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nivlanauk
post Jul 6 2020, 10:19 PM

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Yikes. Necro 2007 thread.

Anyway good thing is a blog post by Dr Nur Hidayati in The Malaysian Medical Gazette back in 2014 writes

QUOTE
Myth 2 – Try taking guava juice, papaya leaves, 100 plus, crab soup etc. to increase your platelet count
...I do not advise them to take soft drinks (isotonic or not) as most of these drinks are very sweet. Taking them in large amount might cause diuretic effect, which makes you to urinate more frequently, and subsequently causing you to be dehydrated and feeling weaker instead....


How about an opinion from a columnist in The Malay Mail (also 2014) instead?
QUOTE
3. Drink water, not 100 Plus

I’m not sure who started the whole “Drink 100 Plus” routine but you’re much better off drinking lots of water. Just water. Most carbonated drinks, including isotonic drinks, have high sugar content. Curing myself of dengue by giving myself diabetes doesn’t sound fun now, does it?


Of course, some would argue that "opinions" are a weak form of evidence, however I wasn't able to find any research paper regarding this topic.
Personally, I don't see how an isotonic drink is going to help with dengue BESIDES replacing fluids loss through heavy sweating/vomitting. That's all.

This post has been edited by nivlanauk: Jul 6 2020, 10:22 PM
nivlanauk
post Jul 7 2020, 12:57 AM

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QUOTE(Yenactiet @ Jul 6 2020, 10:46 PM)
Frankly, I don't really agree with what the doctor said. Yes, drinking lots of 100 plus is not beneficial, but an adequate amount of it helps. When people fall sick, they have no appetite to eat, so the minerals in their bodies are not gonna get fully replenished if they only drink water and water will dilute the mineral level in their bodies as it will 'flush' them out of their bodies through urination. Isotonic drinks, in this case, will help the patients replenish the minerals and at the same time maintain the water concentration. Besides, directly linking diabetes to sugar intake is strictly not professional IMO when the truth is: High sugar intake ---> Increase body fats ---> Causes obesity ---> Affects endocrine system ---> Causes diabetes. From this flow, you can clearly tell obesity is the factor affecting it, not sugar intake alone.
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The diabetes comment is not from the doctor btw! so yea, take it with a grain of salt! laugh.gif

The doctor did mention that high glucose intake may cause increased urination although this is probably more prevalent in diabetics.

Anyhoo, the clinical practise guideline for dengue management(2015) by MOH does recommend the following
QUOTE
Adequate fluid intake (more than 8 glasses or 2 litres for an average person).
- Milk, fruit juice (caution with diabetes patient) and isotonic electrolyte solution (ORS)
and barley water.
- Plain water alone is not sufficient and may cause electrolyte imbalance.


For glucose content comparison,
ORS ~20g/L
100 plus ~66g/L

Again, the purpose of taking ORS is to prevent dehydration in the event of excessive sweating, nausea, vomitting or diarrhea.

 

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