Stating that proper nutrition during the fasting period can be one of the steps to be taken to eliminate diseases such as fatty liver, insulin resistance and obesity, Internal Diseases Specialist Dr. İsmail Erbaş said, “If we can establish the logic of the fasting system in our real life, we can balance the sugar and hypertension, which are the causes of liver fat, metabolism balance, arteriosclerosis, cerebral vascular occlusions, and cardiovascular obstructions. “If we can make proper nutrition a way of life in the other 11 months, we can prevent problems that may pose a health risk,” he said.


Emphasizing that obesity and diabetes, which are among the biggest diseases of our age, can be improved by eating a low and balanced diet for 12 months. Dr. Erbaş stated that the most important structure controlling metabolic balance during fasting is carbohydrate and insulin secretions. Expert Dr. İsmail Erbaş said, “The food balance of the body regulates these in the best way. With a long fasting period, we can achieve a serious metabolic balance with two meals. Fasting, with all its principles, is a situation that is exactly suitable for this. Fasting generally has serious positive effects on fluid balance, carbohydrate balance and fat metabolism. Fluid consumption during the fasting period is very important for everyone, especially the older age group. We must meet our daily requirement of at least 2.5-3 liters of liquid both at iftar and sahur. Those with insulin resistance and diabetes should not overload food, especially in the evening, in terms of metabolic balance. This is the logic of starting iftar with dates. “Sweet and fatty foods prevent more food intake because they fill the appetite center early.”


Noting that the most important factor that will regulate metabolism is time, Uzm. Dr. İsmail Erbaş said, “During the fast, our body maintains the glucose balance within itself by fasting for 16 hours. It does this in the following way: There is a mechanism in our body that lowers blood sugar and keeps it in balance. Body; It creates a stable glucose concentration as a result of a balance struggle regarding hormonal factors, carbohydrates, fats and proteins it can use. It provides this until 12-15 hours of hunger. For this balance, we can call the body’s defense system ”.


Uzm also added that he does not recommend fasting for people who use insulin, patients with cardiovascular risk factors and people over the age of 70. Dr. İsmail Erbaş made the following warnings:

“Those who use insulin medication definitely need to take their insulin on time. They need to pay attention to the state of hunger and satiety. When hyperlipidemia, hyperglycosis and hypertension are eliminated, we also reduce the risk factors related to the heart and brain. By taking less carbohydrates, we can enable our body to set its internal balance voluntarily. If fasting disrupts the balance of the body, that is, causes problems such as dizziness, high or low blood pressure, we do not recommend fasting for these people. I recommend that healthy individuals who are in the younger group and do not have a major risk factor should consume foods that are not carbohydrate-heavy and have a high protein content in their iftar and sahur meal in the evening, take plenty of fluids, eat a balanced diet, and consume foods slowly, if they are going to fast. Since consuming all the appetizers, main dishes, desserts, and salty foods as soon as they sit down to the meal will bring a serious extra load on the heart, intestines and stomach, I recommend that the food consumption should be made in a more balanced way. “


Emphasizing that hunger should be controlled for a long time, Uzm. Dr. Underlining that fasting without taking biological and essential amino acids would mean an invitation to health risk, Erbaş said, “Staying hungry for a long time by taking enough food is a situation that we recommend to be done in a controlled manner at a normal time. However, if this is done uncontrollably and unconsciously, if you have diabetes, heart disease and vascular diseases, a possible hypoglycemia (low sugar) may trigger a heart attack. For this reason, long-term hunger is not suitable for these people, ”he said.

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