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Type 2 Diabetes: Supplements Overview

Key Points

  • There is limited scientific evidence on the effectiveness of dietary supplements as complementary and alternative medicine (CAM) for type 2 diabetes. The evidence that is available is not sufficiently strong to prove that any of the six supplements discussed in this report have benefits for type 2 diabetes or its complications. A possible exception may be the use of omega-3 fatty acids to lower triglyceridea levels.

  • It is very important not to replace conventional medical therapy for diabetes with an unproven CAM therapy.

  • To ensure a safe and coordinated course of care, people should inform their health care providers about any CAM therapy that they are currently using or considering.

  • The six dietary supplements reviewed in this report appear to be generally safe at low-to-moderate doses. However, each can interact with various prescription medications, affecting the action of the medications. People with type 2 diabetes need to know about these risks and discuss them with their health care provider. Prescribed medicines may need to be adjusted if a person is also using a CAM therapy.

aTerms that are underlined are defined in the dictionary at the end of this report.

1. What is diabetes?

Diabetes is a chronic condition in which the body cannot properly convert food into energy. Most food that a person eats is eventually broken down into blood glucose (also called blood sugar), which cells need for energy and growth. Insulin is a hormone that helps glucose enter cells. In people with diabetes, the body does not make enough insulin, or it does not respond to insulin properly. This causes glucose to build up in the blood instead of moving into the cells. The most common type of diabetes is type 2 diabetes (formerly called adult-onset diabetes or noninsulin-dependent diabetes). People can develop type 2 diabetes at any age, even in childhood.

The symptoms of diabetes include fatigue, nausea, a need to urinate frequently, excessive thirst, weight loss, blurred vision, frequent infections, and sores that do not heal. However, some people with diabetes do not have any symptoms. Over time, the high blood glucose levels caused by diabetes can lead to complications in the eyes, blood vessels, nerves, kidneys, feet, teeth, skin, and, especially, the heart. Such complications can be prevented or delayed by keeping blood glucose, blood pressure, cholesterol, and triglycerides in a normal or close-to-normal range.

 

Some people develop a condition called insulin resistance before they develop type 2 diabetes. When insulin resistance is present, the body does not respond properly to the insulin it has released to lower blood glucose. So, the pancreas releases more insulin to try to keep up with the excess glucose. If the pancreas cannot produce enough insulin, over time this leads to type 2 diabetes. Obesity, aging, and lack of exercise can all play a role in developing insulin resistance and heightening the risk for diabetes.

To find out more about diabetes and related conditions, contact the National Diabetes Information Clearinghouse.

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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.

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