Kev nce ntshav qab zib cov ntshav qab zib yog qhov tseem ceeb uas yuav tsum tau muaj kev tshwj xeeb. Feem ntau, qhov kev ua txhaum cai yog kuaj pom los ntawm kev sib tsoo. Hauv qee kis, qhov nce hauv cov piam thaj hauv ntshav tau tshwm sim hauv ntau yam kev qhia.
Kev ua kom ntshav qab zib tsawg tuaj yeem ua ntau txoj hauv kev, piv txwv li, los ntawm kev hloov pauv hauv lub neej. Cov kws kho mob tau hais tias kev kho mob ntawm ib yam kab mob yuav tsis coj qhov kev cia siab yog tias kev noj zaub mov tsis ua raws li thaum lub sijhawm siv tshuaj.
Nrog kev pab los ntawm cov pluas noj thiab cov tshuaj noj, kwv yees lub sijhawm rau kev ua haujlwm ntawm cov ntshav qab zib. Nyob rau hauv xyoo tas los no, txhua tus neeg 50 nyob hauv ntiaj teb tau mob ntshav qab zib. Nrog rau cov ntshav qab zib cov ntshav qab zib, kev noj haus yog ib qho tseem ceeb rau kev ua kom lub cev tsis xws li qub thiab tswj kom muaj ntshav qabzib ntau ntau.
Cov cim ntawm ntshav qab zib thiab kab mob ntsig txog
Ntshav qab zib Hom 1 tshwm sim vim tias tus txiav ua kom tsis txhob tsim cov insulin ntau txaus. Qhov kab mob pathology no tshwm sim vim yog cov txheej txheem pathological hauv lub qog ua haujlwm, nws cov β-hlwb tuag. Cov neeg muaj ntshav qab zib hom 1 yuav muaj insulin ntau thiab yuav tsis nyob ib txwm yam tsis hno.
Ntawm hom ntshav qab zib hom 2, qhov ntim ntawm cov tshuaj insulin hauv cov ntshav tseem nyob rau qhov qub, tab sis nws nkag mus rau hauv cov hlwb raug mob. Qhov no yog vim tias cov roj ntsha uas tso nyob rau saum npoo ntawm lub cev ua rau lub ntsej muag puas thiab tiv thaiv qhov khi uas khi rau cov tshuaj no. Yog li, hom ntshav qab zib hom 2 tsis muaj tshuaj insulin, yog li tsis tas yuav mus txhaj tshuaj.
Kev nce siab ntxiv hauv cov ntshav qab zib tshwm sim thaum lub cev lub peev xwm los nqus cov insulin yog qhov tsis txaus. Vim tias qhov tseeb tias cov tshuaj hormones tsis tau muab faib kom raug, nws nyob rau hauv cov ntshav.
Cov kev ua txhaum cai feem ntau yog cog lus los ntawm:
- daim siab mob
- cov roj (cholesterol) siab
- rog dhau
- mob ntsws qhuav mob,
- muaj mob muaj keeb predisposition.
Cov kws kho mob ntseeg tias cov ntshav qab zib ib txwm nyob yog 3.4-5.6 mmol / L. Qhov ntsuas no tuaj yeem hloov tau hloov thawm hnub, uas yog ib txwm ua haujlwm. Nws yuav tsum raug ntxiv tias yam nram no cuam tshuam rau theem qab zib:
- cev xeeb tub
- mob hnyav.
Tus uas tau mob siab rau tas mus li los ntawm kev mob nkeeg tas li, qaug zog thiab tshee poob siab feem ntau kuaj tau tus kab mob no.
Yog hais tias ua tiav cov kev ntsuas tau ua tiav, tom qab ntawd cov piam thaj yuav rov qab zoo li qub. Hyperglycemia yog ib qho kev nce qib hauv thaj suab thaj ntau dua 5.6 mmol / L. Qhov tseeb tias cov piam thaj kom siab tuaj yeem hais tau yog tias ntau qhov kev kuaj ntshav tau ua nyob ntawm qee lub sijhawm. Yog tias cov ntshav stably tshaj 7.0 mmol, qhov no qhia txog ntshav qab zib.
Nrog kom nce qib me ntsis ntawm cov ntshav qab zib, koj xav tau cov ntawv qhia zaub mov rau txhua hnub.
Muaj ntau tus lej thaj chaw uas qhia txog cov ntshav qab zib kom ntau:
- nquag tso zis
- nkees
- tsis muaj zog thiab nkees,
- lub qhov ncauj qhuav, nqhis dej,
- siab noj mov kom yuag,
- qeeb kho ntawm khawb thiab mob,
- weakening ntawm tiv thaiv kab mob,
- tsis pom kev
- khaus tawv.
Kev xyaum qhia tau tias cov phiajcim no tshwm sim lem, thiab tsis yog tam sim ntawd. Yog tias ib tus neeg pom cov tsos mob no, lawv yuav tsum tau kuaj sai li sai tau txhawm rau tiv thaiv kev puas tsuaj tsis zoo.
Cov lus qhia tseem ceeb
Nrog rau kev nce ntxiv hauv cov ntshav qab zib, nws yog ib qho tseem ceeb kom paub txog yam koj tuaj yeem noj thiab yam dab tsi uas yuav tsum tau zam. Feem ntau, kev kho kev noj zaub mov noj yog siv raws li Pevzner No. 9 kev kho mob noj zaub mov noj kom ua tau:
- normalize ntshav qabzib
- cov roj (cholesterol) tsawg
- tshem tawm puffiness,
- txhim kho cov ntshav siab.
Cov zaub mov zoo li no ua rau muaj kev cia caloric tsawg zuj zus hauv ib hnub. Tus nqi ntawm cov rog cov zaub mov thiab cov teeb meem carbohydrates ntawm cov zaub mov kuj raug txo kom tsawg. Yog tias koj ua raws li cov haujlwm zoo li no, koj yuav tsum siv cov khoom uas hloov suab thaj.
Ntau yam khoom qab zib ntawm cov tshuaj thiab cov hauv paus nroj tsuag yog nyob ntawm kev ua lag luam. Tus mob ntshav qab zib yuav tsum tso tseg cov roj (cholesterol) thiab cov kuab tshuaj. Cov neeg mob muaj cov kab mob vitamins, lipotropic thiab tshuaj fiber ntau. Tag nrho cov no yog nyob rau hauv cov zaub mov ua, txiv hmab txiv ntoo, tsev cheese thiab ntses.
Txhawm rau tiv thaiv cov ntshav qab zib kom tsis txhob nce, koj yuav tsum tso tseg cov khoom noj qab zib, qab zib, muffin, qab zib thiab qab zib. Ntxiv rau, koj tsis tas yuav noj Goose thiab os nqaij.
Raug tshem tawm ntawm kev noj haus:
- ci mis
- lee
- rog ntses hom
- salted cov khoom
- qab zib yogurts
- fermented ci mis nyuj.
Muaj piam thaj ntau yog qhov tsis sib xws rau kev noj cov nplej zom, mov, nqaij nqaij hnyav thiab semolina. Tsis tas noj cov ntsim thiab ntsim ntsim, cov zaub uas de, nrog rau ntau lub caij ua noj.
Cov neeg muaj ntshav qab zib siab yuav tsum tsis txhob noj txiv hmab thiab raisins, nrog rau txiv qab zib, nrog rau txiv tsawb. Dej cawv thiab dej haus nrog qab zib kuj tseem txwv.
Cov zaub mov nrog cov piam thaj hauv siab muaj cov khoom ua los ntawm cov lej ua kua mis, nqaij ntshiv thiab ntses. Tsis tas li ntawd, ntau cov txiv hmab txiv ntoo thiab zaub, zaub ntsuab ntau yam, ntau hom zaub mov yuav tsum muaj nyob hauv cov khoom noj. Koj tuaj yeem noj cov qe hauv kev sim.
Cov neeg muaj ntshav qab zib yuav tsum haus cov khoom noj siv mis uas muaj cov rog tsawg. Noj cov khoom qab zib pub tsawg, tab sis nrog so ntev.
Cov ntawv qhia zaub mov yuav tsum suav nrog cov zaub nyoos tshiab, uas yog tsim los ntawm cov txiv hmab txiv ntoo thiab zaub, thiab cov roj ntsuab uas muaj roj, yogurt los yog qab zib uas muaj roj tsawg.
Cov yam ntxwv noj haus zoo
Tus mob ntshav qab zib xav tau txiav txim siab txog zaub mov noj piv txwv rau ib lim tiam. Txog rau pluas tshais, koj tuaj yeem noj oatmeal nrog me ntsis butter. Tsis tas li, cov ntshav qab zib tau tso cai noj cov ncuav ci ncuav qhaub cij muaj qab hau uas muaj roj tsawg thiab tshuaj yej tsis qab. Tom qab ob peb teev, ib tug neeg tuaj yeem noj kua txiv lossis qee cov rog hauv tsev cheese.
Rau pluas su, koj yuav tsum ua kua zaub kua zaub thiab ntxiv mus, piv txwv li, buckwheat porridge nrog cutlet qaib. Cov khoom noj txom ncauj thaum tav su muaj cov txiv hmab txiv ntoo uas tsis qab zib. Rau noj hmo, cov neeg mob ntshav qab zib tuaj yeem noj zaub xam lav cov zaub nrog nqaij nqaij lossis ntses, nrog rau tshuaj yej lossis compote.
Yuav kom txo cov theem ntawm cov piam thaj hauv cov ntshav ntawm ib tus neeg, nws yog ib qho tseem ceeb uas yuav tsum niaj hnub suav cov khoom noj calories ntau ntawm cov zaub mov. Noj tshais thawj zaug koj yuav tsum nyob ib ncig ntawm 8 thaum sawv ntxov. Cov ntsiab lus calories ntau ntawm thawj pluas tshais yuav tsum yog 20% ntawm qhov cov calories txhua hnub, uas yog los ntawm 480 txog 520 kilocalories.
Qhov tshais thib ob yuav tsum nyob rau thaum 10 teev sawv ntxov. Nws cov calorie cov ntsiab lus yog 10% ntawm qhov ntim txhua hnub, uas yog, 240-260 kilocalories. Noj su pib thaum txog 13 teev tsaus ntuj thiab ua txog 30% ntawm cov ntsiab lus ntawm cov calories, uas yog qhov sib npaug ntawm 730-760 calories.
Khoom txom ncauj rau cov ntshav qab zib thaum 16 teev, ib qho khoom noj txom ncauj thaum tav su yog kwv yees li 10% ntawm cov calories, uas yog 250-260 calories. Noj hmo - 20% ntawm calories lossis 490-520 calories. Noj hmo lub sijhawm 18 teev lossis tom qab me ntsis tom qab.
Yog tias koj xav noj tiag tiag, koj tuaj yeem ua ib hmo yav tsaus ntuj ntawm 20 teev tsaus ntuj. Lub sijhawm no, koj tsis tuaj yeem siv ntau dua 260 kilocalories.
Nws yog ib qho tseem ceeb uas yuav tau kawm kom ntxaws txog cov nqi zog ntawm cov khoom uas tau hais tseg hauv cov ntxhuav ntsuas.
Raws li cov ntaub ntawv no, cov zaub mov rau lub limtiam raug suav.
Cov lus 9 rau cov ntshav qab zib hom 1
Cov neeg muaj ntshav qab zib hom 1 xav tau cov tshuaj insulin tas li. Tus neeg mob yuav tsum tau saib xyuas cov qib ntawm enzyme thiab ntshav qabzib tas li. Coob tus neeg ntseeg yuam kev tias yog tias koj niaj hnub txhaj tshuaj insulin, qhov yuav tsum tau soj ntsuam koj cov zaub mov kom ploj mus. Nws yog ib qho tseem ceeb hauv kev tsim cov khoom noj uas txo cov ntshav qab zib.
Cov kws kho mob hais txog cov ntsiab cai ntawm kev noj zaub mov zoo rau ntshav qab zib hom 1:
- Kev siv cov zaub carbohydrates. Txwv tsis pub siv cov suab thaj yooj yim tsis pub. Koj tuaj yeem siv cov zaub mov zoo rau cov neeg mob ntshav qab zib,
- Cov zaub mov yuav tsum nquag, tab sis fractional. Ib hnub koj xav noj txog 5-6 zaug,
- Hloov rau qab zib, qab zib yog noj,
- Qhov ua kom tsawg ntawm cov rog thiab carbohydrates yog muaj.
- Tag nrho cov khoom lag luam yuav tsum tau muab rhaub, ci lossis nqaij ci,
- Yuav tsum suav cov khob cij.
Koj tuaj yeem ua kom cov piam thaj qis dua yog tias koj siv cov khoom zoo li no:
- Txiv hmab txiv ntoo thiab txiv hmab txiv ntoo,
- Cereal qoob loo
- Pob kws thiab qos yaj ywm
- Cov khoom lag luam nrog sucrose.
Seaweed kuj tau txais txiaj ntsig zoo rau hom ntshav qab zib 2. Koj tuaj yeem ua kua zaub thiab kua zaub rau ntawm cov ntses tsis muaj roj thiab nqaij. Acid cov txiv hmab txiv ntoo pub tau. Tsuas yog tus kws kho mob uas ua txoj kev kho mob tuaj yeem noj qab zib.
Nrog kev tso cai los ntawm tus kws kho mob tuaj koom, koj tuaj yeem noj cov khoom noj siv mis. Nws yuav tsum raug sau tseg tias kev siv cov qaub cream, tshij thiab qab zib yog txhua yam ua kom tshem tawm. Cov txuj lom thiab cov kua ntses yuav tsum tsis txhob ntsim thiab ntsim.
Txog li 40 g ntawm cov roj zaub thiab muaj roj pub rau ib hnub twg.
Chav ua mov ci
Cov khoom noj muaj ntshav qab zib cov ntshav qab zib yuav tsum raug txo rau kev suav cov khob cij - XE. Chav carbohydrate los yog chav ua mov ci yog qhov nyiaj uas tau tsom mus rau ntawm glycemic index, nws yuav tsum tau sib npaug ntawm kev noj zaub mov ntawm cov neeg mob ntshav qab zib.
Conventionally, chav ua khob cij yog sib npaug ntawm 10 g ntawm lub khob cij yam tsis muaj khoom lossis 12 g nrog daim txiag. Nws yog qhov sib npaug rau 22-25 g ntawm qhob cij. Chav tsev no nce qhov kev nyeem zoo ntawm cov piam thaj hauv cov ntshav li ntawm 1.5-2 mmol / L.
Tus mob ntshav qab zib yuav tsum tau paub txog lub rooj tshwj xeeb uas muaj qhov tseeb ntawm cov chav ua mov ci hauv txhua hom khoom, uas yog hauv:
- Txiv Hmab Txiv Ntoo
- Zaub
- Bakery khoom,
- Dej qab zib
- Krupakh.
Piv txwv li, hauv ib daim khob cij dawb yog 20 g XE, hauv ib daim ntawm Borodino lossis rye cij - 25 g XE. Txog 15 g ntawm chav nyob qhob cij nyob hauv ib lub rooj:
- Oatmeal
- Hmoov nplej
- Zeb Zeb
- Buckwheat porridge.
Qhov loj tshaj plaws ntawm XE muaj nyob hauv cov khoom lag luam:
- Ib khob ntawm kefir - 250 ml XE,
- Beets - 150 g
- Peb lub txiv qaub lossis ib nplais me ntawm cov txiv ntseej - 270 g,
- Peb carrots - 200 g,
- Ib thiab ib nrab khob kua txiv lws suav - 300 g XE.
Xws li lub rooj yuav tsum pom thiab tsim kev noj haus rau ntawm nws. Txo kom txo cov ntshav qab zib, koj yuav tsum tau noj ntawm 3 txog 5 XE rau pluas tshais, noj tshais thib ob - tsis ntau dua 2 XE. Noj hmo thiab noj su kuj muaj li 3-5 daim XE.
Qauv ntawv qhia zaub mov
Noj haus No. 1
Thawj tshais: 120 g ntawm tsev neeg muaj roj tsawg cheese, 60 g ntawm berries, ib khob ntawm kefir.
Thib ob tshais: 200 g ntawm pob kws porridge, 100 g ntawm steamed nqaij qaib, 60 g ntawm hau taum thiab ib qho kua.
Noj su: 250 ml kua zaub hauv cov cawv uas tsis muaj rog, 100 g ntawm hau nqaij, hau, ib khob dej tshuaj yej nrog sawv duav.
Khoom txom ncauj: 150 g tsev cheese cheese cij, tshuaj yej.
Ua ntej noj hmo: 150 g steamed ntses, 200 g stewed zaub, currant broth.
Qhov noj hmo thib ob: 200 ml ntawm ntuj yogurt nrog cinnamon.
Noj haus No. 2
Thawj tshais: 120 g ntawm oatmeal nrog yogurt, 60 g ntawm berries, kas fes nrog mis nyuj.
Thib ob noj tshais: 200 g ntawm buckwheat porridge, 100 g ntawm boiled veal, 60 g ntawm boiled peas.
Noj su: 250 ml ntawm cov nqaij ntshiv borsch, 100 g ntawm yaj yaj, lws suav, txiv hmab txiv ntoo thiab ib khob ntawm Txoj kev lis ntshav nrog aronia.
Khoom txom ncauj: 150 g mousse nrog tsev cheese, khob dej tshuaj yej.
Thawj zaug noj hmo: 150 g ntawm boiled luav, 200 g ntawm zaub stew, rosehip broth.
Noj hmo thib ob: 200 ml ntawm kefir nrog cinnamon. Daim vis dis aus hauv tsab xov xwm no yuav tham txog dab tsi yuav tsum muaj kev noj haus rau ntshav qab zib.