͡Ѻзҹҧ١ͧآҾ觷Ӥѭ㹡äǺдѺӵʹ
ͧҹ ͤǺдѺӵäáŴŧ
ѡäǺ㹡ä
Ѻзҹú 5
Ѻзҹѡ ѺѺþǡ繺ҧ
Ѻзҹתѡҡ Ѻзҹ繻Ш
Ѻзҹͻ ѵԴѹ ж繻Ш
СѺ
ա§ ҹ ѹ
Ѻзҹ 3 ҧ˹ Ѻзҹ
Ѻзҹҡͷҧ¨Ѻҧ§ ¾ԨóҨҡ
ҾѺзҹҡdzҹ Ѻзҹºdzʹ
Ѻзҹѹ ͡ѵԴѹ ա§÷ʹҧ ͺ
᷹÷ʹ
Ѻзҹӵŧ Ѻзҹҹҡ ա§
sucrose,dextrose,fructose,corn syrup ա§Ѵӵ ա§ء ١
ա§ ¡ ա§áлͧ áا
äǺ Medical nutrition therapy(MNT) ǹӤѭش㹡ôżä
ҹ µͧöҧἹ㹡Ѻзҹҧ 繷
ҺѹҡäǺС͡ѧ繡ѡҷӤѭ㹼ҹԴ
ͧ ش㹡äǺä
1. ѡдѺӵ§ҡش¡ûѺԴҧѺҷ
ҹҨҩմѺзҹ
2. ͻͧѹä辺Ѻҹ
ѹʹ٧
ѹԵ٧
ͻͧѹäá ʹʹᴧ ʵԨҡӵŵ٧ͧѺ
ѧҹ§ͷѡдѺ˹ѡ§ҡش §ѺԭԺ
§Ѻе駤ص §ͷѺ´ҧ
آҾշشͤǺ˹ѡࡳ 硵ͧѧҹ§
͡ԭԺ öӧҹ
ἹäǺѺѺҾͧä insulin resistant
˹ѡ ҷѺзҹ ĵԡú ҧҧҧ㹡äҹ¤
ѡäǺѺäҹ
äǺ㹻ѨغѹǴʹյ öѺзҹõҧ
ҨеͧѴŧͨӡѴҳѺäѨ·Ҩеͧ
Ԩó
1. ҳѧҹѺ
ѡҡáԹӵҡзӵʹ٧ ʹǨӵ
٧ǹ˹ѡк͡ҪǧѺзҹҹ·ӵѧ٧ ԧдѺ
ӵʹ٧ҡ˹鹡Ѻҳӵͤõ 鹡Ѻ
ҳѧҹѺ ҡѺҡԹͧâͧҧдѺӵʹ٧
ǹ˭ѧѹ˵آͧӵʹѹʹ٧
- ѧҹ§ѺԭԺ§㹡äҾ˹ѡ ǹ
ШӡѴѧҹѺ͡ѧ èѺѧҹ˹ѡ
ࡳ컡 ӧҹçҡèѺѧҹҧ§
- ѧҹ鹡ѺҾ˹ѡ СԨѹ
- ·任ҳ20-45 յ˹ѡ 1 .
2. ҳõѺ
"õ¶֧þǡ駫ªԴ ӵ ( sugar) þǡ
(starch ) (fiber)ӵŪԴ (sucrose,fructose,lactose) ҡ֡ҾҨ
Ѻзҹþǡ駪Դ˹öӵާѹ 鹡Ѻҳͧ
ͤõѺ źҧͷѺзҹǹӵ Ѻзҹ
÷ҡǹӵ
Glycemic index
繡ѴôٴͧººѺҵðҹ ԹҡѺ¤ҴٴҡѺҵðҹ ҵӡ 100ʴҴٴ¡ҵðҹ ٧ 100 ʴù鹴ٴաҵðҹ ѺҹèդԹ硵 |
| Դ | Թഡ |
| ѧ |
110 |
| ˹ |
106 |
| Ǩ |
100 |
| ˭ |
76 |
| |
75 |
| Сù л絵 |
64-67 |
| |
63 |
| ¹ |
62.4 |
| ѻô |
62.4 |
| |
57.2 |
| |
55.6 |
| ͧ |
53.1 |
| ǧ |
47.5 |
| С |
40.6 |
| |
38.6 |
ѧ鹼èѺзҹС |
| ҧʴҳ÷Ѻ |
ѧҹ
Ѻзҹ/ѹ
calories |
ѧҹ§ѺԭԺ§㹡
Ҿ˹ѡ
ѧҹ鹡ѺҾ˹ѡ СԨѹ
·任ҳ20-45 յ˹ѡ 1 .
|
Protein |
ѧҹ§ѺԭԺ§㹡
Ҿ˹ѡ
ѧҹ鹡ѺҾ˹ѡ СԨѹ
·任ҳ20-45 յ˹ѡ 1 .
|
ѹ
Fat |
ҳѹѺ˹ѡ
Ѻзҹѹ = 30% ͧѧҹ
ѹ saturated fat <10%,
ѹẺ polyunsaturated fat Ѻзҹ <10%
ѹ LDL ٧
Ŵѹ <7%
Ŵҳcholesterol ŧԹ 200 ./ѹ
Ѻзҹѹ Omega 3 ҡ㹻 иѭת
ѹẺ polyunsaturated fat Ѻзҹ <10%
·ǹ LDL ٧Ŵѹ¡ 30%
ѹ Triglyceride ٧
ѹ Monounsaturated fat
þǡ
ŴҳѹŧԹ 10 %
|
cholesterol
|
<300 ./ѹ
|
carbohydrate
|
繾ѧҹǹͨҡ õչ ѹ
|
ҹ
ӵ
|
ʻ Equal 繡ô amino acid õ
ӵſؤ sucrose ö᷹þǡ
ͧҡӵŢ Է 繹ӵŷ
ӵѧҹ¡ҹӵ ҡѺзҹҡҨ
зԴͧǧ
|
÷
|
Ѻзҹѹ 25-30 /ѹ
|
|
<3000 ./ѹ
<2400 ./ѹ㹼·繤ѹԵ٧
<2000 /ѹ㹼·繤ѹԵ٧ä
|
š
|
Թ 2 лͧ
|
ԵԹ
|
|
|
¡ǹ
èоԨóǹоԨóҨҡѪš Body mass index [BMI] =˹ѡ
()/ǹ٧(²) һҧ 18.5-22.9 /² BMI>25
/²ǹ BMI >30 /²ࡳͧպŴ˹ѡ
õչ
õչǹСͺ鹰ҹçҧͧ ҧ õչ 1ѧҹ 4 йѺзҹҳõչ 0.8 /˹ѡ/ѹ 㹼٧õչҨҡ Դѹ
ѹ
ѹ 1 ѧҹ 9 ҧµͧ 25-30%·ǹ LDL ٧
Ŵҳѧҹҡѹӡ 30%
carbohydrate
Ѻзҹ carbohydrate здѺӵ㹡ʹ٧ õչ
ѹЪª͡Сôٴͧ carbohydrate ѹ˹ carbohydrate 50
-60%ͤӹdzӹǹ carbohydrate 觨ӹǹ觡ҧ ͡
ҡ鹤÷ҡ 25-40 /ѹèŴ cholesterol carbohydrate 1ѧҹ 4
ԵԹ
ѧѡҹ֧㹡ԵԹѺҹ ҧáõҹ
vitamin E, vitamin C, B-carotene ŴѨ§ä chromium
öŴдѺӵ HDL 㹼·Ҵ chromium
Alcohol
й 1-2 駫觨Ŵѵ§ä ·šзǺ˹ѡҡ ҨзԴӵʹ |
͢ͺس : http://www.siamhealth.net/Disease/endocrine/DM/nutrition.htm
ҾСͺҡԹ
|
