Pehea ka hopena o kaʻai me ka momona
Inā nohoʻoe me keʻano diabetes 2, hiki paha iāʻoe ke noʻonoʻo inā ponoʻoe e hahai i kaʻai pāʻani liʻiliʻi. ʻO kaʻoiaʻiʻo, ua hōʻikeʻia kekahi mau nīnau hou nei i hiki i ka meaʻaila hikiʻole ke hoʻololi i ka diabetes. E nānā i keʻano o nā huaʻaleʻa i loko o ka meaʻai maikaʻi no nā kānaka me ka maʻi diabet, a me nā mea e aʻoʻia nei i kēia manawa e haʻi mai ana iā mākou e pili ana i ka hopena o nā meaʻawaʻawaʻole-kīpona-kīpona ma ke koko koko.
ʻO ke kuleana o nā Carbohydrates ma ko mākouʻai
ʻO nā'ōpelu kaʻaila a me nā mea holoʻokoʻa a me ka hui pū hoʻokahi o nā macronutrients; ʻo nā mea'ē aʻeʻelua, he mea momona a momona. Keʻaiʻoe i nā'ōpona'okole,ʻo kāu pūnaha'ōpena e hoʻohemoʻia nā'ōpona'aleʻaka i loko o nā kānia pū hoʻokahi i komo i loko o kou koko. ʻO kēia ke kumu o ka hoʻokuʻuʻana o ka insulin, he kinipona e kōkua i ka hoʻoneʻeʻana i ka glucose mai kou koko a me nā pūnaewele o kou kino e hiki ai ke hoʻohanaʻia no ka ike. ʻAʻole mālamaʻia nā'ōlū i hoʻohanaʻoleʻia no ka'ikehu no kekahi manawa aiʻole i hoʻololiʻia i ka momona (keʻaiʻoe i nā meaʻai aʻoi aku i ko nā kino).
Ponoʻoe e hoʻopau i nā huapiʻa i nā lā a pau no ka meaʻo lākou ke kumu waiwai kumu o kou kino. ʻO ka Academy of Nutrition and Dietetics and the Dietary Guidelines for Americans, 2015-2020 makemakeʻoe e loaʻa i kahi o ka hapalua o kāu mau calorie o nā lā mai nā kumu waiʻalulu; Aia kēia i nā poʻe me ka maʻi diabet.
ʻO kēia ka unuhiʻana i ka 250 a 300 mau grams o ka waiʻalea i kēlā lā i kēia lā, akā, ma muli o kou nui, ka wahine, a me keʻano o kāu hana.
Ka moʻaukala o nā'ōpelu i loko o kahiʻaʻai Diabetic
ʻO ka nui o nā huapiʻa i'ōleloʻia i loko o kaʻai diabetic, ua loaʻa iā ia ka moʻolelo o nā'ōpili hau, aʻo ka manawa e noho nei he wahi ia o kekahi hihia.
Ma mua o ka loaʻaʻana o ka insulin a me nā lāʻau maʻi diabetes,ʻo kaʻaiʻana i ka meaʻai liʻiliʻi liʻiliʻiʻo ia wale nō ka lawelaweʻana. Ua hoʻololi kēia i ka loaʻaʻana o ka insulin a me nā lāʻau a hoʻomaka mākou e aʻo e pili ana i ka momona o ka maʻi maʻi. Ma muli o ka momona i manaʻoʻia he kanaka nui i ka maʻi maʻi o ka maʻi, a ma muli o ka maʻi maʻamau i nā kānaka me ka maʻi kuni, ua hoʻonui nuiʻia ka laweʻiaʻana o nā'ōpū. No ka mea,ʻoi aku ka momona o ka momona o ka momona,ʻaʻole i'ōleloʻia. I kēia manawa, ke aʻo nei mākou i ka nui o ka momona i kā mākouʻai, heʻuʻuku loa ia ma mua o ka mākou i manaʻo mua ai. Eia kekahi,ʻo kaʻaiʻana i ka meaʻai liʻiliʻi i lilo i mea hou e loaʻa ai ke kaumaha o ke kaumaha, a he mea nui hoʻi i ka maʻi diabetes.
He aha nā'ōhumu o kēia manawa no a me ka hoʻolālā pāʻani liʻiliʻi no nā kānaka me ka maʻi diabetes?
Ke Kū'ē'ē e kū'ē i kahiʻAi Loaʻa-Carb no ka maʻi
Wahi a ka Academy of Nutrition and Dietetics,ʻo ka noiʻi diabeticʻaʻole i kākoʻo i kahi hui pūʻia o nā kapena, ka momona, a me ka protein iʻoi aku ka maikaʻi ma mua o ka mea i manaʻoʻia no ka meaʻai maikaʻi. ʻO ka mea i manaʻoʻia eʻoi aku kaʻoi aku,ʻo ia ka kohoʻana i nā kumu waiwai maikaʻi o nā'ōhuʻeluʻa paʻakikī , mālama i kāu kūpono o kaʻaeʻa me ka waiwai o ka'ōhūpokāʻau , a me ka liloʻana o ke kaumaha ināʻoe he kaumaha a paʻakikī paha.
Ke Kūkākūkā no kaʻAi Loa Loa-Carb no ka maʻi
Ma ke kamaʻilioʻana e pili ana i kaʻai haʻahaʻa a me ka hopena o ka maʻi maʻamau, he mea nui e wehewehe i keʻano o ia mea. Hoʻohālikelikeʻia kaʻaiʻona liʻiliʻi e like me ka mea i loaʻa ai he 26% aʻoi aku ka nui o nā calories. I ka hoʻohālikeʻana, ua nānā nuiʻia ka "'aihana haʻahaʻa-haʻahaʻa" a iʻole ka "ultra low-carb". ʻO kaʻai pāʻani liʻiliʻi heʻoi aku ka maʻalahi, me nā hua'aleʻa i pau wale i ka 10% o nā calories a iʻole ka liʻiliʻi.
ʻO ka nānāʻana o ka makahiki 2015 i kahi 100 mau haʻawina e nānā ai inā he mau mea maikaʻi i kaʻaiʻana i kahi meaʻai maʻaʻole. Ua unuhi nā mea kākau i nā hopena, a ua komo kekahi mau mea:
- ʻO kaʻai lob (haʻahaʻa lob (haʻahaʻa haʻahaʻa) he hopena ia i ke koko o ke koko.
- ʻO ka ho'ēmiʻana i nā mea koko ma kahi mea momona liʻiliʻiʻaʻole ia i koi i kaʻona kaumaha, akāʻo ka paʻakikī ka mea he "hopena hope" o ka meaʻai haʻahaʻa. (E aʻo hou e pili ana i ka poʻona kaumaha ma kahi meaʻai haʻahaʻa ).
- ʻO nā kānaka me ka maʻi maʻamau 2 he manawa hiki ke hoʻemi i ka nui o kā lākou mau maʻi diabetic a iʻole e hoʻopau loa iā lākou.
- He maʻalahi ka loliʻana i kahi haʻahaʻa lob.
- ʻAʻohe hopena ma ka liʻiliʻi o ka haʻahaʻa lob.
Ma keʻano holoʻokoʻa, ua hoʻoholo lāua he pono ka meaʻai mua loa i ke kaʻina maʻamau.
Loaʻa nā manaʻo hoʻopiʻi no a me kā lākou mau koi, akā no ka poʻe iʻike i kēiaʻike e hoʻonāukiuki,ʻaʻoleʻo ka diabetes a me lipids wale nō ka mea e hoʻomaikaʻi ai. Loaʻa nā huakaʻi olakino o kaʻai liʻiliʻi liʻiliʻi i loaʻa i loko o nā hoʻonaʻauao e pilikū ana mai ka hoʻoikaikaʻana i nā kūlana ma muli o ka maʻi hanu'ākau i ka haki.
Inā kohoʻoe e kākoʻo i kahiʻaʻai Pāʻani-haʻahaʻa
Inā makemakeʻoe e hahai i kaʻai pāʻani liʻiliʻi he mea nui ia e kamaʻilio pū me kāu kahu mālama ola, ke kahu hoʻomake i ka maʻi diabet, a meaʻai meaʻai aiʻole meaʻai meaʻai paha i hoʻolako i ka lāʻau lapaʻau no ka maʻi maʻamau ma mua o ka hanaʻana i nā loli. Ma muli o ka emi loaʻana o ka wai o kāu koko, e kamaʻilio pū me kāu kauka e pili ana i nā lāʻau a me nā meaʻai momona . Ma waho aʻe o ka hoʻopiliʻana i kāu mau maʻi diabetes, hiki ke hoʻololi i kāu mau lāʻau i ke koko.
No ka mea o nā "hopena maikaʻi" nui o kaʻai pāʻani liʻiliʻi he kaumaha kaumaha a he koko koko liʻiliʻi, he mea nui ke nānā ponoʻana i kāu koko glucose a mālama i kahi puke moʻolelo no ka laweʻana i ka meaʻai me kāu heluheluʻana i ka wā mua. ʻO ka hebedoma mua i kaʻai haʻahaʻa lob a hiki i ka mea hoʻonāukiuki no ka laweʻana o ka carb i nā lā i hala mua i ka hopena o ka "crash carb" e pili ana i ka 3 a 5 mau lā ma hope o kāu loli.
Lawe i kahi manawa e aʻo ai i nā kumuhana o ka pāʻani liʻiliʻi a me nā mea hewaʻole e hana ai i ka hoʻomakaʻana i kaʻai kai haʻahaʻa .
Ma hope o kou kamaʻilioʻana me kāu kauka a aʻo e pili ana i nā meaʻai haʻahaʻa-haʻahaʻa, eia kekahi mau meaʻai no kaʻainaʻaina liʻiliʻi e hoʻomaka ai .
Ke Kino Lōkile ma kahi Paʻa Loaʻa-Carb no ka maʻi
Ma keʻano laulā, ua manaʻoʻiaʻaʻole he mea kūponoʻole i nā kānaka me ka maʻi diabetal, akā,ʻo kekahi mau haʻawina e hōʻike ana i kekahi manawa haʻahaʻa i nāʻano liʻiliʻi i kekahi manawa e hoʻololi i ka maʻi. Ma mua o ka hanaʻana i kekahi loli, he mea nui e kamaʻilio pū me kāu kauka. Ma keʻano maʻamau,ʻo ka heleʻana i kahiʻai liʻiliʻi liʻiliʻi he hapa wale nō nā hopena ma waho o ka poho kālā, akā,ʻo ka hanaʻana pēlā paha e hopena ai i nā loli o kāu mea koko e hiki ai ke hoʻopili i nā lāʻau lapaʻau āu e lawe nei. He lālā kēia o kaʻimi noiʻi, a he mea hiki paha iā mākou ke aʻo hou aku e pili ana i ka pono "maikaʻi" o nā'ōpū i loko o ka maʻi diabetic i ka wā e hiki mai ana.
> Kālā:
> Ka HuiʻAmelika maʻi maʻi. Ka hoʻomaopopoʻana i nā'ōpū. http://www.diabetes.org/food-and-fitness/food/what-can-i-eat/understanding-carbohydrates/
> Feinman, R., Pogozelski, W., Astrup, A. et al. ʻO kaʻaiʻana o ka Carbohydrate ma keʻano heʻokoʻa mua i ka hoʻomakeʻana i ka maʻi diabetes: Critical Review and Evidence Base. Nutrition . 2015. 31 (1): 1-13.
> Tay, J., Luscombe-Marsh, N., Thompson, C. et al. Ke Kūlike o nāʻAha Pāʻona a me Ke Kai Loa-Carbohydrate no ka Typical 2 Diabetes Management:ʻO kahi ho'āʻo i hala. ʻO ka American Journal of Clinical Nutrition . 2015. 102 (4): 780-90.
> Ka US Health Health a me nā lawelawe pilikino. Ka Pono no ka'Ilepa Ola a me ka maikaʻi. ʻO ka maʻi maʻamau Type 1 a me keʻano 2 Nānā Haʻuki Kūikawā. https://www.guideline.gov/summaries/summary/50138/diabetes-type-1-and-type-2-evidencebased-nutrition-practice-guideline
> Ka US Health Health a me nā lawelawe pilikino. Ke Keʻena o ka Puʻiʻana i ka maʻi a me ka Hoʻohanohano Ola. Nā Dietary Guidelines no nāʻAmelika 2015 i ka 2020. https://health.gov/dietaryguidelines/2015/guidelines/