Diet 9 table: what is possible, what is not - table

Cooking and eating

Boiled and baked products, less often - fried and stewed. Meals 6 times a day: 1st breakfast, 2nd breakfast, lunch, afternoon snack, dinner and at night.

Allowed

Bread and flour products: rye, protein-bran, protein-wheat, wheat from 2nd grade flour, on average 300 g per day

Soups: vegetable, cabbage soup, borscht, beetroot soup, okroshka, weak low-fat meat, fish and mushroom broths with vegetables and permitted cereals, potatoes and meatballs

Meat, poultry: lean beef, veal, pork (trimmed, meat), lamb, rabbit, chickens and turkeys after boiling, dietary sausages and sausages, tongue, liver – limited

Fish: low-fat types, canned fish in its own juice or tomato

Dairy products: milk and fermented milk products, semi-fat and low-fat cottage cheese, limited sour cream, unsalted and low-fat cheese

Eggs: 1-1.5 pcs. per day soft-boiled, white omelettes

Cereals: porridge from buckwheat, barley, millet, pearl barley, oatmeal, legumes

Vegetables: cabbage, zucchini, pumpkin, lettuce, cucumbers, tomatoes, eggplants, with restrictions: green peas, potatoes, carrots, beets. Can be eaten raw

Fruits, sweet dishes: fresh fruits and berries of sweet and sour varieties in any form, jellies, mousses, compotes, candies and cookies with xylitol, sorbitol or saccharin. Limited honey

Sauces and spices: low-fat sauces based on weak meat, fish and mushroom broths, vegetable broth. Limited: pepper, horseradish, mustard

Drinks: tea, coffee with milk, juices from vegetables, low-sweet fruits and berries, rosehip decoction Fats: unsalted butter and ghee, vegetable oils for dishes

Must be excluded

Products made from butter and puff pastry, cakes, strong, fatty broths, milk soups with semolina, rice, noodles, fatty meats, duck, goose, smoked meats, most sausages, fatty fish, salted fish, canned fish in oil, caviar , salty cheeses, cream, sweet curd cheeses, rice, semolina, limit pasta, salted and pickled vegetables, grapes, raisins, bananas, figs, dates, jam, candies, ice cream, grape and other sweet juices, carbonated drinks and lemonades , animal and cooking fats, alcoholic beverages. Daily sugar intake is determined by your doctor and usually depends on the dose of insulin.

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Diet No. 9

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Diet 9 during pregnancy and lactation

Diabetes mellitus can have a latent form and first manifests itself during pregnancy . This is true diabetes mellitus . Gestational diabetes may occur , which appears during pregnancy due to a decrease in tissue sensitivity to insulin. After delivery, there is a possibility of normalization of carbohydrate metabolism. However, there is a risk of developing diabetes in the future.

High glucose levels pose a danger to mother and child: risk of miscarriage , pyelonephritis , fundus vascular complications and complications during childbirth. Therefore, it is so important for pregnant women to regularly monitor sugar levels and follow nutritional recommendations if they increase.

• The diet completely excludes “simple” carbohydrates, which cause a sharp increase in blood sugar, and limits the amount of complex carbohydrates. Eliminate sweets, sugary carbonated drinks, white bread, grapes, bananas, sweet juices and dried fruits. Eat foods that contain fiber, which slows down the flow of glucose into the blood. Its sources are vegetables and unsweetened fruits.
• Pasta and potatoes should be present in small quantities.
• It is recommended to eat every two hours. There should be three main meals and two additional ones. After dinner, you can drink half a glass of kefir or eat half an apple.
• Throughout the day, constantly measure your glucose level after meals (to do this, you need to purchase a glucometer).
• Eliminate fatty foods and fried foods, fast food products. It is recommended to avoid sausage and smoked meats.
• Do not limit fluid intake.
• Steaming or stewing using vegetable oil is preferred.

Compliance with these recommendations is necessary even after pregnancy , for at least two months, followed by a blood sugar examination and consultation with an endocrinologist.

The right way out of the diet

Basic rules for quitting diet table No. 9:

• There is no need to immediately switch to large portions, even if we are talking about healthy food.
• Preference should be given to fruits and vegetables.
• You can increase the amount of lean fish.
• Fats and carbohydrates are introduced very slowly.
• Don't get carried away with chocolate and fast food. It is better to avoid these products forever.
• After leaving the diet, you should not engage in intensive training. Light exercise and exercise in the morning are suitable.
• We must not forget about water. It is important to continue drinking up to 2 liters per day.
• Don't overeat before bed.

If blood counts are normal, after 2-3 weeks add one piece of bread every 7 days. It corresponds to 14-15 g of carbohydrates. Over the next 2 months, the diet is expanded by 12 bread units, then another 4 are added. Further innovations are carried out after a year.

Diet 9 table for type 2 diabetes mellitus: menu for the week

For each patient, the amount of carbohydrates and the type of food are specified by the doctor. A sample menu for each day might look like this:

The diet will be easier to tolerate if you create a menu for 7 days in advance.

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.

Diet recipes No. 9

Pike perch in Tatar style.

Ingredients: 5 g parsley, half a lemon, 10 g olives, 5 g capers, 30 g sour cream, 50 g onions, 30 ml olive oil, 150 g pike perch. Pour olive oil into the bottom of the pan and place the fish pieces. Pour the onion juice over the pike perch, cover the pan and place in the oven. After the fish has warmed up, pour sour cream over it and cook over low heat. Add lemon, olives, capers, stir, simmer for a while and serve with chopped parsley.

Cod with lemon juice

. Ingredients: 20 g green onions, 10 g parsley, 1/3 lemon, 30 ml olive oil, 150 g cod. Soak the cod in water for 24 hours, peel and cook. Drain the water, put the cod in a pan, add salt, onion, parsley, olive oil. After the fish is soaked in oil, pour a little lemon juice over it and cook over low heat for 20-25 minutes.

Purpose of the diet

Table No. 9 is prescribed to patients with diabetes mellitus with or without additional insulin administration (up to 30 units). Diet No. 9 is prescribed to people with both type 1 and type 2 diabetes. With the help of selected nutrition, the patient’s carbohydrate metabolism is normalized during treatment and normal glucose levels are maintained.

Content:

• Purpose of the diet
• Nutrition while dieting
• Diet menu
• Diet No. 9 for pregnant women
• Diet results

Table No. 9 is often used by nutritionists in the treatment of such a condition as impaired absorption of carbohydrates, and while consuming such a diet, it is easy to understand the patient’s sensitivity to the prescribed insulin therapy.

Pevzner nutrition can be used for children with diabetes, elderly patients, nursing mothers and pregnant women with gestational diabetes. In each case, the diet is adjusted together with the attending physician, since the physiological needs of the patient must be taken into account when drawing up the menu.

As a result of complex therapy (medicines and table No. 9), the patient’s metabolism is stabilized: fat, water-electrolyte, carbohydrate. Often, patients with prediabetes and type 2 diabetes are also overweight, and if they follow diet No. 9, their body mass index can significantly decrease or even become normal. This indicator is very important for assessing the effectiveness of therapy in such patients. However, it is not recommended for healthy people to resort to it just for weight loss.

Types of table No. 9

The basic diet is prescribed for a short period of time in order to select the dose of drugs and normalize sugar levels. For patients with type 2 diabetes mellitus with normal weight, such a table is recommended throughout their lives. There are other varieties of the diet.

9A

The table is recommended if the patient is obese. Food is consumed 6 times a day, wisely distributing carbohydrates between meals. The diet is similar to the main table No. 9. The difference is a significant calorie restriction.

With high body weight, the body needs half the normal amount of calories. The diet should not exceed 1650 kcal per day.

9B

The diet is prescribed to patients with severe insulin-dependent diabetes. It is characterized by a higher protein content and an increase in the total calorie content of the diet. The patient is allowed to use sweeteners. Carbohydrates are consumed in the morning and afternoon.

Recommended and prohibited foods coincide with diet table 9. It is acceptable to eat pasta and herring soaked in water. You need to reduce your egg consumption by half.

Nutrition rules

The basic rules of the diet are moderation in diet, frequent meals (5-6 times a day) and limiting the consumption of carbohydrates. In addition, diet number 9 reduces fat consumption and limits cholesterol-rich foods (fatty meat, eggs, butter, smoked foods, processed meats and fish), which will have a positive effect on your figure and help you lose excess weight, if you have any.

Fried and smoked foods are completely prohibited, the consumption of salt and sugar will have to be limited, and sugar will generally be replaced with natural sweeteners (xylitol and sorbitol). Carbonated drinks and other harmful products are also completely prohibited.

The calorie content of the daily diet is 2100-2400 kilocalories. It is recommended to drink about 2 liters of liquid per day.

How to cook?

It is best to boil or bake in the oven, less often - to stew. Meat and fish soups are cooked in a second or even third broth.

What's not allowed?

Any products with sugar, alcohol, semi-finished products (meat, fish and dairy), fatty meat and rich broths, canned food, marinades, pastry dishes and baked goods are completely prohibited. You cannot eat caviar, salty cheeses, sweet curd cheeses and cream, rice, semolina and pasta, fatty, spicy and salty sauces. Sweet fruits are prohibited - grapes, raisins, bananas, figs and dates.

Special bread for diabetics is also not the best choice; when preparing it, sugar is replaced with fructose, and the flour remains “carbohydrate” - wheat. Therefore, it is better to eat protein bread with added bran or 250 grams of rye and 150 grams of wheat bread.

Eggs are allowed, but no more than 1.5 eggs per day. They can be soft-boiled or made into a white omelette, since it is better to limit the consumption of yolks.

Diet No. 9 for pregnant women

For diabetes in pregnancy (gestational diabetes), a low-carbohydrate diet is the mainstay of treatment. The increased need for healthy components requires special attention to food. The menu during pregnancy must be coordinated with your doctor.

The exact diet and list of products depend on the trimester, the initial weight of the mother, and the presence of complications. If a woman does not have obesity and complications, the diet and list are not much different from the usual table No. 9.

The morning should start with a full and hearty breakfast, which contains sufficient amounts of proteins and “slow” carbohydrates (plant foods and whole grain cereals). For snacks, it is recommended to consume milk, nuts, fermented milk products, and fresh fruits. Carbohydrate foods should be divided into two meals a day; the same porridges (except semolina), legumes, lean meat and fish, and cottage cheese are suitable.

Milk and its derivatives should be chosen with low fat content. When choosing a product, it is important to pay attention to the shelf life. If milk is “able to live” for more than 2 weeks, it is not milk. Among low-fat dairy products, most are powdered types, which do not provide any benefit to the baby and mother.

It is not recommended to drink more than one cup of milk at a time. It is important not to overdo it with dairy products, as this can additionally cause a lactose allergy in the child. It is better to agree on your individual milk intake with your doctor.

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Fats are also important for the normal development of the child. Animal fat does not raise sugar levels, but is rich in calories. Doctors recommend getting the necessary supply of healthy fats from nuts, seeds, vegetable oils, and avocados.

Sweets are excluded as much as possible. The following will be prohibited: honey, dried fruits, baked goods, sweet cheeses, chocolate, etc. In addition, you need to limit even sweet and sour fruits; it is recommended to eat them no more than 3 times a day in small portions. You should additionally remove natural coffee and green tea from drinks.

A balanced diet is very important for pregnant women. Every day your diet should include: lean meat (or fish), fresh and cooked vegetables (stewing is the best way to cook vegetables), some cereals, dairy products and bread (except white).

In addition to your diet, you can take special vitamin complexes for pregnant women.

Patient reviews

According to reviews, the first weeks on a diet are the most difficult. Then the taste of dietary dishes is revealed. I don’t want anything salty, fried or sweet at all.

The therapeutic diet has a visible effect during pregnancy. Many women and doctors believe that following the rules of the ninth table of diabetics leads to an easier birth.

Patients confirm an improvement in overall well-being and restoration of the gastrointestinal tract. They say that blood sugar levels actually decrease. In addition, this is a great way to lose weight. On the 9 table diet you can lose up to 1-2 kg per week. The main thing is to maintain the correct amounts of food and keep a food diary.

Medical nutrition is praised for the availability of products. It also has other advantages:

• balanced diet;
• budget products;
• many food options;
• without fasting:
• normalization of cholesterol levels;
• allows you to adjust your figure.

Disadvantages include the need for frequent cooking and calorie counting.

Features of diet table No. 9

The main task of the diet is to make the menu as healthy as possible and limit harmful fats and fast carbohydrates. The main instructions boil down to the following rules:

• They feed in small portions every 3 hours.
• 1 meal does not exceed 300 g.
• Calorie content – ​​23,000 kcal per day.
• The food is stewed and boiled, cooked in a double boiler.
• Drink more liquid – up to 2 liters per day.
• Avoid all sugar-containing products.
• The amount of salt is up to 12 g per day.
• Alcohol, salted foods, smoked foods, marinades, fried and spicy foods are prohibited.
• The main emphasis is on fresh fruits and vegetables, dairy products.

Normally, substances should be distributed as follows:

• protein – 100 g;
• carbohydrates – no more than 300 g (porridge, vegetables and fruits);
• fats – 80 g.

It is recommended to adhere to a certain energy value at each time of the day:

• 20% – after waking up;
• 10% – second breakfast;
• 30% – lunch meal;
• 10% – afternoon snack;
• 20% – evening;
• 10% - before bed.

In case of obesity, the daily calorie intake and the amount of carbohydrates can be reduced.

Reviews and results

This therapeutic diet involves a varied diet, based on foods with a low glycemic index, which help effectively maintain sugar levels. On the recommendation of a doctor, the diet can be expanded. Many patients appreciated the effectiveness of the therapeutic diet.

• “... I have been suffering from diabetes for many years. I can admit that before I didn’t pay much attention to nutrition, and there were sharp jumps in sugar, which caused complications - my vision deteriorated. Now I can say that a diet for diabetes is necessary. For many years now I have been keeping my sugar within the acceptable limit for diabetics. Nutrition also helps not to gain weight, which is very important as you age”;
• “... We prescribed this diet during pregnancy, when we were diagnosed with gestational diabetes mellitus.” She followed it very strictly, as she was afraid for the child and complications during childbirth. I also monitored my sugar levels - I measured them after every meal. After giving birth, the diabetes went away. She donated blood and urine several times. Everything is fine";
• “... I suffer from diabetes, so this is my main diet. I have repeatedly noticed a deterioration in my condition if I allowed myself “liberties” in my diet—the sugar immediately creeps up. Now I’m taking pills, and I’m allowed to increase the amount of porridge and bread, I can even eat a bun once a week.”

Diet No. 9 for children

For children with diabetes, six meals a day are provided hourly. Deviations from the meal schedule should not be more than 10-20 minutes. Products containing slowly and difficult to digest carbohydrates are introduced into the diet. When preparing mousses, compotes and jellies, you can use sugar substitutes. Children have a hard time accepting the complete absence of sweets, so the use of fructose is recommended. In agreement with the doctor, the child can be transferred to an adult diet corresponding to the diet of table number nine.

Author of the article:

Kuzmina Vera Valerievna |
Endocrinologist, nutritionist Education: Diploma of the Russian State Medical University named after. N.I. Pirogov, specialty “General Medicine” (2004). Residency at the Moscow State Medical and Dental University, diploma in Endocrinology (2006). Our authors