Mubvunzo kuna general practitioner Maarten: Ndinofanira kunetseka here nezvemhedzisiro yekuongororwa chirwere cheshuga?
Maarten Vasbinder anogara kuIsaan. Basa rake ndere general practitioner, basa raainyanya kudzidzira kuSpain. PaThailandblog anopindura mibvunzo kubva kuvaverengi vanogara muThailand uye anonyora nezvechokwadi chezvekurapa.
Iwe une mubvunzo kuna Maarten uye unogara muThailand here? Tumira izvi kumupepeti: www.thailandblog.nl/contact/ Zvakakosha kuti upe ruzivo rwakakwana se:
- Zera
- Zvichemo)
- Nhoroondo
- Kushandiswa kwemishonga, kusanganisira kuwedzera, nezvimwewo.
- Kusvuta, doro
- kufuta
- Optional: mhedzisiro yerabhoritari uye kumwe bvunzo
- Zvinogoneka BP
Unogona kutumira mafoto ku [email inodzivirirwa] zvese zvinogona kuitwa zvisingazivikanwe, zvakavanzika zvako zvinovimbiswa.
Cherechedzo: Sarudzo yekupindura inovharwa nekusarudzika kudzivirira kuvhiringika nemazano asina kutsigirwa nemishonga nevaverengi vane vavariro yakanaka.
Wadiwa Martin,
Ndanga ndichitevera mararamiro e ketogenic nekusimbisa kusungirirwa kwe1 1,5 makore. Minimum carbs, mapuroteni epakati uye kudya kwemafuta akawandisa (hapana chikafu chakagadzirwa) uye kungodya mumaawa 6-8 nguva yenguva.
Ndisati ndave ne stress nebasa rangu, ndosaka ndakasiya 2 years ago kusanganisira nedoro. Handisati ndambosvuta. Akayera 100 kg uye aimbove neBP yakakwira zvakanyanya 180/110 uye aive munzira yekubatwa nechirwere cheshuga. Iye zvino ndava nemakore 61, 1.88 m, iye zvino anorema 75 kg, BP yava pasi pe120/60 uye kurova kwemwoyo wangu kuri pakati pe50 ne60 uye ndinofamba makiromita angangoita mashanu pazuva uye ndinoshambira kanenge 5 km pazuva.
Ini ndinopesana nemishonga pamusimboti uye ndinoishandisa chete kana muviri wangu usingachakwanise kubuda wega, izvo zvisingawanzo. Yakashata Cholesterol mazinga ari pasi peavhareji uye Hdl iri pamusoro peavhareji, kunyangwe pa keto.
Pakutanga pa keto shuga yangu yekutsanya yeropa mangwanani yakanga yadonha zvakanyanya neanosvika makumi matatu -30 mapoinzi kune hutano hwakanaka, asi mushure mehafu yegore inosimuka zvishoma nezvishoma ichidzokera kutsika dzekare mangwanani uye inoguma pahunhu. pakati pe40 ne110 (yake chiyero inoenderana neyakavanzika lab bvunzo) uye izvi kunyangwe mushure memaawa gumi nematanhatu-130 ekutsanya. Apo HB16aC yangu yaimbove pakati pe18 ne1, iyi yava kugara iri pa6.1. Zvinoshamisa kuti 6.3 maawa mushure mekudya kwangu kukuru kwe keto (iyo inouya inobatsira kusvika 5.3pm) shuga yangu yekutsanya yeropa inowanzova pasi pe 2. Zvisinei, mamwe maawa 13 gare gare, pasina kudya, inenge yakapoteredza 00 zvakare. yakavanzika lab uye yaive 90 micro litres/ml uye shuga yekutsanya yeropa ye4, izvo zvinoenderana neHoma-IR kuverenga zvaizoreva kureruka kwe insulin kuramba.
Sekureva kwechipatara chinodhura chepaprivate pano, ndave nechirwere cheshuga zvakare nekuti ndakanga ndichangopfuura 2 ndichitsanya shuga yeropa kaviri akatevedzana. Iyo insulin uye Hb125Ac kukosha uye Homa-IR haisi chikamu cheyakajairwa chirwere cheshuga uye chiremba haana kunyatsonzwisisa kuti nei ndichikoshesa izvi. Chiono changu chinovaunzira mari shoma here kana kuti ndiri kupotsa bhora zvachose uye ishuga yeropa yekutsanya yakanyanya kune njodzi?
Handisati ndanzwa izvi zvakanaka mumakore uye ndinoda kuenderera nemararamiro aya kwemakore anotevera. Kubhadhara mari yakawanda kuvarapi vasingakwanise kutarisa nhandare yese hachisi chinhu changu. Ndoda chiremba ini.
Zano renyu ndapota.
Kwazisai,
H.
*****
Anodiwa h,
Kana zviri zvechirwere cheshuga handingazvinetse zvakanyanya parizvino. Chokwadi, chiyero chechirwere cheshuga hachisanganisi insulin, Homa-IR uye Hb1AC. Iwe unogona kuyera iwo maitiro kamwe pagore. Zvakawanda hazvina musoro uye hazvipe chero rumwe ruzivo. Nguva pfupi yadarika mishumo yanga ichiuya yekuti Hb1Ac haina kuvimbika kupfuura zvaifungwa nevanhu.
2x kutsanya shuga yeropa ye125 haitauri zvakawanda. Kutsauka kwe10% pa lab. values zvakajairika. Kusagona kushanda zvakanaka kweitsvo kunogonawo kukanganisa kukosha kweshuga, kusanganisira Hb1Ac.
Maonero pamusoro pekudya kwe keto akaparadzaniswa. Iva neruzivo rushoma nazvo. Kunyangwe iwe uchipokana nemushonga, iwe unotevera kudya kwakadai, kunova kupindira kunorema pamararamiro echisikigo. Hapana anonyatsoziva zviri kuitika mumuviri wako. Huwandu hweropa kazhinji hunongopa ruzivo rwekubereka.
Ndinokurudzira kuti utore kuverenga shuga usati wadya uye maawa maviri mushure. Ipapo iwe unowana kutsanya uye kukosha kwepostprandial. Nguva dzakanaka dziri pedyo nemangwanani uye masikati. Ita izvozvo kwemavhiki mashomanana uye nyora pasi chaizvo zvaunodya. Uyewo snacks pakati. Ipapo iwe uchagamuchira girafu kubva kwaunogona kuona kana chimwe chinhu chisina kunaka.
Uyezve, ini handingabatike zvakanyanya mumhando dzese dzemurabhoritari. Izvozvo zvinogona kuva kunyanyisa, izvo zvinogona kukanganisa zvakanyanya mararamiro ako.
Hapana kudya kunovimbisa hupenyu hurefu uye / kana huri nani. Zvimwe chetezvo zvinoenda pakurapa kwakawanda. "Chenjerera tsuro", ndaigara ndichitaura, chimwe chinhu icho vaaishanda navo kazhinji vaisawana chinosetsa.
Ndakaperera,
Dr. Maarten