Kenapa Ujian Minum Air Gula dibuat bagi ibu mengandung? Dengar apa doktor kata...

 

Terdapat sorang netizen facebook pertikai ujian air minum air gula yang dilakukan ke atas ibu hamil. Sehinggakan beliau menyarankan saman KKM kerana mengarahkan ujian tersebut dibuat.
Berikut adalah jawapan saya dalam soalan yang sama pernah diajukan oleh pesakit.

*Soalan*
Apakah rasionalnya setiap ibu yg mengandung akn disuruh minum air gula? Kenapa mesti minum & apakah kesan jikalau tidak minum air gula tersebut?

*Jawapan*
Ujian minum air gula (Oral Glucose Tolerance Test) 
 
Rationalnya adalah mengesan kencing manis samada semasa mengandung atau tidak.

*Kaedah:* Ibu diminta berpuasa sedari jam 10 malam. Dengan ini paras gula dalam darah di pagi hari (jam 8 pagi) adalah paling minima. Jika melebihi hadnya maka dikira diabetes. Namun sistem badan kita yg Allah jadikan amat hebat kerana insulin akan mengawal keseimbangan gula dalam darah. Kemudian ujian minum air gula dilakukan bagi _challenge_ tindakan insulin dalam badan. Bagi ibu yang berisiko, insulin badan tidak dapat berfungsi dengan baik. Justeru bacaan nya akan melebihi paras. Ia akan di kira sebagai kencing manis semasa mengandung. 

*Berikut adalah faktor risiko yang mewajibkan seseorang itu menjalani ujian MOGTT:*

1. Hamil itu sendiri adalah risiko kerana komposisi badan sudah berubah. Dan berat badan bertambah
2. Umur melebihi 25 tahun.
3. Sejarah keluarga kencing manis
4. Mempunyai sejarah berat bayi sebelum ini lebih 4 kg
5. Berat badan melebihi 80 kg
Dan beberapa risiko lagi

*Kesan kencing manis semasa hamil*

*Kepada ibu*: akan selalu pengsan dan boleh bawa maut
*Kesan pada janin:* Tumbesaran terbantut, air ketuban banyak, kerosakan tulang belakang janin, kelahiran pra matang, dan boleh membawa kematian bayi dalam kandungan.

@dr suhazeli com

Do Coffee and Caffeine Help Manage Diabetes and Six Important Facts

By Clara Schneider MS, RD, RN, CDE, LDN

Morning coffee-it is the only way to get the day started for many people all over the world. Recently many articles about coffee have been released in the news. Many people are asking, what’s the story-is coffee a good choice for people trying to prevent diabetes? Is there information about the effects of caffeine and coffee if one has diabetes? We’ll discuss six interesting studies and facts about coffee and caffeine. 

Fact 1: Caffeine and memory - A recent small study carried and published in 2014  at Johns Hopkins University with 73 subjects concluded that as little as 200 milligrams of caffeine enhances a special type of memory called pattern separation for up to 24 hours. When a person distinguishes the differences between two similar items that are not identical, they are exercising pattern discrimination. (1,2,3)

The Mayo Clinic has an interesting graph depicting the amounts of caffeine in many popular drinks. 

Fact 2: Preventing type 2 diabetes - In both men and women, increased caffeinated and decaffeinated coffee consumption is strongly associated with a reduced risk of developing type 2 diabetes. Researchers at The Harvard School of Public Health just released an evaluation (in 2014) of twenty-eight studies from around the world. The risk of developing diabetes with drinking no coffee or coffee at different amounts was reviewed. Studies took place with a total of 1,109,272 subjects with outcome risk for diabetes type 2 of which there were 45,335 cases of diabetes. The studies followed the participants from 10 months to 20 years. 

There was a 33 percent drop in associated risk of developing type 2 diabetes when six cups of coffee (caffeinated or decaffeinated) was consumed per day.  The researchers did not find significance between the relative risks of developing diabetes by drinking one cup/day caffeinated coffee (9 percent reduction) vs. decaffeinated coffee (6 percent reduction). The risk reduction is significant however, when comparing these individuals to non-coffee drinkers. It was concluded that people who are sensitive to caffeine may enjoy the health benefits of coffee with decaffeinated options. The researchers also stated that drinking coffee should be only one part of a strategy to prevent diabetes. People also need to be mindful of their weight and keep physically active. (4,5)

Fact 3: Coffee drinking and mortality - A large study of more than 40,000 men and women between the ages of 20 and 87 years of age, published in the Mayo Clinic Proceedings (2013), found that people who drank more than 28 cups of coffee per week have a 21 percent increase in mortality from death from all causes. Subjects younger than 55 years of age drinking this amount of coffee, have a 50 percent increase in mortality from all causes. This increased rate of death was not found in people over the age of 55 years. Very importantly however, the researchers could not claim evidence of causality. Subjects who consumed more coffee were also likely to smoke and had lower levels of cardiac fitness. The study team found that the evidence “suggests that heavy coffee drinkers may experience additional mortality risk through potential genetic mechanisms or because of confounding through the deleterious effects of other risk factors with which coffee drinking is associated.” While the research team warns younger people to avoid heavy coffee consumption of more than four cups per day, they also note further studies are needed on the long term effects of coffee consumption. (6)

Fact 4: Athletes with type 1 diabetes - A very small study of adult athletes with type 1 diabetes was presented in 2010 at the American Diabetes Association conference. This study involved five athletes with type 1 diabetes (mean age 38 years of age) who needed multiple, daily injections of insulin. In the study, the athletes had insulin with a meal. Two hours after their meal they consumed five mg/kg of caffeine or a placebo in a drink followed by a 30 minute rest period. This was followed by 40 minutes of measured exercise. The experiment was repeated so all the subjects had data measuring their response to both the placebo and the caffeine to study their need for supplemental glucose to cover the exercise. 

The research team found that on the days the subjects had caffeine, they did not need any supplemental glucose. When the placebo was given, their blood glucose values fell and glucose was needed.

This is a very small study and the research team argues for a large scale study to take place. The team also noted that the amount of caffeine used was high. They plan another study with a lower dose of caffeine. The authors mentioned that when a person with type 1 diabetes has unplanned exercise and cannot reduce their insulin dose, caffeine may reduce the extra calories needed to treat hypoglycemia. Please note again, more research needs to be done in this intriguing area. (7)

Fact 5: Coffee and type 2 diabetes - A small study of brewed coffee drinkers (five men and five women) mean age 63 years with type 2 diabetes was conducted at Duke University (2007) to evaluate the effect of caffeine on blood glucose. The participants' diabetes was managed with diet, exercise and oral agents. Their A1c values were approximately 6.4 percent. None of the participants required insulin as a medication, smoked or used psychotropic medications. The study compared the effects of 500 mg/day of caffeine with a cross over placebo control conducted on different days. The dose of caffeine or placebo was given divided between breakfast and lunch. A continuous blood glucose monitoring device was worn on study days. The results showed that when the participants consumed caffeine, their daytime blood glucose concentrations were higher and they had an exaggerated postprandial glucose response. It was also interesting to note that the subjects exhibited reduced overnight glucose levels when the caffeine was given compared to the placebo.  Future studies need to be done. (8)

Fact 6: Coffee consumption during pregnancy - The American Association of Clinical Endocrinologists recommends pregnant women consume, no more than 300 mg of caffeine (approximately three cups of coffee) per day. This amount is generally not associated with miscarriage and stillbirth which has an association with consuming caffeine in large quantities. (9)

These studies are interesting to read. As you can see, more research needs to be performed on coffee consumption in people with diabetes. Most studies done with people diagnosed with diabetes are small. Make sure to ask your medical team if coffee is for you and if you have any limits for your particular case. Negative effects from drinking coffee can include sleeplessness, nervousness, a fast heart rate, and muscle tremors. (10) For people with diabetes, from the studies listed it can also cause changes in your blood glucose.

http://www.diabetescare.net/

Info: Khasiat Daun Belalai Gajah..

Daun Belalai Gajah

Khasiat Daun Belalai Gajah

Daun belalai gajah atau Sabah Snake Grass telah lama dikenal pasti mempunyai antioksidan yang tinggi untuk mengatasi sel-sel kanser dan mengekalkan sel-sel sihat dalam tubuh manusia.

Khasiat daun tersebut mampu membantu orang yang mempunyai masalah kesihatan seperti kanser, buah pinggang, radang prostat, kolesterol, tekanan darah tinggi, asid urik tinggi, diabetes, mengurangkan risiko salur darah tersumbat, membuang toksin dalam badan di samping mengurangkan keletihan.


Dalam satu pertemuan di ladang belalai gajah milik You Dun Chao Herbs Farm Sdn. Bhd di Jalan Sendayan, Seremban, Negeri Sembilan baru-baru ini, pengguna produk daun belalai gajah jenama UTURN keluaran You Dun Chao Healthcare Products Sdn. Bhd. menceritakan pengalaman masing-masing mengenai khasiat daun berkenaan.

Muhammad Nur Shahir Mat Hussin, 24, mengidap aplastic aneamia sejak kecil.

Aplastic aneamia adalah satu keadaan yang mana sum-sum tulang tidak menghasilkan sel-sel baru yang mencukupi untuk mengisi sel-sel darah.

Penyakit itu menyebabkan beliau asyik tidur kerana keletihan dan tidak dapat tidur lena pada waktu malam kerana terlalu banyak makan ubat.

Menurutnya, pada tahun 2009, dia mengidap diabetes sehingga memaksanya mengambil insulin sebanyak empat kali sehari.

Bagaimanapun, kesihatannya mula berubah selepas mengambil produk daun belalai gajah pada Jun tahun lalu.

Jelasnya, mulai Oktober tahun yang sama, dia mengambil kapsul dan jus ekstrak belalai gajah dan keadaan kesihatannya semakin bertambah baik.

Pekerja kilang, Nur Amirah Mohd. Adi, 18, mengidap neprhotic syndrome sejak kecil.

Masalah tersebut merujuk kepada gangguan buah pinggang yang menyebabkan pengidapnya kurang kencing atau mengalami kencing tidak lawas.

Katanya, akibat penyakit itu, kaki menjadi bengkak, perut buncit dan berat badan bertambah, mata kuning serta tidak dapat tidur lena pada waktu malam.

"Ketika berumur lima tahun, saya pulih selepas mengambil steroid tetapi penyakit tersebut kembali berulang ketika berumur 16 tahun menyebabkan saya terpaksa berhenti sekolah,'' ujarnya.

Nasibnya mula berubah apabila diperkenalkan dengan produk belalai gajah oleh Pengarah Eksekutif You Dun Chao Healthcare Products Sdn. Bhd., Hazmi Haron sejak Mei tahun lalu.

Pelajar tingkatan satu, Muhammad Al Saddiq Fajar, 12, mengidap thalassaemia dengan kadar ferritin dalam darah yang tinggi iaitu pada bacaan 6,779.

Katanya, pada bulan September tahun lalu, dia mula mengambil cecair pati belalai gajah dan selepas itu, tubuhnya mula menunjukkan pemulihan dengan kadar ferritin menurun kepada bacaan 4,000 semasa ujian kesihatan dijalankan pada Oktober tahun lalu.

"Ketika sakit, saya perlu mengambil darah sebanyak dua paket sebanyak dua kali sebulan selain perlu menjalani rawatan mencuci darah," katanya.

Kesan pengambilan produk belalai gajah juga dapat dirasakan oleh kakaknya, Fatin Farhana Fajar, 15, yang turut mengidap penyakit yang sama.

Penasihat kewangan, Nasir Musa, 41, menghidap penyakit tekanan darah tinggi, kencing manis dan tahap kolesterol tinggi.

"Sebulan saya mengambil produk ini, telah menunjukkan kesan secara fizikal yang mana bila saya membuang air kecil tidak lagi berbuih seperti biasa.''ujarnya

Demikian beberapa pengalaman daripada pengguna mengenai khasiat daun belalai gajah tersebut.

Bagaimanapun mereka yang ingin mencubanya tidak menganggap daun tersebut sebagai kaedah merawat atau ubat sebaliknya hanya membantu mengatasi masalah yang mereka alami.

sumber: anizyn.blogspot.com

* Admin telah ambil inisiatif untuk tanam dan biak di rumah, jika ada pembaca berminatboleh email di : terengganulegend@yahoo.com