Papa pākaukau i nā papa papa ʻaina no nā maʻi maʻi type 1 a me ke ʻano 2

ʻO ka mea nui ka hana o ka mālama ʻana i nā maʻi me ka maʻi diabetes ko ka meaʻai. ʻO kāna kumu nui no ka maʻi diabetes, ka hoʻohana ʻana o ka meaʻai maʻamau, ka wehe ʻana i nā huina o ka ʻai mai ka ʻai ʻana, a me ka hoʻoholo ʻana i nā haʻalū o nā calorie o nā meaʻai. No ka hoʻopau ʻana i kēia mau pilikia, ua hoʻokumu nā endocrinologists i nā huaʻōlelo berena a hoʻomohala i nā papa o nā papa palaoa.

Manaʻo nā loea i nā mea lapaʻau olakino e hana i kahi papa i kēlā me kēia lā no kēia mahele o ka poʻe maʻi no 55% ka hopena% o nā haʻahaʻa o nā haʻalulu, 15% -20% o nā kīʻaha, 20% -25% o nā momona. Hoʻolako kūikawā no ka hoʻoholo ʻana i ka nui o nā haʻahaʻaina i hoʻopau ʻia, nā mea noi o ka papa (XE).

I Lūkia, e ʻae ʻia ka mea like i kahi hui me nā kākeka o ka nui o ka mauʻu, i loko o USA -15 grama. Hoʻonui ka XE XE i ka pae o ka glucose ma ka 2.2 mmol / l, e hoʻokaʻawale i kahi e pono ai ka 1-2 PIECES o insulin.

Hōʻike ka papa ʻai meaʻai i ka papa ʻaina maʻi i nā haʻawina kalaiwa o nā ʻano kai. Ke hana nei i kēia huaʻōlelo, ua lawe nā mea ʻai i ka berena rye ma ke ʻano he kumu: ʻo kona ʻāpana he paona iwakāluakūmālima mau mea i manaʻo ʻia he ʻāpana berena.

Ehia papa papa nā papa?

ʻO ka pahuhopu o ka mālama ʻana i nā maʻi me ka maʻi maʻi e hoʻohālikelike i ka hoʻokuʻu kūlohelohe o ka insulin i ke koho ʻana i nā ʻano like me nā ʻano like ʻole a ua kokoke ke kiʻekiʻe o ka glycemia i nā kūlana i ʻae ʻia.

Hāʻawi i kēia lāʻau lapaʻau hou i nā hoʻoponopono hoʻomehana ʻana e like me kēia:

• Kaumaka;
• Nā hoʻoponopono kaukani lehulehu;
• Kuhihewa

Ke helu ʻana i ka nui o ka insulin, pono ʻoe e ʻike i ka nui o ka XE ma o ke aniani o ka huahana kalawa me nā huaʻai (nā huaʻai, nā susu a me nā huahana cereal, nā ʻeleʻele, nā ʻuala). He paʻakikī nā mea kanu i ka hoʻāʻo ʻana i nā mea kākoi a ʻaʻole hana i kahi kuleana koʻikoʻi i ka hoʻonui ʻana i nā pae glucose.

Hāʻawi ka hana inikini insulin i ka ʻina o ka manuahi (kumu) o ka hoʻomehana ʻana o ka insulin (lantus) i hoʻokahi manawa i ka lā. No kēia hana, hoʻohana ʻia nā insulins pōkole.

He helu helu kuhi

No kēlā me kēia papa ʻai i loko o ka papa ʻaina i hoʻolālā ʻia, pono ʻoe e komo (e noʻonoʻo i ka manawa o ka lā a me ka pae o ka glycemia) 1U o ka insulin.

Ka pono o ka manawa o ka lā ma 1XE:

1. Ke kakahiaka - 1.5-2 IU o ka insulin;
2. ʻaina awakea - 1-1,5 mau ʻāpana;
3. ʻaina ʻaina - 0.8-1 mau ʻāpana.

Pono e hoʻolilo i ka pae mua o ka hoʻāla o ke kō, ʻoi aku ke kiʻekiʻe - ʻoi aku ka kiʻekiʻe o ka lāʻau lapaʻau. Hiki i hoʻokahi papa hana ke hana i ka insulin e hoʻohana i ka 2 mmol / L o ka glucose.

Inā hoʻolālā ka mea maʻi i kahi ʻai, e ʻai ʻo ia i ka meaʻai ma 3 XE, a me ka pae glycemic 30 mau minuke ma mua o ka pāʻina ʻana o ka pāʻina me 7 mmol / L - pono ia i ka 1U o ka insulin e hōʻemi i ka glycemia e 2 mmol / L. Aʻo 3ED - no ka hoʻoneʻe ʻana o nā ʻāpana ʻai o 3 i nā meaʻai. Pono ʻo ia e komo i ka nui o 4 mau ʻāpana o ka insulin inika (Humalog).

ʻO kaʻai ʻana i nā mea maʻi me ka maʻi type kīkē 1 i aʻo iā lākou e helu i ka nui o ka inika e like me ka XE, me ka hoʻohana ʻana i ka papaʻaina o nā papa berena, ʻoi aku paha ka manuahi.

Pehea e helu ai i nā papa palaoa no ka maʻi maʻi

Me kahi ʻike kaulana o ka huahana a me kahi kikoo kalama a 100 gram, hiki iā ʻoe ke hoʻoholo i ka nui o nā papa ʻai.

No ka laʻana: kahi kīʻaha o nā kāleka kuke ma ke kaupaona ʻana he 200 mau karamu, he 100 ka nui o ka nui o 24 mau kāmoli.

100 kekona o ke kīkī pākī - 24 kalā o nā paʻakai

He 200 kalama o ka tiʻu kolo - X

X = 200 x 24/100

X = 48 mau mea kalaiwa i kau i loko o kahi kīʻaha o ke kīpē o ke kākela i kaupaona ʻia he 200 mauʻu. Inā ma 1XE 12 mau kalaka o ka mauʻu, a laila i loko o kahi kīʻaha o keʻa - 48/12 = 4 XE.

Mahalo i nā pūʻulu berena, hiki iā ʻoe ke ka hāʻawi i ka nui o nā kalapona i kēlā me kēia lā, ʻae kēia iā ʻoe:

• Mea ʻai ʻokoʻa;
• Mai kaupalena iā ʻoe iho i ka meaʻai ma ke koho ʻana i kahi papahele kūlike;
• Mālama i kāu pae glycemia ma lalo o ka hoʻomau.

Ma ka Pūnaewele hiki iā ʻoe ke loaʻa i ka helu o nā palaka maʻi diabetes, ke helu ʻana i ka meaʻai i kēlā me kēia lā. Akāʻo kēia haʻawina ka nui o ka manawa, ʻoi aku ka maʻalahi o ka nānā ʻana i nā papa o nā papa ʻai papa no nā maʻi maʻi maʻi a koho i kahi papa ʻai kūpono. ʻO ka nui o nā XE e koi ʻia ma ka paona o ke kino, ke ʻano kino, ke ʻano a me ka wahine o ke kanaka.

ʻO ka nui o kēlā me kēia lā o XE no nā maʻi me ka paona kino kino

Pono nā poʻe maʻi i ka liʻiliʻi o ka kaloli, kahi hoʻonui pilikino o ka hoʻoikaika kino. Pono e hōʻemi ʻia nā haʻahaʻa kalama o kēlā me kēia lā i 1200 kcal; no laila, e hoʻēmi ʻia ka nui o nā pūʻulu ʻai.

Me ka momona nui

Ke manaʻoʻiʻo ia ka nui o nā huahana pono i kēlā me kēia lā hiki ke 20-24XE. Pono e hoʻomohele i kēia kuʻina no nā meaʻai 5-6. ʻO nā mea nui nui he 4-5 XE, no kaʻaina awakea a me kaʻaina awakea - 1-2XE. I ka manawa, mai hāʻawi i ka ʻai ʻana i ka mea ʻai 6-7XE.

Me ka hapaʻole o ke kaumaha o ke kino, ʻoi aku ia e hoʻonui i ka nui o XE i 30 i kēlā me kēia lā. Pono nā keiki 4-6 mau makahiki 12-14XE i kēlā me kēia lā, pono ʻia nā makahiki he 7-16 makahiki 15-16, mai 11-14 mau makahiki - 18-20 mau pāʻina meaʻai (no nā keikikāne) a me 16-17 XE (no nā kaikamahine). Pono nā keikikāne mai ka 15 a hiki i ka 18 makahiki i kahi pāʻina berena 19-21 i kēlā me kēia lā, ʻelua mau kaikamahine.

Nā koi no ka ʻai:

• ʻAiʻai i nā meaʻai i ʻai ai i ka momona: rye roti, millet, oatmeal, nā mea kanu, nā buckwheat.
• Hoʻopau i ka manawa a me ka nui o ka hoʻolaha ʻana i nā lā o ka nui o ka haʻalulu ʻana i ka nui o ka insulin.
• E hoʻololi i nā hāmeʻa kūwaho maʻalahi me nā meaʻai like i koho ʻia mai nā papa papa ʻaina maʻi maʻi.
• ʻO ka hōʻemi ʻana i ka māhele o nā momona manu me ka hoʻonui ʻana i ka nui o ka mea kanu.

ʻO ka mea maʻi me nā maʻi diabetes type 2 pono hoʻi e hoʻohana i nā papa papaʻaina berena e pale ai i ka overeating. Inā e ʻike ʻia ana nā huahana e loaʻa ana i nā mea kanu kino nā huaʻaleʻa i nā keʻaʻai i ka meaʻai, a laila e hoʻemi ka ʻai. Hiki iā ʻoe ke hana i kēia no nā lā 7-10 i 2XE i kēlā me kēia lā, e lawe ana i ka helu e pono ai.

Nā papa ʻai o ka papa ʻaina no ka maʻi maʻi o ka ʻano mua a me ka lua

ʻO nā kikowaena Endocrinological i helu ʻia i nā papa papa o nā papa palaoa i nā huahana kaulana e pili ana i ka ʻike o 12 karamu o nā haʻawina i loko o 1 XE. ʻO kekahi o lākou e lawe i kāu hoihoi.

Nā waiʻaila

Hiki ke hoʻopau i nā wai i loko o nā ʻano like ʻole o ka maʻi o ka maʻi o ka mua a me ka lua, i ke kau ʻana o ka pae o ka glycemia, ʻaʻohe ʻano o nā ʻano o nā kihi i kekahi ʻaoʻao a i ʻole.

Hoʻōla

I ka maʻi kuhi, ua ʻōlelo ʻia e ʻai i nā mea kanu ʻē aʻe, ua nui ka nui o lākou i nā fiber, a me nā nui o ke kō.

Nā laupala

Pono nā hua momona i ʻai i kēlā me kēia lā, maikaʻi loa i ke ahiahi. I kēia hihia, ʻaʻole wale i nā pūʻulu berena, akā, ʻo ka pākēneka o nā momona momona e pono ai e noʻonoʻo. Hāʻawi ʻia nā mea maʻi i ka maʻi momona haʻahaʻa loa.

Nā huahana huahana

Nā huahana palaoa

Pasta a me nā palaoa

Ma ka maʻi mellitus, ua hōʻike ʻia e pani i nā momona holoholona i nā momona momona.. ^ E Ha yM. Hiki ke hoʻopau ʻia kēia huahana i ke ʻano o nā aila aila - oliva, palaoa, linseed, pākōkō. Kīpī ʻia ka aila mai loko mai o nā nati, mau hua pala, ka pala, a me ka palaoa.

Nā ʻili

No ka hōʻoluʻolu o ka hoʻonohonoho pono ʻana i ka papa maʻi diabetes, ua hoʻomohala nā endocrinologists i nā papa i hoʻomākaukau ʻia o nā papa ʻai i loko o nā kīʻaha like ʻole:

ʻO ka poʻe i hōʻike ʻia me ka maʻi type 2 e pono e aʻo i ke kaohi i ke kō koko koko, hana i kahi papa hana, ka hoʻoponopono regimen. I loko o ka papaʻai a nā mea maʻi e pono nā meaʻai i ka fiber, bran.

Aia kekahi mau ʻōlelo aʻoaʻo e hiki ke kōkua i nā maʻi me ka maʻi diabetes type 2 i hoʻopaʻa i kā lākou glycemic pae:

1. Hoʻohana wale i nā mea momona maoli;
2. Hoʻohui i ka komo ʻana o nā mea kanu me nā meaʻai starchy;
3. E ʻai i nā kīʻaha piha, ʻaina bran a me ka palaoa wīwī;
4. Pono ke hui pū me ka momona a me ka protein, hoʻopau i nā momona;
5. ʻAno nā lau momona e ʻai i nā ʻāpana ʻole;
6. Ma kahi o nā waiʻona, e hoʻohana i nā hua peeled;
7. Hoʻomaopopo ʻia e hoʻomoʻi maikaʻi i ka meaʻai;
8. Hoʻonui koʻikoʻi i ka hoʻohanaʻana i nā meaʻai kiʻekiʻe-calorie, nā ʻuʻomaʻo, nā mea inu wai.