Yuav Ua Li Cas Tswj Mob Ntshav Qab Zib Nrog Cov Ciav Hlau Ntawm Suav

Zoo Siab

• Yuav ua li cas suav cov carbohydrates
• Cov khoom noj muaj cov carbohydrates
• Cov khoom noj uas tsis suav nrog
• Ib kauj ruam zuj zus los suav cov tshuaj insulin
• Carbohydrate cov lus suav lub rooj rau cov ntshav qab zib
• Cov piv txwv ntawm kev suav suav cov carbohydrate
• Vim li cas siv cov txheej txheem suav cov carbohydrate?

Txhua tus neeg mob ntshav qab zib yuav tsum paub cov khoom noj hauv carbohydrates hauv zaub mov kom paub meej ntawm insulin ntau npaum li cas siv tom qab txhua pluas noj. Txhawm rau ua qhov no, tsuas yog kawm kom suav cov khoom noj ntau xwb.

Kev paub txog qhov siv tshuaj insulin ntau npaum li cas yog qhov tseem ceeb vim tias nws pab tiv thaiv cov teeb meem ntshav qab zib xws li teeb meem tsis pom kev lossis lub raum tsis ua haujlwm, vim tias cov kab mob tau tswj tau zoo dua, vim li cov tshuaj insulin tau siv raws li cov khoom noj tau noj.

Yuav ua li cas suav cov carbohydrates

Yuav kom ua cov txheej txheem no, nws yog qhov yuav tsum paub tias cov khoom noj twg muaj cov khoom noj carbohydrates, txhawm rau kho cov tshuaj insulin kom tsawg. Koj tuaj yeem paub qhov no los ntawm kev nyeem daim ntawv zaub mov lossis ntsuas khoom noj rau ntawm chav ua noj me me.

Cov khoom noj muaj cov carbohydrates

Cov zaub mov uas muaj cov carbohydrates, tseem hu ua carbohydrates, carbohydrates lossis piam thaj, yog sawv cev ntawm cov ntawv ntim ntawm cov tsiaj ntawv uas muaj HC lossis CHO. Qee cov qauv yog:

• Cereals thiab lawv derivatives, xws li mov, pob kws, mov ci, nplej zom, khaub noom, hmoov txhuv nplej, hmoov txhuv, qos yaj ywm;
• Ob txhais ceg xws li cov taum pauv, chickpeas, lentils, taum pauv thiab noob taum dav;
• Mis thiab yogurt;
• Txiv Hmab Txiv Ntoo thiab cov kua txiv hmab txiv ntoo rau ntuj;
• Cov khoom noj muaj piam thaj ntau xws li khoom qab zib, zib ntab, marmalade, jams, dej haus, khaub noom, ncuav qab zib, khoom qab zib, khoom qab zib thiab chocolate.

Txawm li cas los xij, txhawm rau paub qhov tsawg ntawm cov carbohydrate hauv ib qho khoom noj, koj yuav tsum nyeem daim ntawv lossis hnyav rau cov zaub mov nyoos. Tom qab ntawd, nws yog ib qho tseem ceeb kom ua li txoj cai 3 rau tus nqi uas koj yuav noj.

Cov khoom noj uas tsis suav nrog

Cov khoom noj uas tsis tas yuav suav nrog vim tias lawv muaj me me ntawm cov carbohydrates yog cov zaub mov muaj protein ntau, xws li zaub.

Tsis tas li ntawd, cov rog hauv cov zaub mov ua rau cov ntshav qabzib tsuas yog thaum noj ntau thiab haus dej haus cawv, tsis muaj zaub mov, tuaj yeem ua rau cov ntshav qab zib tsawg tsawg hauv cov neeg uas siv insulin thiab hauv cov neeg uas siv cov tshuaj tiv thaiv ntshav qab zib kom txog 12 teev tom qab koj noj kom ntau.

Ib kauj ruam zuj zus los suav cov tshuaj insulin

Txhawm rau kom paub cov insulin ntau npaum li cas raws li kev noj haus, koj yuav tsum tau ua qee qhov kev ua lej yooj yim. Txhua qhov kev suav yuav tsum tau piav qhia los ntawm tus kws kho mob, tus nais maum lossis kws qhia zaub mov noj, kom koj muaj peev xwm ua kev ua lej koj tus kheej. Qhov muab xam muaj:

1. Nco ntsoov rho tawm - Tom qab ntsuas koj cov ntiv tes, txhawm rau ntsuas cov ntshav qab zib kom qis, koj yuav tsum ua qhov sib txawv ntawm qhov glycemia tau ua ntej noj thiab lub hom phiaj glycemia, uas yog qhov koj xav kom muaj nyob rau lub sijhawm ntawd hnub ntawd. Tus nqi no yuav tsum tau qhia los ntawm tus kws kho mob ntawm kev sib tham, tab sis feem ntau, lub hom phiaj ntshav qab zib cov nqi nws txawv ntawm 70 txog 140.

2. Ua qhov cais tawm - Tom qab ntawd nws yog qhov tsim nyog los faib cov nqi no (150) los ntawm qhov kev xav rhiab, uas yog ntau npaum li cas 1 unit ntawm insulin sai sai muaj peev xwm txo tus nqi ntawm cov piam thaj hauv ntshav.

Tus nqi no yog xam los ntawm cov kws kho keeb (endocrinologist) thiab yuav tsum ua raws li tus neeg mob, vim nws tau cuam tshuam los ntawm cov yam ntxwv xws li kev ua haujlwm hauv lub cev, mob, siv corticosteroids lossis hnyav dua, piv txwv.

3. Ntxiv nyiaj - Nws yog ib qho tsim nyog yuav ntxiv tag nrho cov zaub mov uas muaj cov carbohydrates uas koj yuav noj hauv pluas mov. Piv txwv li: 3 dia mov (40g HC) + 1 lub txiv ntoo nruab nrab (20g HC) = 60g HC.

4. Sib faib nyiaj hauv lub txhab nyiaj - Tom qab ntawd, faib cov nqi no los ntawm tus nqi ntawm cov carbohydrates uas 1 ntu ntawm cov tshuaj insulin sai, uas feem ntau sib haum rau 15 g ntawm carbohydrates.

Tus nqi no yog txiav txim los ntawm tus kws kho mob tshwj xeeb, thiab tuaj yeem sib txawv ntawm txhua pluas noj lossis sijhawm ntawm ib hnub. Piv txwv li, 60 gHC / 15gHC = 4 units ntawm insulin.

5. Ntxiv nyiaj - Thaum kawg, koj yuav tsum ntxiv cov tshuaj insulin los kho cov nqi glycemia uas tau suav hauv point 1 thiab ntxiv cov tshuaj insulin rau cov nyiaj ntawm cov nyiaj carbohydrates uas yuav noj tau kom tau txais qhov kawg ntawm cov tshuaj insulin uas yuav tsum tau muab.

Qee qhov xwm txheej, cov tshuaj insulin tsis raug, piv txwv li, 8.3 units, thiab tus nqi yuav tsum muab suav mus txog 8 lossis 9, nyob ntawm qhov kev txwv ntawm 0.5.

Carbohydrate cov lus suav lub rooj rau cov ntshav qab zib

Ntawm no yog ib qho piv txwv ntawm cov rooj noj haus carbohydrate suav cov ntshav qab zib uas pab tus neeg mob paub tias muaj pes tsawg lub carbohydrate lawv noj thaum noj mov.

Feem ntau, tus neeg noj zaub mov los yog kws kho mob muab cov npe zoo ib yam li lub rooj no uas cov zaub mov thiab cov khoom noj tau piav qhia.

Tom qab cov kev suav, cov tshuaj insulin yuav tsum tau siv los ntawm kev txhaj tshuaj uas tuaj yeem siv rau hauv caj npab, ncej puab lossis plab, hloov qhov chaw sib txawv kom tsis txhob ua kom tawv nqaij thiab tawv nqaij hauv qab tawv nqaij. Nov yog qhia insulin kom raug li cas.

Cov piv txwv ntawm kev suav suav cov carbohydrate

Rau pluas su nws noj 3 diav ntawm cov nplej zom, ib nrab txiv lws suav, nqaij nyuj hauv av, 1 kua thiab dej. Txhawm rau kom paub seb cov tshuaj insulin ntau npaum li cas rau cov pluas noj no, koj yuav tsum:

1. Kuaj seb cov zaub mov twg muaj cov khoom noj hauv cov khoom noj: cov nplej zom thiab kua txiv
2. Tsis suav kom paub seb muaj pes tsawg lub carbohydrates muaj 3 diav ntawm pasta: 6 x 3 = 18 gHC (1 diav = 6gHc - saib daim ntawv lo)
3. Luas lub kua ntawm lub ntsuas ua noj hauv chav ua noj (vim tias nws tsis muaj daim ntawv lo): 140g ntawm qhov hnyav thiab ua rau muaj kev cai yooj yim ntawm 3: 140 x 20/160 = 17.5 gHC
4. Txheeb xyuas seb tus kws kho mob tau noj pes tsawg ntawm cov khoom noj uas yog cov zaub mov koj noj ntawm txhua pluas noj: 0.05.
5. Txheeb kom paub tag nrho cov nyiaj carbohydrates rau pluas su: 18 + 17.5 = 35.5gHC thiab muab ntau npaum li cas los ntawm tus kws kho mob tau pom zoo (0.05) = 1.77 Cov Insulin. Hauv qhov no, txhawm rau ua kom pluas mov no koj yuav tsum tau siv 2 units ntawm insulin.

Txawm li cas los xij, ua ntej noj mov koj yuav tsum txhawm rau koj cov ntiv tes kom paub seb tam sim no cov piam thaj hauv ntshav yog dab tsi thiab yog tias nws siab dua qhov kev pom zoo, feem ntau siab dua 100g / dl, koj yuav tsum ntxiv insulin rau qhov koj yuav thov rau noj.

Vim li cas siv cov txheej txheem suav cov carbohydrate?

Carbohydrate kev suav rau tus mob ntshav qab zib hom 1 pab tus neeg mob los kho cov tshuaj insulin uas nws yuav tsum tau noj rau cov pluas noj uas nws yuav muaj, nrog cov neeg laus feem ntau yog 1 units ntawm insulin ceev lossis sai, xws li Humulin R, Novolin R lossis Insunorm R, npog 15 grams ntawm carbohydrates.

Xws li cov ntshav qab zib hom 2, nws tso cai rau tswj cov khoom noj kom zoo thaum noj mov, pab tswj kom yuag, tswj qhov hnyav thiab zam lwm yam teeb meem, xws li mob metabolic.

Txawm li cas los xij, cov txheej txheem no yuav tsum tsuas yog pib ntawm kev pom zoo ntawm endocrinologist thiab nws yog qhov yuav tsum tau ua raws li kev noj zaub mov uas tau qhia los ntawm tus neeg noj zaub mov noj, ua kom siv cov cai uas tau pom zoo.