Mob ntshav qab zib mellitus yog lub xeev pathological ntawm cov txheej txheem metabolic uas tshwm sim rau ntau yam thiab yuav tsum tau soj ntsuam tas mus li ntawm tus neeg mob cov ntshav qab zib kom qis. Nws muaj ob hom mob “qab zib”. Thaum tsis txaus los ntawm insulin ntau lawm los ntawm tus txiav, hom 1 pathology muaj kev tsim txom (insulin-nyob rau hauv daim ntawv), qhov kev poob qis hauv kev cuam tshuam ntawm cov hlwb thiab cov nqaij mos ua rau cov tshuaj hormones provokes cov tsos ntawm hom 2 (kab mob uas tsis yog-insulin-raws li daim ntawv).
Ntxiv nrog rau kev qhia txog kev siv tshuaj hormone los yog kev siv cov tshuaj uas muaj suab thaj, ib qho ntawm cov qauv siv los kho cov lus qhia ntau ntau ntawm cov piam thaj yog kev kho kev noj haus. Nws ua raws li kev faib tawm kom yog ntawm calories hauv kev noj zaub mov noj kom tsawg, txo kom tsawg. Muaj ntau cov khoom noj uas tuaj yeem noj thiab tsis tuaj yeem noj nrog tus mob ntshav qab zib hom 2 tau.
Cov yam ntxwv noj haus zoo
Ib qho kev ua tsis tiav ntawm cov carbohydrates yog qhov tsis tsim nyog. Saccharides yog qhov tseem ceeb rau lub cev, thaum lawv ua qee yam ntawm cov haujlwm hauv qab no:
- muab cov hlwb thiab cov nqaij nrog lub zog - tom qab tawg ntawm cov khoom noj carbohydrates rau monosaccharides, tshwj xeeb hauv qabzib, oxidation thiab tsim cov dej thiab lub zog siv los ntawm lub cev tshwm sim;
- lub tsev tsim cov khoom siv - cov tshuaj organic yog ib feem ntawm cov phab ntsa ntawm tes;
- tseg cia - monosaccharides muaj peev xwm tsim ntau hauv daim ntawv glycogen, tsim lub zog cia khoom;
- cov haujlwm tshwj xeeb - kev koom tes hauv kev txiav txim siab pab pawg ntshav, cov nyhuv anticoagulating, tsim kom muaj cov tshuaj tiv thaiv uas teb rau cov tshuaj ntawm cov tshuaj thiab cov tshuaj tiv thaiv hormonally;
- kev cai tswj hwm - fiber, uas yog ib feem ntawm cov khoom noj carbohydrates, pab ua kom cov haujlwm tshwj xeeb ua rau txoj kev tshem tawm txoj hnyuv thiab kev nqus ntawm cov as-ham.
Muaj ntau tus naj npawb ntawm cov khoom noj rau kev noj haus No. 9 uas pom zoo los ntawm endocrinologist ib tus zuj zus rau txhua tus neeg mob, ua tib zoo xav txog cov ntsiab lus hauv qab no:
- hom ntshav qab zib;
- lub cev nyhav ntawm tus neeg mob;
- glycemia qib;
- tus neeg mob tus txiv neej;
- muaj hnub nyoog
- theem ntawm kev siv lub cev.
Kev soj qab xyuas cov ntshav qab zib yog ib yam tseem ceeb uas mus ua ke nrog kev noj zaub mov muaj cov roj carb tsawg
Cov cai tswj rau cov ntshav qab zib
Muaj ntau tus cai ntawm cov neeg muaj mob ntshav qab zib:
- Cov tsis muaj feem ntawm carbohydrates, cov rog thiab cov protein nyob hauv cov zaub mov noj txhua hnub - 60:25:15.
- Kev suav tus kheej ntawm cov ntsiab lus xav tau cov calories, uas yog ua los ntawm tus kws kho mob endocrinologist lossis tus kws qhia noj zaub mov.
- Cov piam thaj yog hloov nrog cov khoom qab zib ntuj (stevia, fructose, kua txiv phoov) los yog cov qab zib.
- Qhov kev nqus ntawm tus nqi ntawm pob zeb hauv av txaus, vitamins, fiber ntau.
- Tus nqi ntawm cov tsiaj rog yog halved, kev nqus ntawm cov protein thiab zaub roj hauv lub cev nce ntxiv.
- Txwv tsis pub siv cov ntsev thiab txhua yam txuj lom, cov kua ua kom muaj cwj ciam (li 1.6 litres ib hnub).
- Yuav tsum muaj 3 pluas mov tseem ceeb thiab muaj khoom noj txom ncauj 1-2. Nws raug nquahu kom noj nyob rau tib lub sijhawm.
Cov Khoom Siv Tsis Muaj
Muaj cov khoom lag luam uas txwv lossis xav tau kev txwv ntau tshaj plaws rau txhua yam kabmob ntshav qab zib. Ntau cov ntsiab lus hais txog lawv.
Khoom qab zib thiab khoom qab zib yog pawg loj tshaj plaws ntawm cov khoom lag luam uas cov neeg sawv cev txwv tsis pub cov neeg mob "mob qab zib"
Qab zib muaj
Nws yog qhov nyuaj heev rau kev tso tseg cov piam thaj yog tias koj twb tau siv rau cov khoom noj qab zib. Hmoov zoo, tam sim no muaj lwm yam tshuaj uas ntxiv cov khoom qab zib rau cov khoom, tsis tas hloov txoj kev saj ntawm tag nrho cov tais. Cov no suav nrog:
- fructose
- stevia
- Aspartame
- Cyclamate.
Tsis tas li ntawd, koj tuaj yeem siv me me ntawm zib ntab (nws yog qhov tseem ceeb tias nws yog ntuj, tsis muaj tseeb), maple phoov, thiab, yog tias tsim nyog, cov txiv hmab txiv ntoo uas muab lub qab zib. Ib qho me me ntawm cov tsaus nti chocolate tau tso cai. Txwv cov zib ntab, khob noom, jams thiab lwm yam khoom uas muaj suab thaj yog txwv tsis pub.
Khoom qab zib dab tsi koj tuaj yeem:
- lub tsev ua zaub mov noj dej qab zib;
- ci ua raws cov hmoov nplej los ntawm coarse mis ntxiv ntawm cov khoom qab zib;
- wholemeal pancakes;
- tsev cheese pies nrog txiv hmab txiv ntoo.
Ci
Puff pastry thiab ci yog qhov tsis tuaj yeem, txij li thaum lawv muaj glycemic siab, cov ntsiab lus calorie thiab muaj peev xwm ua kom nce qib ntawm cov piam thaj hauv lub cev. Cov ncuav dawb thiab khob noom qab zib yuav tsum tau hloov:
- rye hmoov khoom;
- oatmeal ncuav qab zib;
- mov hmoov nplej siav;
- pastries, pancakes raws li hmoov buckwheat.
Zaub
Ntawm hom ntshav qab zib hom 2, kev nkag los ntawm cov neeg “neeg nyob” hauv lub vaj uas muaj ntau ntawm saccharides uas tuaj yeem nkag tau yooj yim los ntawm lub cev yuav tsum tau txwv.
Rau ib qho zoo ib yam ntawm genus, zaub suav nrog:
- beets
- qos yaj ywm
- carrots.
Qee cov tswvcuab ntawm cov zaub pab pawg yuav tsum tau txwv rau kev noj zaub mov noj ntshav qab zib
Kev siv tag nrho lwm cov zaub txwv tsuas yog pub tshwj xeeb hauv cov nqaij nyoos, hau, stewed. Pickled thiab salted lauj kaub tais diav tsis pub. Koj tuaj yeem nce ntxiv hauv cov khoom noj:
- taub dag
- zucchini
- txaij
- zaub qhwv
- dib
- Txiv lws suav
Qhov kev xaiv zoo yog siv zaub rau hauv cov kua zaub, koj tuaj yeem noj cov ntses "thib ob" lossis cov nqaij (cov muaj roj ntau) cov kua zaub.
Txiv Hmab Txiv Ntoo
Nrog daim ntawv insulin-ywj siab ntawm tus kab mob, nws yog ib qho tsim nyog yuav tsum tso tseg cov txiv hmab hauv ob daim ntawv tshiab thiab qhuav, nrog rau hnub tim, figs, txiv pos nphuab. Cov txiv hmab txiv ntoo no muaj cov glycemic siab heev, pab txhawb qhov ntse hauv cov ntshav qab zib.
Cov kua txiv
Cov kua txiv tom khw yog qhov zoo tshaj plaws los ntawm kev noj haus. Txhawm rau npaj lawv, ntau npaum li cas ntawm cov piam thaj thiab ntau yam khoom siv khaws cia tau siv. Cov kua txiv ua hauv tsev, nws yog qhov zoo dua rau dilute nrog dej haus. Cov txheej txheem pom zoo yog ib feem ntawm cov kua txiv hauv 3 seem ntawm dej los yog qhia los ntawm tus kws tshwj xeeb.
Kev ua raws li cov lus pom zoo ntawm kev siv kua txiv yog ib qho ntawm cov theem ntawm kev noj zaub mov kom zoo hauv ntshav qab zib
Lwm cov khoom lag luam
Mob ntshav qab zib hom 2, koj noj tsis tau:
Ci cov ntawv qhia rau cov ntshav qab zib- khw cov khoom noj khov;
- cov kua zaub ntawm cov roj ntses lossis cov nqaij;
- Cov nplej zom
- semolina;
- tej khw sauces;
- haus luam yeeb, kib, ntses jerky thiab nqaij;
- qab zib cov khoom noj siv mis;
- haus cov dej haus;
- dej cawv.
Koj tuaj yeem kawm paub ntau ntxiv txog kev haus cawv hauv hom 2 ntshav qab zib los ntawm cov kab lus no.
Kev noj haus fiber ntau
Lub tebchaw carbohydrates (polysaccharides) muaj ib qho tseem ceeb ntawm cov zaub mov muaj fiber ntau hauv lawv cov muaj pes tsawg leeg, uas ua rau lawv tsis tuaj yeem tsis txaus noj ntawm cov zaub mov ntawm txawm tias tus neeg mob. Cov kws tshwj xeeb pom zoo kom tsis txhob tsis kam lees txais cov khoom lag luam kiag li, txij li lawv tau koom nrog kev siv cov txheej txheem ntawm cov khoom noj hauv lub cev.
Kev noj haus fiber ntau muaj nyob hauv cov zaub mov hauv qab no uas xav tau rau cov ntshav qab zib hom 2:
- ceg;
- wholemeal hmoov nplej;
- nceb;
- txiv ntoo
- taub dag, taub dag noob;
- prunes
- legumes;
- quince;
- persimmon.
Piv txwv ntawm cov tais diav rau cov ntshav qab zib hom 2
Cov ntawv qhia zaub mov rau lub limtiam tuaj yeem muab sau los ntawm koj tus kheej lossis tham nrog koj tus kws kho mob. Ob peb cov zaub mov txawv rau cov zaub mov raug tso cai tuaj yeem pom hauv cov lus hauv qab no.
| Cov tais diav | Cov Khoom xyaw Tseem Ceeb | Txoj kev ua noj |
| Zaub kua zaub | 2 liv ntawm "theem nrab" nqaij si nqaij; 200 g ntawm tev qos yaj ywm; 50 g ntawm noob taum liab; 300 g ntawm zaub qhwv; 1 dos; 1 zaub ntug hauv paus; zaub ntsuab, ntsev, kua txiv qaub | Ncuav cov taum pauv ua ntej rau cov cawv. Tiav nws ib nrab-npaj, ntxiv finely tws zaub. Zaub ntsuab, ntsev, kua txiv qaub poob kom tsaus ntuj |
| Tsev cheese thiab Casserole taub dag | 400 g taub dag; 3 tbsp zaub muaj roj; 200 g ntawm tsev cheese; 2 lub qe 3 tbsp semolina; ? tsom iav mis nyuj; sweetener, ntsev | Tev, tsuav, kib cov taub dag hauv zaub muaj roj. Ua noj semolina. Sib tov tag nrho cov khoom xyaw thiab xa mus rau qhov cub kom ci. Cov txiv ncuav qab zib yog ntxiv rau lub khob noom cookie lossis saum toj yog qhov xav tau |
| Ntses cutlets | 200 g ntawm cov roj ntses tsis tshua muaj rog; 50 g ntawm rye qhob cij lossis crackers; ib daig ntawm butter; Qaib qe 1 dos; 3-4 tbsp mis nyuj | Npaj cov nqaij minced los ntawm fillet. Soak lub khob cij hauv mis. Finely chop lub dos. Ua ke tag nrho cov khoom xyaw, daim cutlets, chav |
Ua raws li cov lus qhia thiab cov lus pom zoo ntawm cov kws tshaj lij yuav ua rau kom cov suab thaj nyob hauv kev txwv txaus. Muaj ntau tus neeg mob uas tsis tshua noj cov zaub mov carb thiab cov khoom noj muaj txiaj ntsig zoo tau ua rau nws muaj peev xwm tso tseg txoj kev siv tshuaj insulin thiab ntshav qab zib.
