"Fasting is the first principle of medicine"-Rumi

Disclaimer:

Informasi dalam blog ini tentang intermittent fasting (IF) dan diet ketogenik BUKAN bertujuan untuk menggantikan nasihat, konsultansi, diagnosis dan rawatan dari ahli perubatan yang bertauliah. JANGAN berhenti dari sebarang ubat atau follow-up tanpa pengetahuan doktor anda!

Wednesday 21 February 2018

Slot Ceramah RDO di UIA


Seminar Eat Well..Be Well 

Tarikh: 21/2/2018
Tempat: Kuliyyah of Science, Kampus UIA Kuantan
Anjuran : Persatuan Kakitangan UIA
Kehadiran : 70 orang lebih peserta




Dr Hapizi
Sebahagian peserta seminar
Demo masakan Menu Keto oleh Chef Zack





Slides talk RDO boleh dirujuk di bawah (powerpoint presentation):

RDO Talk part 1

RDO Talk part 2

RDO Talk part 3


Thursday 15 February 2018

Prof Tim Noakes: Why Virta Health Study is Gold for Diabetics

Dangerous fad diet (low carbohydrate ketogenic) puts 61% of patients with type 2 diabetes mellitus into remission in 1-year trial.

Picture: Noakes Foundation


-By Prof Tim Noakes
-Letter to Cape Times, Feb 15

To the Editor
In 2013, my colleagues and I published The Real Meal Revolution (RMR). The central theme of the book is that persons with insulin resistance (IR) – the underlying biological abnormality in Type 2 Diabetes Mellitus  (T2DM) – enjoy substantial health benefits when they restrict their dietary carbohydrate intakes to between 0-150 grams per day depending on the severity of their IR.
Whilst the book and the eating plan it promotes became an overnight success with the South African public, just as rapidly influential medical colleagues and dietitians across the country dismissed it as a dangerous diet fad that causes harm.

The unrivalled success of the book and the challenge to dietary convention that it poses, soon became a unifying provocation for the subsequent 4-year, multi-million rand investigation into my professional conduct by the Health Professions Council of South Africa (HPCSA).
On Wednesday, February 7 2018, the medical journal, Diabetes Therapy, published a peer-reviewed scientific paper (1) reporting the findings from the first year of a 2-year study of the use of remote care (telemedicine) for the management of type 2 diabetes mellitus (T2DM) undertaken by the Virta Health company in San Francisco.

The key focus of the study was to ensure that patients with T2DM develop a state of continual mild ketosis by eating a severely carbohydrate-restricted diet (<30 g/day). 
This is the same diet prescription promoted for the management of IR and T2DM in the RMR and all my other nutrition books.  In fact, the RMR was used as a patient resource for dietary information in the Virta Health trial.
The study initially enrolled 262 persons with T2DM for the intervention trial; at the end of the first year, 218 remained in the study giving a retention rate of 83%. A further 87 T2DM patients who continued to receive conventional care (insulin and/or other anti-diabetic medications; non-ketogenic high carbohydrate diet) were also followed for 1 year.
Ninety-four percent of T2DM patients on the intervention trial had either reduced or ceased their insulin use at the end of year one. The use of other anti-diabetic medications excluding metformin fell from 57 to 30% and no patient was still using a sulfonylurea drug at the end of the trial. In contrast, medication use increased by 9% in the group receiving conventional care.
Despite reduced use of anti-diabetic medications, 61% of subjects on the intervention trial “reversed” their diabetic markers, especially glycated haemoglobin (HbA1c) values, to below those considered diagnostic of T2DM.

As a result, these patients are technically “in T2DM remission”.  This does not mean that they are, or ever will be “cured” of T2DM since re-introduction of a higher carbohydrate diet to persons with severe IR/T2DM will rapidly reverse these gains.
However it might logically be expected that persons “in T2DM remission” will be much less likely to develop T2DM complications in the future, provided they continue to restrict their carbohydrate intake to <30g/day.
Other benefits included an average 12% (14kg) weight loss, decreases in systolic and diastolic blood pressures and in all blood markers of IR and inflammation. In contrast, most of these markers deteriorated in the usual care group.
The authors conclude that a North American with T2DM who stops using insulin will save $10 000 per annum for the rest of his or her life.
The importance of this study is many fold. First, it disproves the depressing medical opinion that T2DM is a chronic progressive disease with a dismal future. Instead, it shows that T2DM can be effectively managed with a quite simple dietary change.
Second, it shows that, in essence, T2DM is a condition of choice.
Patients can choose to eat <30 g/day of carbohydrate and so minimize their risk for developing any of the disease’s myriad complications. Or they can continue to eat an unrestricted carbohydrate diet, in which case it is probable that they will develop the complications of T2DM regardless of how much medications they use.
Third, it confirms that the cause of the current T2DM/obesity pandemic is clear.  It was the adoption of the high carbohydrate diet mandated by governmental agencies and vigorously promoted by medical and dietetics organizations around the world since 1977.
Every month another 15 000 South Africans develop T2DM. The Virta Health study proves that this is unnecessary. This tragic epidemic can be stopped.  Persons with IR need to understand that eating a diet in which carbohydrate intake is unrestricted will likely lead to T2DM and all its tragic complications.
This is as we described it in RMR in 2013.
Article from: foodmed.net

Sunday 11 February 2018

Doc! Saya ada gastrik, bolehkah buat IF?


Saya seringkali ditanya oleh pesakit-pesakit di klinik serta ahli-ahli group RDO tentang persoalan di atas. Jawapan ringkas saya adalah : YA! tentu sekali, malah IF (intermittent fasting) boleh membaikkan gastrik anda!Mari kita lihat rasionalnya...

First kita tengok dulu apa yang dimaksudkan dengan istilah "gastrik".

Istilah "gastrik" ini agak umum. Lazimnya ditandai dengan simptom seperti sakit perut (terutama bahagian ulu hati), loya dan muntah serta sendawa dan "angin", samada sebelum atau selepas makan.

Kalau menurut definisi ilmu perubatan, ada 3 kategori utama masalah "gastrik" ini:-

1. Gastro-esophageal reflux disease (GERD)
-Pencerut esofagus yang lemah gagal menghalang asid dari naik ke atas (ke bahagian esofagus).
-Ini lebih teruk bila seseorang tu ada masalah obesiti sebab lemak dari abdomen yang besar menolak perut (stomach) ke atas dan ini melemahkan pencerut esofagus


2. Gastritis 
-Keradangan bahagian dalam perut. Jika 'diteropong' melalui prosedur OGDS, akan nampak bengkak dan kemerahan (seperti gambar di bawah)


Tuesday 6 February 2018

IF dalam bentuk infografik!

Intermittent Fasting
Intermittent fasting is not a form of starvation but a way for you to time your meals to maximize your body's ability to burn fat. 





Antara beberapa manfaat IF yang sudah terbukti melalui kajian sains:


  • Membantu peningkatan sensitiviti sel terhadap insulin - sensitiviti insulin yang optimal sangat penting kerana apabila sel rintang (resistant) terhadap insulin, maka inilah punca kepada hampir semua penyakit kronik
  • Menurunkan paras hormon ghrelin - yang juga dikenali sebagai "hormon lapar"
  • Meningkatkan pengeluaran growth hormone - mempunyai fungsi penting dalam kesihatan, "fitness" dan memperlahankan proses penuaan (awet muda)
  • Menurunkan paras lemak trigliserida (TG)
  • Membantu merencat proses keradangan (inflammation) dan kerosakan disebabkan radikal bebas
IF jika ditambah dengan exercise akan memberi lebih banyak manfaat yang berganda-ganda!

Exercise yang didapati sangat bermanfaat adalah jenis "High-intensity training" yang jauh lebih berkesan dari aerobic exercise berjam-jam . Ianya membakar kalori lebih banyak (dalam masa yang singkat), serta meningkatkan pengeluaran growth hormone dengan sangat efektif!

Selamat menjalani IF!

-Dr Hapizi

sumber: dari sini


Monday 5 February 2018

Aktiviti-Aktiviti RDO

20/1/2018

Bertempat di Bilik Seminar, Poliklinik Shukri & Rakan-Rakan, Kuantan

Dihadiri kira-kira 30 orang peserta.

Tajuk: Rawat Diabetis & Obesiti Dengan Diet!

Penceramah : Dr Hapizi


                                                   







2/2/2018

Bertempat di Kolej Vokasional Kuantan

Dihadiri kira-kira 130 peserta 

Tajuk: RDO: Program Metabolisme Lemak untuk Tenaga

Penceramah : Dr Hapizi







21/2/2018

Team RDO diundang menyampaikan satu ceramah di Seminar "Eat Well..Be Well" anjuran Persatuan Kakitangan UIA. Ada demo masakan Keto menu juga oleh Chef Zack!








  --------------------------------------------------------------

Tarikh : 12 April 2018
Masa: 10.00 pagi - 1.00 tengahari
Venue: Bilik Mesyuarat Utama PAIP Bhd, Kuantan
Taklimat RDO untuk Warga Puspanita Pahang bertajuk "Reverse Diabetes/Obesity through RDO Protocol"

Dihadiri kira-kira 50 orang warga Puspanita Pahang dan diserikan dengan kehadiran Pengerusi Puspanita Negeri Pahang iaitu Datin Seri Jamaliah

Tahniah dan syabas diucapkan kepada warga Puspanita...semoga mendapat pendedahan pengetahuan baru tentang pemakanan dan gaya hidup sihat!









Tarikh : 19 April 2018
Masa: 10 am - 1.00 pm
Lokasi: Bilik Mesyuarat Perbadanan Kemajuan Negeri Pahang (PKNP)
Dihadiri oleh kira-kira 50 pihak pengurusan dan staf PKNP
Tajuk ceramah : "Reverse Diabetes/Obesity Through RDO Protocol"






Tarikh: 22 Mei 2018  @ 6 Ramadan 1439 H
Masa : 12.00 pm - 1.00 pm
Lokasi : Auditorium 5,
             Universiti Tun Hussein Onn Malaysia (UTHM) Pagoh
Tajuk Ceramah : "The Miracles of Intermittent Fasting"
Audiens: Para staf UTHM








Hubungi Team RDO jika berminat untuk mengundang kami ke tempat anda...

-Dr Hapizi - 0179351516
-En Ilias - 0199325858
-En Zamri - 0193060931


Sunday 4 February 2018

Type 2 Diabetes Reversal-is it possible?

In a nutshell..

Low carb and keto for doctors

Contrary to old paradigm that type 2 diabetes is a chronic, progressive disease, recent evidence has shown that it is possible to entirely reverse it!

Just that, as healthcare professionals, we need to open our mind and change our mindset to embrace this new development in the diabetes treatment!

It all started with findings from type 2 diabetic obese patients who underwent Bariatric surgeries. It was found that  in majority of them, their diabetes went into remission! How it is possible, just by making their stomach smaller, their diabetes vanished into thin air?

Bariatric surgery and diabetes remission: Who would have thought it?

Prof Roy Taylor and his team at Newcastle University was one of pioneering researchers  in type 2 diabetes reversal using very low calorie diet.  His recent DiRECT Study, published in Lancet, showed 46% remission rate in the intervention group.Very impressive!

http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)33102-1/fulltext

In recent Virta Trial, where 262 participants were induced into nutritional ketosis with ketogenic diet, HbA1c were reduced on average, from 7.6% from baseline to 6.6% after 10 weeks. The study is ongoing for 2 years and we expect very exciting result!

http://diabetes.jmir.org/2017/1/e5/

Newest data from Virta clinical trial, published in Diabetes Therapy, showed outcomes of their diabetes reversal programme after 1 year. Here are among the results:


  • 64% of patients reversed type 2 diabetes!
  • 94% of patients either reduced insulin usage or removed it altogether!




Success Stories



Ini merupakan beberapa testimoni mereka yang telah menjalani Program RDO.

Testimoni #1





Result darah HbA1c pada 27/9/2017 - sangat tinggi! 



HbA1c menghampiri normal, selepas 3 bulan!


Testimoni #2

Puan Labibah, selepas 4 bulan mengikuti program


Puan Labibah, 59 tahun. Didiagnos diabetis 2 tahun. selain itu ada hipertensi dan kolesterol tinggi.BP 160/100 pada waktu tu.  Padar gula sekitar 6.5. HbA1c 6.9 % (Julai 2017). Ubat metformin 500 mg 2x sehari dan atorvastatin 20 mg malam dimulakan pada Julai 2017



Pada bulan September 2017, Pn Labibah mula diperkenalkan kepada RDO protocol dan mula mengamalkannya..

Hasilnya...

Terkini...Februari 2018..↴


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