Table 9 for type 2 diabetes: menu for the week

Indications for use.

Therapeutic diet No. 9 according to Pevzner is recommended for people with type II diabetes mellitus. Most often, this disease affects people over the age of 40, that is, in adulthood, which is associated in particular with poor nutrition. The goal of diet No. 9 is to create conditions in the body that promote normal carbohydrate metabolism.

Nutritional features.

Nutrition according to table No. 9 is a diet with a restriction, first of all, of animal fats and carbohydrates, while maintaining the physiological norm of vitamins and minerals. Products and dishes that contain a lot of sugar, such as jam or confectionery, are completely excluded. If possible, sugar is replaced with xylitol, sorbitol, and aspartame. It is recommended to take food five to six times a day. You need to eat at the same time, evenly distributing meals. You can't skip breakfast, lunch or dinner. If a person takes insulin injections, and the meal time is delayed by more than 1 hour, then it is necessary to have a snack. It could be some fruit, a glass of juice, a piece of bread. Food must be rich in fiber and vegetables must be present in the diet. You need to drink enough liquid.

Chemical composition and energy value.

Proteins – 100 g, fats – 70-80 g (of which 25 g are vegetable), carbohydrates – 300 g mainly due to complex carbohydrates, simple carbohydrates are excluded or sharply limited. Salt content – ​​3.7 g, free liquid – 1.5 l.

The calorie content of the diet is 2700-3000 kcal.

Two types of treatment table No. 9.

There are two varieties of diet No. 9. Thus, diet No. 9a is indicated for mild diabetes, sometimes for moderate disease, without the use of insulin. In this case, the diet allows you to level out disturbances in carbohydrate, fat, protein and water-salt metabolism. Diet No. 9a fully complies with the rules of table No. 9 with the only difference that the energy value is more significantly limited due to carbohydrates and fats. The energy value should be about 1650 kcal.

For diabetes of moderate severity, as well as its severe form, under insulin therapy, diet No. 9b is recommended. Its goal is the same as that of the type “a” diet. This is a complete nutrition in terms of energy value, protein, fat and carbohydrate content, as well as vitamins and minerals. Its energy value is 2800-3200 kcal. In this case, culinary processing and diet are similar to diet No. 15.

Comments from nutritionists. Pros and cons of the diet.

Following a diet and nutrition regimen for diabetes mellitus allows you to avoid an unwanted rise in blood sugar levels.
“The right choice of a sanatorium is a significant step towards maintaining and increasing health. “Gorny” is a resort complex that combines the experience and knowledge of Russian and Soviet balneology. The presence of modern medical equipment and innovative installations, the professionalism of the staff and love for their work will serve as the key to extending longevity,” - the head physician of the sanatorium, Alexander Olegovich Karaulov.

Sample diet menu No. 9.

• First breakfast: buckwheat porridge (cereals - 40 g, butter - 5 g), meat pate (meat - 60 g, butter - 10 g), tea with milk (milk - 50 g).
• Second breakfast: a glass of kefir.
• Lunch: vegetable soup (oil - 5 g, potatoes - 50 g, cabbage - 100 g, carrots - 25 g, sour cream - 10 g, tomatoes - 20 g), boiled meat with potatoes (meat - 100 g, potatoes - 150 g , oil – 5 g), apple (200 g).
• Afternoon snack: yeast drink.
• Dinner: carrot zrazy with cottage cheese (carrots - 75 g, cottage cheese - 50 g, egg - 1 pc., sour cream - 10 g, semolina - 8 g, crackers - 5 g), boiled fish with cabbage (fish - 100 g , vegetable oil – 10 g, cabbage – 150 g), tea.
• 1.5 hours before bedtime: a glass of kefir.
• Bread for the whole day: wheat – 130 g, rye – 250 g.

It is worth paying attention to the possible interchangeability of products. So, 25 g of wheat bread is replaced by: 18 g of wheat flour, 20 g of rice, 20 g of oatmeal, 18 g of pasta, 60 g of potatoes, 180 g of carrots, 135 g of apples, 150 g of pears (peeled vegetables).

A medical diet is prescribed only by the attending physician , who has full knowledge of the medical history of a particular patient.

Recipes

First meal

Summer diet soup

Broth, vegetable oil, onions, carrots, cabbage (cauliflower and broccoli), potatoes, green beans, greens.

Dip the potatoes into the broth, after 10 minutes add cabbage and chopped green beans. Sauté onions and chopped carrots in a frying pan with butter. Add the sauté to the vegetables and cook until tender. When serving, sprinkle with herbs.

Vegetable soup with meatballs

Vegetable broth, butter, beef, carrots, onions, cabbage (cauliflower broccoli), chicken protein, greens.

Make minced beef, add onions, dill, chicken protein, salt and pepper. Form meatballs. Put carrots, cabbage, and onions sautéed in vegetable oil into the broth, and when the broth boils, drop the meatballs into it. Cook until the meatballs are ready, serve with herbs.

Second courses

Steamed veal cutlets

Veal, milk, onion, butter.

Pass the meat and onion through a meat grinder. Pour in milk and melted butter, add salt. You can add grated carrots to give it a nice color. Place the cutlets on a steamer grid. Cook for 15-20 minutes. Serve with stewed vegetables.

Fish baked with sour cream

Pike perch, sour cream, vegetable oil, salt, parsley.

Cut the fish into portions and place on a baking sheet. Add salt, place onion rings on it, sprinkle with vegetable oil and grease with sour cream. Bake for 25-30 minutes. Serve with lettuce or any vegetables.

Potato zrazy

Beef, potatoes, salt, onions, vegetable oil, herbs.

Pass the boiled meat and sautéed onions through a meat grinder. Grate the boiled potatoes and add salt. Form circles from the potato mixture and place minced meat in the middle, form into balls, sprinkle with cheese. Cook in a steam bath, you can bake.

Dessert

Cottage cheese casserole with pumpkin

Pumpkin, cream, cottage cheese, eggs, vanillin to taste, xylitol.

Cut the pumpkin into cubes. Mix cottage cheese, cream, eggs and xylitol using a blender. Add pumpkin to the curd mixture. Place the mixture in a greased baking dish and bake for about 30 minutes at 180°C.

How is nutrition different for type 1 and type 2 diabetes?

The main difference between type 1 diabetes is the use of insulin. However, proper and balanced nutrition is mandatory. Eating white bread, fruits with a high glycemic index, sweet juices, and chocolate is allowed in small quantities, while in case of type 2 diabetes it is best to exclude these foods. If the patient is not obese, sugar intake up to 50 g per day is allowed.

In type 2 diabetes, diet is directly the source of a healthy lifestyle. Normalizing the patient's weight plays a key role. It is necessary to reduce the calorie content of foods, not their quantity, in other words, adhere to a low-carbohydrate diet. If you overload your digestive system with carbohydrates, blood glucose levels increase and insulin cannot cope on its own.

Eggplants for diabetes

One of the main advantages of eggplants is their low GI (glycemic index), they consist of 90% water. The fruit is rich in beneficial vitamins, microelements and dietary fiber, promotes the production of insulin, which has a positive effect on the patient’s pancreas. Reduces the concentration of glucose in the body, improves water-salt balance, strengthens the walls of blood vessels. It has a positive effect on the psychological and physical state of a diabetic, the person becomes less irritable.

Eggplants are very useful in the fight against diabetes, in addition, they can be very tasty to cook

There are many recipes for delicious eggplant preparation. To improve the health of the body, it is not necessary to consume them every day; 2 times a week is quite enough. It is worth choosing eggplants with thin skin and fewer seeds. It is not recommended to fry them; boiled, stewed or baked eggplants will be much healthier.

Basic nutrition rules

For a patient with diabetes, not only diet is important, but also food intake. Daily meals must be organized according to the following rules:

• Decide on products. It is necessary to eliminate prohibited products and develop a menu that includes recommended and permitted dishes and products.
• Maintain regularity in your diet. The interval between meals, including snacks, should not exceed 3–4 hours.
• Stick to the drinking regime. The volume of daily fluid is from 1.5 to 2 liters.
• Don't neglect your morning meal. To maintain the dietary frequency of meals and get the required amount of energy, breakfast for a type 2 diabetic should be early and filling.
• Monitor your calorie intake and portion sizes. A portion of the main meal should not exceed 350 g (lunch and afternoon snack - 200–250 g). Do not be greedy in food and do not starve yourself.
• Introduce a limit on salt and salty foods. This will make the kidneys work easier.

Alcohol is contraindicated for diabetic patients. Light alcoholic drinks can cause a rise in sugar, and strong ones kill pancreatic cells.

Dietary nutrition for type 2 diabetes

Type 2 diabetes mellitus occurs due to excess weight. The body continues to produce insulin, but it is not active. Patients with this diagnosis can live for decades. It is very important to monitor your diet, load your body with physical activity and bring your weight to the required level. Meals are strictly fractional, intervals should not exceed 2–3 hours.

Sample menu for a day for type 2 diabetes:

Nutrition for diabetics

• 7:00 – breakfast: oatmeal with milk 200 g;
• 9:30 – lunch: boiled egg 1–2 pcs.;
• 13:00 – lunch: vegetable borscht – 200 g, roast of permitted meat – 70 g, 100 g of fresh vegetables, compote or natural juice from dried fruits – 200 ml, whole grain bread – 50 g;
• 16:00 – afternoon snack: 150 g cottage cheese casserole;
• 18:00 – dinner: baked or stewed fish with vegetables – 200 g;
• 21:00 – if you feel hungry, you are allowed to drink 250 ml of kefir.