BN T v dinh dng trong ngy Tt

BS: H LNG YN

Nguyn tc dinh dng cho BN T

n ba chnh v thm gm lng v vo thi im nh nhau mi ngy. n thm khng cn thit: nu mun th c th dng t hoa qu ti, rau n nhiu rau c hn Nn ung sa khng bo Dng t n cha cht bo, ng, mui v ru Khng n thm khi no, khng b ba Ung nhiu nc Tng cng cc hot ng thng thng Hn ch ung soda v nc qu v thc phm kh. Nu c th c nhn thc phm trc khi mua

Mc tiu
Gip kim sot H t mc tiu. Gi cn nng gii hn cho php. Ngn nga bnh tt hoc khng lm nng bnh km theo: tim mch, huyt p, RL m mu, ung th, long xng

THP DINH DNG HP L

n t Cht bo, du, ng, cc thc phm tinh ch, thc phm giu cht bo

Sa t bo v cc ch phm t sa: 1-2 phn Rau xanh: 3-5 phn

Tht nc, c , tht gia cm, cc loi u: 2-3 phn Hoa qu: 2-4 phn

Ng cc ht, sn phm ng cc v tinh bt nguyn cht : 6-11 phn

Luyn tp t nht 30 pht mi ngy

Khuyn co ch n cho ngi trng thnh b i tho ng

Carbohydrates: 50-65% (phn ln l cht bt) Cht bo: 20-30% Cht bo bo ho < 10% Cholesterol < 300 mg/ngy Protein (m): 15-20% (0.8 g/kg/ngy) Cht x dinh dng: ti thiu 20g/1000 kcal Mui: < 6g/ngy Vitamin v cht khong: khng cn b sung nu ch n cn i Ru ung t

N UNG V KIM SOT NG HUYT

Nng lng gip c th hot ng c sinh ra t qu trnh chuyn ho cc cht n vo:

1 gram Glucide (ng) = 4 calo

1 gram Protide (m) = 4 calo

1 gram Lipide (m) = 9 calo Nhu cu nng lng hng ngy: Trung bnh 30 35 Kcal/kg/ngy
Endocrinology Depart, Bach mai

Thc n nh hng n ng mu nh th no
Carbonhydrat m Cht bo 100% Mt lng nh mt lng nh NG MU (NNG LNG)

Carbonhydrat

CH S TNG NG HUYT L kh nng gy tng H sau n ca 1 loi thc phm so vi thc phm chun l 100g bnh m trng hoc Glucose 50g
Endocrinology Depart, Bach mai

 Cung cp cht bt ng, cc vitamin, cht khong, cht x Mi ngy n 6-11 khu phn

Nhm thc phm cha tinh bt

1 khu phn cha khong 15g cht bt ng, 3g m, 0-1g m, 80calo

Ng cc ht, sn phm ng cc v tinh bt nguyn cht : 6-11 phn

1 khu phn: gm 15g Carbonhydrat x 6-11 khu phn/ngy

1/3 bt cm. bt bn. 1/3 gi m tm. 1 lt bnh m gi bt ph 1/3 bt min nu 1 c khoai ty nh c khoai lang TB
2 tha c-ph mt ong. 2 c c-rt 10cm. 2,5 tha canh sa bt. 1 tha canh sa c c ng.

5-10 n v chuyn i/ngy

Ngun: vin Dinh dng

1 n v chuyn i

Ng bp 60g ci

Ngun: vin Dinh dng

n v chuyn i

Ngun: vin Dinh dng

Nn n cht bt nh th no?
Ng cc nguyn ht, go cn v cm, u , rau c Ch bin bng cch hp, luc, nng Hn ch rn, xo S dng t cc loi gia v nhiu cht bo nh kem, st mayonnaise
Endocrinology Depart, Bach mai

Nhm thc phm m

Tht nc, c , tht gia cm, cc loi u: 2-3 phn

Khu phn m 1 khu phn= 1

qu trng

3 khu phn= 100gam tht nc, c

Khu phn m

Ngun: vin Dinh dng

Khu phn m

Ngun: vin dinh dng

Ngun: vin Dinh dng QG

Nhm thc phm: cht bo

Du, ng, cc thc phm tinh ch, thc phm giu cht bo

Cht bo
Nn chn cht bo khng bo ho:
(du u nnh, olive, vng, ht ci, hng dng, qu b, du c, m c)

Thc phm nhiu cht bo bo ho( cholesterol lm tng nguy c bnh tim mch):
Tht m ln, ph tng ng vt, da gia cm, kem ti, du da, du c

Thc phm nhiu cholesterol

1 Khu phn cht bo: 5g( 45kcal) 1 lt thit xng khi 1 Tha du n
=
=

B lc

Tha canh Mayonaise

Ngun: vin dinh dng

 Cung cp cc vitamin, cht khong v cht x

t tinh bt

RAU C

n mi ngy 3-5 khu phn hoc hn

1 khu phn cha khong 5g cht bt ng, 2g m, 25calo VD: 1 bt rau sng hoc 1/2 bt rau nu chn hoc xay nhuyn
Endocrinology Depart, Bach mai

Ngun: vin dinh dng

RAU C

Nn n nh th no ?
n sng, hp, luc Rau trn nn s dng lng du n nh thay v cc loi nc st nhiu cht bo C th s dng cc loi gia v nh hnh, ti, tiu, t

 Cung cp cht bt ng, nhiu vitamin, cht khong v cht x Hng ngy nn n 2 4 khu phn
1 phn cung cp 15g cht bt ng, 60calo, khng c protein, cht bo VD: 1 qu nh to hoc chui hoc cam = 4 qu mng ct = 6 qu chm chm

HOA QU

Endocrinology Depart, Bach mai

Hoa qu
Khu phn cha 15g CH 1 qu chui ty 10cm. 1 qu chui tiu 10cm. 2 ming da hu 6cm. qu da. 1 ming u 512cm. 2 qu qut va. 2 chic bnh quy 4 6cm.

1 Khu phn hoa qu

Nn n nh th no? n tri cy ti Mua hoc chia sn thnh tng phn nh n nguyn tri hoc ct nh hn l nc p Khng thm ng hoc kem , nc st Nn la chn nhng hoa qu c hm lng ng thp

HOA QU

Endocrinology Depart, Bach mai

 Cung cp ng, m, can xi, vitamin v cht khong Mi ngy s dng 1 2 khu phn 1 khu phn cha 12g cht ng, 8g m, 0-8g cht bo, 90-150 kcal Nn dng sa
khng bo, sa chua tch bo:70kcal/ 200ml
khng ng: 140kcal/250m

NHM SA

Endocrinology Depart, Bach mai

Hoa qu = sa = tinh bt

c lng khu phn

M TINH BT RAU C

M HNH A
Hoa qu Cht m

Sa/Sa chua
Rau xanh

Rau xanh Tinh bt/ng cc

Endocrinology Depart, Bach mai

Mm c ngy Tt

Thc n ngy Tt:

Go np xanh Tht M

Thc n ngy tt

Thc n ngy tt: cht bo

Thc n ngy Tt

Thc n ngy tt

Mui
Thc phm ng hp Cc loi n thm, tht kh, n bo qun Mui thng thng 2300mg/ngy Nu THA lng mui 1ngy : 15002000mg/ngy Tha c ph mui cha 2300mg mui

Thc phm cha nhiu mui

Nn n ti, khng qua ch bin bo qun khi nu gim lng mui thm vo

Trng ming v n thm

Thi gian gia cc ba ko di Khng p dng khi ang tha cn v cn nng bnh thng Khi c thm cc hot ng vn ng: chi th thao, p xe, i b nhiu Khi c xu hng n nhiu Thng cha thm calo v nhiu cht bo Khng thay th ba n

Nhm ng: 1 khu phn 5gG ( 20kcal):

Ko da 1 ci 7g Ko chanh 1 ci 5g Ko bc h 1 ci 8g Mt lc 6g Sa c: tha 5ml ng knh: 1 tha 2,5ml Mt ong: tha 5ml

Bnh mt ko
Hn ch bnh ko ngt, kem, xi r, mt, cc loi nc ngt c ga Cht to v ngt nh Saccharin, Aspartam, Acesulfame, Sucralose, Neotam: dng t do Fructose, Sorbitol, Xylitol: dng thn trng

Ru bia

Cha nhiu CH, to nng lng Trong vng 12h sau khi ung d lm H gim Khuyn co: khng qu 1 ln/ngy vi n v 2 ln vi nam 150ml ru vang 360ml bia 45ml ru vodka, whisky

NN
Cc loi thc phm cha CH tt: rau, hoa qu, ng cc nguyn ht, cc loi u , sa tch b Thc phm giu cht x: ngun gc thc vt nh rau, hoa qu, u , cc loi ht, ng cc

C: nn n t nht 2 ln/ tun.

Cht bo tt: cha cht bo n khng bo ha v a khng bo ha: qu Endocrinology Depart, Bach mai b, ht d, hnh nhn, olive

HN CH
Cht bo bo ha: sa nguyn kem, m ng vt (tht b, ln, xc xch, tht hun khi), n < 7% tng nng lng t cht bo. Cht bo Trans: c trong cc thc phm ch bin sn nh tht hun khi, nng Cholesterol: sa nguyn kem, tht m, lng trng, s, gan v cc loi ph tng ng vt, n < 300mg/ngy

Mui: di 2g Natri/ngy
Endocrinology Depart, Bach mai

M HNH A

Xin chn thnh cm n