Download - Ceramah rdo part 2
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1. Fructose ditukar ke glucose
2. Fructose sbbkan keradangan (inflammation)
---> insulin resistance
3. Fructose ditukar ke glyceraldehyde--> hati berlemak (effect mcm alcohol)
4. Fructose ditukar ke TG ---> increase TG
5. Fructose ditukar ke uric acid ---> UA merencatnitric oxide ---> darah tinggi/gout
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Ringkasan Ceramah
•Statistik
•Punca masalah
•Mekanisme terjadi masalah
•Bagaimana mengenalpasti
•Bagaimana merawat
•Anjakan paradigma dalam rawatan
•Puasa berkala
•Diet rendah karbo
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Body Mass Index (BMI)=
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Acantosis nigricans
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Puasa > 7.0 mmol/LRandom > 11.0
Puasa > 5.5 -----> Prediabetes
HbA1c > 6.3%
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Pemeriksaan di klinik
• Tinggi
• Berat
• BMI
• Tekanan darah
• Dextrostix
• Ujian darah (general screening test) –RM 60
o FBC
o Fungsi buah pinggang
o Fungsi hati
o Kolesterol
o Uric acid (gout)
o FBS
• HbA1c –RM 40
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Ringkasan Ceramah
•Statistik
•Punca masalah
•Mekanisme terjadi masalah
•Bagaimana mengenalpasti
•Bagaimana merawat
•Anjakan paradigma dalam rawatan
•Puasa berkala
•Diet rendah karbo
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Rawatan Diabetis
KONVENSIONAL
• Ubatan eg metformin,
gliclazide, Januvia etc
• Insulin
• ?Bariatric surgery
KOMPLIMENTARI/ALTERNATIF
?
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Rawatan Diabetis
KONVENSIONAL
• Penyakit kronik, takboleh sembuh, progresif
• Tumpuan utk mengawalgula dan mencegahkomplikasi
• Bergantung kepadaubat/insulin
KOMPLIMENTARI/ALTERNATIF
?
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Ringkasan Ceramah
•Statistik
•Punca masalah
•Mekanisme terjadi masalah
•Bagaimana mengenalpasti
•Bagaimana merawat
•Anjakan paradigma dalam rawatan
•Puasa berkala
•Diet rendah karbo
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BARIATRIC SURGERY CAN CUREDIABETES IN SOME PATIENTS
“A recent study on over 20,000 patients
showed that 84% who underwent
Roux-enY gastric bypass (RYGB) experienced complete reversal of their type 2 diabetes”
-Cleveland Clinic, US
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“In essence, fasting is ‘bariatric surgery, without the surgery’. Medical Bariatrics.”
-Dr Jason Fung