Kodi matenda ashuga amayambitsa kapena amaletsa kuchepa thupi?

Ubwino

Nthawi zambiri, kuchepa thupi kumakhala pamndandanda wa njira zopewera ndikusamalira matenda ashuga. Kutaya thupi kumawongolera thanzi la mtima, kumachepetsa chiopsezo cha kuthamanga kwa magazi, kumateteza magazi m'magazi, kumachepetsa insulin kukana, ndi zina zambiri. Koma nthawi zina, makamaka ngati matenda a shuga amtundu woyamba, kuchepa thupi kumatha kukhala kosayembekezereka, kwachilendo, komanso chifukwa chodandaulira. Mwamwayi, kudziwa momwe matenda a shuga angapangitsire kuchepa thupi, zomwe muyenera kuyang'ana, komanso nthawi yoti muwone othandizira azaumoyo atha kuthana ndi vuto la matendawa ndikukhala athanzi.

Kodi matenda ashuga angayambitse kutaya thupi?

Inde zingatero. Matenda a shuga amachepetsa kupanga kwa thupi ndi / kapena kuyankha kwake ku insulin-mahomoni omwe amayendetsa shuga m'magazi pothandiza thupi kusintha shuga kukhala mphamvu. Ngati maselo sangathe kupanga kapena kugwiritsa ntchito insulini yokwanira kuti achite izi, atha kuganiza kuti thupi likumva njala ndikuyamba kudya mafuta ndi minofu yamphamvu m'malo mwake, ndikupangitsa kulemera kwadzidzidzi kumachepa. Nthawi zambiri, izi zimachitika chifukwa cha matenda ashuga amtundu wa 1, ngakhale mtundu wachiwiri wa shuga ungayambitsenso kunenepa kosadziwika.

Aliyense amene sachita kuyesetsa kuti achepetse thupi koma akuwonabe madontho osasunthika akaimirira pamlingo ayenera kuzindikira. Kuchepetsa thupi kotereku sikungakhale chizindikiro cha matenda ashuga osadziwika. Zitha kukhalanso zochokera kuzinthu zina zambiri, kuphatikiza zovuta za chithokomiro, matenda a celiac, matenda a Crohn, khansa, ndi zina zambiri. Njira yokhayo yodziwira ndi kuyendera wothandizira zaumoyo.

Kafukufuku wasonyeza kuti mankhwala ena ashuga, monga metformin , atha kuyambitsa ndikuthandizira kuti muchepetse kunenepa kwa zaka zingapo. Mankhwala ena a shuga omwe amachepetsa chilakolako ndikuchepetsa thupi ndi a Byetta ndi Victoza.

Nthawi yoti muwone wothandizira zaumoyo

Nthawi zina, kulemera kwa thupi kumatha kusinthasintha mwachilengedwe, ndiye munthu ayenera kukhala ndi nkhawa liti? Kuvomerezana kwakukulu ndikuti kuchepa kwadzidzidzi kwa 5% kapena kupitilira apo m'miyezi isanu ndi umodzi mpaka 12 sikulinso kwachilendo.

Kuchepetsa thupi mwadzidzidzi kungakhale chizindikiro chokwera kapena kosalamulirika kwa magazi m'magazi, atero Lisa Moskovitz, RD, CEO wa NY Nutrition Gulu . Kaya mwadala mukuchepetsa thupi, kuchepa kulikonse kuposa mapaundi awiri kapena atatu pa sabata kuyenera kufotokozedwera kwa omwe amakuthandizani.

Kumbali yakuzizira, kunenepa kwambiri ndi komwe kumayambitsa matenda ashuga amtundu wa 2. Anthu omwe ali ndi index of mass (BMI) azaka 30 kapena kupitilira apo nthawi zambiri amakhala ndi insulin yolimbana nayo, zomwe zitha kuyambitsa matenda amtundu wa Type 2. Sikuti vuto lililonse la kunenepa kwambiri kumabweretsa matenda ashuga, koma zimawonjezera mwayi wakukula. Kuphatikiza apo, kunenepa kwambiri kumatha kukulitsa zizindikilo za matenda ashuga kwa aliyense amene ali nazo kale.

Pachifukwa ichi, othandizira azaumoyo komanso azakudya nthawi zambiri amakhala ndi mapulogalamu azakudya kapena kuwonda kwa odwala matenda ashuga kapena prediabetes. Mapulogalamuwa nthawi zambiri amaphatikizapo mapulani azakudya komanso zochitika zolimbitsa thupi zomwe zimathandiza odwala kukwaniritsa komanso kukhala ndi thanzi labwino, kuchepetsa chiwopsezo kapena kuopsa kwa mtundu wa 2 shuga. Nthawi zambiri, izi zimaphatikizapo kupenda momwe wodwalayo amadyera komanso kuchita masewera olimbitsa thupi, kenako ndikuyika zosintha m'moyo zomwe zingathandize kukwaniritsa zolinga zake.

ZOKHUDZA: Kulemera kwambiri ndi kunenepa kwambiri

Momwebwinobwinokuonda ukakhala ndi matenda ashuga

Ngakhale anthu omwe ali ndi matenda ashuga amatha kuchepa mwadzidzidzi, osadziwika, izi sizomwe zimafala kwambiri. Amapezeka makamaka mu matenda amtundu wa Type 1, omwe amangokhala 5% mpaka 10% onse odwala matenda ashuga. Nthawi zambiri, ndizosiyana - kuwonda ndikumenya. Kukanika kwa insulin kumabweretsa milingo yambiri ya insulin, yomwe imatha kuwonjezera njala ndi kudya mopitirira muyeso. Ndipo popanga mankhwala a insulin, thupi limasunga shuga wochuluka monga mafuta. Zonsezi zimatha kubweretsa kunenepa kapena, zovuta zina, pakuwongolera kunenepa.

Ngakhale kulibe mankhwala amtundu wa matenda ashuga amtundu wa 2, kuchepa kwamafuta pochepetsa zakudya komanso kuchita masewera olimbitsa thupi kumatha kusintha (zenizeni kuchuluka za kulemera kofunikira zimasiyanasiyana). Izi sizikutanthauza kuti matenda a shuga apita kwamuyaya. Zimangotanthauza kuti matendawa akukhululukidwa, ndipo wodwalayo akusamalira shuga wathanzi wamagazi , koma zizindikiro zimatha kubwerera.

Funso lalikulu ndilakuti: Kodi njira yabwino kwambiri, yotetezeka yochepetsera thupi ngati muli ndi matenda ashuga ndi iti? Pali zakudya zambiri zomwe sizabwino. Zachidziwikire, kudya chilichonse koma msuzi wa karoti kwa sabata limodzi kumathandizira kuchepetsa thupi, koma mwina si njira yabwinobwino mtsogolo. Nthawi zambiri zimakhala bwino kudya zakudya zopangidwa ndi inu nokha, zopatsa thanzi, kusamalira magawo, ndikuchita masewera olimbitsa thupi pafupipafupi. Nazi njira zina zochepetsera matenda ashuga zomwe zingakhale zothandiza kwambiri:

1. Zakudya zopatsa mafuta ochepa: Imeneyi ndi njira yowonongeka yochepetsera nthawi. Kuchepa kwa kalori tsiku ndi tsiku kumadzetsa kunenepa. Nthawi zambiri, izi zimalepheretsa kudya kwa caloric kwa 1,200 mpaka 1,600 patsiku kwa amuna ndi 1,000 mpaka 1,200 patsiku kwa akazi. Komanso ndizokhudza kudya zakudya zopatsa thanzi - chakudya chamagulu ndi masamba, zipatso, mapuloteni, ndi chakudya chokwanira. Kafukufuku wochokera ku UK adawonetsa kuti 45.6% ya anthu omwe ali ndi matenda ashuga amtundu wa 2 omwe adachita nawo pulogalamu yochepetsera ma calories ochepa adakwanitsa kukhululukidwa chaka chimodzi.
2. Zakudya zochepa kwambiri zama calorie (VLCDs): Ma VLCD ndi njira yaposachedwa kwambiri yomwe imaletsa wodwalayo kukhala ochepera ma calories 800 patsiku. Ndizovuta, koma mkati kafukufuku wa 2019 , odwala matenda ashuga osakwana-600-calorie patsiku VLCD adawonetsa kusintha kwakanthawi kwamankhwala a glycemic m'masabata awiri okha, ndipo 79% adakwanitsa kukhululuka m'masabata eyiti mpaka 12.
3. Kupewa zakudya zina: Makamaka, othandizira azaumoyo atha kulangiza kuti achepetse kapena kudula mbewu zomwe zasinthidwa, mkaka wamafuta wathunthu, zakudya zokhala ndi mafuta okhathamira kapena opitilira muyeso, ndi zakudya zokhala ndi shuga kapena zotsekemera. Zakudya izi zimatha kuyambitsa ma spikes mu shuga wamagazi ndikuwonjezera mafuta.
4. Gawo ulamuliro: Izi ndizofotokozera bwino. Kudya mopitirira muyeso kumatha kudzetsa kunenepa, komwe kumawononga chisamaliro cha matenda ashuga. Pofuna kuthandiza odwala kuti azitsatira, madokotala nthawi zambiri amapanga chakudya choyenera kuti achepetse shuga ndi mafuta akamaphunzitsa kudya.
5. Kuchita masewera olimbitsa thupi pafupipafupi: Kuchita masewera olimbitsa thupi kumatha kuchepetsa shuga m'magazi ndikuwonjezera mphamvu ya insulin mpaka maola 24 mutatha kulimbitsa thupi. Komabe, izi zimadalira kulimbitsa thupi ndi kutalika kwake, malinga ndi Bungwe la American Diabetes Association (ADA) . Opereka chithandizo chamankhwala amatha kupanga njira zolimbitsa thupi kuti azigwirizana ndi dongosolo la chakudya cha wodwala akamachiza matenda ashuga.

Izi zati, matenda ashuga atha kuwononga ubale wa munthu ndi chakudya, atero a Moskovitz. Sizachilendo kukhala ndi magawanidwe osasamala kapena ngakhale kusokonezeka kwa matenda mukatha kuzindikira . Pachifukwachi, njira yokhayokha, yosinthasintha, komanso yophatikizira yomwe imagwirizana ndi zosowa za munthuyo komanso moyo wake ndiyofunika kwambiri kuti ichitike bwino kwanthawi yayitali.

Moskovitz amalimbikitsa kuti azidya chakudya chochepa kwambiri chokhala ndi glycemic wokhala ndi zakudya zambiri zopangidwa ndi mbewu komanso zopatsa mphamvu, mapuloteni owonda, ndi mafuta odana ndi zotupa, [omwe] ndi mankhwala abwino kwambiri malamulo hemoglobin A1C , pafupifupi shuga wamagazi pamiyezi itatu. Amalangiza kuti anthu omwe ali ndi matenda ashuga ayenera kumwa mowa ndi tiyi kapena khofi pang'ono (popeza onse amatha kuwononga shuga wamagazi) komanso kudya zakudya zopatsa thanzi zomwe zimakhala ndi fiber, mapuloteni, ndi mafuta maola atatu kapena asanu tsiku lonse.

Nanga bwanji zakudya zochepa?

Zakudya zochepa za carb ndi zero-carb zakhala zotentha kwazaka zingapo zapitazi. Anthu zikwizikwi adalumphira (ndipo nthawi zina kuchoka) pa Atkins Diet ndi keto zakudya bandgons. Anthu ena amalumbirira iwo, ngakhale maphunziro ena awonetsa kuwopsa kwakanthawi kwakudula macronutrient yonse.

Pankhani ya matenda ashuga, kuwerengera kwamahydrohydrate kumathandizanso kuti kuchepa thupi kukhale kosavuta komanso kothandiza, atero a Moskovitz. Koma ngakhale kuwerengera carb nthawi zambiri kumathandiza, kuchotsa ma carbs si njira yabwino kwambiri yotenga nthawi yayitali. Ndizokhudza kudya koyenera mtundu wa chakudya pamiyeso yoyenera. Ma carb oyeretsedwa monga mkate woyera, zinthu zophika, ndi shuga zimatha kuyambitsa ma spikes mwachangu m'magazi am'magazi. Ma carbu ovuta ndi ulusi kuchokera ku mbewu zonse, zipatso, ndi ndiwo zamasamba zimatenga nthawi yayitali kuti ziwonongeke, kupewa kukwera.