawm cov "carbohydrates" thiab "qeeb" yog qhov yooj yim heev. Nws yog ib qho tseem ceeb kom kawm paub txog kev laij koj tus lej txhua hnub li cas, muab cov ntsiab lus tsis muaj calorie ntawm cov khoom thiab muaj cov khoom ua puas tsuaj thiab muaj txiaj ntsig hauv lawv. Txhawm rau pab ua txoj haujlwm no, ib lo lus tau tsim hauv qab lub npe "chav ua mov ci".
Lo lus no tau txiav txim siab tseem ceeb hauv kev muab glycemic tswj nyob rau hauv ib qho kab mob xws li mob ntshav qab zib. Yog tias cov kws kho ntshav qab zib xav xav txog XE, qhov no ua kom qhov txheej txheem ntawm kev them nyiaj ntxiv rau qhov ua tsis tiav ntawm cov khoom noj pauv hloov ntawm carbohydrate. Tus lej uas raug them nyiaj lawm yuav raug tso tseg kev kho mob cuam tshuam nrog cov qis qis.
Yog tias peb xav txog ib chav ua mov ci, ces nws sib npaug nrog 12 gram carbohydrates. Piv txwv li, ib qho mov ci txhuv nyhav kwv yees li 15 gram. Qhov no sib raug rau ib qho XE. Hloov cov lus "chav ua mov ci" rau qee kis, lub ntsiab lus ntawm "chav tsev carbohydrate" yog siv, uas yog 10-12 g ntawm carbohydrates nrog rau kev zom tau yooj yim.
Nws yuav tsum raug sau tseg tias nrog qee cov khoom lag luam uas muaj qhov sib faib me me ntawm kev zom zaub mov carbohydrates. Cov khoom noj uas zoo rau cov neeg mob ntshav qab zib muaj feem ntau cov zaub. Hauv qhov no, koj tuaj yeem tsis suav cov khob cij. Yog tias tsim nyog, koj tuaj yeem siv cov nplai lossis sab laj lub rooj tshwj xeeb.
Nws yuav tsum raug sau tseg tias lub laij lej tshwj xeeb tau tsim uas tso cai rau koj kom suav cov ncuav qhob cij kom raug thaum qhov xwm txheej xav tau. Ua raws li cov yam ntxwv ntawm tib neeg lub cev hauv cov ntshav qab zib mellitus, qhov sib piv ntawm cov tshuaj insulin thiab kev nqus ntawm carbohydrates tuaj yeem sib txawv.
Yog hais tias kev noj haus suav nrog 300 grams ntawm carbohydrates, ces tus nqi no sib raug rau 25 khob cij. Thaum xub thawj, tsis yog txhua tus mob ntshav qab zib tswj kom loog XE. Tab sis nrog kev xyaum tas li, ib tus neeg nyob hauv ib lub sijhawm luv luv yuav muaj peev xwm "los ntawm qhov muag" txiav txim siab seb muaj pes tsawg chav nyob rau hauv ib qho khoom lag luam.
Ua haujlwm dhau sijhawm, qhov kev ntsuas yuav dhau los ua kev txiav txim siab tau.
Suav cov khob cij thiab ua cov tshuaj insulin
Kev muab xam ntawm cov qhob cij yuav tsum muaj nyob rau txhua hnub kom thiaj li muaj nuj nqis ntawm carbohydrates nyob rau hauv cov zaub mov tau muab. Ua haujlwm dhau sijhawm, ib tus neeg yuav cia li txiav txim siab XE tais diav yam tsis tau ntsuas ua ntej ntsuas.
Txhawm rau ua qhov no, koj tuaj yeem mus ncaj qha iav, qhov loj me ntawm qhov me me lossis naj npawb ntawm cov txiv hmab txiv ntoo thiab zaub. Yuav luag txhua cov tsev kho mob hais txog mob ntshav qab zib, muaj cov tsev kho mob ntshav qab zib. Lawv piav qhia rau tus mob ntshav qab zib seb tus mob XE yog dab tsi, yuav suav lawv li cas thiab yuav noj lawv cov zaub mov ntev li cas.
Lub khob cij qhob noom qab zib yog cov ncauj lus tseem ceeb rau kev sab laj thawj zaug nrog koj tus kws kho mob. Nws yog qhov zoo tshaj rau tusyees faib lawv rau peb cov zaub mov tseem ceeb. Ib los sis ob ntu tuaj yeem tso rau cov khoom noj txom ncauj.
Ntawm hom 1 mob ntshav qab zib mellitus, kev siv tshuaj insulin ntawm kev ua haujlwm ntev thiab ceev yog qhia. Txhawm rau kom tsis txhob mob ntshav qab zib vim tias txo cov ntshav hauv cov ntshav qab zib, koj yuav tsum siv 1 lossis 1.5 XE.
Nws tsis pom zoo kom noj ntau dua 7 XE ib pluag noj. Kev rog cov neeg mob ntshav qab zib yuav tsum npaj lawv cov zaub mov kom tsis pub ntau tshaj 120 g ntawm carbohydrates noj nyob rau hauv ib hnub.
Piv txwv li, yog tias cov txheej txheem txhua hnub ntawm chav ua mov ci yog 10, ces nws yog qhov zoo tshaj plaws los siv lawv txhua hnub los ntawm kev faib ua ob peb txoj kev:
- rau pluas tshais - 2 XE,
- rau pluas su - 1 XE,
- rau pluas su - 3 XE,
- rau khoom noj txom ncauj ib tav su - 1 XE,
- rau noj hmo - 3 XE.
Koj tuaj yeem tso 2 XE rau noj hmo, thiab siv chav ua mov ci kawg rau noj hmo zaum ob. Txog rau tag kis nws zoo dua yog noj zaub mov noj, lawv tau nqus los ntawm lub cev qeeb dua, thaum qab zib yuav tsis nce siab.
Txhua lub khob cij xav tau qee cov tshuaj insulin thaum nws mob ntshav qab zib hom 1. 1 XE tuaj yeem nce ntshav qabzib ntau txog li 2.77 mmol / L. Txhawm rau them nyiaj rau chav ntsuas no, koj yuav tsum nkag rau hauv insulin los ntawm 1 txog 4 chav.
Cov txheej txheem qub rau kev siv tshuaj insulin hauv ib hnub yog paub:
- thaum sawv ntxov los them nyiaj rau ib chav koj yuav xav tau nyob rau hauv ib chav ntawm insulin,
- hauv pluas su rau ib chav siv 1.5 IU ntawm insulin,
- rau noj hmo, koj xav tau qhov sib npaug ntawm XE thiab insulin.
Txhawm rau them nyiaj mob ntshav qab zib thiab ua kom ntshav qabzib nyob li qub, koj yuav tsum tau saib xyuas kev hloov pauv hauv koj tus mob. Qhia pom txhua txhua hnub ntsuas cov qab zib nrog glucometer. Qhov no yuav tsum tau ua ua ntej noj zaub mov, thiab tom qab ntawd, raws li pib cov nqi ntawm cov piam thaj thiab qhov xav tau ntau ntawm XE, txhaj cov tshuaj insulin hauv kev tsim nyog. Ob teev tom qab noj mov, cov piam thaj yuav tsum tsis pub ntau dua 7.8 mmol / L.
Thaum muaj ntshav qab zib ntawm yam thib ob, cov tshuaj insulin tsis tas yuav tsum tau siv, nws yog qhov txaus noj cov ntsiav tshuaj tsis tu ncua thiab ua raws kev noj haus.
Nws tseem yog qhov yuav tsum muaj peev xwm ntawm nws tus kheej xam XE.
Cov khoom tiav thiab chav ua mov ci
Txhua tus neeg tau kuaj mob ntshav qab zib yuav sai sai no nkag siab qhov tseem ceeb ntawm kev suav cov khob cij. Tus neeg mob ntshav qab zib yuav tsum kawm los xam nws tus kheej ntawm tus lej XE hauv cov khoom tiav thiaj li ua tiav lawv li kev noj haus.
Ua li no, nws txaus kom paub tias cov loj ntawm cov khoom thiab tus nqi ntawm carbohydrates hauv nws 100 grams. Yog tias tus naj npawb tshwj xeeb ntawm cov carbohydrates tau muab faib los ntawm 12, tom qab ntawd koj tuaj yeem paub sai tus nqi ntawm XE hauv 100 grams. Piv txwv li, cov khoom tiav ua tiav hnyav 300 grams, uas txhais tau tias tau txais tus nqi ntawm XE yuav tsum tau nce peb zaug.
Thaum mus ntsib cov chaw tsim khoom noj khoom haus, feem ntau nws yuav nyuaj rau cov neeg mob ntshav qab zib tau mus nrhiav hauv XE, vim tias muaj cov zaub mov txawv rau kev npaj cov tais diav thiab cov npe ntawm cov khoom xyaw uas siv hauv lawv tsis muaj. Hauv cov khoom tiav lawm uas muaj nyob rau hauv cafes lossis tsev noj mov, tej zaum yuav muaj ntau ntawm cov khoom siv, uas ua rau lub tswv yim ntawm cov ntshav qab zib hais txog qhov nyiaj ntawm XE.
Nrog rau cov ntshav qab zib, kev nqus cov mis, zaub mov thiab txiv ntoo qab zib yuav tsum tsawg. Txawm li cas los xij, xws li cov khoom lag luam yog muaj qee qhov tsim nyog rau kev ua haujlwm ntawm lub cev. Yog li ntawd, nws tsim nyog siv lub rooj ntawm cov khob cij, uas tam sim ntawd qhia tus naj npawb ntawm XE hauv ib qho khoom lag luam.
Cov Khoom Muaj Ntshav Qab Zib
Lub hauv paus ntawm cov khoom noj txhua hnub yuav tsum yog cov khoom noj uas muaj tsawg qhov ntawm lub khob cij.
Lawv sib koom rau hauv cov zaub mov noj txhua hnub yog 60%.
Tus mob ntshav qab zib noj tau:
- muaj roj tsawg thiab nqaij ntses tais diav,
- zucchini
- qe
- radish
- radish
- nyias
- zaub ntsuab
- ceev rau hauv qhov ntau ntau,
- tswb neeb.
- dib
- txaij
- nceb
- Txiv lws suav
- ntxhia dej.
Cov neeg mob ntshav qab zib yuav tsum nce qib ntawm cov ntses lawv noj ntau yam muaj roj tsawg. Nws raug nquahu kom noj tais nrog cov ntses zoo li peb zaug hauv ib as thiv. Ntses muaj cov roj uas tsis muaj roj thiab cov protein, cov tshuaj no txo cov roj (cholesterol) zoo. Yog li, koj tuaj yeem tiv thaiv koj tus kheej los ntawm kev tsim kho:
- plawv nres mob ntshav qab zib,
- mob stroke
- thromboembolism.
Thaum ua cov khoom noj txhua hnub, koj yuav tsum xav txog cov khoom noj suab thaj kom tsawg. Cov no suav nrog:
- zaub qhwv
- txiv kab ntxwv qaub
- Jerusalem artichoke
- nettle
- qij
- flax noob
- hneev
- nqaij
- txiv dev.
Kev noj zaub mov nqaij muaj protein thiab cov zaub mov tseem ceeb. Tsis muaj chav nyob ua mov. Nws tuaj yeem siv li 200 g ib hnub nyob rau hauv ntau cov tais diav. Nws yog ib qho tseem ceeb uas yuav tsum xav txog cov khoom xyaw ntxiv ntawm cov tais diav.
Cov zaub mov uas muaj glycemic index tsis muaj teeb meem rau kev noj qab haus huv, tab sis tib lub sijhawm lawv tu lub cev nrog cov as-ham thiab cov vitamins. Txais ntawm cov khoom lag luam nrog cov khoom noj me me ntawm lub khob cij pub koj zam kev dhia ntawm cov piam thaj thiab tiv thaiv qhov pom ntawm cov teeb meem ntawm metabolic.
Piv Txwv XE Noj rau cov Neeg Mob Ntshav Qab Zib
Ib qho khoom noj twg muaj 12-15 carbohydrates, uas sib npaug rau ib chav nyob.
Ib qho XE nce cov ntshav qab zib los ntawm qee qhov nyiaj, uas yog 2.8 mmol / L.
Rau qhov ntsuas no, 2 PIECES ntawm kev tshem tawm cov insulin yog qhov xav tau.
Cov zaub mov rau thawj hnub:
- rau pluas tshais: 260 g ntawm zaub qhwv tshiab thiab zaub ntug hauv paus, cov khob dej tshuaj yej,
- ua su; zaub kua zaub, txiv hmab txiv ntoo qhuav compote,
- rau noj hmo: steamed ntses, 250 ml roj tsawg rog kefir,
Tshuaj yej, compotes thiab kas fes noj tau yam tsis muaj qab zib.
Ntawv qhia zaub mov rau hnub thib ob:
- rau pluas tshais: 250 g ntawm zaub ntug hauv paus thiab kua txiv apple, ib khob kas fes nrog mis nyuj,
- rau pluas su: lub teeb borsch thiab txiv ntoo compote,
- rau noj hmo: 260 g oatmeal thiab unsweetened yogurt.
Ntawv qhia zaub mov rau hnub thib peb:
- rau pluas tshais: 260 g ntawm buckwheat porridge, lub khob mis tsis muaj roj,
- rau pluas su: ntses kua zaub thiab 250 ml ntawm roj tsawg kefir,
- rau noj hmo: zaub xam lav nrog kua thiab zaub qhwv, kas fes.
Nov yog qhov kev siv XE-kev noj haus zoo rau kev nkag siab dav dav. Siv cov nyiaj ntawm cov khoom no muaj peev xwm txo cov load ntawm txoj hnyuv thiab yuag poob.
Rau cov neeg muaj ntshav qab zib txhua yam, ib tus neeg tsis noj nqaij tsis noj nqaij yuav haum. Nws yog ib qho tsim nyog yuav tsum xyuas kom meej tias cov nyiaj tau los ntawm cov protein yog muab rau hauv lub cev txhua hnub. Qhov tsis muaj cov protein tau yooj yim them los ntawm 8 qhov loj ntawm ntuj tsev cheese.
Cov kws kho mob ceeb toom tias kev tshaib plab yog qhov txaus ntshai heev rau cov neeg mob ntshav qab zib. Cov khoom noj tsis huv yuav ua rau lub cev tsis zoo ntawm lub cev vim tias tsis muaj cov carbohydrates. Thaum zoo li no, nws tsis yooj yim rau cov ntshav qab zib kom tsis txaus.
Kev noj haus zoo tshaj plaws rau ntshav qab zib yog txo qis noj:
- tshiab cov zaub thiab txiv hmab txiv ntoo tsis qab zib,
- butter
- rog hom nqaij.
Nco ntsoov saib xyuas koj cov kev ntxhov siab hauv lub xeev thiab cov qauv pw tsaug zog.
Xaus
Yog tias koj ua zaub mov noj kom ntshav qab zib, qhov no yuav tiv thaiv qhov tsim ntawm cov teeb meem txaus ntshai. Txhawm rau suav siv txhua hnub ntawm chav ua mov ci, koj yuav tsum muaj phau ntawv tshwj xeeb.
Raws li tag nrho cov ntaub ntawv, tus kws kho mob tau hais kom siv cov tshuaj insulin ntev thiab kev ua yeeb yam luv luv. Cov koob tshuaj yog xaiv ib tus zuj zus, noj mus rau hauv tus lej qib ntawm qab zib hauv cov ntshav.
Yuav ua li cas rau cov qhob cij qhob cij tau piav nyob rau hauv cov yeeb yaj kiab hauv tsab xov xwm no.
