Diabetes Supplement Guide

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    Diabetes Supplement Guide

    Copyright 2011 SupplementZone.org

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    Table of Contents

    Introduction to Diabetes..................................................................... 8Magnesium...................................................................................... 11

    Aloe Vera......................................................................................... 13DHEA .............................................................................................. 14L-Carnitine....................................................................................... 15

    Bitter Melon ..................................................................................... 16Coenzyme Q10 ............................................................................... 17Prickly Pear ..................................................................................... 18Caffeine........................................................................................... 20Chromium........................................................................................ 21Ginseng........................................................................................... 23Glucomannan and Guar Gum.......................................................... 24Milk Thistle ...................................................................................... 25

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    Disclaimer

    This site does not treat, diagnose/assess medical conditions,

    prescribe medication or provide medical advice. The opinions,

    information and resources contained within this site are for

    informational purposes only and do not constitute medical practice

    nor medical advice.

    We are not medical doctors. We cannot assure that the articles

    published herein were written by medical doctors. Before starting any

    type of medical program, consult your physician to determine the

    options best suited to your individual needs.

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    Diabetes Caution

    Since some of the supplements in this guide have been proven to

    help lower blood sugar, always tell your doctor before you begin

    taking them. If you change your blood sugar levels, it may alter the

    amount of insulin you require. Blood sugar that drops too low can

    result in hypoglycemia, a dangerous condition resulting in confusion,

    and even coma and death in extreme cases.

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    Introduction to Diabetes

    Diabetes is a disease that affects around 300 million people

    worldwide. Coming in two varieties, a childhood version (type I) and

    an adult version (type II), diabetes leads to hyperglycemia, a

    condition of abnormally high blood sugar levels that can do extensive

    damage to major organs. Type I is generally seen to have a stronger

    genetic component than type II, which is at least somewhat related toobesity and is possibly avoidable in some people.

    Sugar enters the bloodstream from either food recently eaten, or from

    storage in the liver. After it enters it needs to be transported into cells

    to create energy, and this is where insulin comes in. Insulin is

    released from the pancreas in response to the presence of blood

    sugar, and transports this sugar into the cells. What happens in

    diabetes is either insulin stops being produced altogether (type I), or

    cells become resistant to insulins ability to transport sugar (type II).

    As a result, sugar builds up in the bloodstream, and over time this

    can lead to serious damage to major organs. Most commonly, this

    leads to heart disease, increased infections, foot damage, neuropathyand numbness in the limbs, damage to vision, and so on. This kind of

    damage happens over a length of time with high blood sugar, and so

    blood sugar needs to be controlled.

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    Risk Factors

    Type I, childhood onset diabetes, is mainly an inherited autoimmunedisease. The bodys immune system begins attacking the pancreas,

    and it loses its ability to produce insulin.

    The genetic trigger for it comes from a combination of two different

    genes, but the presence of this particular gene does not guarantee

    the existence of diabetes type I; studies on identical twins haveshown that diabetes is present in both twins only about half the time,

    despite the fact that they both carry identical genes. This points

    toward an environmental trigger. Theories include viruses and diet,

    although no specific trigger has been found.

    Type II diabetes also has a strong genetic component, but is also

    often triggered by obesity and lack of exercise. Unlike with Type I

    diabetes, people with Type II still produce insulin but their cells have

    become resistant to allowing insulin to escort sugar into them, and so

    sugar builds up in the blood instead.

    Management

    The goal of diabetes management is to get blood sugar levels down

    to normal and carefully monitor them. This is primarily done using

    insulin injections, a diet low in fast carbohydrates, and with regular

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    exercise. There are also various medications that can help keep

    blood sugar low, like metformin.

    But there are also several over the counter nutritional supplements

    that have some promising research behind them as methods of

    lowering blood sugar.

    Keep in mind that research is still ongoing on many of these

    supplements, and if you decide to take any you MUST inform your

    doctor. If any of them actually work in lowering blood pressure, then it

    could drastically alter your need for insulin and you could be at risk of

    hypoglycemia: very low blood pressure that can result in confusion

    and coma.

    This list is for informational purposes only, and not intended as

    medical advice.

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    Cinnamon

    A very popular supplement for diabetes control is cinnamon,especially considering some recent studies on its effectiveness. As

    with many supplements, however, there are conflicting studies and so

    it isnt currently known how effective it is.

    One study from 2003 followed 60 patients, and those who took

    cinnamon had lower glucose levels than

    the ones taking placebos. However,

    other studies have not been able to find

    any effect. One theorized reason for this

    discrepancy is that the earlier studies

    involved diabetics who were not already

    taking sugar-lowering medications, compared with later studies on

    diabetic who were.

    Thus, it is unknown if cinnamon can help lower blood sugar or not.

    However, there are no shortages of anecdotal stories of diabetics

    taking cinnamon and noticing much lower blood sugar levels.

    Fortunately, cinnamon is fairly safe to take and so can be added tothe diet if you like, and it comes in capsule form as well if youd prefer

    that. It bears repeating that you inform your physician, as lowered

    blood sugar levels will change the amount of insulin you require.

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    Aloe Vera

    Well known as an ointment for treating burns, the juice of this

    succulent plant is also taken orally as a way of easing digestion. It

    has also been of interest to

    researchers as a way to treat

    diabetes.

    One study of 3,000 diabetics involved

    giving aloe vera gelatin baked into

    bread. All the ones eating the bread

    had improved glucose levels.

    Another study on only five patients

    found improved glucose levels in

    those taking half a teaspoon of aloe vera per day.

    Aloe vera might not be completely safe to take long term. There is

    some indication of potential liver damage in rare cases.

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    DHEA

    The adrenal steroid hormone 5-Dehydroepiandrosterone is popular

    as a potential anti-aging supplement (even though evidence is

    scarce). It has also been examined as a possible diabetes

    supplement, and some evidence has been found that it may help

    reduce cardiovascular disease in diabetics.

    However, studies have been rare and small, and so there is not much

    evidence that it is useful as a diabetes supplement.

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    L-Carnitine

    L-carnitine is an amino acid, one of the building blocks of protein, and

    is sold as a nutritional supplement. It is involved in breaking up fatty

    acids (like omega 3 and omega 6), so that they can be transported

    into the cells during metabolism.

    There i some evidence that it can help improve glucose metabolismand insulin sensitivity in Type II diabetics. A 1999 study published in

    the Journal of the American College of Nutrition studies 15 diabetic

    patients, and found that l-carnitine doe help to improve fat oxidation

    and insulin sensitivity.

    L-carnitine is probably relatively safe to take, but as with many

    diabetic supplements, research is still preliminary as to whether it is

    effective or not.

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    Bitter Melon

    A tropical fruit that is widely used as a food in Asia, bitter melon may

    also help to increase insulin

    sensitivity. A very recent paper

    in the Journal of

    Ethnopharmacology found that

    2000 mgs per day of bittermelon may help lower blood

    sugar, but metformin did the job

    better.

    Since it is widely eaten in Asia, it is probably a fairly safe supplement

    to take.

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    Coenzyme Q10

    A vitamin like substance that is required for metabolism, CoQ10 is

    most often used as a supplement to treat congestive heart failure.

    There is no evidence that it can affect blood sugar.

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    Prickly Pear

    A type of cactus native to the Americas, prickly pear has some

    evidence of effectiveness in lowering blood sugar. However, the

    evidence only related to one

    particular species of prickly

    pear (Opuntia

    streptacantha), and othersdid not show the same effect

    and in fact some of the other

    species may cause kidney

    damage.

    With supplements you buy in the store, it is usually impossible to tell

    which species the supplement comes from and so it might be wise to

    avoid it.

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    Alpha-Lipoic Acid

    Alpha-lipoic acid is an antioxidant, a chemical that can clean up loose

    molecules called free radical that can cause all kind of organ

    damage. It is sold as a dietary supplement over the counter. Unlike

    most antioxidants, alpha-lipoic acid is water soluble and hence can

    work throughout the body.

    There is some evidence that alpha-lipoic acid may help improve

    symptoms of peripheral neuropathy, a disease caused by diabetes

    that involves tingling and pain in the extremities.

    This may be useful for some diabetics, and is probably a safe

    supplement to take. One study on diabetic neuropathy found that 600

    mgs per day was the optimal dose to relieve symptoms without also

    bringing on side effects.

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    Caffeine

    Coffee has long been of interest as a possible way of reducing the

    risk of diabetes Type II. The active chemical was long thought to be

    caffeine, but recent studies

    have suggested that caffeine

    actually increases blood sugar

    about as much as diabeticmedications decrease it.

    Researchers have concluded

    that there may be a different

    compound in coffee that provides a protective effect against diabetes,

    but it remains to be seen what that is.

    Therefore, caffeine is probably not a good diabetes supplement.

    However, there is still support for a possible protective effect against

    heart disease in people over aged 65 who do not have high blood

    pressure, and so may still provide some benefit.

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    Chromium

    Chromium is a metal that may affect sugar metabolism in biological

    organisms, although there is plenty of ongoing debate about this and

    so far little conclusive evidence. Chromium in supplement form is

    mixed with picolonic acid and sold as chromium picolinate. Actually

    chromium deficiency is very rare, and so interest in this supplement

    comes mostly from claims that it can help diabetics control sugar.

    There have been several studies, and in many of them it did seem to

    help control sugar metabolism. However, many of these were small

    studies with poor controls (such as randomized double blindness. A

    2010 study in the journal Endocrine Practice failed to find any

    evidence that chromium helped reduce risk of acquiring diabetes.

    But a 2008 study in Diabetes/Metabolism Research and Reviews did

    find some evidence that it can help control glucose levels in Type II

    diabetics, especially when combined with diabetic medications like

    metformin.

    As for safety, there has been some concern that chromium picolinatemay lead to damage to DNA, based on studies on rodents. But there

    is controversy over this and some subsequent studies have found

    that it is safe in normal doses (up to 1.6 mgs per day) without any

    apparent ill effects.

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    Flaxseed

    Flaxseed oil contains omega 3 fatty acid, which are now well known

    to be quite useful for reducing the risk of cardiovascular diseases. It

    has also been studied as a potential diabetes treatment, but research

    is inconclusive.

    A 2010 study found that it did not help improve glycemic control inType II diabetics who already had well-controlled blood sugar. The

    University of Maryland Medical Center actually lists the rise of blood

    sugar as one side effect of flaxseed, especially when combined with

    diabetic medication like metformin or insulin.

    As a result, caution should be exercised when taking flaxseed if you

    are diabetic, but it does still have other benefits that may be worth

    considering. As mentioned, it contains omega 3 which can reduce the

    risks of heart disease (although fish oil omega 3 is more efficient),

    and eating the flaxseeds themselves are a good source of dietary

    fiber.

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    Ginseng

    Ginseng is an Asian plant species that has long been used as a

    stimulant and aphrodisiac, as well as an anti-anxiety herbal

    supplement. It has also been popular as a way of lowering blood

    sugar in diabetics.

    As with many of the supplements for fighting blood sugar, research isconflicting. There have been several studies on both the American

    and Korean Red varieties that have shown promise in lowering blood

    sugar levels in diabetics. But then other studies have not found much

    of an effect.

    One problem with buying ginseng supplements is that you cant

    always tell what species of ginseng you are getting, and what the

    concentration is, and so results may vary wildly. The main side effect

    is insomnia, but some studies have not been able to corroborate that

    effect. Overdose is rare.

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    Glucomannan and Guar Gum

    Glucomannan is a fiber from the Konjac plant, a tropical plant found

    in Asia and popularly known as elephant yam (although not related to

    real yams). As a fibrous material, there is some evidence that it may

    help slow the absorption of carbohydrates into the digestive system,

    providing a more level amount of blood sugar after eating. Some

    research has been promising, but there havent been any studies onit in several years.

    Guar gum is similar in mechanism. A compound found in the Indian

    guar bean, it too may help to slow down carbohydrate absorption and

    keep blood sugar levels more even. Research has suggested that it

    may work well combined with diabetic drugs.

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    Milk Thistle

    A prickly flower mostly found in the Mediterranean region, milk thistle

    contains a chemical called

    silymarin which has been

    used in several studies as a

    diabetic supplement. A

    2007 study published in theJournal of Medicinal Food

    concluded that 200 mgs of

    silymarin per day helped

    reduce both fasting and

    after-meal blood sugar levels.

    Silymarin is probably safe to take. In studies on rodents, toxicity

    levels were much higher than what you would be able to take by

    supplement.