This document provides information on reversing diabetes and obesity through dietary changes. It discusses the story of a patient who lost 150 pounds in 7 months and was able to stop all diabetes medications by adopting a low carb diet of less than 20g per day. It notes that Dr. Jason Fung states type 2 diabetes is reversible even after many years and with substantial weight loss. The document recommends an intermittent fasting plan of eating within an 8 hour window and fasting for 16 hours. It also recommends a low carb high fat diet focusing on meat, eggs, and low carb vegetables while avoiding sugar, grains, and processed foods. Combining intermittent fasting and a low carb diet can help reverse diabetes and obesity by reducing insulin levels and fat stores in the

1. Panduan Pesakit Diabetis/Obesiti
Dr Hapizi

2. https://intensivedietarymanagement.com/jason-patient-profile/
Before
• 434 pounds (July 2016)
• 100 u insulin Lantus +
Humalog
• On Metformin,
Losartan, Amlodipine,
Prilosec, Atorvastatin

3. 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

4. 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!!

5. “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

7. Excess
carbs Insulin
Insulin
Resistance
Beta Cells
Dysfunction
Twin Cycle Model

10. KESELURUHAN TUBUH MANUSIA DEWASA (5 LITER DARAH)
CUMA MEMPUNYAI
5 GM GULA SETIAP MASA = 1 SUDU TEH GULA!

11. Carbs Insulin
Fat
storage

12. KARBO/GULA INSULIN
SENSITIVITI
INSULIN KEMBALI
NORMAL
REMBESAN
INSULIN
KEMBALI
NORMAL
PULIH DARI DIABETIS !!!

13. 2 Prinsip Utama
(bebas dari diabetis)
1. Jangan mengambil gula/karbo (LCHF). Anggap
anda allergik kepada gula/karbo
2. Membakar simpanan gula yang ada
(intermittent fasting)

14. Fasting…continued..

15. Intermittent Fasting
(Puasa Berkala)

17. Makan
8 jam
Puasa
16 jam

18. # 2
Low Carb High Fat Diet
(Diet Rendah Karbo Tinggi Lemak)

19. ASAS
• Makan – daging, ikan, telur, ayam dan sayur-
sayuran atas tanah dan lemak semulajadi (spt
mentega, 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

20. • Karbo : 50-75 gm sehari , utk 1-2 minggu pertama,
kemudian kurangkan lagi.Diabetis < 30 gm/day. Sayur-sayuran- 4 hidangan
sehari
• 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

21. 50 gm karbo

24. Prof Tim Noakes

25. Kesimpulan
• Diabetis/obesiti boleh di-”reverse” dgn
pemakanan yg betul. Tidak perlu bersenam
• Kunci: Puasa berkala (intermittent fasting) dan
diet rendah karbo, tanpa gula
• Makanan berLemak tidak menggemukkan dan
tidak meninggikan paras kolesterol, tetapi
disebabkan karbo/gula
• Dengan berpuasa dan makanan rendah
karbo/gula, lemak terutama dlm hati (liver) dan
pankreas “mencair”