July 31, 2000 -- When 40-something Jeff Cottingham was diagnosed with type 2
diabetes, his doctor immediately started him on drugs to control his blood
sugar. But Cottingham worried.
Some drugs for diabetes can have dangerous side effects. In a striking
example, on March 21, 2000, the U.S. Food and Drug Administration (FDA) removed
one of the most widely prescribed diabetes drugs, Rezulin (troglitazone), from
the market after it was linked to 90 cases of liver failure and 63 deaths.
Kathleen Zelman, MPH, RD, LD, WebMD's director of nutrition, created this delicious and colorful meal of grilled salmon with black bean corn salsa and salad. It's a low-calorie lunch or dinner that is rich in fiber, antioxidants, and heart-healthy omega-3 fatty acids. The balance of complex carbs, protein, and good fats makes it diabetes-friendly, too.
Southwestern Grilled Salmon
Makes 4 servings
1 tsp ground cumin
1 tsp chili powder
dash of salt
Already concerned about such problems two years ago, the Aptos, Calif.,
resident began taking Sweet Eze, a mixture of herbs and minerals sold for
diabetes. The supplement seemed to work wonders for the self-described "old
His level of glycosylated hemoglobin (HbA1c) -- a protein that reflects
blood glucose levels over the past two to three months -- plummeted from 11 to
well below the danger threshold of 6. "I feel great," says Cottingham,
who has experienced no side effects from the supplement. "I'm completely
off diabetes medications now."
A success story? Perhaps. But experts advise caution. For one thing, because
Sweet Eze contains six different ingredients -- and because the severity of
diabetes symptoms can fluctuate on their own -- it's hard to say what exactly
is responsible for Cottingham's improvement. For another, supplements carry
their own risks. Some products don't contain the ingredients listed on their
labels. Others come mixed with dangerous -- and unlisted -- ingredients. And
scientists are just beginning to verify which ones actually work.
Doing Ginseng Justice
One herb touted for diabetes got a boost recently from a Canadian clinical
trial. University of Toronto researcher Vladamir Vulksan, PhD, announced at the
American Diabetes Association (ADA) annual meeting in June 2000 that he'd
gotten some positive results using ginseng.
In addition to their usual diabetes regimen -- a careful diet, regular
exercise, and in some cases, medication -- 23 type 2 diabetic patients took
either 3 grams of American ginseng or a placebo each day for eight weeks, at
which point they switched treatments. The diabetic patients' fasting blood
sugar levels dropped about 9% more when they took ginseng compared with when
they took the placebo; glycosylated hemoglobin levels between the two groups
differed by 4%, with the ginseng group being lower.
Despite these encouraging results, Vulksan cautions that it's too early for
diabetic patients to rely on ginseng. Herbs sold in this country are not
standardized, he says, so it's difficult to know for certain what you're buying
and impossible to ensure consistent dosages. Besides, his study looked only at
American ginseng, and he's not certain the results would hold true for the
seven other varieties. What's more, researchers haven't conclusively identified
ginseng's active ingredients.
Get the latest Diabetes newsletter delivered to your inbox!
Your level is currently
If the level is below 70 or you are experiencing symptoms such as shaking, sweating or difficulty thinking, you will need to raise the number immediately. A quick solution is to eat a few pieces of hard candy or 1 tablespoon of sugar or honey. Recheck your numbers again in 15 minutes to see if the number has gone up. If not, repeat the steps above or call your doctor.
People who experience hypoglycemia several times in a week should call their health care provider. It's important to monitor your levels each day so you can make sure your numbers are within the range. If you are pregnant always consult with your health care provider.
Congratulations on taking steps to manage your health.
However, it's important to continue to track your numbers so that you can make lifestyle changes if needed. If you are pregnant always consult with your physician.
Your level is high if this reading was taken before eating. Aim for 70-130 before meals and less than 180 two hours after meals.
Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.
One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.
Thank you for signing up for the WebMD Diabetes Newsletter!
You'll find tips and tricks as well as the latest news and research on Diabetes.
Did You Know Your Lifestyle Choices
Affect Your Blood Sugar?
Use the Blood Glucose Tracker to monitor
how well you manage your blood sugar over time.