Momwe Mungapewere Matenda a Shuga Ndi Kuwerengera Kwamadzimadzi

Zamkati

• Momwe mungawerengere chakudya
• Zakudya zokhala ndi chakudya
• Zakudya zomwe siziyenera kuwerengedwa
• Gawo ndi sitepe kuwerengera kuchuluka kwa insulini
• Kuwerengera kwama tebulo a odwala matenda ashuga
• Chitsanzo chothandiza cha kuwerengera kwamahydrohydrate
• Chifukwa chiyani mukugwiritsa ntchito njira yowerengera ma carbohydrate?

Wodwala matenda ashuga aliyense ayenera kudziwa kuchuluka kwa chakudya m'zakudya kuti adziwe kuchuluka kwa insulini yoti mugwiritse ntchito mukamadya. Kuti muchite izi, ingophunzirani kuwerengera kuchuluka kwa chakudya.

Kudziwa kuchuluka kwa insulini yofunika kugwiritsa ntchito ndikofunikira chifukwa kumathandiza kupewa zovuta za matenda ashuga monga masomphenya kapena vuto la impso, chifukwa matendawa amalamulidwa bwino, monga insulin imagwiritsidwa ntchito molingana ndi chakudya chomwe chimadyedwa.

Momwe mungawerengere chakudya

Kuti mugwiritse ntchito njirayi, ndikofunikira kudziwa kuti ndi zakudya ziti zomwe zili ndi chakudya, kuti musinthe kuchuluka kwa insulin. Mutha kudziwa izi powerenga cholembera kapena kulemera chakudyacho pakhitchini yaying'ono.

Zakudya zokhala ndi chakudya

Zakudya zomwe zimakhala ndi chakudya, zomwe zimadziwikanso kuti chakudya, chakudya kapena shuga, zimayimiriridwa pamakalata ophatikizira ndi zilembo za HC kapena CHO. Zitsanzo zina ndi izi:

• Zomera ndi zotengera zake, monga mpunga, chimanga, mkate, pasitala, ma crackers, chimanga, ufa, mbatata;
• Nyemba monga nyemba, nandolo, mphodza, nandolo ndi nyemba zazikulu;
• Mkaka ndi yogati;
• Zipatso ndi timadziti ta zipatso zachilengedwe;
• Zakudya zokhala ndi shuga wambiri monga maswiti, uchi, marmalade, kupanikizana, zakumwa zozizilitsa kukhosi, maswiti, makeke, mikate, mchere ndi chokoleti.

Komabe, kuti mudziwe kuchuluka kwake kwa chakudya m'thupi, muyenera kuwerenga zolembazo kapena muyese chakudya chosaphika. Pambuyo pake, ndikofunikira kupanga lamulo la 3 pazambiri zomwe mudzadye.

Zakudya zomwe siziyenera kuwerengedwa

Zakudya zomwe siziyenera kuwerengedwa chifukwa zili ndi chakudya chochepa kwambiri ndi zakudya zokhala ndi fiber, monga masamba.

Kuphatikiza apo, mafuta azakudya amadzetsa magazi m'magazi pokhapokha atamwa kwambiri komanso kumwa zakumwa zoledzeretsa, popanda chakudya, kumatha kuyambitsa shuga wotsika m'magazi mwa anthu omwe amagwiritsa ntchito insulin komanso mwa iwo omwe amagwiritsa ntchito mankhwala osokoneza bongo mpaka maola 12 pambuyo pake kudya kwanu.

Gawo ndi sitepe kuwerengera kuchuluka kwa insulini

Kuti muwerenge kuchuluka kwa insulini kutengera zomwe zimayamwa, muyenera kuchita masamu osavuta. Mawerengedwe onse ayenera kufotokozedwa ndi adotolo, namwino kapena katswiri wazakudya, kuti muzitha kuwerenga masamu nokha. Kuwerengetsa kumakhala ndi:

1. Onetsetsani kuti mukuchotsa - Mukabaya chala chanu, kuti muyese kuchuluka kwa shuga wamagazi, muyenera kupanga kusiyana pakati pa glycemia yomwe imapezeka musanadye ndi chandamale cha glycemia, zomwe ndi zomwe mukuyembekeza kukhala nazo nthawiyo. Mtengo uwu uyenera kuwonetsedwa ndi adokotala pakufunsira, koma kawirikawiri, kuchuluka kwa magazi m'magazi kumasiyanasiyana pakati pa 70 ndi 140.

2. Akugawa - Kenako ndikofunikira kugawa mtengo uwu (150) ndi chidwi, chomwe ndi gawo limodzi la insulin mwachangu lomwe limatha kuchepetsa kufunika kwa magazi m'magazi.

Mtengo uwu amawerengedwa ndi endocrinologist ndipo ayenera kutsatiridwa ndi wodwalayo, chifukwa zimakhudzidwa ndi zinthu monga zolimbitsa thupi, matenda, kugwiritsa ntchito corticosteroids kapena kunenepa, mwachitsanzo.

3. Kuwonjezera akaunti - Ndikofunika kuwonjezera zakudya zonse zomwe zimakhala ndi chakudya chomwe mungadye mukamadya. Mwachitsanzo: supuni 3 za mpunga (40g HC) + 1 avareji zipatso (20g HC) = 60g HC.

4. Gawani akaunti - Kenako, gawani mtengowu ndi kuchuluka kwa chakudya chomwe 1 unit of insulin imakwirira chimakwirira, chomwe nthawi zambiri chimafanana ndi 15 g wa chakudya.

Mtengo uwu umatsimikiziridwa ndi dokotala payekha, ndipo amatha kukhala osiyana pakudya kulikonse kapena nthawi iliyonse yamasana. Mwachitsanzo, 60 gHC / 15gHC = magawo anayi a insulin.

5. Kuphatikiza akaunti - Pomaliza, muyenera kuwonjezera kuchuluka kwa insulini kuti mukonze kuchuluka kwa glycemia komwe kumawerengedwa mu point 1 ndikuwonjezera kuchuluka kwa insulin kuchuluka kwa chakudya chomwe chingalowe kuti mupeze insulini yomaliza yomwe iyenera kuperekedwa.

Nthawi zina, kufunika kwa insulin sikulondola, mwachitsanzo, mayunitsi 8.3, ndipo kuchuluka kwake kuyenera kuzunguliridwa mpaka 8 kapena 9, kutengera malire a 0,5.

Kuwerengera kwama tebulo a odwala matenda ashuga

Nachi chitsanzo cha tebulo la ma carbohydrate la odwala matenda ashuga omwe amathandiza wodwalayo kudziwa magalamu angati azakudya zomwe amadya pakudya.

Nthawi zambiri, katswiri wazakudya kapena dokotala amapereka mndandanda wofanana ndi tebulo ili pomwe chakudya ndi kuchuluka kwake kumafotokozedwa.

Mawerengedwe atatha, insulin iyenera kugwiritsidwa ntchito kudzera mu jakisoni yemwe amatha kuperekedwa m'manja, ntchafu kapena m'mimba, kusiyanasiyana malo kuti mupewe kuvulala ndi zotupa pansi pa khungu. Umu ndi momwe mungagwiritsire ntchito insulini molondola.

Chitsanzo chothandiza cha kuwerengera kwamahydrohydrate

Chakudya chamasana adadya supuni 3 za pasitala, theka la phwetekere, ng'ombe yophika, apulo 1 ndi madzi. Kuti mudziwe kuchuluka kwa insulini yomwe mungatenge pa chakudya ichi, muyenera:

1. Onani zakudya zomwe zili ndi chakudya: pasitala ndi apulo
2. Muwerengere kuti mudziwe kuchuluka kwa chakudya chomwe chili ndi masipuni 3 a pasitala: 6 x 3 = 18 gHC (1 supuni = 6gHc - onani chizindikiro)
3. Ganizirani apulo pakhitchini (chifukwa ilibe chizindikiro): 140g wa kulemera ndikupanga lamulo losavuta la 3: 140 x 20/160 = 17.5 gHC
4. Onetsetsani kuchuluka kwa zomwe adokotala akuwonetsani kuchuluka kwa chakudya chomwe mumadya pachakudya chilichonse: 0.05.
5. Muwerengereni kuti mudziwe kuchuluka kwa chakudya chamasana: 18 + 17.5 = 35.5gHC ndikuchulukitsa ndi kuchuluka komwe adalangiza adotolo (0.05) = 1.77 Units of Insulin. Poterepa, kuti mupange chakudya ichi muyenera kuyika magawo awiri a insulin.

Komabe, musanadye muyenera kubaya chala chanu kuti mudziwe kuti magazi amtundu wa magazi ndi otani ndipo ngati ndi okwera kuposa momwe amavomerezera, omwe amakhala apamwamba kuposa 100g / dl, muyenera kuwonjezera insulini kwa omwe mukufuna kuti mudye.

Chifukwa chiyani mukugwiritsa ntchito njira yowerengera ma carbohydrate?

Kuwerengera kwa ma carbohydrate amtundu wa 1 odwala matenda ashuga kumathandiza wodwalayo kusintha kuchuluka kwa insulini momwe amafunikira kuti adye, omwe ndi achikulire nthawi zambiri amakhala gawo limodzi la insulin mwachangu kapena mwachangu, monga Humulin R, Novolin R kapena Insunorm R, imakwirira magalamu 15 a chakudya.

Pankhani ya matenda ashuga amtundu wa 2, amalola kuwongolera bwino zakudya zomwe zimadyedwa pakudya, kuthandizira kukhala ndi zopatsa mphamvu, kuwongolera kunenepa komanso kupewa zovuta zina, monga matenda amadzimadzi.

Komabe, njirayi iyenera kuyambika pokhapokha pamawu a endocrinologist ndipo ndikofunikira kutsatira zakudya zomwe wowonetsayo akuwonetsa, kutsatira malamulo oyenera.