Lub khob cij ua ntshav qab zib yog dab tsi

Mob ntshav qab zib mellitus yog ib pab pawg ntawm endocrine pathologies uas tau nthuav qhia los ntawm cov lej ntawm cov piam thaj ntau ntxiv hauv cov ntshav ntawm tus neeg mob. Kev ua raws li cov kev cai ntawm kev noj zaub mov kom tsawg thiab kho qhov ncauj ntawm cov zaub mov ib tus neeg yog cov ntsiab lus tseem ceeb uas yuav tsum tau xav txog kev nthuav dav thaum qhia kev kawm txog tus mob ntshav qab zib.

Cov neeg mob yuav tsum paub cov ntsiab lus ntawm glycemic indexes ntawm cov khoom, insulin indexes, kev noj zaub mov kom tsawg txhua hnub, thiab tseem nkag siab tias lub khob cij ua dab tsi. Nws yog ib qho tseem ceeb tsis yog yuav tsum paub txog cov ntsuas xwb, tab sis kuj tseem nkag siab vim li cas lawv tsim nyog hauv kev ua neej nyob niaj hnub, thiab muaj peev xwm ua kom suav tau. Hauv qab no yog kev sib tham txog dab tsi tshwm sim XE, thiab cov rooj ntawm cov khob cij rau cov zaub mov yooj yim kuj tau pleev xim.

Ib qho me ntsis txog cov carbohydrates

Ua ntej tsiv mus rau lub tswv yim ntawm "chav ua mov ci", peb yuav tsum tham txog cov khoom noj carbohydrates, vim tias ob lo lus no muaj kev cuam tshuam zoo. Cov roj av carbohydrates los yog saccharides, raws li lawv kuj hu ua, yog qhov tseem ceeb ntawm cov khoom siv dag zog rau tib neeg lub cev. Yuav kom tau txais lub zog, lipids thiab cov protein ntau kuj tseem siv tau, tab sis txawm li cas los xij, carbohydrates raug suav hais tias yog qhov tseem ceeb uas tsis tuaj yeem ua haujlwm uas tswj cov txheej txheem hauv plab, txhawb kev ua haujlwm ntawm cov leeg thiab cov leeg hlwb.

Saccharides yog cov organic sib txuas uas tau muab faib ua ntau pawg:

• yooj yim monosaccharides;
• disaccharides;
• polysaccharides yog cov carbohydrates ua txoj.

Feem ntau, cov carbohydrates muaj nyob hauv cov zaub mov ntawm tsob ntoo keeb kwm, tab sis ib qho ntawm polysaccharides (glycogen), uas muaj nyob hauv hepatocytes thiab cov hlwb ntawm cov cuab yeej nqaij, yog los ntawm tsiaj keeb kwm. A gram ntawm cov carbohydrates muaj qee yam nqi lub zog. Nws yog 4 kcal. Cov neeg laus noj qab nyob zoo uas niaj hnub ua mob lub cev thiab lub hlwb nyuaj siab yuav tsum tau txais txog 400 g ntawm saccharides thoob plaws hnub.

Tom qab lub saccharides nkag mus rau hauv lub cev, qee yam kev hloov pauv thiab qhov teeb meem ntawm qhov teebmeem tshwm sim, uas ua rau muaj cov kua nplaum (monosaccharide). Nws yog nyob rau hauv daim foos no tias cov lwg me me nkag mus rau hauv lub hlwb thiab cov ntaub so ntswg ntawm lub cev kom ntseeg tau lawv cov haujlwm tseem ceeb. Yog tias cov piam thaj, raws li cov piam thaj hu ua hauv cov tib neeg, ntau dua li qhov tsim nyog hauv lub cev, nws dhau los ua glycogen thiab muab tso rau hauv cov qog hlwb. Siv nrog kev tsis txaus ntawm cov khoom noj carbohydrate thaum noj haus.

Cov insulin tsim tawm los ntawm tus txiav yog suav tias yog cov khoom tseem ceeb uas tso cai rau kev nkag mus ntawm cov kua nplaum nyob rau hauv lub hlwb.

Polysaccharides yog cov neeg tseem ceeb hauv cov txheej txheem zom zaub mov. Lawv tawg nyob rau hauv cov hnyuv ntev ntev, maj mam nqus mus rau hauv cov ntshav, uas txhais tau tias lawv maj mam nce qib ntawm glycemia hauv lub cev.

Lub tswv yim ntawm chav ua mov ci

Cov khoom noj khoom haus tau los nrog lub tswv yim ntawm cov khob cij chav tsev nyob rau hauv thiaj li yuav laij seb tus nqi ntawm carbohydrates, uas tau tso cai rau noj nrog cov khoom noj, nrog rau cov nyiaj ntawm cov insulin ceev uas xav tau rau kev tswj hwm kom thiaj li kho tau cov qib ntawm glycemia.

Ntshav Qab Zib Khoom Khoom Glycemic Index Cov Lus

Tus mob ntshav qab zib yuav tsum nco ntsoov tias 1 XE suav nrog 12 gram roj zaub mov Noj. Lub npe ntawm qhov ntsuas yog vim muaj qhov tseeb tias tib cov nyiaj carbohydrates muaj ib daim khob cij muaj qhov tuab ntawm 1 cm thiab ib qhov hnyav ntawm 25 grams. Chav nyob qhob cij yog qhov taw qhia thoob ntiaj teb, yog li nws yooj yim txaus los ua qhov kev suav tsim nyog hauv txhua lub tebchaws hauv ntiaj teb. Txawm li cas los xij, nws paub tias qee tus sau phau ntawv ntawm XE, uas siv rau cov ntshav qab zib, tso cai rau kev hloov pauv ntawm qhov taw qhia ntawm saccharides nyob rau hauv kev sib xyaw ntawm ib chav hauv qhov ntau ntawm 10 txog 15 g.

Cov neeg mob thiab cov tib neeg uas tau sim tawm tsam cov phaus nyhav yuav tsum nkag siab tias nws nyuaj heev rau kev xam cov khoom noj carbohydrates nrog rau cov zaub mov kom huv si. Qhov no yog vim qhov tseeb tias chav ua haujlwm yog kev ntsuas, nws kuj yuav muaj qhov yuam kev, tab sis nws tso cai rau koj kwv yees kwv yees lub zog txhua hnub ntim uas ib tus neeg tau txais.

1 XE ua rau qhov tseeb tias qib ntawm glycemia hauv tib neeg lub cev nce siab li 1.5-2 mmol / L. Raws li, txhawm rau kom nres cov ntsuas no, qhov nruab nrab ntawm 1.5 PIECES ntawm kev ua haujlwm ntawm cov tshuaj tiv thaiv cov tshuaj insulin, uas tau muab tshuaj yog kev txhaj tshuaj, yog qhov yuav tsum tau ua.

Thaum xub thawj siab ib muag, nws zoo nkaus li ntau ntau ntawm cov kev suav tsim nyog rau kev coj ua ntawm kev kho mob insulin, tab sis nws nyuaj tsuas yog nyob rau thawj hnub, kom txog thaum tus neeg mob nkag siab XE.

Kev Hais Haum

Lub rooj ntawm cov qhob cij rau cov ntshav qab zib yuav ib txwm pab tawm thiab pab txhawm rau tsim cov zaub mov zoo rau ib tus neeg rau ib hnub lossis ib lim tiam. Nws twb muaj cov ntaub ntawv raws li kev muab xam ntawm cov lej ntawm cov khoom hauv 100 g ntawm cov khoom. Yog tias cov ntxhuav no tsis yog nyob ntawm tes, thiab ib tus neeg, piv txwv li, hauv khw muag khoom thiab xav txog seb nws yuav xaiv qhov twg rau pluas su lossis noj hmo, koj tuaj yeem yooj yim xam ntau npaum li cas XE nyob hauv ib qho khoom lag luam.

Daim ntawv ntim cov zaub mov twg muaj cov ntaub ntawv ntawm tus nqi ntawm cov protein, cov rog thiab carbohydrates uas muaj nyob hauv 100 g ntawm cov khoom. Ua ntej tshaj, nws yog qhov yuav tsum tau xam seb muaj pes tsawg lub khob cij muaj nyob hauv 100 g ntawm qhov khoom. Txhawm rau ua qhov no, tus nqi ntawm saccharides hauv 100 g yuav tsum tau muab faib los ntawm 12. Tom ntej no, koj yuav tsum nkag siab ntau npaum li cas XE nyob hauv tag nrho cov ntim ntawm cov khoom. Koj yuav tsum ntsuas qhov khoom lossis pom qhov loj ntawm lub pob thiab suav qhov ntsuas uas twb muaj nyob hauv nws tus kheej.

Ib qho piv txwv ntawm cov kev xam hauv qab no tuaj yeem siv tau rau cov neeg mob ntshav qab zib mellitus:

1. 100 grams ntawm buckwheat muaj 72 g ntawm carbohydrates.
2. Ua ntej tshaj, 72 yuav tsum muab faib los ntawm 12. Nws yuav tig tawm 6. Qhov no yuav yog tus naj npawb ntawm cov qhob cij qhob cij hauv 100 g ntawm buckwheat.
3. Yog tias ib tug neeg yuav noj 200 g ntawm cov kua zaub ntsuab zoo li ntawd, qhov txiaj ntsig ntawm 6 yuav tsum tau khoo ntawm 2. Qhov tshwm sim yog 12. Nws yog rau 12 XE uas nws yog qhov tsim nyog los laij qhov ntau npaum ntawm cov tshuaj insulin, uas yuav tsum tau muab rau tus neeg mob ua ntej noj mov.

Menus rau cov neeg mob ntshav qab zib siv XE suav

Cov ntaub ntawv rau kev suav cov khoom noj rau cov chav ua mov ci yog qhov zoo dua rau noj hauv lub rooj. Nws yog sai thiab yooj yim. Lub ntsiab cai tseem ceeb yog li hauv qab no: rau ib pluag mov, nws raug nquahu kom siv tsis tshaj 7 XE. Qhov no yuav txo qhov kev thauj mus rau ntawm lub txiav, cia cov insulin tsim hauv qhov nrawm thiab qhov nyiaj uas tsim nyog kom ua tiav normoglycemia.

Chav nyob qhob cij yuav tsum ua rau hauv tus account ua ntej khoom noj nkag mus rau hauv lub cev, vim tias cov tshuaj insulin suav, zoo li txhaj tshuaj, yuav tsum ua kom tiav ua ntej noj mov. Yuav kom ua tiav kev hloov ntawm lub cev nyob rau hauv qib ntawm cov tshuaj hormones hauv lub cev, lub sijhawm nruab hnub yuav tsum ua rau hauv lub siab.

Tseem Ceeb! Thaum sawv ntxov, chav ua qhob cij yuav tsum tau qhia tawm 2 PIECES ntawm yam tshuaj muaj zog hauv lub cev, yav tav su - 1.5 PIECES, thiab yav tsaus ntuj - 1 PIECES.

Endocrinologist thiab tus kws qhia noj zaub mov noj - kws tshaj lij uas yuav pab kom nkag siab cov qhob cij

Muaj pes tsawg lub khob cij yuav tsum tau noj nyob rau ib hnub los ntawm ntau pawg neeg sib txawv (cov ntaub ntawv hauv XE):

• tus neeg muaj lub cev nyhav qis uas ua haujlwm hnyav lub cev lub cev ib hnub - 22-30;
• ib tus neeg uas muaj qhov hnyav tshaj plaws thiab ua lub cev sib luag - ua haujlwm txog 22;
• ib tus neeg muaj lub cev qhov hnyav uas niaj hnub ua sedentary ua haujlwm - nce txog 18;
• ib nrab mob ntshav qab zib nrog lub neej tsis nquag thiab lub cev hnyav - 12-14;
• cov muaj ntshav qab zib nruab nrab nrog cov rog dhau los, uas nws txoj kev ua neej tsis muaj sia - 10;
• ib tus neeg muaj rog rog nyhav - txog 8.

Qhov siv nyiaj ntawm cov khob cij siv zoo tshaj plaws faib rau txhua hnub. Txog rau pluas tshais, koj yuav tsum noj txog 5 units, rau pluas su - txog 7, rau noj hmo - txog li 4. Ib qho ntawm peb cov khoom noj txom ncauj uas tshwm sim nruab hnub yuav tsum suav txog 2 chav.

Ib cov nuances

Thaum sau cov zaub mov ntawm tus kheej rau tus mob ntshav qab zib, cov ntsiab lus hauv qab no yuav tsum raug txiav txim siab. Yog tias koj ua khaub noom los ntawm khob cij lossis qhuav ib qho khoom lag luam, qhov ntsuas ntawm chav khob cij yuav tsis hloov. Kev suav cov hmoov nplej rau hauv cov ntawv qhia ua zaub mov yuav tsum xaiv cov khoom lag luam uas yuav npaj raws li cov hmoov nplej wholemeal.

Yog hais tias pancakes los yog pancakes ntxiv rau cov zaub mov noj, cov naj npawb ntawm cov koog yuav tsum tau muab xam tsis yog rau cov zaub mov tiav, tab sis rau lub khob noom cookie. Cov zaub mov mis nyuj feem ntau muaj kwv yees li ntawm ntau pawg ntawm cov khob cij nyob hauv qhov muaj pes tsawg leeg, yog li koj yuav tsum xaiv cov uas muaj cov vitamins thiab zaub mov ntau, polysaccharides, piv txwv li, xws li buckwheat.

Chav nyob cij tsis muaj nqaij thiab khoom noj siv mis (qaub cream thiab tsev me). Thaum npaj cutlets, cov ntshav qab zib tuaj yeem siv breadcrumbs, yog li cov khoom tiav tiav yog muaj nuj nqis raws li ib lub khob cij.

XE ntsuas hauv cov khoom lag luam

Cov kab ntawv ua tiav tuaj yeem pom nyob hauv Is Taws Nem, hauv cov ntawv luam tawm rau cov neeg mob ntshav qab zib thiab hauv cov phau ntawv ntawm kev noj zaub mov zoo.

Mis Los Khoom

Cov khoom noj siv mis yuav tsum nyob hauv kev noj haus ntawm cov neeg noj qab haus huv thiab cov neeg mob. Cov no yog cov calcium thiab phosphorus, uas yog qhov tseem ceeb rau kev tsim kom zoo thiab ua haujlwm ntawm cov leeg ua haujlwm, cov leeg, cov hniav, plaub hau thiab cov rau tes. Oddly txaus, tab sis cov neeg mob ntshav qab zib tau qhia kom suav nrog hauv kev noj zaub mov raws nraim lub khw muag khoom version ntawm cov khoom. Qhov no yog vim cov lus qhia hauv qab cov roj tsawg hauv cov xim kawg.

Tseem Ceeb! Los ntawm cov kua qaub qab zib, qab zib thiab cov roj ntau tsev cheese yuav tsum muab pov tseg lossis txwv lawv kev nkag mus rau hauv lub cev.

Qhov tsawg tshaj plaws ntawm cov khob cij muaj cov mis nyuj tsis tu ncua, thiab nws yog nyob rau hauv lub khw muag khoom

Yog tias peb tham txog cov kua mis nyeem yogurt thiab tsev cheese, tom qab no cov khoom no tsis muaj XE nyob rau hauv cov lus muaj pes tsawg leeg. Txawm li cas los xij, qhov no tsis txhais tau hais tias lawv cov nyiaj tau los rau hauv kev noj haus yuav tsum tsis yog tswj tau. Nws yog ib qho tseem ceeb kom nco ntsoov tias tseem muaj glycemic, insulin indices, nrog rau tus nqi zog (muaj pes tsawg calories).

Cereals, hmoov thiab ncuav

Qhov no yog pab pawg ntawm cov zaub mov muaj calorie ntau, uas yog txhav rau cov neeg mob ntshav qab zib. Cov khoom noj raws cov hmoov nplej, khob cij, ncuav pastries yuav tsum tau txwv tsis pub tsawg nyob hauv ib tus neeg noj. Qhov no yog qhov tseeb tshwj xeeb rau cov tais diav raws li hwm cov hmoov nplej. Ci siv cov hmoov nplej rye, hom qoob mog ntawm qib kawm thib ob, tseem pub ntxiv qoob loo.

Thaum suav nrog cov zaub mov zoo li no hauv cov ntawv qhia zaub mov, nws yog ib qho tseem ceeb uas yuav tsum xav txog lawv cov ntsiab lus hauv calorie siab thiab qhov tseem ceeb glycemic Performance index qhov tseem ceeb.

Thaum laij, nws yog qhov tseem ceeb uas yuav tsum them sai sai rau qhov hnyav ntawm cov khoom lag luam.

Yog tias peb tham txog cov zaub mov kaus poom, lawv muaj 1 XE hauv 15 g ntawm cov khoom. Koj tuaj yeem ruaj ntseg rau daim duab no. Ib qho kev zam tau yog pob kws. Hauv qhov no, ib lub khob cij muaj nyob hauv ib nrab ntawm tus cob los yog hauv 100 g ntawm cov khoom.

Cereals yuav tsum nyob ntawm cov zaub mov noj txhua hnub ntawm tus neeg mob ntshav qab zib, vim tias vim muaj kev txwv ntawm kev ua kom sai ntawm saccharides sai, kev hais lus tseem ceeb yog tso rau ntawm polysaccharides, uas yog fiber ntau thiab kev noj haus fiber, uas yog ib feem ntawm cov zaub mov. Buckwheat, millet groats, oatmeal, nplej xim av, qe thiab nplej pob kws yog nyiam dua. Nws yog qhov zoo dua rau tso tseg semolina. Cov porridge no muaj qhov tsawg ntawm cov as-ham, tab sis muaj cov ntsiab lus hauv calorie siab. Tsis tas li, cov kws tshaj lij pom zoo kom txo cov txhuv dawb hauv cov khoom noj.

Txiv hmab txiv ntoo thiab berries

Cov khoom siv no yog pom zoo los ntawm endocrinologist thiab cov kws qhia zaub mov zoo rau ob leeg noj qab haus huv thiab cov neeg mob. Muaj ib daim ntawv teev cov txiv hmab txiv ntoo uas yuav tsum tau txwv hauv ntshav qab zib, tab sis koj tsis tas yuav muab lawv tso pov tseg. Cov txiv hmab txiv ntoo thiab cov txiv ntoo muaj qhov tsis zoo li hauv qab no rau tib neeg lub cev:

• saturate nrog cov vitamins thiab minerals;
• txhawb txoj haujlwm ntawm lub cev tsis muaj zog;
• dawb radicals khi thiab rub tawm ntawm lub cev;
• muaj cov nyhuv antitumor;
• ntxiv dag zog rau kev ua haujlwm ntawm lub plawv mob leeg thiab cov hlab ntsha;
• tswj leeg vascular elasticity.

Cov lus qhia txog ntau npaum li cas cov khoom ntim muaj 1 chav ua noj

Zaub

Cov khoom lag luam muaj nyob hauv cov ntawv qhia zaub mov nrog yuav luag tsis muaj kev txwv. Qhov no yog qhov tseeb tshwj xeeb ntawm cov zaub ntsuab: zucchini, zaub cob pob, tshuaj ntsuab, thiab lwm yam. Cov neeg nyob hauv lub vaj tshiab tshiab txaus siab rau tib neeg lub cev nrog cov vitamins, macro- thiab microelements, fiber ntau thiab lwm yam kev noj haus fiber. Lawv raug pom zoo kom siv:

• rau thawj qhov kev kawm;
• sab tais diav;
• thaj chaw;
• zaub nyoos;
• ci;
• kua zaub;
• tshiab tau siv thoob plaws ib hnub.

Sweeteners

Nws yog ib qho tseem ceeb kom nkag siab tias kev siv cov khoom qab zib yuav tsum raug txiav txim siab thaum xam cov koob tshuaj ntawm cov tshuaj insulin. Cov neeg mob ntshav qab zib feem ntau tsis quav ntsej rau qhov no, xav txog cov tshuaj uas siv los ua kev nyab xeeb tiag tiag, ib zaug kws kho mob tau tso cai rau lawv hloov suab thaj. Cov lus hauv qab no qhia txog ntau npaum li cas cov khoom qab zib niaj hnub muaj ib chav ntsuas.

Thaum siv cov tshuaj zoo li no thaum lub sijhawm ua noj, koj yuav tsum rov qab txiav txim siab cov suab thaj uas tau qhia hauv daim ntawv qhia

Cov khoom noj ceev ceev

Cov neeg mob ntshav qab zib mellitus tsis pom zoo kom suav cov khoom lag luam los ntawm pawg no hauv cov ntawv qhia zaub mov ntawm tus kheej, tab sis muaj qee lub sijhawm cov neeg muab khoom qeeb, txawm li cas los yuav lawv tus kheej ib yam dab tsi los ntawm cov khoom noj ceev. Vim li cas koj tsis noj cov tais diav li no:

• ua rau kev rog dhau;
• tsim txom cov teeb meem ntawm kev suav hauv lub kaw lus biliary;
• ua rau mob raum;
• provoke txoj kev loj hlob ntawm atherosclerosis;
• nce cov roj cholesterol;
• nce ntshav siab;
• provoke cov tsos ntawm caries, o ntawm lub pais plab mucosa, peptic rwj.

Cov lej ntau tshaj plaws XE tuaj yeem khav ntawm cov txiv hmab txiv ntoo zoo thiab kib qos yaj ywm

Dej qab zib

Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias kev haus dej haus cawv kuj xav tau kev xam ntawm cov ntsuas. Cov neeg mob ntshav qab zib tau qhia kom haus cov zaub thiab kua txiv (los ntawm cov zaub mov tsis qab zib). Lawv yuav tsum muaj lub suab tshiab, tsis siv qab zib thaum ua noj. Cov kua txiv Beetroot raug pom zoo kom thev me ntsis ua ntej noj.

Cov kev xaiv ua ke uas sib xyaw ua ke raws li cov kua, txiv kab ntxwv, txiv puv luj, taub dag, txiv moj coos, thiab txiv lws suav yuav pab tau tshwj xeeb. Cov kws tshaj lij pom zoo kom haus tsis ntau tshaj 300 ml ntawm cov dej haus ib hnub.

Qhov tsawg tshaj plaws ntawm cov khob cij ntim muaj cov dej haus zaub raws li cov zaub pob, dib thiab txiv lws suav

Khoom qab zib

Pawg khoom no tseem suav tias yog txwv tsis pub rau cov neeg mob, tab sis XE ntsuas tau suav tsis yog los ntawm cov ntshav qab zib, tab sis kuj los ntawm cov neeg uas saib xyuas lawv lub cev qhov hnyav. Yog tias peb tab tom tham txog ib chav ua mov ci, nws yuav tsum tau hais tias nws muaj nyob hauv 10-12 g ntawm granulated qab zib thiab cov qab zib ua kom zoo zoo, 12 g ntawm zib ntab, 20 g ntawm chocolate, zoo li 4-5 caramels.

Ua raws li cov lus pom zoo los ntawm cov kws tshwj xeeb hauv kev suav nrog cov cim tseem ceeb yuav ua kom cov glycemia nyob rau hauv kev txwv, nrog rau kev tswj hwm lub xeev ntawm kev them nyiaj rau "kab mob qab zib".