Diabetes Supplement Guide
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Transcript of 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.