Dietolechenie a diabetes. The correct organisation of a diet

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For the correct organisation of a diet sick a diabetes for the long period essentially important is shipping definition by its organism of carbohydrates by their dosed out restriction taking into account the sugar maintenance in blood and urine. The standard trial diet is with that end in view used. The general energotsennost such diet - 9462 kdzh. It contains 116 g fibers, 136 g fats and 130 g carbohydrates. If within 5-7 days of stay on this diet sugar level in urine and blood decreases or stabilised, in 10 14 days it is necessary to pass to diet expansion, adding each 3-5 days 25 g black bread or other products, except containing sugar, in equivalent quantity (for example, 15 g groats or 50 g a potato). Each increase of carbohydrates needs to be supervised under the sugar maintenance in blood and urine. Thus, it is possible to make a diet which is used as an independent method of treatment of the easy form of a diabetes.

In the presence of contra-indications to the given diet or unsuccessfulness of its application physiologically high-grade diet in a combination with tabletirovannymi saharosjizhajushchimi preparations or insulin is appointed.

If are appointed sulfanilamidnye saharosnizhajushchie preparations, the products rich with carbohydrates, it is necessary to distribute in regular intervals within day. The first reception of products is recommended through 1-2 ch after taking the medicine, and then everyone 4 5 ch. After hypodermic introduction of simple insulin carbohydrate food accept through 30-40 mines, and then through 2,5-3 ch. In the beginning use 2/3, and after 1/3 provided carbohydrates. At

Unitary introduction of insulin food accept not less than 4 times a day, at double - not less than 5 times a day, and at triple - not less than 6 times a day. In case of protamin-zinc-insulin appointment in a combination with simple insulin it is necessary to accept the products rich with carbohydrates, later 30-40 mines, then through 3,5 ch after an injection, further - through everyone 4-5 ch, and also in the morning (soon after awakening) and before a dream. At use of suspension of zinc-insulin amorphous the first reception of carbohydrates follows through 2-3 ch after injections, and then through 4-5 ch. If apply suspension of zinc-insulin crystal at introduction in its morning reception of a maximum quantity of carbohydrates should fall to a supper. Application of suspension of zinc-insulin causes of the use of carbohydrates in the morning (soon after awakening), then through 2-3 ch after an injection, further everyone 4-5 ch and it is obligatory for the night.

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