Nthawi Yoyang'ana ndi Dokotala Wanu
Mwamva mobwerezabwereza kuti: "Musanayambe kudya zakudya zatsopano kapena zolimbitsa thupi, funsani dokotala wanu." Ndi angati omwe amatsatira malangizo awa? Ochepa kwambiri. Koma pali zochitika zina pamene kupeza chithandizo chamankhwala n'kofunika kwambiri pakudya zakudya zochepa . Ngati mukugwiritsa ntchito mankhwala ena, zingakhale zofunikira kuti ogwira ntchito zaumoyo adziwe kuti zakudya zanu zikusintha, chifukwa mankhwala amatha kusintha kapena kuchotseratu, kapena kusintha kwa mankhwala kungakhale koyenera.
Izi ndi zoona makamaka ngati mukudwala matenda a shuga kapena kuthamanga kwa magazi.
Mankhwala a shuga: insulini
Aliyense amene amatenga insulini amadziŵa kuti mgwirizano wamagulu amadziwika bwino komanso kuchuluka kwa insulini. Kusintha kwakukulu kwa chakudya chamagulu mu zakudya kumangokhala kogwirizanitsa kwambiri dokotala wanu / kapena odyetserako zakudya. Zakudya zochepa kwambiri za carb zidzasowa kuchepetsa kuchepa kwa insulu, zosavuta komanso zosavuta, ndipo ndizofunikira kuti zifanane ndi ziwirizo. Phindu lina la zakudya zochepa kwambiri za odwala matenda a shuga ndi zimene Dr. Richard Bernstein amalemba kuti "Chilamulo cha Zing'onozing'ono." Izi ndizo zomwe munthu amadya, zakudya zochepa m'magazi, komanso zosavuta kuziletsa.
Komabe, pamene kudya chakudya chochuluka cha zimagawidwe pali kusiyana kwakukulu. Mwachitsanzo, kapu ya kolifulawa ikhoza kukhala ndi magalamu atatu a ma carbohydrate "ndi mabuku," koma simungadziwe kuchuluka kwake kwa carb chifukwa nambala zonse ndizochepa.
Mwinamwake mukupeza mapiritsi 2 kapena 4 kapena 5 kapena 6 magalamu a carbohydrate mukutumikila kwa kolifulawa. Yerekezerani zimenezo ndi mbatata yapamwamba yophika. Ma chart akuti adzalandira makilogalamu 32 a carb, koma mbatatayo idzakhala ndi mwayi waukulu. Malinga ndi kukula kwake ndi zosiyana, zikhoza kusiyana pakati pa 22 ndi 45 magalamu.
Izi zimapangitsa kusiyana kwakukulu kwa kuchuluka kwa insulini yomwe mukufunikira, kotero kuti magazi anu amatha kutsika kwambiri kapena mophweka kwambiri.
Mankhwala a shuga: Aganyu a Hypoglycemic
Palinso mankhwala ena ambiri a shuga (makamaka mtundu wa shuga wa 2) omwe cholinga chake ndi kuthandiza kuchepetsa magazi. Glucophage (metformin), Avandia (rosiglitazone), Januvia (sitagliptin phosphate) ndi ena ambiri amagwiritsidwa ntchito pa chifukwa ichi.
Ngati mwakhala mukudya zakudya zapamwamba kwambiri ndikusintha ku carb imodzi, muyenera kusintha mankhwala anu. Anthu ambiri omwe amadya zakudya zamagetsi amapeza kuti m'kupita kwa nthawi akhoza kuyendetsa shuga ndi magazi komanso kuchita masewera olimbitsa thupi okha ndipo amatha kumwa mankhwala. Kupitiriza kutenga mlingo womwewo kungayambitse magawo a hypoglycemic. Ngakhalenso mankhwala monga metformin, omwe sikuti amayambitsa matenda a hypoglycemia, akhala akudziwika kuti amakhala ndi zotsatirazi mwa anthu ena pamene akusintha zakudya zawo. Apanso, muyenera kugwira ntchito ndi dokotala wanu kuti muchite bwino.
Kupanikizika kwa Magazi
Kuthamanga kwa magazi nthawi zambiri kumawongolera pang'ono ndi zakudya zochepa, nthawi zina mofulumira kwambiri. Vuto ndiloti ngati munthu atenga kale mankhwala kuti athetse kuthamanga kwa magazi, zikhoza kuchepa kwambiri, ndipo izi zikhoza kuchitika mkati mwa masiku oyambira kudya zakudya zochepa.
Dr. Mary Vernon akuwuza nkhani iyi: Winawake yemwe amadziwa kuchokera kuntchito, yemwe amadziwa kuti anali ndi kuthamanga kwa magazi, anamufunsa tsiku lina ngati zakudya zochepa za carb zili zotetezeka. Iye anati, "Inde, koma chitani ndi woyang'anira wanga." Mwatsoka, mwamunayo sanatsatire malangizo ake. Patapita nthawi, adamuitana kuchokera pansi pa chipinda chake. Iye sakanakhoza kuimirira popanda kutuluka kunja. Anatengedwera ku chipinda chodzidzimutsa, kumene anakumana naye. Mphamvu yake ya magazi inali yotsika kwambiri. Anayamba kumwa mankhwala ambiri kuti achepetse kuthamanga kwake kwa magazi, zambiri zomwe sizinafunike.
Mankhwala a shuga ndi kuthamanga kwa magazi ndizofunikira kwambiri zomwe zingafunikire kusintha ngati mumachepetsa zakudya m'thupi lanu.
Komabe, nthawi zonse ndibwino kulankhula ndi dokotala musanasinthe zakudya zanu, makamaka ngati muli ndi matenda aakulu, kapena mukumwa mankhwala.
Zotsatira:
Bernstein, Richard. Dr. Bernstein's Diabetes Solution . 2nd Ed. 2007. Little, Brown, ndi Company.
Vernon, Mary, Eberstein, Eberstein. Atkins Diabetes Revolution . 2004. HarperCollins.
Vernon, MD, Mary. "Kuletsedwa kwa Zakudya Zamagulu a Mtundu wa Shuga mu Mtundu Wopereka Chithandizo", Kufotokozera pa Nutrition ndi Metabolism semina yomwe inathandizidwa ndi American Society of Bariatric Physicians. May 2007.