Herbals for diabetes Flashcards
What is the first line for diabetes type 2, what is it the analogue of
Metformon, galegine (biguanide)
T/F: Cinnamon is is spice made from the bark of the cinnamomum tree rich in polyphenoilc antioxidants
True
What are the meta-analysis of results of cinnamon/ conflicting results
Reduced levels of fasting plasma glucose, total cholesterol, LDL-C and triglycerides (increasing insulin sensitivity to enhance glucose transport), HbA1c reduction
What is the thought to be the active ingredient of cinnamon, best dose to use
procyanidin polymers, 1 gram
What is concern with using cinnamon, why
Contains coumarin, liver damage
What plant is used for diabetes and is a plant related to ginger grown throughout India and many parts of Asia, known properties outside of diabetes
Tumeric, antioxidant properties (inflammation reduction), possibly cancer
What is the most active component of tumeric, clinical findings for curcumin
Curcumin, decreased fasting plasma glucose, hypolipedemic effect and improved lipid profile
What is a risk of high doses or long term tumeric use
Gastrointestinal problems
What are active ingriedients of ginseng
ginnsendosides
What are the clinical benefits of using ginseng
REDUCTION IN FASTING BLOOD GLUCOSE, reduction in Hba1c, improved postprandial insulin levels, lowering triglycerides and total cholestrol and LDL, improvement of insulin sensitivity
What are reported side of effects of ginseng
nausea, insomnia, headache., muscle tension, and fluid retention
What drugs should not be used simultaneously with ginseng, what disease state
blood thinning drugs (warfarin/reduction in preventing blood clots), hormone sensitive tumors
What fruit/vegetable is used to reduce blood glucose, what is the biggest benefit seen
Bitter melon, lowering HbA1c
Which seed is known to slow down digestion and absorption of carbohydrates, what compound can increase of the seed can stimulate the secretion of insulin and reduce insulin resistance
Fenugreek, 4-hydroxyisoleucine
What is the standpoint of the NIH regarding dietary supplements of diabetes
Most supplements do not have sufficient evidence to support beneficial effect of these medications