Therapy table number 9: the right diet for diabetes and other metabolic disorders

Most human diseases develop against a background of metabolic disorders. One of the most common is diabetes. The disease is incurable, however, by making adjustments to the usual way of life, a diabetic can affect its duration and quality. Therapeutic diet number 9 is one way to do this. In addition to the correction of metabolism, it acts as a prevention of allergic conditions and weight gain.
Vegetables in a plate

The food consumed by a person affects the state of the whole organism. Having made nutrition rational, you can improve the whole body. It was precisely such motives that Professor Manuel Pevzner was guided by, compiling a set of dietary nutrition plans for various diseases.

Diabetes mellitus is a consequence of pathological changes in the metabolism. If the main provocateurs of metabolic failures are eliminated from the patient’s diet, the disease can be controlled.

Indications

The main reason for appointing the ninth table to the patient is type 2 diabetes. The condition is a mild or moderate course with no excess weight or with a slight excess of the norm. A special nutrition plan should maximize bring the patient's diet to normal. The reason for this is the need to introduce many changes throughout life, and a radical change in eating habits becomes an additional stress for the patient.

However, the quality and composition of food consumed by a diabetic is of great importance for the course of the disease. Proper diet (with the exception of the provocateurs of jumps in glucose indicators) will ensure a gradual decrease in insulin resistance of cells. This gives a chance to reduce the dose of drugs and dispense with hormonal injections.

Both types of diabetes pose a threat to the life of the patient. The main reason for this is the dependence of the state of the body on the normal course of metabolic processes. The second important factor - uncontrolled diabetes of any form is dangerous with its complications:

  • nephropathy;
  • cardiovascular disease;
  • dyslipidemia;
  • Obesity
  • brain trophic disorders;
  • hyper- and hypoglycemia;
  • polyneuropathy.

Complications more often appear when the patient violates the dosing and medication regimen for a long time. Even liberties in nutrition can provoke a deterioration in the state, up to the development of coma. Medical diet No. 9 is designed to teach the patient to live safely with his illness, having slightly changed his nutritional preferences.

In addition to diabetes, the diet can be used to eliminate small deviations in the body weight of healthy people. If the patient does not have obesity, he does not need a strict correction of nutrition. Making changes to the rationality of eating habits will benefit health and improve your figure.

Also, diet No. 9 is prescribed for:

  • rheumatoid arthritis;
  • bronchial asthma;
  • urticaria;
  • idiopathic diathesis;
  • psoriasis;
  • other autoimmune and allergic diseases.

The need for a diet is determined by an immunologist or allergist. Against the background of compliance with medical nutrition, relief of the course of diseases, a decrease in the frequency of relapses, a decrease in the tendency to allergies are observed.

Operating principle

On the ninth diet, the diet is selected in such a way as to exclude the possibility of a sharp increase in the patient's blood sugar level.Long-term compliance with the table ensures the stability of glucose and the maximum closeness of its level to the physiological norm. Consequently:

  • carbohydrate metabolism is normalized;
  • the degree of resistance of cells to insulin decreases;
  • the likelihood of vascular complications is minimized;
  • the patient feels great;
  • the body is provided with the necessary substances;
  • health status allows you to reduce the dose of drugs;
  • the figure improves;
  • eating habits can maintain the achieved results.

To adjust weight, the main provocateurs of his set are excluded from the diet. As a rule, these are simple carbohydrates and fatty foods. Refusal from them contributes to the return of body mass indicators to normal. Positive changes occur rather quickly, but without prejudice to the health and condition of the digestive tract.

To influence the course of autoimmune and allergic diseases, all types of metabolism in the body are normalized with a diet. As a result, enzyme synthesis is optimized. Reducing the amount of extractive substances used also reduces the reactivity of the immune system. Limiting the use of food additives and spices reduces the likelihood of a recurrence of allergies.

The main purpose of the appointment of diet No. 9 is the correction of metabolic processes. In this case, the body should receive the necessary amount of proteins, fats, carbohydrates (BJU), vitamins and minerals. A sufficient level of nutrients in the diet significantly affects metabolic reactions.

Fundamental rules

Diet No. 9 implies a moderate decrease in the calorie content of the daily diet. This is achieved by completely eliminating sources of simple carbohydrates. These include:

  • sweets;
  • sugar;
  • honey;
  • jam;
  • Jams
  • sweet fruit juices;
  • rice porridge;
  • semolina.

Proteins, fats, carbohydrates, fiber

Given the body's need for energy from carbohydrates, completely excluding them from the diet is unacceptable. Correction of nutrition is reduced to the use of sources of complex carbohydrates that are not able to cause a sharp increase in blood sugar.

An important role in the nutrition of a diabetic is given to dietary fiber. They have hypocholesterolemic and lipid-lowering effects. Fiber normalizes intestinal motility, prevents the accumulation of toxins in it. This is very important in the fight against allergic diseases.

About 30% of the total caloric intake of a diabetic falls to the role of fats. 2/3 of their amount should be allocated to the share of animal fat, and the rest should come from plant sources. A proportion of 50/50 is advised to comply with people prone to weight gain, as well as with an increase in blood cholesterol.

Proteins play a special role in the diet of a diabetic. On the one hand, they should provide a sufficient daily calorie intake, as it reduces the restrictions on fats and carbohydrates. On the other hand, proteins can provoke ketoacidosis, burden the digestive tract and kidneys. There are rules for dosing proteins for diabetes.

  • Norm. Patients with mild diabetes are recommended to use a physiological protein norm.
  • Exceeding the norm. It is important for children, young people and pregnant women to get more amino acids from food.
  • Below normal. Patients with nephropathy and liver failure should reduce the amount of protein in the diet along with its calorie content.

Nutrients

Products intended for a patient with diabetes should cover the body's needs for vitamins and minerals. Special attention should be given B vitaminsin particular thiamine. This nutrient is actively involved in carbohydrate metabolism, therefore, it is able to correct some metabolic errors. Among minerals, diabetics are important zinc, manganese and copper. All these elements regulate the level of sugar in the blood towards its decrease:

  • activate the production of insulin;
  • prevent the destruction of the hormone by enzymes;
  • improve the susceptibility of body cells to their own insulin;
  • support the function of the liver and pancreas.

The main sources of vitamins, minerals, fiber and other beneficial substances should be vegetables. In their raw form, they are able to eliminate the acidity of body fluids, which often affects patients with both forms of diabetes.

The anti-allergic effect of table No. 9 is based on the exclusion of the use of food additives, flavorings, spices. The maximum disposal of meat products from purine substances ensures the elimination of internal inflammation, as well as the gradual cleansing of the body of toxins.

An important point in the organization of medical nutrition is the distribution of products during the day. All main meals should have approximately equal calorie content. Snacks are reduced energy. Sometimes an individual approach and the transfer of products of maximum nutritional value for the period of the patient's greatest activity are required. You can’t overeat.

Calorie

The daily calorie intake should not exceed 2300 kcal. BZHU:

  • protein - 100 g;
  • fats - 80 g;
  • carbohydrates - 300 g.

The standard rate of water consumption is 1.5 liters. But it is relevant for patients with mild illness in the absence of complications. In case of edema or impaired renal function, your doctor may advise you to reduce the amount of fluid.

Each case of diabetes is individual. Some patients occasionally can afford sweets, while others do not even like potatoes. For the first time after diagnosis, the endocrinologist teaches the basics of the patient’s diet.

Diet breakfast

Allowed Products

For cooking or dressing salads should use high-quality vegetable oils. The source of animal fat is butter. Other animal lipids, the body will receive "hidden" along with food. When compiling the menu, you can focus on the table.

Table - Products permitted under table number 9

CategoryScrollFeatures
Bakery products- Diabetic bread;
- protein-wheat bread;
- protein-bran bread;
- whole wheat bread
Choose products with a minimum content of wheat flour
Cereals and pasta- High-quality pasta from durum wheat flour;
- oat flakes "Hercules";
- oat grains;
- buckwheat;
- millet
- Cook porridge on the water and with the addition of milk;
- prepare casseroles, cereal zrazy, cutlets
Dairy and Eggs- All types of dairy products;
- butter of moderate fat content;
- whole milk;
- cream;
- cottage cheese;
- 1 egg per day
- Dairy products are consumed in pure form;
- casseroles, cottage cheese pancakes, puddings are prepared from cottage cheese;
- boiled egg, add to dishes, make omelet
Vegetables and fruits- All vegetables in free quantity, except for potatoes;
- all unsweetened and moderately sweet fruits and berries (citrus fruits are a priority)
- Vegetables are consumed raw, boiled, stewed, steamed, in the oven, on the grill;
- fruits and berries are consumed raw, prepare desserts without sugar (jelly, jelly, fruit drinks)
Meat and fish- turkey;
- rabbit;
- hen;
- quail;
- veal;
- beef;
- all types of fish
- Meat is boiled, steamed, baked, stewed;
- once a week, if desired, fry boiled meat;
- fish is cooked in all ways except frying;
- do not bread
First meal- Vegetarian soup;
- beetroot soup;
- pickle;
- borsch
Twice a week, if desired, prepare the first on bone or fish broth
The menu includes rosehip broth - due to its vitaminizing effect. Other permitted drinks: cocoa, tea, coffee, but without sugar. Fruit juices are best prepared on their own. Low-fat ham and boiled sausage are acceptable. From the snacks, you can use soaked herring, jellied fish, diet salads, hard cheese of moderate fat content.

Prohibited Products

All harmful and fatty foods are excluded. Ordinary desserts and pastries are prohibited. They should be replaced by special, diabetic ones.Taboo is applied to all types and quantities of alcoholic beverages. You can’t eat some “familiar” foods:

  • goose meat;
  • roast and stewed duck;
  • strong meat broth;
  • fatty varieties of beef and pork;
  • lamb;
  • any offal;
  • pickled vegetables;
  • pickles;
  • sauerkraut;
  • hot sauces (horseradish, mustard, wasabi);
  • grapes and bananas;
  • all dried fruits;
  • rice
  • semolina;
  • low-quality pasta;
  • baked milk, fermented baked milk;
  • fat cream;
  • butter baking.
Ice cream, chocolate, regular marshmallows, cream are contraindicated. In the preparation of homemade desserts, sweeteners are used.

Baked fish fillet

Menu example

The treatment table number 9 can not be called too strict - it just eliminates harmful products. Cooking should also not cause problems: as can be seen from the table, there are many ways to get healthy and tasty dishes.

Table - Example of a weekly menu as part of table number 9

Day of the weekBreakfastDinnerDinnerSnacking idea
Monday- Omelet with seafood;
- vegetable mix
- Vegetable soup;
- braised cabbage
- Meatballs in tomato sauce;
- salad of different types of vegetables
Meat pate with bread
Tuesday- Serving of cottage cheese;
- a handful of nuts
- Fish soup on the second broth with vegetables;
- a piece of boiled fish;
- fresh cabbage salad
- Asparagus beans stewed with chopped beef;
- salad of cucumbers and green onions
Green apples
Wednesday- Fried eggs with tomato;
- toasts with butter
- Beetroot soup;
- chicken meat;
- salad of tomatoes and cucumbers
- Baked turkey;
- baked peppers and beets with butter
Jelly or jelly
Thursday- Buckwheat;
- boiled turkey;
- chopped vegetables
- Milk soup with a small amount of high-quality vermicelli;
- vegetable stew with boiled veal
- Baked fish;
- carrot cutlets;
- a tomato
Fruit salad
Friday- "The vinaigrette";
- soft-boiled egg
- Chicken soup with the addition of ready-made breasts;
- "Brush"
- Baked quail;
- salad of cucumbers and tomatoes
Vegetable salad
Saturday- Cutlets of lean pork;
- stewed cauliflower
- Borsch on bone broth;
- zucchini stuffed with chicken and cheese
- Cottage cheese casserole;
- boiled beef;
- cabbage salad
Portion of cottage cheese
Sunday- Oatmeal with pieces of fruit;
- toast with avocado
- Light vegetable soup;
- Greek people with pork
- Vegetable stew;
- steamed chicken meatballs;
- cheesecakes
Pancake with meat

It is important to pay attention to the quality of purchased and used products. To support health and saturate the body with vitamins, it is ideal if all consumed vegetables are ripped off their own beds.

Article updated: 05/06/2019

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