Nini Ukuhlola Ngodokotela Wakho
Uyakuzwa ngokuphindaphindiwe: "Ngaphambi kokuba uqale ukudla okusha noma uhlelo lokuzivocavoca, hlola nodokotela wakho." Bangaki abantu abalandela lesi seluleko? Bambalwa kakhulu. Kodwa kunezinye izimo lapho ukuthola usizo lwezokwelapha kubaluleke kakhulu lapho uhamba ngokudla okuphansi kwe-carb . Uma uthatha imithi ethile, kungabalulekile ukuba abahlinzeki bakho bezempilo baqaphele ukuguqulwa kokudla kwakho, ngoba imithi yemithi ingadingeka ishintshwe noma isuswe, noma ushintsho lwemithi lungase luhlelwe.
Lokhu kuyiqiniso ikakhulu uma uphathwa ngesifo sikashukela noma umfutho wegazi ophezulu.
Isifo Sikashukela: I-insulini
Noma ubani othatha i-insulin uyazi ukuthi ubuhlobo obuqondile phakathi kwe-carbohydrate idliwe futhi inani le-insulin edingekayo. Izinguquko ezinkulu emanzini we-carbohydrate ekudleni kufanele kwenziwe kuphela ngokusebenzisana okudokotela nodokotela wakho noma / Ukudla okuphansi kwe-carb kuyodinga insulini encane, ehlanzekile futhi elula, futhi kubalulekile ukufanisa lezi ezimbili. Enye inzuzo yokudla okuphansi-i-carb yezifo zesifo sikashukela i-insulini yilokho uDkt. Richard Bernstein abiza ngokuthi "uMthetho Wezinombolo Ezincane." Yilokho i-carbohydrate encane umuntu adla, ukuhluka okuncane egazini legazi, futhi kulula ukuyilawula.
Ngakolunye uhlangothi, lapho udla amanani amaningi kakhulu we-carbohydrate kukhona ukuhluka okunye. Isibonelo, inkomishi yekholifulawa ingase ine-3 amagremu we-carbohydrate ephumelelayo "yizincwadi," kodwa awukwazi ukuthi impela i- carb ikhona ngoba zonke izinombolo ziyizilinganiso.
Ungase uthola ama-gramu angu-2 noma ama-4 noma ama-5 noma ama-gramu angu-6 we-carbohydrate ekusebenzeni kwakho okunye kwekholifulawa. Qhathanisa lokho kumazambane okubhaka okuphakathi. Amashadi athi kuzoba nama-gramu angama-32 we-carb ephumelelayo, kodwa ukuthi amazambane azoba namathuba amaningi kakhulu. Ngokusho usayizi oluqondile kanye nokuhlukahluka, kungashintsha kusuka ku-22 kuya ku-45 amagremu.
Lokhu kuzokwenza umehluko wangempela ngokwe-insulin oyidingayo, ngakho igazi lakho legazi likwazi ukuphakama kakhulu noma liphansi kakhulu.
Imithi yesifo sikashukela: Ama-Hypoglycemic Agents
Kuneminye imithi eminingi yesifo sikashukela (ikakhulukazi Uhlobo lwesifo sikashukela 2) esihloselwe ukusiza ukulawula i-glucose yegazi. I-glucophage (metformin), i-Avandia (i-rosiglitazone), i-Januvia (sitagliptin phosphate) nezinye eziningi zisetshenziselwa lesi sizathu.
Uma udla ukudla okuphezulu-carb futhi ushintshela ephansi-carb eyodwa, cishe kuzodingeka ulungise imithi yakho. Abantu abaningi ekudleni okuncane-carb bathola ukuthi ngokuhamba kwesikhathi bangakwazi ukulawula i-glucose yegazi ngokudla nokuzivocavoca yedwa futhi bangayeka ukuthatha imithi. Ukuqhubeka nokuthatha isisindo esifanayo kungabangela iziqephu ze-hypoglycemic. Ngisho nemithi efana ne-metformin, engafanele ibangele u-hypoglycemia, iye yaziwa ukuthi inomphumela kwabanye abantu lapho beguqula ukudla kwabo. Futhi, kufanele usebenze nodokotela wakho ukwenza lokhu ngokuphepha.
Imithi Yokucindezela Igazi
Umfutho wegazi ophezulu ngokuvamile ulungisa ngokunye ukudla okuphansi, ngezinye izikhathi ngokushesha kakhulu. Inkinga yukuthi uma umuntu esevele esethatha imithi yokwehliswa kwengcindezi yegazi, ingahle ihambe kakhulu, futhi lokhu kungenzeka ezinsukwini zokuqala ukudla okuphansi kwe-carb.
UDkt. Mary Vernon utshela le ndaba: Omunye umuntu owaziyo emsebenzini, owazi ukuthi unesifo esiphakeme segazi, wambuza ngelinye ilanga ukuthi ukudla okuphansi kwe-carb kuphephile. Wathi, "Yebo, kodwa yenzani ngombono wami." Ngeshwa, le ndoda ayizange ilandele imiyalo yakhe. Esikhathini esithile kamuva, wambiza esuka phansi egumbini lakhe lokuphumula. Akakwazanga ukuma ngaphandle kokuphuma. Wathunyelwa ekamelweni lokuphuthumayo, lapho ehlangana khona naye. Umfutho wakhe wegazi wawuphansi kakhulu. Kwabe sekuthatha imishanguzo eminingi yokwehliswa kwengcindezi yegazi, okuningi okwakungasadingeki.
Imithi yesifo sikashukela kanye negazi eliphezulu yizona eziyinhloko ezingadinga ukulungiswa uma unciphisa ama-carbohydrate ekudleni kwakho.
Noma kunjalo, ngaso sonke isikhathi umqondo omuhle ukukhuluma nodokotela wakho ngaphambi kokushintsha ukudla kwakho, ikakhulukazi uma unesifo esingenasifo noma isimo, noma uthatha imithi.
Imithombo:
UBernstein, uRichard. UDkt. Bernstein's Diabetes Solution . I-2nd Ed. 2007. Little, Brown, neNkampani.
UVernon, uMary, u-Eberstein, u-Eberstein. I-Atkins Diabetes Revolution . 2004. UHarperCollins.
UVernon, MD, uMariya. "Ukuvinjelwa kwe-Carbohydrate ye-Type 2 yesifo sikashukela ku-Clinical Practice", Isethulo ekuNetheni naseMetabolism seminar exhaswe yi-American Society of Bariatric Physicians. May 2007.