natural products

Question 1

Bitter melon

Answer 1

Polypeptide-P acts like insulin
- can preserve beta cells
-can cause hypoglycemia

Question 2

Fenugreek

Answer 2

May increase insulin secretion but has anti platelet effects

Question 3

Gymnema

Answer 3

promotes regeneration of islet cells, no major side effects but may cause hypoglycemia

Question 4

berberine

Answer 4

insulin sensitizing and increased glycolysis,
GI upset

Question 5

Panax Ginseng

Answer 5

stimulates insulin, prevents glucose absorption
A/E, Increased INR, HTN, insomnia

Question 6

Chinese cinnamon

Answer 6

insulin like effects for a person having hyperglycaemia, cumarin is hepatotoxic if 7g a day

Question 7

white mulberry

Answer 7

inhibits alpha-glucosidase enzymes preventing carbohydrate break down

Question 8

Fiber

Answer 8

slows gastric emptying and can clear cholesterol

Question 9

CVOT population

Answer 9

Age 59-65
60-70% men
6-14 years of diabetes
8-9% A1C
High risk for CV disease
only 3% of population