Isifo sikashukela: Ukuphuza utshwala ngokuphepha

izithombe ze-kledge/Getty

Omunye wemibuzo evame ukubuzwa ngokuphila nesifo sikashukela uphathelene nokusetshenziswa kwe-utshwala nokuthi ungakwenza kanjani ngokuphepha.

Imibuzo eqondile isukela kokuthi iziphuzo ezithile "ziyawulungele yini ushukela wegazi" ukuya ekubaleni ama-carbohydrate utshwala, kanye nomphumela kushukela wegazi emahoreni ambalwa kamuva. Uhlobo lotshwala oluphuzwayo - iwayini, ubhiya, iziphuzo ezixutshwe noma uphuzo oludakayo - ngokuqinisekile ludlala indima ezimpendulweni.

Akumangalisi ukuthi ilukuluku libonakala liphakama phakathi namaholide asebusika, eduze noSuku lukaSt. Patrick ngoMashi kanye nonyaka. Futhi njengoba ubhubhane lomhlaba wonke lukhula kakhulu, kubonakala sengathi abaningi “banotshwala nesifo sikashukela” ezingqondweni zabo kunangaphambili.

Kuyindaba yendawo yonke ehlala ifanele ukwabelana nganoma yisiphi isikhathi. Nansi “indiza” yezinsiza ezihlanganiselwe abafundi be-DiabetesMine.

Ukuphuza ngewebhusayithi yesifo sikashukela

Isiqalo esiwusizo yinsiza eyakhiwe omunye ummeli wesifo sikashukela, u-Bennet Dunlap, ophila nesifo sikashukela sohlobo 2 futhi onezingane ezimbili eziphila nesifo sikashukela sohlobo loku-1 (T1D). Iwebhusayithi yayo iyihabhu egcwele ulwazi olusebenzayo kanye nezindaba ezivela emphakathini wakwa-D mayelana nolwazi lomuntu siqu ngotshwala.

Lo mhlahlandlela waku-inthanethi awuyona ngempela "indlela yokwenza" yokuphuza ngokuphepha nesifo sikashukela, kodwa unikeza izindaba zangempela zokuphila kwabantu abanesifo sikashukela (PWD) abaye babhekana nezinselele ezihlukahlukene futhi baqala izivakashi. Kungakhathaliseki ukuthi ukhetha ukungaphuzi, ukunciphisa ukuphuza kwakho, noma ukufunda kulokho abanye abathi “bekufanele bakwenze,” amazwi omphakathi avulekile futhi athembekile.

Iseluleko sabathengi esivela ku-T1D endocrinologist

Ukuze uthole ulwazi olwengeziwe olusebenzayo, i-DiabetesMine yaphendukela ku-, udokotela we-endocrinologist wase-University of California, e-San Diego naye owahlala ne-T1D kusukela eneminyaka engu-15. Uhlala ekhuluma ngokusetshenziswa kwesifo sikashukela kanye notshwala emicimbini ebonakalayo neyomuntu siqu ezweni lonke.

Umyalezo wakhe: Yebo, abantu abakhubazekile bangaphuza utshwala ngokuphepha, inqobo nje uma bekwenza lokho ngokucabangela nangokulinganisela.

UPettus ukhomba ongoti abathi abantu besifazane akufanele baphuze isiphuzo esingaphezu kwesisodwa ngosuku kanti abesilisa baphuze isiphuzo esingaphezu kwezimbili ngosuku. Ukuze kucace, isiphuzo yilesi: 12 oz kabhiya, ingilazi engu-5 oz yewayini, noma u-1 ½ oz wesipirithi esihlutshiwe.

Ubuye wabelana ngamathiphu akhe okuphuza okuphephile, ngokusekelwe kokuhlangenwe nakho kwakhe siqu (njengoba kunokuntuleka okukhulu kwedatha yomtholampilo ekuxubeni ukuphuza utshwala ne-T1D).

• Njalo yidla okuthile ngaphambi kokuphuza.
• Gwema iziphuzo ezixutshwe noshukela.
• I-Bolus yotshwala, kodwa uhhafu walokho obuvame ukukwenza kuma-carbohydrate.
• Hlola ushukela wegazi njalo (ngaphambi kokuphuza, ngenkathi uphuza, ngaphambi kokulala).
• Uma ungayisebenzisi iphampu ye-insulin, thatha njalo i-basal insulin yakho (mhlawumbe nangaphambi kokuba uphume).
• Yehlisa izinga lokushisa le-basal ngobusuku obubodwa noma wehlise umthamo wakho we-basal weLantus/Levemir cishe ngo-20%.
• Thatha ama-bolus amancane ngosuku olulandelayo.
• Setha i-alamu phakathi nobusuku (3 a.m.) ukuze uhlole amazinga eglucose.
• Musa i-bolus ngaphambi nje kokulala.
• Uma ungakabi nalo, thola olusiza ukuhlola umthelela wotshwala kushukela wakho ngokuhamba kwesikhathi.
• Zivumele ugijime kancane ngenkathi uphuza ukuze ugweme ukwehla: uhla oluqondiwe 160-200 mg/dL.
• Uma ngabe uyazibuza (futhi esimweni esiphuthumayo), iglucagon isengasebenza ngenkathi uphuza, nakuba .

UPettus uthi okubalulekile wukugwema ukusetshenziswa ngokweqile utshwala.

Ubhiya noshukela egazini

Ngokusho kukaPettus, umthetho ojwayelekile ukuthi lapho ubhiya ubumnyama, ama-calories nama-carbohydrate amaningi aqukethe.

UMike Hoskins/DiabetesMine

Mangaki ama-carbohydrate nama-calories kubhiya? Ezinye izibonelo:

• I-Amstel Lite iqukethe amakhalori angu-95 namagremu angu-5 wamacarbohydrates.
• Ubhiya omnyama njengoGuinness unama-calories angu-126 nama-carbs angu-10.
• I-Budweiser inamakhalori angu-145 nama-carbohydrate angu-10,6.
• Ubhiya "omuhle" ngempela ovela ku-microbrewery edumile cishe unamakhalori angama-219 nama-carbohydrate angama-20.

Ama-Microbreweries anzima kancane ukuwacindezela ngenani eliqondile le-carb nekhalori, njengoba ngayinye ihluka kancane - ayikho i-India Pale Ale (IPA) noma i-stout eyimpinda ncamashi yomunye, futhi abaphisi botshwala baziwa kabi ngokwengeza izithako ezihlukile ukuze basebenze ngokukhethekile. imikhiqizo.

UMike Hoskins weDiabetesMine wenza esakhe isifundo somuntu siqu . Uhlole idlanzana lobhiya bendawo baseMichigan futhi wathola ukuthi ngamunye ukhuphule ushukela wakhe wegazi (BG) ngesilinganiso samaphuzu angama-75 kuya kwayi-115 engilazini ngayinye, ingenayo i-insulin noma ama-carbs ebhodini.

Akufundayo ukuthi ukuhlela kusengaphambili kukusiza ukuba ujabulele iziphuzo ezimbalwa ngaphandle kokuba noshukela wegazi ophakeme kakhulu noma ophansi. Njengomsebenzisi we-insulin, udinga ukucabangisisa ngokudla nokusebenza komzimba okungase kuhambisane nokuphuza kwakho utshwala.

Uma ugubha uSuku Luka-St. Patrick ngo-March, kuyasiza ukwazi ukuthi umkhiqizo awunalo inani elihlukile lama-carbs noma ama-calories, njengoba ngokuvamile kuba umbala wokudla okwenza isiphuzo sibe nombala ohlukile.

I-Diabetic Gourmet Magazine inokuhlanganiswa okuhle kwezibalo ze-carb ezihlukene okufanele zikhunjulwe ngokusetshenziswa koSuku Luka-St. Patrick, kanye nalezo ezivame ukuphelezela labo abakhetha ukuphuza kulo mcimbi wokugubha.

Ingabe ukuphuza ubhiya ngemva kokujima kunezinzuzo?

I-Low Carb Herbal Teas

Sibonga u-Kerri Sparling, ummeli wesifo sikashukela nombhali, osanda kwabelana ngalokho akutholile ku-:

• Ubhiya obuphansi kakhulu be-carb emakethe bubonakala bungama-calories angu-85 kanye namagremu angu-1,65 wama-carbohydrate ebhodleleni ngalinye. Ngokocwaningo, “inokunambitheka okuqabulayo futhi inqubo yokuvubela kabili yenza umthwalo wayo wama-carbohydrate ucishe ungabonakali.” Nakuba lo bhiya waseBrithani kunzima ukuwuthola e-United States, ungathengwa ku-inthanethi futhi uthunyelwe e-United States ngenkokhelo eyengeziwe.

• I-Michelob Ultra, enamakhalori angu-95 kanye namagremu angu-2,6 wamacarbohydrate ebhodleleni ngalinye, itholakala njalo kumabha aseMelika. “Ayinaso ukunambitheka okuningi, njengozakwabo Wokukhanya Kwemvelo (ama-calories angu-95, ama-carbs angu-3,2). Kodwa uma ufuna izinketho ngaphandle komthwalo ophezulu we-carb, lokhu kuzokwenza iqhinga.

• Ibhodlela elilodwa le-Amstel Light liqukethe amakhalori angama-95, ama-carbohydrate ayi-5.

• I-Heineken Premium Light iqukethe amakhalori angu-99, ama-carbs angu-7. Lawa ngobhiya abadumile futhi ajwayelekile kumabha aseMelika.

• Izinketho "ezilula" zifaka i-Corona Light (ama-calories angu-109, ama-carbs angu-5); I-Bud Light (ama-calories angu-110, ama-carbs angu-6,6); noma i-Sam Adams Light (amakhalori angu-119, ama-carbs angu-9,7). “Zontathu zitholakala kalula ezimakethe eziningi futhi zithambile kushukela osegazini lakho kunobhiya wakho ojwayelekile one-carbohydrate. »

• Futhi uma uhlala nayo, kukhona obhiya abambalwa abangena gluten emakethe abangakufanela: I-Omission Lager inama-calories angu-140 nama-carbs angu-11 futhi iwubhiya ozokwanelisa wonke ulwanga, kuhlanganise nalabo abaphuza ubhiya abavamile kanye nobhiya. 'ubuciko. I-pint ye-gluten-free enye inketho, enamakholori angu-125 nama-carbs angu-9. Lokhu kungenisa manje sekuyatholakala ukuze kuthengwe eZiphuzweni & Okuningi nange-Instacart e-United States

Ungakwazi yini ukuphuza iwayini elinesifo sikashukela?

Siyajabula ukuthi ubuze. I-DiabetesMine isanda kushicilelwa ehlanganisa ithoni yemininingwane.

Nazi ezinye zezinto ezibaluleke kakhulu okufanele uzazi:

• Ngokwesilinganiso, iwayini liqukethe ama-calories angu-120 kanye no-5g wamacarbohydrates engilazini ngayinye.

• Okumhlophe okomile kunoshukela omncane kakhulu, okubomvu kuphakeme kancane, futhi iwayini le-dessert limnandi, "njengoba libukeka," ngokusho kuka-, isazi sezokudla esibhalisiwe esihlala ne-T1D uqobo.

• Amawayini anotshwala obuphansi ngokuvamile anoshukela omningi ngenxa yezizathu zokunambitha, futhi kungcono ukuthi ufune uhlobo oluthile olunamaphesenti angu-12,5 kuya ku-16 utshwala ukuze ugweme ushukela owengeziwe, ngokusho kukaKeith Wallace, i-winemaker, i-sommelier kanye nomsunguli we-.

• Indaba yendawo: Iwayini lesiNtaliyane nesiFulentshi ngokwesiko linoshukela omncane oyinsalela, kuyilapho amawayini e-Oregon, isibonelo, enoshukela owengeziwe, kusho uWallace.

• Ungaliphuzi iwayini esiswini esingenalutho, yiba ne-glucose esebenza ngokushesha, futhi utshele okungenani umuntu oyedwa eqenjini lakho ngesifo sakho sikashukela nokuthi ungazisiza kanjani uma uba ne-hypoglycemia.

"Iwayini lihle, ngezindlela eziningi," kusho uWallace etshela i-DiabetesMine. “Abantu abakhubazekile banengcindezi enkulu futhi iwayini linciphisa kakhulu ingcindezi. Lokhu akufanele kube yinto ekhathazayo. Kwenze kahle, kuhle kakhulu.

Ama-cocktails notshwala obunamandla

Ukuphuza ama-cocktails notshwala obuqinile obunesifo sikashukela kungaba nzima kakhulu. Lokho kungenxa yokuthi ama-cocktail emikhosi ngokuvamile ahlanganisa ijusi yezithelo nesiraphu enandisiwe epakisha i-BG punch. Izixube notshwala zingaba mnandi futhi zibe ne-carbohydrate ephezulu enyusa noshukela egazini. Ngakolunye uhlangothi, utshwala obuqinile obuqondile bushaya kakhulu isibindi, obungehlisa izinga likashukela egazini.

Uma ukhetha iziphuzo ezixutshiwe, lokhu kuncoma izinketho ezingcono kakhulu zabantu abakhubazekile: i-Bloody Mary, i-Dry Martini, i-Vodka & Soda, noma i-Old Fashioned noma i-Mojito cocktail eyenziwe nge-Stevia esikhundleni sikashukela wangempela.

Uma ukhetha uphuzo oludakayo oluqondile, ochwepheshe batusa i-whisky, i-bourbon, i-scotch ne-rye, yonke imimoya e-distilled engenayo i-carb. Qaphela, nokho, ngama-whiskeys anongiwe, okungenzeka aqukethe isiraphu kashukela.

Lapho, kubalulekile ukulungiselela i-hypoglycemia engenzeka.

Khumbula ukuthi umsebenzi oyinhloko wesibindi sakho ukugcina i-glycogen, okuwuhlobo olugciniwe lweglucose, ngakho uzoba nomthombo weglucose uma ungakadli. Ikakhulukazi uma uphuza utshwala "obumsulwa" ngaphandle kwezithako ezengeziwe, isibindi sakho kufanele sisebenze ukuze sibususe egazini lakho esikhundleni sokusebenzela ukulawula ushukela wegazi. Ngenxa yalesi sizathu, akufanele neze uphuze utshwala lapho ushukela wakho wegazi usuvele uphansi. Futhi futhi, ungalokothi uphuze esiswini esingenalutho.

Nenze kahle, bangane!