{"id":4204,"date":"2023-11-13T14:21:43","date_gmt":"2023-11-13T07:21:43","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=4204"},"modified":"2023-11-13T14:21:47","modified_gmt":"2023-11-13T07:21:47","slug":"dinh-duong-cho-nguoi-benh-dai-thao-duong","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=4204","title":{"rendered":"Dinh d\u01b0\u1ee1ng cho ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng"},"content":{"rendered":"\n

Hi\u1ec7n nay, t\u1ef7 l\u1ec7 ng\u01b0\u1eddi m\u1eafc b\u1ec7nh \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng tr\u00ean th\u1ebf gi\u1edbi c\u00f3 xu h\u01b0\u1edbng gia t\u0103ng r\u00f5 r\u1ec7t v\u00e0 ng\u00e0y c\u00e0ng tr\u1ebb h\u00f3a, trong \u0111\u00f3 Vi\u1ec7t Nam thu\u1ed9c nh\u00f3m c\u00e1c n\u01b0\u1edbc c\u00f3 t\u1ef7 l\u1ec7 t\u0103ng nhanh nh\u1ea5t th\u1ebf gi\u1edbi. T\u1ea1i Vi\u1ec7t Nam, s\u1ed1 ng\u01b0\u1eddi b\u1ecb ti\u1ec1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng cao h\u01a1n g\u1ea5p 3 l\u1ea7n so v\u1edbi s\u1ed1 ng\u01b0\u1eddi \u0111\u00e3 m\u1eafc b\u1ec7nh.<\/strong><\/p>\n\n\n\n

B\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng l\u00e0 g\u00ec?<\/em><\/strong><\/p>\n\n\n\n

B\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng (\u0110T\u0110) l\u00e0 m\u1ed9t nh\u00f3m b\u1ec7nh r\u1ed1i lo\u1ea1n \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u0103ng n\u1ed3ng<\/p>\n\n\n\n

\u0111\u1ed9 glucose m\u00e1u m\u1ea1n t\u00ednh c\u00f9ng v\u1edbi r\u1ed1i lo\u1ea1n carbohydrate, protein, lipid do gi\u1ea3m b\u00e0i ti\u1ebft<\/p>\n\n\n\n

insulin, gi\u1ea3m kh\u1ea3 n\u0103ng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a insulin ho\u1eb7c c\u1ea3 hai. \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng g\u00e2y t\u1ed5n th\u01b0\u01a1ng,r\u1ed1i lo\u1ea1n, suy gi\u1ea3m c\u1ee7a nhi\u1ec1u c\u01a1 quan. H\u1eadu qu\u1ea3 l\u00e2u d\u00e0i c\u1ee7a c\u00e1c r\u1ed1i lo\u1ea1n chuy\u1ec3n ho\u00e1 n\u00e0yl\u00e0 t\u1ed5n th\u01b0\u01a1ng c\u00e1c vi m\u1ea1ch, c\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf v\u00e0 m\u1ea1ch m\u00e1u l\u1edbn \u1edf ng\u01b0\u1eddi b\u1ec7nh \u0110T\u0110. Do \u0111\u00f3, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n c\u00f3 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng h\u1ee3p l\u00fd \u0111\u1ec3 nh\u1eb1m \u0111\u1ea3m b\u1ea3o cung c\u1ea5p \u0111\u1ee7 dinh d\u01b0\u1ee1ng, c\u00e2n b\u1eb1ng \u0111\u1ee7 c\u1ea3 v\u1ec1 s\u1ed1 l\u01b0\u1ee3ng v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng \u0111\u1ec3 c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft, duy tr\u00ec c\u00e2n n\u1eb7ng l\u00fd t\u01b0\u1edfng, ng\u0103n ng\u1eeba di\u1ec5n ti\u1ebfn v\u00e0 bi\u1ebfn ch\u1ee9ng.<\/p>\n\n\n\n

\u00c1p d\u1ee5ng ch\u01b0\u01a1ng tr\u00ecnh dinh d\u01b0\u1ee1ng \u0111i\u1ec1u tr\u1ecb t\u1ed1t c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m\u00a0 HbA1c 1-1.9% \u1edf\u00a0 ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u00edp 1 v\u00e0 gi\u1ea3m 0.3-2% \u1edf ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u00edp 2.<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng n\u00ean l\u1ef1a ch\u1ecdn th\u1ef1c ph\u1ea9m v\u00e0 c\u00e1ch \u0103n u\u1ed1ng nh\u01b0 th\u1ebf n\u00e0o?<\/em><\/strong><\/p>\n\n\n\n

Nh\u00f3m b\u1ed9t \u0111\u01b0\u1eddng (Glucid):<\/strong><\/p>\n\n\n\n

H\u1ea1n ch\u1ebf c\u00e1c lo\u1ea1i \u0111\u01b0\u1eddng \u0111\u01a1n: \u0111\u01b0\u1eddng c\u00e1t, \u0111\u01b0\u1eddng ph\u00e8n, \u0111\u01b0\u1eddng th\u1ed1t n\u1ed1t, \u0111\u01b0\u1eddng m\u00eda, m\u1eadt ong, b\u00e1nh k\u1eb9o, n\u01b0\u1edbc ng\u1ecdt, n\u01b0\u1edbc tr\u00e1i c\u00e2y \u00e9p,…<\/p>\n\n\n\n

C\u00e1c lo\u1ea1i c\u1ee7 nh\u01b0 khoai s\u1eafn c\u0169ng cung c\u1ea5p kh\u00e1 nhi\u1ec1u tinh b\u1ed9t, n\u1ebfu \u0103n c\u00e1c lo\u1ea1i n\u00e0y th\u00ec c\u1ea7n gi\u1ea3m ho\u1eb7c c\u1eaft c\u01a1m,<\/p>\n\n\n\n

\u01afu ti\u00ean\u00a0 ch\u1ecdn th\u1ef1c ph\u1ea9m c\u00f3 ch\u1ec9 s\u1ed1 \u0111\u01b0\u1eddng huy\u1ebft th\u1ea5p-trung b\u00ecnh (GI < 55; GI 56-69), h\u1ea1n ch\u1ebf th\u1ef1c ph\u1ea9m c\u00f3 ch\u1ec9 s\u1ed1 \u0111\u01b0\u1eddng huy\u1ebft cao (GI \u2265 70)<\/p>\n\n\n

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\"\"<\/figure><\/div>\n\n\n

Nh\u00f3m \u0111\u1ea1m (Protid)<\/strong>:<\/p>\n\n\n\n

\u01afu ti\u00ean \u0111\u1ea1m t\u1eeb tr\u1ee9ng, s\u1eefa, c\u00e1c s\u1ea3n ph\u1ea9m t\u1eeb s\u1eefa, n\u00ean \u0103n c\u00e1, th\u1ecbt n\u1ea1c, th\u1ecbt gia c\u1ea7m b\u1ecf da… \u0111\u01b0\u1ee3c ch\u1ebf bi\u1ebfn \u0111\u01a1n gi\u1ea3n nh\u01b0 h\u1ea5p, lu\u1ed9c, \u00e1p ch\u1ea3o nh\u1eb1m lo\u1ea1i b\u1edbt m\u1ee1.<\/p>\n\n\n\n

H\u1ea1n ch\u1ebf \u0103n c\u00e1c lo\u1ea1i th\u1ecbt ngu\u1ed9i ch\u1ebf bi\u1ebfn s\u1eb5n nh\u01b0 x\u00fac x\u00edch, l\u1ea1p x\u01b0\u1edfng, th\u1ecbt x\u00f4ng kh\u00f3i\u2026.<\/p>\n\n\n\n

Nh\u00f3m ch\u1ea5t b\u00e9o (Lipid):<\/strong><\/p>\n\n\n\n

\u01afu ti\u00ean c\u00e1c s\u1ea3n ph\u1ea9m c\u00f3 nhi\u1ec1u  ch\u1ea5t b\u00e9o kh\u00f4ng b\u00e3o h\u00f2a (nh\u01b0 d\u1ea7u th\u1ef1c v\u1eadt, d\u1ea7u c\u00e1)<\/p>\n\n\n\n

H\u1ea1n ch\u1ebf ch\u1ea5t b\u00e9o b\u00e3o h\u00f2a v\u00e0 c\u00e1c ch\u1ea5t b\u00e9o trans (ch\u1ea5t b\u00e9o \u0111\u1ed9ng v\u1eadt, th\u1ee9c \u0103n ch\u1ebf bi\u1ebfn s\u1eb5n \u1edf nhi\u1ec7t \u0111\u1ed9 cao).<\/p>\n\n\n\n

Nh\u00f3m rau v\u00e0 ch\u1ea5t x\u01a1: <\/strong>n\u00ean \u0103n rau nhi\u1ec1u h\u01a1n trong th\u1ef1c \u0111\u01a1n c\u1ee7a m\u00ecnh th\u00f4ng qua c\u00e1c c\u00e1ch ch\u1ebf bi\u1ebfn \u0111\u01a1n gi\u1ea3n nh\u01b0 h\u1ea5p, lu\u1ed9c, salad.<\/strong><\/p>\n\n\n\n

    \n
  • N\u00ean \u0103n c\u00e1c lo\u1ea1i rau xanh nh\u01b0: C\u1ea3i b\u00f3 x\u00f4i, c\u1ea3i xo\u0103n, c\u00e1c lo\u1ea1i rau, m\u0103ng t\u00e2y \u2026<\/li>\n\n\n\n
  • Kh\u00f4ng n\u00ean hay h\u1ea1n ch\u1ebf \u0103n c\u00e1c lo\u1ea1i rau c\u1ee7 nh\u01b0: C\u1ee7 c\u1ea3i \u0111\u01b0\u1eddng, \u0111\u1eadu h\u00e0 lan \u2026.<\/li>\n\n\n\n
  • Tr\u00e1i c\u00e2y: cung c\u1ea5p c\u00e1c ch\u1ea5t ch\u1ed1ng oxy h\u00f3a, vitamin, kho\u00e1ng ch\u1ea5t, ch\u1ea5t x\u01a1<\/li>\n\n\n\n
  • C\u1ea7n t\u0103ng c\u01b0\u1eddng \u0103n tr\u00e1i c\u00e2y t\u01b0\u01a1i nh\u01b0: B\u01b0\u1edfi, cam, qu\u00fdt, t\u00e1o, l\u00ea, nho xanh,  thanh long, \u1ed5i, m\u1eadn, d\u00e2u…<\/li>\n\n\n\n
  • H\u1ea1n ch\u1ebf \u0103n c\u00e1c lo\u1ea1i qu\u1ea3 ch\u00edn ng\u1ecdt nh\u01b0: D\u01b0a h\u1ea5u, ch\u00e0 l\u00e0, nh\u00e3n v\u1ea3i, xo\u00e0i ch\u00edn, s\u1ea7u ri\u00eang… C\u00e1c lo\u1ea1i tr\u00e1i c\u00e2y s\u1ea5y kh\u00f4, \u0111\u00f3ng h\u1ed9p.<\/li>\n<\/ul>\n\n\n\n

    C\u00e1ch ch\u1ebf bi\u1ebfn th\u1ef1c ph\u1ea9m<\/strong><\/p>\n\n\n\n

      \n
    • H\u1ea1n ch\u1ebf m\u00f3n r\u00e1n, c\u00e1c lo\u1ea1i m\u1ee1 \u0111\u1ed9ng v\u1eadt, th\u1ecbt g\u00e0 \u0103n n\u00ean b\u1ecf da<\/li>\n\n\n\n
    • C\u00e1c lo\u1ea1i khoai c\u1ee7: kh\u00f4ng n\u00ean ch\u1ebf bi\u1ebfn d\u01b0\u1edbi d\u1ea1ng n\u01b0\u1edbng<\/li>\n\n\n\n
    • Ch\u1ebf bi\u1ebfn th\u1ef1c ph\u1ea9m d\u01b0\u1edbi d\u1ea1ng lu\u1ed9c h\u1ea7m<\/li>\n\n\n\n
    • H\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i n\u01b0\u1edbc \u00e9p, xay sinh t\u1ed1 n\u00ean \u0103n c\u1ea3 m\u00fai, mi\u1ebfng \u0111\u1ec3 c\u00f3 ch\u1ea5t x\u01a1<\/li>\n<\/ul>\n\n\n\n

      C\u00e1ch ph\u00e2n b\u1ed1 b\u1eefa \u0103n trong ng\u00e0y:<\/strong><\/p>\n\n\n\n

        \n
      • N\u00ean duy tr\u00ec 3 b\u1eefa \u0103n ch\u00ednh trong ng\u00e0y<\/li>\n\n\n\n
      • S\u1ed1 l\u01b0\u1ee3ng ch\u1ea5t b\u1ed9t \u0111\u01b0\u1eddng trong c\u00e1c b\u1eefa \u0103n n\u00ean \u1ed5n \u0111\u1ecbnh<\/li>\n\n\n\n
      • B\u1eefa \u0103n ph\u1ee5: b\u1ed5 sung 1-3 b\u1eefa \u0103n ph\u1ee5 cho m\u1ed9t s\u1ed1 \u0111\u1ed1i t\u01b0\u1ee3ng \u0111\u1eb7c bi\u1ec7t (suy dinh d\u01b0\u1ee1ng, mang thai, t\u1eadp luy\u1ec7n th\u1ec3 l\u1ef1c n\u1eb7ng-k\u00e9o d\u00e0i, s\u1eed d\u1ee5ng Insulin c\u00f3 nguy c\u01a1 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft, \u0103n qua \u1ed1ng th\u00f4ng\u2026)<\/li>\n\n\n\n
      • C\u00e1ch ch\u1ecdn th\u1ef1c ph\u1ea9m cho b\u1eefa ph\u1ee5:<\/li>\n\n\n\n
      • Kh\u00f4ng s\u1eed d\u1ee5ng th\u1ef1c ph\u1ea9m c\u00f3 ch\u1ec9 s\u1ed1 \u0111\u01b0\u1eddng huy\u1ebft cao<\/li>\n\n\n\n
      • \u01afu ti\u00ean b\u1eefa \u0103n ph\u1ee5 gi\u00e0u \u0111\u1ea1m- gi\u00e0u ch\u1ea5t x\u01a1 -\u00edt tinh b\u1ed9t: tr\u1ee9ng lu\u1ed9c, rau, s\u1eefa-b\u00e1nh-ng\u0169 c\u1ed1c chuy\u00ean bi\u1ec7t cho ng\u01b0\u1eddi \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/li>\n\n\n\n
      • Th\u1eddi \u0111i\u1ec3m d\u00f9ng b\u1eefa ph\u1ee5:<\/li>\n\n\n\n
      • N\u1ebfu c\u00f3 th\u00f3i quen d\u1eady s\u1edbm t\u1eadp th\u1ec3 d\u1ee5c: n\u00ean d\u00f9ng b\u1eefa \u0103n ph\u1ee5 l\u00fac m\u1edbi ng\u1ee7 d\u1eady<\/li>\n\n\n\n
      • N\u1ebfu c\u00f3 nguy c\u01a1 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft v\u1ec1 \u0111\u00eam: b\u1eefa ph\u1ee5 n\u00ean sau \u0103n t\u1ed1i 1-2 gi\u1edd<\/li>\n<\/ul>\n\n\n\n

        C\u00e1ch \u0103n: <\/em><\/strong>\u0103n ch\u1eadm, nhai k\u0129. Trong b\u1eefa \u0103n n\u00ean \u0103n rau tr\u01b0\u1edbc v\u00e0 \u0103n tinh b\u1ed9t cu\u1ed1i b\u1eefa \u0103n.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

        Hi\u1ec7n nay, t\u1ef7 l\u1ec7 ng\u01b0\u1eddi m\u1eafc b\u1ec7nh \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng tr\u00ean th\u1ebf gi\u1edbi c\u00f3 xu h\u01b0\u1edbng gia t\u0103ng r\u00f5 r\u1ec7t v\u00e0 ng\u00e0y c\u00e0ng tr\u1ebb h\u00f3a, trong \u0111\u00f3 Vi\u1ec7t Nam thu\u1ed9c nh\u00f3m c\u00e1c n\u01b0\u1edbc c\u00f3 t\u1ef7 l\u1ec7 t\u0103ng nhanh nh\u1ea5t th\u1ebf gi\u1edbi. T\u1ea1i Vi\u1ec7t Nam, s\u1ed1 ng\u01b0\u1eddi b\u1ecb ti\u1ec1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng cao h\u01a1n g\u1ea5p 3 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