Nā papa palaoa no ka maʻi maʻi. Pehea e helu pono ai iā lākou

ʻO kahi papa berena (XE) kahi manaʻo koʻikoʻi no nā poʻe i loaʻa i ka maʻi maʻi. ʻO kahi kahi kēia i hoʻohana ʻia e koho i ka nui o nā kinohi i ka meaʻai. Wahi a lākou, no ka laʻana, “he kīaʻi 100 g nā loko he 5 XE”, ʻo ia hoʻi, 1 XE ʻo 20 g kokolā. A i ʻole "ua hoʻohuli ʻia ka hau kaila i nā pāʻina berena ma ka awelika 65 g - 1 XE".

Manaʻo mākou e ʻai i nā mea hou aku ma mua o ka nui o ka papaʻaina 2-2,5 i kēlā me kēia lā, i.e. huli i ka ʻai haʻahaʻa haʻahaʻa-wai momona no ka maʻi type a me ke ʻano 2

Hoʻokahi ʻia kahi pūʻulu berena XE e like me 12 g o ka kō a i ʻole 25 g o ka berena. Ma USA a me kekahi mau'āina ʻē aʻe, 1 ʻaʻano berena he 15 g o kaʻaila. No laila, ʻokoʻa nā papa papa o ka ʻikepili XE i nā huahana o nā mea kākau ʻokoʻa. I kēia manawa, ke hoʻāʻo nei e hoʻopili i kēia mau papa, lawe wale lākou i nā mea lapaʻau i hoʻopili ʻia e nā kānaka, a hoʻokaʻawale i ka ʻai (dietary).

Pehea e helu ai i nā pūʻulu berena

ʻOi aku ka nui o nā kālaiʻu i ka hoʻohālikelike o nā pūʻulu berena a XE ke hele nei ka maʻi lolo, ʻoi aku ka nui o ka insulin e pono ai ia e "hoʻopau i nā nīpine koko" ma hope o ka ʻai ʻana) i ke kō koko koko. Me ka maʻi o ka maʻi type 1, pono e hoʻolālā ka mea maʻi i kāna kīʻaha i ka like o nā pūʻulu berena. No ka mea, ʻo ka nui o ka nui o ka lā o ka insulin, a me ka nui o ka mana o ka "pōkole" a i ʻole ka "ultrashort" insulin ma mua o ka ʻai, e hilinaʻi nei ia.

Pono ʻoe e helu i nā papa ʻai i nā huahana āu e hoʻolālā ai e ʻai me ka hoʻohana ʻana i nā papa kūikawā no nā maʻi maʻi. Ma hope o kēlā, pono ʻoe e helu i ka helu o ka "short" a i ʻole ka "ultrashort" insulin e hoʻoili ai ʻoe ma mua o ka ʻai ʻana. ʻO ka ʻatikala "ʻĀpana Hawaʻi a me ka ʻimi ʻana no ka ʻĀina Insulin."

No ka heluʻana i ka nui o nā papa papa, pono ʻoe e kaupaona i ka meaʻai i kēlā me kēia manawa ma mua o ka ʻai ʻana. Akā aʻo nā mea maʻi me ka maʻi maʻi maʻi i ka manawa e hana i kēia "ma ka maka". Kūkā ʻia ka pololei o kēia loiloi e helu ʻia ka nui o ka insulin. Eia nō naʻe, ʻo ka loaʻa ʻana o ka lumi kuke ma ka home he mea maʻalahi a kūpono hoʻi.

He aha ka paukū glycemic huahana

Me ka lolo o ka maʻi maʻi, ʻaʻole wale nā ​​momona o nā haʻawina o nā huahana e koʻikoʻi, akā ʻo ka wikiwiki hoʻi kahi e ʻeli lākou a e hoʻihoʻi ʻia i ke koko. No ka mea eʻoi aku ka maikaʻi o ka hāmeʻawa, ʻoi aku ka hoʻonui ʻana i ka nui o kāu kō. Ma muli o kēia, e hoʻohaʻahaʻa ka waiwai nui o ka glucose i ke koko ma hope o ka ʻai ʻana, a e hoʻonāwaliwali ʻia ai nā kīʻaha koko a me nā ʻōnaehana kino.

ʻO kahi kuhikuhi glycemic index (GI i hōʻoki ʻia nei) he hōʻailona o ka hopena o nā meaʻai like ʻole ma hope o kā lākou hoʻohana ʻana i ka glucose koko. I ka maʻi maʻi, ʻaʻole ka mea nui loa ma mua o ka helu o nā pūʻulu berena i nā huahana. Kūleʻa ka lāʻau lapaʻau i ka ʻai ʻana i nā meaʻai ʻo ka glycemic haʻahaʻa haʻahaʻa inā makemake ʻoe e hoʻomaikaʻi i kou olakino.

No ka ʻike hou aku, e ʻike i ka ʻatikala "Glycemic Index of Diet Products for Diabetes."

ʻO nā meaʻai me kahi index glycemic kiʻekiʻe he gula, ka meli, nā papa ʻaina, nā wai wai, nā mea inu wai, mālama ʻia, a me nā mea ʻē aʻe ʻole i loaʻa nā momona. I ka papa maʻi, hōʻike ʻia lākou e ʻai ʻia, i nā hoʻohālikelike o nā pūʻulu berena 1-2, inā wale nō ʻoe e wikiwiki i ka hoʻokaumaha i ka hypoglycemia. I nā kūlana maʻamau, hoʻopōʻino kēia mau huahana i ka maʻi maʻi maʻi maʻi.

Ehia mau papa berena e ʻai ai

Hoʻokumu ʻia kā mākou pūnaewele e hoʻolaha i kahi meaʻai haʻahaʻa haʻahaʻa-wai haʻahaʻa no ke ʻano lāʻau type 1 a me ke ʻano 2. Hoʻomaopopo kēia i ke kumu o ka hoʻopau ʻana i nā mea kālaiʻai i ka haʻahaʻa o ka mea ʻaʻole iʻoi aʻe ma mua o 2-2.5 mau papa palaoa i kēlā me kēia lā. No ka mea ʻai i ka ʻaihue ʻōpili 10-20 XE i kēlā me kēia lā, e like me ka mea i hōʻike ʻia e ka ʻōpala "ʻono" kūpono, ua ʻona maoli no ka maʻi maʻi. No ke aha - e heluhelu ma.

Inā makemake ʻoe e hoʻohaʻahaʻa i kāu kōhi koko a mālama pono iā ia, a laila pono ʻoe e ʻai i nā haʻawaʻi liʻiliʻi. Ua hoʻohuli maikaʻi ʻia kēia ʻano ʻoiai me ka maʻi diabetes a 2 wale nō, akā me ka maʻi type o ka maʻi 1. E heluhelu i kā mākou ʻatikala ma kahi meaʻai haʻahaʻa-wai liʻiliʻi no ka maʻi maʻi maʻi. ʻAʻole pono e lawe i ka ʻōlelo aʻo i hāʻawi ma laila, ma ka hilinaʻi. Inā loaʻa i kahi mika koko kūpono pololei, a laila ma kekahi mau lā e ʻike maopopo ana inā maikaʻi kēia meaʻaiʻai no ʻoe.

Hoʻopilikia nui ka nui o nā maʻi maʻi a puni ka honua i ka nui o nā waihona ʻai i kā lākou papaʻai. Ma kahi o lākou, kālele lākou i nā meaʻai i momona i ka momona a me nā momona momona kūlohelohe, a me nā mea kanu huaora.

Inā ʻoe e hahai i kahi meaʻai haʻahaʻa-haʻahaʻa, ma hope o kekahi mau lā, e hōʻoia ʻoe e lawe i nā pōmaikaʻi nui i kou punahele a me ke kō koko. I ka manawa like, ʻaʻole ʻoe e pono hou i nā papa no ka hoʻololi ʻana i nā huahana i loko o nā pūʻulu berena. Hoʻomaopopo mākou iā ʻoe ʻo 1 XE he 12-15 kalā o nā paʻakai. A ma kēlā me kēia ʻai e ʻai ai ʻoe wale no 6-12 mau hāpona, ʻo ia hoʻi, ʻaʻole ia ma mua o 0.5-1 XE.

Inā pili ka maʻi maʻi i ka meaʻai "hoʻonoʻo" kuʻuna, a laila e ʻeha ana ʻo ia i ka nui o ke kō i loko o ke kō a hiki ʻole ke hoʻokele ʻia. ʻO ka mea maʻi e helu ana i ka nui o ka insulin e pono ai ia e hoʻopili i ka 1 XE. Ma kahi o mākou, ke helu nei mākou a nānā i ka nui o ka insulin e pono ai e hoʻomoʻa i ka 1 kalaka o nā calcium, ʻaʻole a hui wale nō ka papa ʻaina.

ʻO ka liʻiliʻi o nā kalo e ʻai ai ʻoe, ʻo ka liʻiliʻi o ka insulin e pono ai e hoʻoili. Ma hope o ka hoʻohuli ʻana i kahi meaʻai haʻahaʻa-haʻahaʻa, ʻo ka pono o ka insulin e hōʻemi ma o 2-5 mau manawa. A me ka liʻiliʻi o ka insulin a i ʻole ka hoʻohiolo ʻana i ka wai e hoʻopau ai i kahi mea maʻi, e hoʻohaʻahaʻa ana i kona ʻeha o ka hypoglycemia. ʻO kahi kīʻaha haʻahaʻa haʻahaʻa no ka maʻi maʻi i nā mea e ʻai ai ʻaʻoleʻoi aku ma mua o 2-2,5 iʻa palaoa no ka lā.