Tsis tsuas yog cov ntshav qab zib, tab sis kuj yog cov neeg uas mob siab rau tus kabmob no lossis tsuas yog ua kom yuag poob, saib xyuas lawv kev noj qab haus huv, xav paub txog cov ntsiab lus xws li glycemic thiab insulin index khoom. Thawj thawj zaug, cov ntaub ntawv ntawm insulin index (AI) tau nthuav tawm rau sawv daws nyob rau thaum xaus ntawm lub xyoo pua 20th. Dab tsi yog qhov insulin index ntawm cov zaub mov thiab yuav siv li cas tus yam ntxwv no rau lawv tus kheej lub hom phiaj, tau piav qhia hauv nqe lus.
Cov hauv paus ntsiab lus ntawm carbohydrate
Txhawm rau kom nkag siab yog vim li cas qhov kev qhia tseem ceeb xav tau, ib tug yuav tsum nkag siab cov txheej txheem muaj sia uas tshwm sim hauv tib neeg lub cev, vim tias cov ntsuas tau cuam tshuam nrog lawv. Ib tus neeg tau txais cov nyiaj tsim nyog ntawm lub zog hauv cov txheej txheem ntawm cov metabolism hauv cov metabolism. Ib qho qauv hais yooj yim hais hauv qab no:
- Thaum cov zaub mov nkag mus rau hauv lub cev, cov carbohydrates nyuaj tau tawg rau hauv saccharides yooj yim, ntawm cov piam thaj thiab fructose yog cov neeg sawv cev. Raug rho tawm los ntawm phab ntsa ntawm txoj hnyuv, lawv nkag mus rau hauv cov hlab ntshav.
- Hauv cov ntshav, cov piam thaj hauv cov piam thaj (ntshav qab zib) nce siab, thiab cov ntshav xaj tau txais lub teeb liab hais txog qhov xav tau kev tso tawm ntawm cov tshuaj insulin (ib yam tshuaj lom neeg los ntawm lub cev), txoj haujlwm uas thauj cov piam thaj rau cov ntshav, cov nqaij thiab, raws li, txo cov ntshav suav.
- Cov Insulin kis cov piam thaj rau cov leeg thiab cov roj ntsha. Yog tias tsis ua raws li cov tshuaj no, cov nqaij tsis tuaj yeem hla suab thaj hauv.
- Ib feem ntawm monosaccharide yog siv los tsim cov kev siv hluav taws xob, qhov seem yog khaws cia hauv cov ntaub so ntswg uas yog cov tshuaj glycogen.
Yog tias qhov tshuaj tiv thaiv tsis txaus tsim tawm los ntawm tus txiav, peb tab tom tham txog kev txhim kho ntawm hom 1 mob ntshav qab zib mellitus (insulin-dependant). Nrog cov tshuaj ua kom txaus, tab sis poob ntawm kev hnov mob ntawm cov hlwb rau insulin, ib hom thib 2 ntawm pathology tshwm (tsis-insulin-tiv thaiv).
Xws li cov neeg mob hloov kho lawv cov zaub mov noj, suav nrog ob qho glycemic thiab insulin index ntawm cov khoom lag luam, txij li tsuas yog nrog lawv cov kev pab tuaj yeem kuaj tau tsis pub dhau qhov txwv tsis pub lees paub.
Cov txheej txheem ntawm kev koom tes ntawm cov tshuaj hormone insulin hauv cov metabolism
Qhov insulin index yog dab tsi?
Qhov ntsuas no pom tau tias tseem hluas. Nws txiav txim siab ntau npaum li cas ntawm cov tshuaj hormone insulin raug tso tawm los ntawm kev txiav txim siab hauv kev teb rau kev txais ntawm ib feem ntawm carbohydrates hauv zaub mov. Cov kabmob AI tsis yog ib txwm sib npaug nrog lwm qhov kev paub - lub ntsuas glycemic.
Nws paub tias tsis tsuas yog saccharides, tab sis kuj muaj protein, cov rog hauv cov ntau yog tuaj yeem txhawb kev sib txuas ntawm cov kua dej. Qhov no tshwm sim txawm tias thaum qib ntawm glycemia tsis xav tau txo qis. Nws ntseeg tau tias nws yog lub khob cij uas ua rau muaj kev tso tawm ntau tshaj plaws ntawm lub cev, txawm hais tias nws cov glycemic Performance index yog los ntawm tsis muaj peev xwm tshaj plaws.
Qhov sib txawv ntawm qhov ntsuas
Lub glycemic Performance index (GI) qhia tau hais tias yuav ua li cas thiab cov txiaj ntsig cov piam thaj sai npaum li cas tuaj yeem nce ntxiv hauv cov hlab ntshav tom qab ib feem ntawm cov khoom lag luam (tej zaum yuav tau noj mov). Qhov ntsuas no nyob ntawm cov ntsiab lus hauv qab no:
- kev ua si ntawm cov enzymatic tshua hauv cov hnyuv;
- cov xwm txheej loj tuaj;
- cov khoom npaj thev naus laus zis;
- kev siv ntawm kev kho cua sov;
- ua ke nrog lwm cov khoom lag luam khoom lag luam;
- chaw cia khoom.
Kev siv kev kho cua sov ntawm cov khoom cuam tshuam nws cov ntawv qhia glycemic
Cov kev tshawb fawb soj ntsuam tau ua rau nws muaj peev xwm suav tsis tau tsuas yog nce ntawm cov ntshav qab zib tom qab tau txais cov khoom, tab sis kuj yog lub sijhawm thiab tus nqi ntawm cov tshuaj insulin, uas yog qhov tsim nyog thiaj li yuav xa cov nuj nqis rov qab rau lawv lub xeev qub.
Hauv cov txheej txheem ntawm tib cov kev tshawb fawb soj ntsuam, qhov sib piv ntawm GI thiab AI ntawm cov khoom tseem ceeb tau txiav txim siab rau lub hom phiaj los sib piv. Cov kws tshawb fawb tau xav tsis meej thaum lawv pom qhov tsis sib xws ntawm ob tus lej ntawm tib qho khoom. Piv txwv li, GI ntawm lactose hloov mus rau qhov siab dua nws cov lej insulin, uas tsis tuaj yeem hais txog cov khoom noj muaj mis thiab mis nyuj. Lawv cov insulin Performance index tau ntau zaus dua li ntawm glycemic index. Piv txwv, GI ntawm yogurt yog 35, thiab nws AI yog 115.
Muab cov cim rau kev coj ua
Cov lus qhia tseem ceeb rau cov neeg muaj ntshav qab zib: thaum tsim ib qho zaub mov rau tus kheej, koj yuav tsum xub cia siab rau glycemic Performance index, thiab tsuas yog tom qab ntawd kho cov khoom lag luam rau lwm tus, coj mus rau hauv tus account insulin teb ntawm lub cev rau lawv siv.
Ua tiav kev saib tsis taus ntawm AI yog qhov tsis tuaj yeem, vim tias cov khoom lag luam nrog cov naj npawb loj ua rau cov neeg tsis txaus siab tsis txaus, ua rau kom muaj kev txuam nrog ib pob ntawm lipids, dua li siv cov peev xwm uas twb muaj lawm.
Cov ntsiab cai ntawm kev ua ke nrog cov khoom lag luam los ntawm lawv cov insulin index:
- Cov khoom muaj protein (nqaij thiab ntses, tsev cheese, txiv ntoo thiab nceb) yuav tsum tsis txhob muab cov khoom noj sib xyaw nrog cov khoom noj ua si (cov lis, taum pauv, taum pauv thiab khob cij) thiab ceev carbohydrates. Nws mus zoo nrog cov rog (cream thiab zaub) thiab zaub.
- Cov hnub qub tsis sib xyaw nrog cov roj sai (zib ntab, txiv hmab txiv ntoo, jam, chocolate). Mus zoo nrog cov rog.
- Cov roj carbohydrates tsis sib txuas nrog cov protein, cov hmoov tshauv thiab cov zaub. Mus zoo nrog cov rog.
- Cov zaub tsis sib xyaw nrog cov carbohydrates ceev. Qhov zoo hauv kev sib xyaw nrog cov protein thiab cov rog.
Ntses thiab zaub - kev sib koom ua ke zoo tshaj plaws rau cov neeg mob ntshav qab zib
Raws li cov ntsiab cai no, cov kws tshwj xeeb muab cov lus qhia hauv qab no rau cov ntshav qab zib:
- ib qho kev txwv rau kev siv cov zaub mov yooj yim uas muaj roj nrog rau cov rog, piv txwv li, cov tais diav nqaij yuav tsum tsis txhob ntxuav nrog kua qab zib;
- kev sib xyaw ntawm cov protein nrog carbohydrates yuav tsum txwv tsis pub tshaj, piv txwv li, zib ntab yuav tsum tsis txhob ntxiv rau hauv tsev cheese;
- cov khoom noj uas muaj cov carbohydrates thiab cov nqaijrog tsis qab - ua ke uas nyiam dua (ceev thiab ntses);
- nyob rau hauv kev siv ntawm kev ua noj ua haus, kev kho cua sov yuav tsum siv tsawg kawg (yog tias ua tau);
- cov zaub mov tshais yuav tsum muaj cov khoom noj protein;
- nyob rau yav tsaus ntuj, lawv nyiam cov khoom noj khoom haus uas muaj cov carbohydrates, vim tias lawv pab txhawb kom muaj kev zais ntawm cov tshuaj hormones ntawm lub hlaws ntev ntev, tab sis hauv cov khoom me me.
Dab tsi koj yuav tsum paub txog cov tshuaj insulin?
Nws yog tsis yooj yim sua kom txiav txim siab nws tus kheej ntawm cov kabmob AI ntawm ib yam khoom (rau qhov kev tshawb nrhiav kev kuaj mob tshwj xeeb thiab chav kuaj mob yog nqa tawm). Muaj cov npaj ua tiav ntawm cov txheej txheem ntawm insulin.
Hmoov tsis zoo, cov lus tiav ntawm cov cim ntawm cov khoom tseem ceeb tsis muaj nyob hauv cov pej xeem, thiab cov npe uas tuaj yeem nrhiav tau hauv Is Taws Nem muaj cov neeg sawv cev "tsis zoo" tsawg, los ntawm nws lub npe nws twb tau xav txog dab tsi qeb uas lawv muaj.
Nco ntsoov cov ntsiab lus tseem ceeb:
- cov khoom siv mis nyuj ua ntawm cov pab pawg nrog cov kabmob AI siab;
- Qhov ntsuas ntawm cov nqaij thiab cov ntses ua noj txawv ntawm 45-60 units;
- cov nqaij qaib ua qe yog koom nrog cov khoom lag luam nrog qhov ntsuas qis - 31;
- cov lej tsawg yog cov rau zaub (tshwj tsis yog qos yaj ywm), nceb;
- lwm pab pawg ntawm cov khoom muaj cov cim zoo sib xws ntawm ob qhov ntsuas;
- Cov duab AI rau cov txiv hmab txiv ntoo thiab cov chocolate dub yog 20-22.
Kev sib piv ntawm GI thiab AI ntsuas ntawm qee yam khoom noj
Piv txwv ntawm cov tshuaj insulin qis:
Glycemic Performance index ntawm Kua- txiv laum huab xeeb
- qe
- oatmeal;
- Cov nplej zom
- cheese
- nqaij nyuj;
- lentils
- txiv apples
- ntses.
Cov lej AI siab yog cov rau cov khoom lag luam hauv qab no:
- txiv kab ntxwv
- mov dawb;
- tsawb
- khoom qab zib
- txiv hmab;
- mov ci
- kua mis nyeem qaub
- taum stew;
- qos yaj ywm hau.
Ntawm qhov tsis sib xws ntawm GM thiab AI ntawm cov khoom siv mis nyuj
Coob tus neeg mob ntshav qab zib thiab cov uas nyiam poob ceeb thawj txaus siab rau lo lus nug yog vim li cas qhov ntsuas qhov ntsuas ntawm ob qhov ntsuas hauv cov khoom siv mis nyuj yog txawv heev. Piv txwv, qhov ntsuas glycemic ntawm tsev cheese yog nyob rau theem ntawm 30 units, yogurt - 35, thiab insulin teb ntawm lub cev - 120 thiab 115, ntsig txog.
Cov khoom noj siv mis ua tsis ua rau muaj glycemia nce, tab sis lawv txhawb cov synthesis ntawm insulin los ntawm cov txiav ua ntshav. Qhov kev tso tawm ntawm ntau qhov tseem ceeb ntawm cov tshuaj hormones inactivates ua haujlwm ntawm cov enzyme tshwj xeeb uas tau koom nrog hauv cov txheej txheem ntawm lipid tawg.
Qhov tshwm sim yog kev sib txuam ntawm cov rog hauv lub cev, tsis hais lub suab txawv li cas (tshwj xeeb tshaj yog rau cov neeg uas xav tias kev noj cov cheese hauv tsev, nrog rau "zaub mov noj", tuaj yeem poob ceeb thawj sai). Tsis tas li ntawd, cov khoom noj mis nyuj hauv ntau ntau tuaj yeem ua rau o tuaj, khaws cov dej hauv lub cev. Qhov no yog vim muaj kev kub ntxhov ntawm kev sib txuas ntawm cov qog adrenal (tshwj xeeb, aldosterone) los ntawm insulin.
Tseem Ceeb! Nws tsis yog qhov yuav tsum xav tias cov khoom noj mis nyuj tsis tuaj yeem noj, nyob rau qhov tsis tooj, qhov no yuav tsum tau ua vim tias cov khoom noj khoom haus ntau hauv cov lus muaj pes tsawg leeg, tab sis nyob rau kev sim.
Cov khoom noj siv mis - cov khoom tseem ceeb uas xav tau kev noj kom zoo
Puas yog cov tshuaj insulin ua rau txaus ntshai?
Ib qho kev nce ntxiv hauv cov tshuaj hormones-nquag ua haujlwm ntawm cov txiav yog qhov kev mob tshwm sim tiag tiag ntawm lub cev. Cov lej nce nyob rau hauv cov ntshav tom qab tuaj txog ntawm ib qho khoom noj. Nws yog tsis yooj yim sua kom tshem tawm hyperinsulinemia, vim tias qhov no yuav muaj kev ntxhov siab hauv lub cev.
Xws li cov kev sib deev ntawm cov tshuaj hormones tshwm sim txog 3-4 zaug hauv ib hnub, txawm li cas los xij, kev tsim txom ntawm cov khoom noj yooj yim zom cov zaub mov ua rau muaj qhov tshwm sim ntau dua ntawm cov kev nce ntxiv hauv cov lej, uas yog qhov tsis zoo rau qhov ib txwm muaj ntawm cov txheej txheem ntawm metabolic.
Siv kev ntsuas li cas kom nce thiab poob ceeb thawj
Yog tias tus neeg muaj lub hom phiaj ntawm kev txo nws lub cev hnyav, ces cov khoom uas muaj qhov ntsuas AI siab yuav tsum muaj nyob hauv cov ntawv qhia zaub mov ntawm tus kheej kom lawv tau noj nyob rau thawj ib nrab ntawm ib hnub. Tom qab 14-00, nws yog ib qho tseem ceeb uas yuav tsum khaws cov qib tshuaj hormones tsis pub dhau nyob hauv ib txoj haujlwm nruj.
Yog hais tias lub hom phiaj yog, ntawm qhov tsis sib xws, hnyav, cov zaub mov uas muaj kabmob AI tseem ceeb yuav tsum tau faib raws li hauv qab no: 2 zaub mov noj yuav tsum ua ntej noj su, thib peb - tom qab noj su.
Tus kws kuaj mob endocrinologist lossis tus kws qhia noj zaub mov zoo yuav pab kom nkag siab tias AI yog dab tsi, vim li cas nws xav tau, siv cov ntsuas tabular ntawm cov khoom lag luam los tsim cov ntawv qhia zaub mov, thiab ntshav qab zib. Nrog kev pab ntawm cov lus pom zoo ntawm ib tus neeg, tus neeg mob cov zaub mov txuas ntxiv yuav tau kho nws tus kheej.
