{"id":13434,"date":"2021-05-19T11:00:00","date_gmt":"2021-05-19T03:00:00","guid":{"rendered":"http:\/\/drzubaidi.com\/blog\/?p=13434"},"modified":"2024-05-06T10:37:35","modified_gmt":"2024-05-06T02:37:35","slug":"perlukah-mulakan-insulin","status":"publish","type":"post","link":"https:\/\/drzubaidi.com\/blog\/perlukah-mulakan-insulin\/","title":{"rendered":"PERLUKAH MULAKAN INSULIN"},"content":{"rendered":"\n

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Assalamualaikum Doctor. Tadi sy buat checkup bacaan gula saya 8.1. Dr sarankan sy ambil insulin atas alasan umur sy 41, sy mmg ada ambil metformin sejak 2 thn lepas. Apa pandangan Dr mengenai insulin?<\/p>\n\n\n\n

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Walaikumusalam.<\/p>\n\n\n\n

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Saya berpendapat tahap gula puan adalah tinggi tetapi a tidak terlalu tinggi. Masih boleh diperbaiki dengan mengoptimakan dos Metformin, mengurangkan pengambilan karbohidrat ringkas dan mengamalkan Diet Intermittent Fasting atau Puasa Syarie.<\/p>\n\n\n\n

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Saya rasa lebih elok jika puan buat pemeriksaan gula ketika berpuasa dan HbA1c. Ini akan memberikan gambaran lebih jelas pada tahap kawalan gula puan.<\/p>\n\n\n\n

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Umur 40an bukanlah satu alasan atau indikator yang puan perlu suntikan insulin. Ia diberikan jika tahap gula (termasuk HbA1c) terlalu tinggi dan tidak dapat dirawat dengan pil.<\/p>\n\n\n\n

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Insulin adalah hormon yang menyebabkan gula turun denagn cepat. Jika tahap gula tidak terlalu tinggi, saya bimbang ia mudah menyebabkan puan mengalami hipoglisemia. Ini adalah bahaya.<\/p>\n\n\n\n

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Selain ubat-ubatan, puan perlu melakukan aktiviti fizikal. Aktiviti fizikal seperti berjalan kaki, akan menyebabkan sel dan tisu lebih sensitif pada insulin yang sedia ada. Ini akan menurunkan tahap gula dengan lebih selamat.<\/p>\n\n\n\n

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Berpuasa sunat atau mengamalkan Diet Intermittent Fasting<\/em> membantu merawat masalah kerintangan insulin (insulin resistance).<\/em><\/p>\n\n\n\n

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Pada saya suntikan insulin pada masa ini bukan cara terbaik mengawal tahap gula puan. Ambillah langkah yang holistik dan menyeluruh dalam mengawal penyakit diabetes puan.<\/p>\n\n\n\n

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Namun begitu ini adalah pandangan secara am. Puan harus berbincang dengan doktor yang merawat.<\/p>\n\n\n\n

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Semoga menjawab soalan yang ditanyakan.<\/p>\n\n\n\n

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Dibawah adalah contoh pesakit yang berusaha bersungguh-sungguh untuk sembuh diabetes.<\/p>\n\n\n\n

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#HealthDrZubaidi<\/p>\n\n\n\n

Dapatkan Pemanis Tanpa Kalori KLIK DI SINI<\/a><\/p>\n\n\n\n

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\"\"<\/figure>\n<\/div>","protected":false},"excerpt":{"rendered":"

Assalamualaikum Doctor. Tadi sy buat checkup bacaan gula saya 8.1. Dr sarankan sy ambil insulin atas alasan umur sy 41, sy mmg ada ambil metformin sejak 2 thn lepas. Apa pandangan Dr mengenai insulin? Walaikumusalam. Saya berpendapat tahap gula puan adalah tinggi tetapi a tidak terlalu tinggi. Masih boleh diperbaiki dengan mengoptimakan dos Metformin, mengurangkan …<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[5684],"tags":[],"class_list":["post-13434","post","type-post","status-publish","format-standard","","category-dibetes"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p10sZy-3uG","jetpack_sharing_enabled":true,"jetpack-related-posts":[{"id":13356,"url":"https:\/\/drzubaidi.com\/blog\/suntik-insulin-pun-gula-masih-tinggi\/","url_meta":{"origin":13434,"position":0},"title":"SUNTIK INSULIN PUN GULA MASIH TINGGI?","author":"admin","date":"26\/04\/2021","format":false,"excerpt":"SUNTIK INSULIN PUN GULA MASIH TINGGI? Lepas terawih tadi singgah rumah mak. Hantar minyak zaitun OPU dan vitamin E Natrieo. Sepanjang Ramadan tak sempat singgah. Tapi ada berhubung melalui telefon. \"Mak ok ke sepanjang Ramadan?\" tanya saya pada mak dah berumur 71 tahun. Dia solat di surau depan rumah. Terawih\u2026","rel":"","context":"In "DIBETES"","block_context":{"text":"DIBETES","link":"https:\/\/drzubaidi.com\/blog\/category\/dibetes\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2021\/10\/oleva-stevia.jpg?resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2021\/10\/oleva-stevia.jpg?resize=350%2C200 1x, https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2021\/10\/oleva-stevia.jpg?resize=525%2C300 1.5x, https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2021\/10\/oleva-stevia.jpg?resize=700%2C400 2x"},"classes":[]},{"id":6518,"url":"https:\/\/drzubaidi.com\/blog\/pesakit-diabetes-perlu-bersedia-sebelum-hamil\/","url_meta":{"origin":13434,"position":1},"title":"Pesakit diabetes perlu bersedia sebelum hamil","author":"drzubaidi","date":"28\/09\/2014","format":false,"excerpt":"\u201cSalam doctor. Saya seorang pesakit diabetes, berusia 28 tahun. Saya menggunakan daonil 10mg dua kali sehari. Semenjak kelahiran pertama, kandungan gula saya agak tinggi dan akhirnya doctor memberitahu bahawa saya mengalami penyakit diabetes. Sebelum itu saya tidak mempunyai penyakit ini. Dua minggu lepas, sepupu saya juga pesakit diabetes telah koma\u2026","rel":"","context":"In "Doktor Menjawab"","block_context":{"text":"Doktor Menjawab","link":"https:\/\/drzubaidi.com\/blog\/category\/doktor-menjawab\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":13364,"url":"https:\/\/drzubaidi.com\/blog\/hipoglisemia-di-bulan-puasa\/","url_meta":{"origin":13434,"position":2},"title":"HIPOGLISEMIA DI BULAN PUASA","author":"admin","date":"27\/04\/2021","format":false,"excerpt":"HIPOGLISEMIA DI BULAN PUASA Hipoglisemia berlaku apabila tahap gula dalam darah terlalu rendah. Selalunya ia berlaku pada pesakit diabetes yang mengambil ubat anti-diabetes, tetapi keadaan ini boleh berlaku pada mereka yang bukan pesakit diabetes. Hipoglisemia berlaku apabila tahap gula seseorang itu kurang dari 4.0 mmol\/L. Ia akan memberikan tanda-tanda tertentu.\u2026","rel":"","context":"In "Umum"","block_context":{"text":"Umum","link":"https:\/\/drzubaidi.com\/blog\/category\/koleksi-artikel\/umum\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2014\/01\/IMG-20241118-WA0008.jpg?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2014\/01\/IMG-20241118-WA0008.jpg?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2014\/01\/IMG-20241118-WA0008.jpg?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2014\/01\/IMG-20241118-WA0008.jpg?resize=700%2C400&ssl=1 2x"},"classes":[]},{"id":22119,"url":"https:\/\/drzubaidi.com\/blog\/sudah-tukar-tahap-gula-walaupun-sudah-jaga-makan\/","url_meta":{"origin":13434,"position":3},"title":"SUDAH TUKAR TAHAP GULA WALAUPUN SUDAH JAGA MAKAN","author":"admin","date":"08\/09\/2025","format":false,"excerpt":"\"Assalamualaikum Doktor, kenapa gula dalam darah saya susah nak turun walaupun saya cuba jaga pemakanan? Terima kasih.\" \u00a0 *********** \u00a0 Waalaikumussalam. \u00a0 Sukar untuk turunkan gula darah bukan semata-mata kerana makanan, tetapi kerana banyak faktor yang saling berkait. \u00a0 Antaranya: 1. RINTANGAN INSULIN \u2013 tubuh menghasilkan insulin, tetapi sel tidak\u2026","rel":"","context":"In "Umum"","block_context":{"text":"Umum","link":"https:\/\/drzubaidi.com\/blog\/category\/koleksi-artikel\/umum\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2024\/10\/WhatsApp-Image-2025-05-22-at-11.07.32-AM-1-300x300.jpeg?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":9873,"url":"https:\/\/drzubaidi.com\/blog\/bagaimana-cara-mengurangkan-gula-dalam-darah\/","url_meta":{"origin":13434,"position":4},"title":"BAGAIMANA CARA MENGURANGKAN GULA DALAM DARAH","author":"drzubaidi","date":"27\/11\/2018","format":false,"excerpt":"\u00a0 Assalammualaikum Dr Zubaidi. Saya nak bertanya dan sekali gus mohon doktor bagi tips sekali. Suami saya umur 34tahun, dia penghidap diabetes type 2. Sebelum ini berat badan suami 68kg tetapi bulan september 2018,berat badannya menurun. Beliau kerap sgt kencing walaupun selera makan tetap ada. Bacaan gula rekod tertinggi 28.2.\u2026","rel":"","context":"In "Umum"","block_context":{"text":"Umum","link":"https:\/\/drzubaidi.com\/blog\/category\/koleksi-artikel\/umum\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2018\/05\/WhatsApp-Image-2022-01-03-at-9.42.18-AM-300x257.jpeg?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":17903,"url":"https:\/\/drzubaidi.com\/blog\/bolehkah-pesakit-diabetes-mengambil-kurma\/","url_meta":{"origin":13434,"position":5},"title":"BOLEHKAH PESAKIT DIABETES MENGAMBIL KURMA?","author":"admin","date":"26\/03\/2024","format":false,"excerpt":"\"Assalamualaikum Dr Zubaidi Hj Ahmad. Saya pesakit diabetes mellitus jenis 2. Ambil ubat metformin 500mg dua kali sehari. Bacaan gula saya ketika puasa 5-6 mmol\/l. Di bulan puasa Ramadan ini saya teringin untuk berbuka dengan kurma. Bolehkan saya ambil kurma? Terima kasih Dr Zubaidi.\" \u00a0 WAALAIKUMUSSALAM. \u00a0 Menurut sumber yang\u2026","rel":"","context":"In "Umum"","block_context":{"text":"Umum","link":"https:\/\/drzubaidi.com\/blog\/category\/koleksi-artikel\/umum\/"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2024\/03\/kurma.png?resize=350%2C200&ssl=1","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2024\/03\/kurma.png?resize=350%2C200&ssl=1 1x, https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2024\/03\/kurma.png?resize=525%2C300&ssl=1 1.5x, https:\/\/i0.wp.com\/drzubaidi.com\/blog\/wp-content\/uploads\/2024\/03\/kurma.png?resize=700%2C400&ssl=1 2x"},"classes":[]}],"jetpack_likes_enabled":true,"_links":{"self":[{"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/posts\/13434","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/comments?post=13434"}],"version-history":[{"count":5,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/posts\/13434\/revisions"}],"predecessor-version":[{"id":18368,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/posts\/13434\/revisions\/18368"}],"wp:attachment":[{"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/media?parent=13434"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/categories?post=13434"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drzubaidi.com\/blog\/wp-json\/wp\/v2\/tags?post=13434"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}