No ka manaʻo ʻē paha i ka nānā mua, akā hiki i kekahi ke lawe i ke ʻano a me ka papa o ka hele a ka mea maʻi ma ke ʻano he makemake ia e alakaʻi i kahi ola olakino a mālama i kona kino a me ka ʻuhane no ka lōʻihi.
Hoʻokumu ʻia ka meaʻono no ke ʻano maʻi type 1 a me ka papa ʻaina, me ka noʻonoʻo ʻana i nā ʻano o nā mea maʻi, ka loiloi i ko lākou ʻano kino a me ke ʻano, a me nā hoʻopiʻi kū ʻana a me nā maʻi pili i lawe pū ʻia.
He aha ke koʻikoʻi o nā paʻakai
Mai ka manawa e hōʻike ana ka mea maʻi i ka mellitus maʻi maʻi maʻi, ua kau ʻia kona ola ma kekahi mau mea e hoʻopilikia ai i ka mea maʻamau i ke kīpē type 1.
Akā inā me ka diabetes type mellitus he mea pono ke kau i ka nui o nā meaʻai i hoʻopau ʻia, no ka mea, ʻo ka maʻi maʻi maʻamau e hele pū me ka nui o ke kino a me ka momona paha, a laila e pono e hoʻomaopopo ʻia ka pāʻai no ka maʻi type o 1 a ʻo ka nui a me ka maikaʻi o nā kākoi i hoʻopau ʻia e noʻonoʻo pono.
I kēia hihia, palena paʻa a kāpae ʻole i ka papa meaʻai o nā mea maʻi i kekahi huahana, ʻaʻohe pono o. ʻO nā kalapu, ka mea hoʻāla ʻia i ka meaʻai, ka mea i hoʻolako i ka mīkini kumu nui - glucose.
Mai ke kahe koko, ua komo ka glucose i loko o nā wahi, kahi e hoʻokaʻawale a hoʻokuʻu ʻia i ka ikehu e pono ai no nā hana koʻikoʻi a pau i ke kino e kū ai. No kēia kumu, pono ka noho kino o ka palaka ma ka mea maʻi a 55% o ka nui o ka nui o ka nui o ka meaʻai i kēlā me kēia lā.
ʻAʻole like ka lapalapa like. Ma mua o ko lākou komo ʻana i ke kahe koko, hoʻomaka lākou e neʻe ma loko o ka ʻāpana liʻiliʻi. Mamuli o ka nui o ka komo ʻana, hoʻokaʻawale ʻia nā kākela me ka wikiwiki a hoʻohemo pālua.
Hoʻolau
Hoʻokomo i nā mea i hoʻoulu ʻia i nā maʻi (hōʻuluʻulu o nā momona) a hiki i kahi kahe e piʻi ai i ka nui o ke kaila glucose ma hope o 40-60 mau minuke. ʻO kēia mau mea momona, he momona, pectin a me nā māka.
80% o ka nui o nā huamina i komo i ke kino me ka meaʻai i ke kō. ʻO ka hapa nui loa i nā mea kanu - rye, palaoa, palaoa. ʻO ka pālule he 20% starch. Loaʻa ka huaʻai a me ka pectin i nā huaʻai a me nā mea kanu.
Hoʻomaopopo ʻia e hoʻopau i ka liʻiliʻi o 18 g o ka fiber i kēlā me kēia lā, kahi mea e hoʻohālikelike ai i ʻehiku pīpī laʻa, 1 lawelawe ʻana i nā ʻōlapa lau (iʻa ʻia) a i ʻole 200 g o ka pā palaoa a pau, hiki ke hoʻohana ʻia i kēia papa o ka papaʻai no nā maʻi me ka maʻi maʻi.
Hoʻopili koke ʻia nā mau kao momona (māmā) i loko o ke koko i loko o 5-25 mau minuke, no laila ua hoʻohana ʻia lākou no ka hypoglycemia e hoʻonui wikiwiki i ka pae o ka glucose i ke kahe koko. Aia kēia mau punahele:
- galakosa;
- hoʻohuʻi (i loaʻa i ka meli bee, nā huaʻala a me nā hua);
- sucrose (i ka beets, hua, nā hua, ka meli meli);
- pahala;
- lactose (he kalaki o ka holoholona hihiu);
- maltose (i ka malt, ka pia, nā molula, ka meli).
Loaʻa i kēia mau momona i ka ʻono maikaʻi a hoʻomau koke ʻia.
ʻO ke kumukūʻai o ka hoʻonui ʻana o ka hoʻoliʻiliʻi o ke koko ma hope o ka lawe ʻana i kekahi mau karika i kapa ʻia ʻo ia ʻo "hypoglycemic index" a me ka mea ʻai no nā maʻi maʻi maʻi maʻi ma kēia wahi i ka wā ke kāohi ana i ka papa hana.
ʻAi lāʻau
Ke koho i ka maʻi kūpono no ka hoʻohaʻahaʻa i ke kō, pono ʻoe e noʻonoʻo pono i ke koho o nā huahana kūikawā no nā mea maʻi, e helu pololei i ko lākou helu a me ka index glycemic (hiki iā ia ke haʻahaʻa, medium a i ʻole), a hana i kahi papa kuhikuhi kūpono loa, ʻo ia ka meaʻai kūpono.
No ka helu ʻana i ka nui o nā karoli i ka nohona o kēlā me kēia lā, hoʻohana ʻia kahi manaʻo e like me "unit unit" - he ʻāpana kūikawā kēia o nā ana ʻana e loiloi i ka ʻai o ka ʻaihue a hiki iā ʻoe ke hana pololei i kahi meaʻai e hōʻoia ai i ka hana maʻamau o nā mea maʻi me ka maʻi type 1. Hoʻokahi like me ka papa ʻaʻa me ka 10 g o ka mau kalama.
No ka helu ʻana i nā pūʻulu berena (XE) i kēlā me kēia pāʻina, pono ʻoe e ʻike i ka huahana kahi i helu ʻia o ka waihona o ka powa, a ʻehā mau mea e kūlike ai i hoʻokahi ʻāpana i ka papa kuhikuhi.
ʻO nā huahana a pau, ʻo ke kalaiwa, ua mahele ʻia i nā pūʻulu ʻelima:
Mokuna Starch - ua pili kēia:
- ʻuala
- pasta
- ʻalohi
- berena
- helu kiʻi ʻole ʻia
- lehulehu mau papa.
Me ka maʻi diabetes, ka mea maikaʻi loa loa no nā maʻi i ka papa ʻaina berena me ka bran a i ʻole nā ʻano cereal. Loaʻa iā ia nā emi aʻe o nā kālaiʻai a loaʻa iā kahi haʻahaʻa glycemic haʻahaʻa. Hoʻokahi ʻāpana o ka papa 1 cm e pili ana i ka 1 XE.
E hoʻomanaʻo hou ʻoe i kekahi mau mea hoihoi aʻe:
- Hoʻohana maikaʻi ʻia nā ʻōpala i nā ʻano i hoʻolapalapa ʻia ai, ʻaʻole i ʻōlelo ʻia nā ʻenekini kōpaʻa, no ka mea wikiwiki ka hoʻonui i ka ʻike o ka glucose.
- I waena o nā pasta, nā hua palaoa guma i loaʻa ka haʻahaʻa glycemic index.
- I nā cereals, ʻoi aku ka mea maikaʻi e koho i ka buckwheat, hercules a i ʻole bī (ua loaʻa iā lākou kahi index-low index).
- ʻO nā huaʻai a me nā waiʻona - ua hoʻokaʻawale ʻia lākou i loko o kahi mea e makemake ʻia a ʻoluʻolu ʻia.
ʻO ka papahele mua e pili ana i nā plums unsweetened, banaas, apple, pomegranates, berries, feijoa, pears. Loaʻa iā lākou ka fiber (kahi kāmeʻa paʻakikī), kahi maikaʻi loa e hoʻopili ʻia i loko o nā ʻōpū o ke kanaka. Aia kekahi huahana i kahi kuhikuhi glycemic index, ʻo ia hoʻi, ʻaʻole lākou e hānai wikiwiki i nā pae kō.
I ka lua o nā hui pū: nā kū, nā tangerines, nā wai, nā hua waina, nā pineapples, nā peaches, nā mangoes, nā melons. He haʻahaʻa lākou i ka fiber a hoʻoulu i ka glycemia wikiwiki.
ʻO kahi waiʻai, me ka ʻokoʻa o ka kamato, loaʻa kahi index glycemic kiʻekiʻe loa a hoʻohana wale nō inā pono ia e hoʻonui koke i ka glucose i ka wā e hoʻouka ai i ka hyperglycemia, ʻaʻole kahi kīʻai maʻamau e hoʻopiʻi i ko lākou hoʻohana ʻana.
- Nā huahana kīʻaha waiū - kekahi huahana kīwī ʻole i walaʻau ʻia ma ka 200 ml he 1 XE, a me ka momona - i loko o 100 ml 1 XE.
- ʻAe ʻia nā ʻaihue a me ke kō no ka hoʻohana ʻana no ka hoʻopau wale ʻana i ka hopena hyperglycemic.
- ʻO nā mea kanu ʻole - ka nui o ka fiber, hiki ke hoʻopau ʻia me ka ʻole o ka palena a me ka hoʻohana hou ʻana i nā lāʻau lapaʻau e hōʻemi ai i ke kō. Hoʻokomo pū ka pūʻulu like: kīpī, mau kukama, kāpeti, mau ʻaka, huaʻala, zucchini, ke kāleka, nā aniani, nā ʻano like ʻole.
ʻAiwaʻai a me ka papa ʻai no ka mālama ʻana i ka insulin
Hoʻoholo ka manawa a me ka wā o ka ʻahaʻaina e like me ke ʻano o ka insulin i ka mea maʻi me nā maʻi maʻi type 1 ka manawa, hoʻohana pinepine ʻia ʻo ia ia a me ka manawa o ka lā, ʻo ka nui o nā hua ʻai (nā kākāka) i loko o ka meaʻai ua māhele ʻia hoʻi.
Inā loaʻa i kahi maʻi o ka pāpaʻi kūlohelohe i ka maʻi maʻi o ka maʻi, a laila e ʻōlelo ʻo ia e hoʻopau i nā mea iʻa a palu me ka luhi wale no ka ʻai kuke. ʻAʻole pāpā ʻia ka hoʻohana ʻana i nā ʻano lono a me nā mea ʻala. Eia ka ʻona no ka ʻeha ma ka pancreas.
ʻO ka papaʻai o nā mea maʻi me ka diabetes mellitus type 1 (inā ʻaʻole i hele pū ʻia ka maʻi me nā hoʻopiʻi) a me nā mea i hāʻawi ʻia i kēia mau palena:
- 'aʻole kēlā me kēia' aii e hoʻololi ma mua o 7-8 XE ('ōpala kalepa);
- ua ʻae ʻia nā meaʻai momona i ke ʻano o nā mea wai, akā ke hoʻolako ʻia nei ka hilo i loko o nā mea momona;
- Ma mua o kēlā me kēia papa ʻaina, pono e helu ʻia ka helu o ka papa ʻai i mua, no ka mea ke hāʻawi ʻia i nā inikini insulin ma mua o ka papaʻaina.
Nā kuʻuna kumu pono e ʻike ka maʻi maʻi maʻi
Hoʻomaopopo ka maʻi maʻi i nā koi nui i nā mea maʻi e makemake ana i kahi nohona maʻamau a makemake hoʻi e hele i ka maikaʻi. ʻO nā mea maʻi e hoʻomaʻamaʻa ana i ka insulin lapaʻau e loaʻa kekahi ʻike no ka manaʻo paʻa i kekahi kūlana.
Pono ke kanaka e hoʻomaopopo i ke ʻano o kāna maʻi a loaʻa kahi manaʻo no kāna mau hopena hiki. He maikaʻi inā hoʻomaʻamaʻa ka mea maʻi i ke kikowaena o ka maʻi maʻi a aʻo e hoʻomaopopo i nā lāʻau lapaʻau i kauoha ʻia e nā kauka.
Pono nā maʻi maʻi e hahai pololei i ka papa hoʻonohonoho o nā inikini insulin a lawe i nā lāʻau lapaʻau ʻē aʻe, ʻo ke ʻano kekahi o ka hoʻoponopono ʻana i ka ʻai o ka meaʻai (ke manawa a me ka nui o ka meaʻai, ka mea ʻai ʻai).
ʻO nā kūlana āpau e hiki ai ke hoʻololi i ke ʻano maʻamau, no ka laʻana, ka hele ʻana i kahi hōkele a i ʻole ke kiʻi hale, nā huakaʻi lōʻihi, nā hana kino, pono e hoʻolālā a noʻonoʻo i mua. Pono ka mea ʻike e ʻike pono ma kahi a pehea a e hiki ai iā ia ke lawe i ka paila a i ʻole ke kuhi, ka manawa a me ka mea e ʻai ai.
Pono nā maʻi o ka insulin i ka meaʻai me lākou e pale ai i ka hypoglycemia. ʻO ka "kīkaha meaʻai", ma ke ʻano o ka meaʻai.
- 10 mau palaki gula;
- hapalua hapalua o kaʻaila momona, Pepsi, lemonade a forfeit;
- e pili ana iā 200 g o nā kuki momona;
- ʻelua mau pōpō;
- ma ka liʻiliʻi he ʻelua mau sandwale ma ka berena brown.
Me ka maʻi maʻi, e hoʻomanaʻo ʻia nā mea aʻe:
- I ka wā o ka hoʻomehana ʻana o ka insulin, ʻaʻole loa e pōloli ka mea maʻi, ʻo ka pōloli ma kēia hihia he mea ia e hoʻonāukiuki ai i ka hypoglycemia, ʻo ia ka mea e ola nei.
- ʻAʻole hōʻemi nui ka mea maʻi, pono ia e mālama mau i ka nui o ka meaʻai a me ka hiki i nā meaʻai ke hoʻonui i ke kahe koko.
Pono ka kanaka e ʻike i nā waiwai o nā huahana, e ʻike ai i loko o ia ʻano he nui nā huikawa, a me ia nā protein, nā momona a me nā fiber. Pono ʻoe i kahi manaʻo o ka wikiwiki e hoʻonui i kēlā me kēia huahana i ke kō koko koko, pehea e kūlike ai nā huahana a me kā lākou pākō i kēia kaʻina.
Pono ke kanaka maʻi e aʻo e hoʻohana i nā mea ono aku a aʻo i nā ʻōmole no nā kīʻaha maʻi diabetes. E noʻonoʻo i ka pili ʻana i kahi meaʻai a hiki ke unuhi i nā meaʻai a pau i loko o nā kilocalories a i ʻole nā papa ʻaina. ʻO kaʻoi aku, pono ʻoe e ʻike i ka ʻeha o nā mea ʻala, e ʻike mau lākou i nā hopena ʻaoʻao.
Pono kahi hana kino e hoʻolālā pono ʻia. Pili kēia i ka hoʻomaʻemaʻe ʻana i kahi hale papahele a i hele wāwae paha, a me ka ukana ʻana i nā ukana kaumaha a i nā hana haʻuki koʻikoʻi.
ʻAʻole pono ʻoe e hoʻomaopopo he maʻi ko ka maʻi maʻi maʻi, akā no ke ʻano o ke kanaka, a inā e hahai ʻia kekahi mau lula, e piha a nui kēia ola.
