Panduan Pesakit Diabetis/Obesiti

Dr Hapizi

https://intensivedietarymanagement.com/jason-patient-profile/

Before

• 434 pounds (July 2016)

• 100 u insulin Lantus + Humalog

• On Metformin, Losartan, Amlodipine, Prilosec, Atorvastatin

After

• 284 pounds (April 2017)

(-150 pounds in 7 months)

• Started low carb diet < 20 gm/day

• In 1 week- blood sugar start to drop

• Stop insulin after 4 weeks

• Off all medications

Yes, we can!!

45 years old

Diabetes for 20 years

On 100 units/ day of insulin

After 2 months – off all insulin

CURED of diabetes!!

“Type 2 diabetes is entirely reversible, even in patients that weigh 500 pounds. It is reversible even if patients have had their diabetes for twenty or thirty years. Not only is it reversible, but the type 2 diabetes is rapidly reversible. In a matter of weeks, even before any substantial weight loss, the diabetes disappears. Yes. It just goes away..”

-Dr Jason Fung, Nephrologist, Author

intensivedietarymanagement.com

Excesscarbs Insulin

Insulin Resistance

Beta CellsDysfunction

Twin Cycle Model

KESELURUHAN TUBUH MANUSIA DEWASA (5 LITER DARAH) CUMA MEMPUNYAI

5 GM GULA SETIAP MASA = 1 SUDU TEH GULA!

Carbs InsulinFat

storage

KARBO/GULA INSULIN

SENSITIVITIINSULIN KEMBALI

NORMAL

REMBESAN INSULIN KEMBALI NORMAL

PULIH DARI DIABETIS !!!

2 Prinsip Utama(bebas dari diabetis)

1. Jangan mengambil gula/karbo (LCHF). Anggapanda allergik kepada gula/karbo

2. Membakar simpanan gula yang ada(intermittent fasting)

Fasting…continued..

Intermittent Fasting(Puasa Berkala)

Makan8 jam

Puasa16 jam

# 2

Low Carb High Fat Diet(Diet Rendah Karbo Tinggi Lemak)

ASAS• Makan – daging, ikan, telur, ayam dan sayur-

sayuran atas tanah dan lemak semulajadi (sptmentega, minyak zaitun, minyak kelapa)

• Elakkan – gula dan makanan berkanji (nasi, roti, pasta, kekacang dan ubi)

• Makan cuma bila lapar , BERHENTI selepas 80% kenyang

• Elakkan makanan yg diproses

• Elakkan ‘snacking’

• Minum air masak dengan banyak

• Tak perlu kira kalori

• Karbo : 50-75 gm sehari , utk 1-2 minggu pertama,

kemudian kurangkan lagi.Diabetis < 30 gm/day. Sayur-sayuran- 4 hidangansehari

• Protein : 4 saiz tapak tangan sehari. (Wanita: 1 saiz

tapak tangan = 20 gm. Lelaki=30 gm)

• Lemak : sumber semulajadi – daging, telur, mentega,

minyak kelapa, minyak zaitun, avocado dsb

50 gm karbo

Prof Tim Noakes

Kesimpulan

• Diabetis/obesiti boleh di-”reverse” dgnpemakanan yg betul. Tidak perlu bersenam

• Kunci: Puasa berkala (intermittent fasting) dandiet rendah karbo, tanpa gula

• Makanan berLemak tidak menggemukkan dantidak meninggikan paras kolesterol, tetapidisebabkan karbo/gula

• Dengan berpuasa dan makanan rendahkarbo/gula, lemak terutama dlm hati (liver) danpankreas “mencair”