Archive for April, 2008

Combination of Thiazide-Type Diuretic and Beta-Blocker may Cause Diabetes

Combination of Thiazide-Type Diuretic and Beta-Blocker may Cause Diabetes
Clinical Question: In patients with hypertension is it safe to combine thiazide-type diuretic and beta-blocker?

Bottom Line: Studies suggest that the routine combined use of a thiazide with a beta-blocker should be questioned in the early management of hypertension, particularly in patients who are at increased risk of developing new-onset diabetes. In such patients, the increased risk of developing diabetes may exceed the benefit of blood pressure lowering.

Reference: J Hypertens. 2005 Oct;23(10):1777-1781

Study Design: Retrieve randomized control trials and meta-analysis

Synopsis: Recently published trials addressing the pharmacological management of hypertension have reported an increase in new-onset diabetes mellitus when comparing certain older and newer treatment regimens. Thiazide-type diuretics (thiazides) and beta-blockers have been individually implicated, but these drugs are frequently combined, and the magnitude of risk associated with their combined use has not been quantified. So randomized control trials were retrieved that: (i) featured stepped treatment to manage hypertension; (ii) compared initial treatment using a thiazide or

beta-blocker (older drug) with an angiotensin-converting enzyme inhibitor, angiotensin receptor blocker or calcium antagonist (newer drug); (iii) assessed cardiovascular outcomes; (iv) reported new-onset diabetes; and (v) provided at least 1-year follow-up. A meta-analysis of available trials indicated that patients exposed to treatment regimens combining thiazides and beta-blockers are at greater risk of developing diabetes than regimens avoiding this combination of drugs (risk ratio for alternative therapy 0.81, 95% confidence interval 0.77-0.86). Current data cannot inform reliably about the risks associated with individual older drugs because of similar overall exposures in patients starting on newer and older drugs.
About the Author

A Certified Family Physician of the Philippine Academy of Family Physician and continue to complete the requirements for Continuing Medical Education in Family Practice. Also a member of the Philippine Medical Informatics Society, Philippine Occupational Health and Safety Inc., and Pangasinan Medical Society. Faculty Department of Physiology (Medicine) Lyseum- Northwestern University, Dagupan, Pangasinan, Faculty Medical Informatics Lyseu

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Apr 29

Celiac Disease And Diabetes

Celiac Disease And Diabetes
Celiac Disease and Diabetes

Living with multiple health problems can complicate things. As a diabetic balancing the levels of carbohydrates, (starches and sugars) with the level of insulin requires thought and discipline. You should always consult your doctor and dietician for specific advice.

People with type 1 diabetes are at greater risk of developing celiac disease. It follows that they will need to manage a diet which controls both conditions. The diets do sit perfectly well together, but it needs careful planning.

In principle the same rules apply to your diet, whatever the problem. As a diabetic you need to eat a well-balanced diet. The one area of difficulty is managing your carbohydrate intake with gluten-free versions. You can find gluten-free carbohydrates in potatoes, rice, wild rice, buckwheat, maize, millet, sago, tapioca,

corn flour, soya, polenta, flax, sorghum, linseed, gram flour, cargeenan, urd, channa (chickpea flour), quinoa, arrowroot, codex wheat starch, corn pasta, pure rice noodles, gluten-free pastas are available, as are gluten-free versions of bread.

The principles of planning ahead and the need to be well informed and to take control are exactly the same for celiac disease and diabetes. Confidence grows out of knowing what you can and cannot eat. Instead of tackling the conditions as two sets of restrictions, combine the needs of both. Having both diabetes and celiac disease is unfortunate but it is important to be positive and take control.

Always take a supply of suitable gluten-free carbohydrates and insulin with you. Plan ahead and involve school, friends and other organizations of your needs.

About the Author

Gina Gardiner author of

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Apr 28

Cats with feline diabetes can still lead a happy life

Cats with feline diabetes can still lead a happy life
?Your cat has feline diabetes.? If this is your vet?s message after examining your beloved friend, it will come as a shock. Yes, your cat has a serious disease. But you can treat it!
I got the message myself early 2003. My (then) 10-year-old neutered cat Duvelke had been urinating and drinking more than usual for a few weeks. First it was thought to be connected with a previous medication. But after urine and blood tests the veterinarian was certain. ?Your cat has feline diabetes.?
Now what is diabetes?
Blood contains sugar (glucose). The blood sugar level is controlled by the hormone insulin, which is produced by the pancreas. If this organ produces not enough insulin, we speak of diabetes.
Symptoms of feline diabetes differ. Duvelke started to pass more urine than usual, and had an increased thirst as a result of this. Other possible symptoms are weight loss, decreased appetite, lethargy and a poor coat condition.
Cats with untreated diabetes will become inactive, vomit regularly, stop urinating and fall into a coma. But if you treat feline diabetes correctly, your cat might still be able to lead a long and happy life. It does take effort and dedication, though.
Your cat will

need to get food at set times, and preferably should stay indoors.
And ? this is essential - you will have to give your cat insulin shots. Once a day, often two times daily. Your vet will determine the quantity and tell you how to do it. It is not scary!
But keep an eye on your friend. Your cat should have had food before getting the insulin shot! If not, a hypoglycemic shock (a ?hypo?) may occur. This is also possible if your cat gets too much insulin. And this is really dangerous. If you are not there to help, your cat might die from a hypo.
Duvelke has had a few hypos since 2003. He survived. How? By putting glucose in his mouth, on the inside of his cheeks. Honey on his tongue also worked well.
Duvelke?s quantity of insulin has been reduced considerably the past year. And he?s doing really fine. If you didn?t know about his disease, you would assume he is a perfectly healthy cat.
So, with a proper treatment, diabetic cats can still lead a happy life!

About the Author

Journalist, web site builder and cat lover Marc de Jong lives in Belgium. He is the owner and editor of http://www.cat-pregnancy-report.com where you will find a longer, more detailed version of this article.

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Apr 27

Cats with feline diabetes can still lead a happ life

Cats with feline diabetes can still lead a happ life
?Your cat has feline diabetes.? If this is your vet?s message after examining your beloved friend, it will come as a shock. Yes, your cat has a serious disease. But you can treat it!
I got the message myself early 2003. My (then) 10-year-old neutered cat Duvelke had been urinating and drinking more than usual for a few weeks. First it was thought to be connected with a previous medication. But after urine and blood tests the veterinarian was certain. ?Your cat has feline diabetes.?
Now what is diabetes?
Blood contains sugar (glucose). The blood sugar level is controlled by the hormone insulin, which is produced by the pancreas. If this organ produces not enough insulin, we speak of diabetes.
Symptoms of feline diabetes differ. Duvelke started to pass more urine than usual, and had an increased thirst as a result of this. Other possible symptoms are weight loss, decreased appetite, lethargy and a poor coat condition.
Cats with untreated diabetes will become inactive, vomit regularly, stop urinating and fall into a coma. But if you treat feline diabetes correctly, your cat might still be able to lead a long and happy life. It does take effort and dedication, though.
Your cat will need to get food at

set times, and preferably should stay indoors.
And ? this is essential - you will have to give your cat insulin shots. Once a day, often two times daily. Your vet will determine the quantity and tell you how to do it. It is not scary!
But keep an eye on your friend. Your cat should have had food before getting the insulin shot! If not, a hypoglycemic shock (a ?hypo?) may occur. This is also possible if your cat gets too much insulin. And this is really dangerous. If you are not there to help, your cat might die from a hypo.
Duvelke has had a few hypos since 2003. He survived. How? By putting glucose in his mouth, on the inside of his cheeks. Honey on his tongue also worked well.
Duvelke?s quantity of insulin has been reduced considerably the past year. And he?s doing really fine. If you didn?t know about his disease, you would assume he is a perfectly healthy cat.
So, with a proper treatment, diabetic cats can still lead a happy life!

ABOUT THE AUTHOR
Journalist, web site builder and cat lover Marc de Jong lives in Belgium. He is the owner and editor of http://www.cat-pregnancy-report.com where you will find a longer, more detailed version of this article.

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Apr 26

Canine Diabetes - Diets Are Important

Canine Diabetes - Diets Are Important
When a dog has canine diabetes, it is important to regulate their food intake. Not only do you need to watch how much sugar they are consuming, you also need to monitor the amount of food they get, plus how often they are fed. It is usually recommended that you feed them 2 to 3 smaller meals throughout the day rather than one large meal. The smaller meals helps to stabilize blood sugar levels, while one large meal can cause insulin levels to spike high, only to have them plummet 12 hours later. When the blood sugar drops too low, your dog could begin to suffer from hypoglycemia, a serious condition. If this should happen, you need provide immediate sugar to your dog (honey rubbed on the dog's gums will work) and get your pet to the vet's office immediately. This is much like a human diabetic who carries around a cube of sugar or a chocolate bar with them for just this purpose.

So, what should you feed your diabetic dog? The following are some guidelines that will help toward keeping insulin levels normalized and in control.

Avoid Foods That Contain Sugar

This would seem to be an obvious thing to do. Yet, most dog owners really have no idea just how much sugar and carbohydrates are contained in manufactured dog food. (For the record, carbohydrates are converted into glucose by the body - in other words - sugar). Dry dog food, as well as those soft-moist foods (in those cellophane packages) are the worst culprits. Should you continue to feed your dog commercial dog food, switch to a high-quality canned food instead - and read the ingredients on the label!

The Best Dog Food Diet Is Homemade

Raw and homemade dog foods are the best solution. In this way, you will know exactly what your dog is eating and how much sugar/carbohydrates they are consuming. Feeding a homemade diet doesn't have to be hard or expensive. There are many books on the market that can help you with recipes and advice.

Choose Foods Low In Fat

The pancreas not only regulates insulin and blood sugar levels, it also works to produce enzymes in the process of breaking down fat. As you don't want to over-stress the pancreas, you need to choose meats that are low in fat. Stay away from ground beef and other red meats and cut off the extra fat from chicken and turkey. Some fat is obviously necessary for good health…but try to keep it to a minimum.

Certain Grains Are Beneficial

Although you need to be careful with the amount of grain given an animal (animals don't digest grains as well as humans due to their shorter digestive tract), some grains are better to serve than others when it comes to

canine diabetes. Rice, millet and oats are usually the preferable choices to help regulate insulin levels and provide fiber. Some professionals also recommend cornmeal, however dogs sometimes have allergic reactions to corn, as well as wheat. It's best to keep in mind that grains are carbohydrates which the body turns into glucose to use for energy, so keep it to a minimum.

Add Brewer's Yeast

A natural chromium-containing substance called "glucose tolerance factor" is found in regular brewers yeast. Its main function is to help assist the body in using blood sugar more efficiently. Try adding one teaspoon of brewers yeast to your dog's food with each meal.

Vitamin E

Vitamin E is a natural supplement that helps to reduce the need for insulin in the body. Providing your dog with a Vitamin E capsule once per day is suggested. Recommended dosage is between 25UI and 200 UI, depending on the size of your dog.

Fresh Fruit and Vegetables

Raw fruits and vegetables are ideal in providing vitamins and nutrients, while helping to keep blood sugars stabilized. The natural occurring sugars shouldn't throw insulin levels out of sync, unlike refined processed sugar.

Fruits are a great idea for a treat between meals; however don't include them with the main meals as the fruit could ferment in your dog's stomach when combined with meats, grains and vegetables.

Most vegetables can be served raw; however a few should be cooked, such as winter squash (good for diabetic dogs), dandelion greens, and potatoes. Raw foods such as alpha sprouts, parsley and garlic (capsule or fresh) are wonderful choices for this disease. Carrots can be either raw or cooked. (By the way - garlic helps to stimulate the digestive tract and is an excellent choice to serve your pet, regardless if the dog has diabetes or not).

The above dietary guidelines are just that - guidelines. It's important that you speak with your vet about a canine diabetes diet and also to serve the foods that your dog can tolerate well. Stay away from baked treats made with flour and sugar, as well as table scraps as these can cause insulin levels to become erratic.
About the Author

About the Author:

(c) 2005. Rose smith owns CaringForCanines.com and provides information on the benefits of holistic dog medicines and remedies. For more information on canine diabetes, diet, symptoms and treatments, vist us at: http://www.caringforcanines.com

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Apr 23

Can Diabetes Be Cured?

Can Diabetes Be Cured?
Diabetes is a condition where the body, or to be precise the pancreas, loses its ability to create insulin, the chemical necessary to regulate blood sugar levels.

As we take in food, a substance called glucose enters through the bloodstream, and it is insulin's role to make sure that that glucose is carried to different parts of the body, in turn fuels us with the energy we need. Diabetes is often considered as a silent disease, much like cancer and nearly five out of ten people are unaware that they have diabetes.

So how did we get such a disease? A known fact about diabetes is that it can be hereditary, especially if a family member has a history of diabetes. Obesity is also one of the most common factors, leading to the lack of exercise and high blood pressure levels. US studies have shown that diabetes can also develop when a mother gives birth to a child who weighs more than 9 pounds.

There are two types of diabetes: The Type 1 diabetes inflicts mostly children when the pancreas completely loses its ability to secrete insulin. Common diabetic symptoms include excessive thirst, frequent urination and continued weight loss despite of excessive hunger. They begin to be insulin dependent and its dire results may also include blindness and amputation of certain limbs in the body.

Type Two diabetes is far more common than Type One. Its symptoms may include those of Type One, but its leading concern is that nearly half of diabetics may not be able to have such symptoms and the cause of hereditary diabetes to children. They are often considered as non-insulin dependents, in which an excessive secretion of insulin passes through the bloodstream,

causing the body to develop a high resistance to the chemical. The end result would be the high blood glucose content, which can be treated with regular exercise and a high protein diet of starch and carbohydrates.

Sadly, there is no absolute cure for diabetes of any type. The only recommendation from doctors is to prolong life, making sure that they would still continue to live normally. In the US alone, nearly 200,000 deaths per year has been reported due to diabetes.

In order to cope with diabetes, it is important to maintain their weight and exercise regularly. Alcohol consumption can be regulated to its utmost maximum, better if cut out completely and smoking is an absolute health risk to both the lungs and diabetics. Regular visits to the doctor are an absolute must in order to check and make sure that their blood glucose levels are on tract. Family encouragement can also do wonders for those suffering from diabetes, helping them that there is always a way to surpass diabetes without the fear of death. It helps increase the quality of life among family members with diabetes.

Note: This article may be freely reproduced as long as the AUTHOR'S resource box at the bottom of this article is included and and all links must be Active/Linkable with no syntax changes

ABOUT THE AUTHOR

Charlene J. Nuble 2005. For up to date links and information about diabetes, please go to: http://diabetes.besthealthlink.net/ or for updated links and information on all health related topics, go to: http://www.besthealthlink.net/

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Apr 21

Build Health: Want To Prevent Diabetes?

Build Health: Want To Prevent Diabetes?

To prevent diabetes you will get a real jolt when you follow the prescription offered up in the ?Journal of the American Medical Association.?

This ?prestigious? organization reported on separate studies of coffee drinkers in Sweden and Finland.

Whiz-bang medical researchers discovered that women could decrease their risk of diabetes by 29 percent when they followed a regimen of drinking three to four cups of coffee a day.

The ladies who had the fortitude to drink 10 or more cups of coffee a day fared even better. They reduced their risk of diabetes by 79 percent.

The men participating in the studies also reduced their risk, but not to the extent as did the women.

When men drank three to four cups a day, they reduced their risk of diabetes by 27 percent. The men who drank 10 or more cups of java per day reduced their risk by 55 percent.

These results confirm a January report by the equally ?prestigious? Harvard School of Public Health. That report concluded that drinking six 8-ounce cups of coffee a day could reduce diabetes risk in men by about 50 percent and in women by 30 percent.

If the numbers have any connection to reality, the more coffee you drink, the better off you are. And that is the rub.

The numbers have nothing to do with reality, nothing to do with the truth.

Here in America the rate of adult-onset diabetes, or Type 2 diabetes, is growing incrementally. Nowadays it typically shows up in middle-age populations, but the disease is on the rise among ever-younger age groups.

Do not step up your coffee consumption in the belief it will help you prevent diabetes. This disease has absolutely nothing to do with a lack of coffee drinking.

Science and truth are not synonymous. Medical scientists do not deal with truth. The medical scientists who monkey around with coffee drinking merely play

with limited and approximate descriptions of reality. In this case, extremely limited and hardly approximate.

If you are serious about preventing diabetes, you have to look at the differences between the people of the past who did not get diabetes, and the people of today who get diabetes. This entails more than merely harping on the fact the younger generation is becoming more overweight and less active.

We have plenty of newly discovered diabetics who are active and on the thin side?and they drink lots of coffee.

The primary difference between the people of the past who did not get sick and die like we do, and the present lot who become diabetics, is poor nutritional status.

The diabetic-in-process has an inadequate intake of nutrients and/or excessive intake of nutrient-poor foods. Conversely, his/her healthy ancestors had a nutrient-dense diet.

The nutrient-dense diet of the past contained, minimally, four times the amount of minerals, and ten times the amount of fat-soluble vitamins found in the American diet of the late 1930?s and early 1940?s.

Folks who learn where health comes from and practice prevention won?t become diabetic, and will not need the medical community dosing them with coffee, or any other magic bullet.

Bill Quesnell, author of ?Minerals: The Essential Link to Health,? is a health educator and Price-Pottenger Nutrition Foundation member. He helps people recover energy and vitality. Subscribe to FREE monthly ezine, ?Where Health Comes From? at info@mineralsbuildhealth.com. Write Bill at 5039 Voltaire St. #3, San Diego, CA 92107 See critical reviews & 15 harmful health myths at http://www.mineralsbuildhealth.com

Bill@mineralsbuildhealth.com

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Apr 20

Brief Overview Of Diabetes And Diet

Brief Overview Of Diabetes And Diet
Diabetes has been around for centuries. There are presently sixteen millions diabetics in America, but eight million do not know that they have the disease. Today, diabetes is in third place as the cause of mortality, behind cardiovascular diseases and cancer.

Diabetes is caused by a disruption in insulin production in the body. Insulin is a hormone produced by the pancreas when the level of blood sugar, glucose, increases - after a meal, most commonly. With the help of insulin, glucose moves from the blood into the cells. The cellular components turn the glucose into energy. When glucose does not enter cells, it stays in the blood and is filtered by kidneys which later eliminate it from the bloodstream.

Diabetes is a chronic disease that occurs when insulin in the body does not work as it should. Main symptoms of diabetes include excessive thirst, excessive urination, excessive appetite, fatigue, blurred vision, frequent and slow-healing infections including bladder, vaginal and skin. In men, diabetes may be accompanied by such symptoms as erectile dysfunction.

In order to timely recognize diabetes, everyone should be familiar with the different types of diabetes as well as with main symptoms of diabetes.

Type 1 diabetes is a life-threatening condition which is less common. Those suffering with this type of diabetes need complete insulin replacement because the body does not make sufficient amounts of this essential hormone.

The most common type of diabetes is type 2 diabetes, or non-insulin-dependent diabetes mellitus. 90% of all diabetes cases in the US are diagnosed as Type 2.

There is also gestational diabetes, which occurs during pregnancy due to specific hormonal changes in the body of the expectant mother.

Diabetes is often accompanied

by obesity and high cholesterol and is a disease that often runs in families, so if one of your family members has it, you have a higher risk of developing diabetes too. Lack of activity, a diet rich in fats and processed products and obesity significantly increase your risk for diabetes.

Diabetes can be prevented and controlled by amending your diet. When we eat a product that is rich in sugar, the pancreas starts to produce more insulin to turn the sugar into energy. Saturated fat is transformed by the liver into sugar, which triggers the same response of pancreas - more insulin, more energy.

When the body doesn't use this energy, it stores it as fat in the liver, on the stomach and hips. The more sugar and fat we eat, the more "storage space" our body requires.

However, when you switch to eating vegetables, cereals and other fiber-rich products cooked or seasoned with olive or grape seed oil, the pancreas does not need to produce any extra insulin. As a result, fat is not deposited in the body and the blood sugar levels remain stable. By avoiding sweet and fat-rich foods, blood sugar levels remains balanced which can delay the onset of diabetes and for those already diagnosed as diabetic can help them manage the condition.
About the Author

Kathryn writes articles on a number of different topics. For more information on Diabetes please visit http://www.understandingdiabetes.info and for additional articles on Diabetes http://www.understandingdiabetes.info/understandingdiabetes-articles/

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Apr 19

Diabetic Diet

Title: Diabetic Diet
Category: Health Facts
Created: 7/5/2005
Last Editorial Review: 4/17/2008

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Apr 18

Bitter Melon - Benefits, Uses And Research For Diabetes And HIV

Bitter Melon - Benefits, Uses And Research For Diabetes And HIV
Bitter Melon - Benefits, Medicinal Properties
Bitter Melon is reported to help in the treatment of diabetes and psoriasis. It has also been reported that Bitter Melon may help in the treatment of HIV
Bitter Melon is the English name of Momordica charantia. Bitter Melon is also known by the names Karela and Bitter gourd. Bitter Melon grows in tropical areas, including parts of East Africa, Asia, the Caribbean, and South America, where it is used as a food as well as a medicine. It is a green cucumber shaped fruit with gourd-like bumps all over it. It looks like an ugly, light green cucumber. The fruit should be firm, like a cucumber. And it tastes very bitter. Although the seeds, leaves, and vines of Bitter Melon have all been used, the fruit is the safest and most prevalent part of the plant used medicinally. The leaves and fruit have both been used occasionally to make teas and beer, or to season soups in the Western world.
Does bitter melon have medicinal properties?
Bitter Melon was traditionally used for a dazzling array of conditions by people in tropical regions. Numerous infections, cancer, leukemia, and diabetes are among the most common conditions it was believed to improve. Bitter Melon is reported to help in the treatment of diabetes and psoriasis. It has also been thought that Bitter Melon may help in the treatment of HIV, but the evidence thus far is too weak to even consider. The ripe fruit of Bitter Melon has been suggested to exhibit some remarkable anti-cancer effects, but there is absolutely no evidence that it can treat cancer. However, preliminary studies do appear to confirm that Bitter Melon may improve blood sugar control in people with adult-onset (type 2) diabetes.
Is it true that bitter melon capsules are effective in lowering blood sugar of diabetics?
The blood lowering action of the fresh juice of the unripe Bitter Melon has been confirmed in scientific studies in animals and humans. At least three different groups of constituents in Bitter Melon have been reported to have hypoglycemic (blood sugar lowering) or other actions of potential benefit in diabetes mellitus. These include a mixture of steroidal saponins known as charantin, insulin-like peptides, and alkaloids. It is still unclear which of these is most effective or if all three work together. Nonetheless, Bitter Melon preparations have been shown to significantly improve glucose tolerance without increasing blood insulin levels, and to improve fasting blood glucose levels.
Rich in iron, bitter melon has twice the beta carotene of broccoli, twice the calcium of spinach, twice the potassium of bananas, and contains vitamins C and B 1 to 3, phosphorus and good dietary fiber. It is believed to be good for the liver and has been proven by western scientists to contain insulin, act as an anti-tumor agent, and inhibit HIV-1 infection.
At least 32 active constituents have been identified in bitter melon so far, including beta-sitosterol-d-glucoside, citrulline, GABA, lutein, lycopene and

zeaxanthin. Nutritional analysis reveals that bitter melon is also rich in potassium, calcium, iron, beta-carotene, vitamins B1, B2, B3 and C.
Even more effective than a conventional drug in lowering blood sugar! Recently, the Department of Health in the Philippines has recommended bitter melon as one of the best herbal medicines for diabetic management. And multiple clinical studies have clearly established the role of bitter melon in people with diabetes. Scientists have now identified three groups of constituents that are thought to be responsible for its 'blood sugar lowering' action.
One of these, a compound called charantin, which is composed of mixed steroids, was found to be more effective than the oral hypoglycaemic drug, tolbutamide, in reducing blood sugar.
Another, an insulin-like polypeptide, called polypeptide P, appears to lower blood sugar in type I (insulin dependent) diabetics, while alkaloids present in the fruit have also been noted to have a blood sugar lowering effect. As yet, researchers are unclear as to which of these compounds is most effective or if it is the synergistic effect of all three. Further research is required to understand how these compounds actually work.
Compounds known as oleanolic acid glycosides have been found to improve glucose tolerance in Type II (maturity onset) diabetics by preventing the absorption of sugar from the intestines. Bitter melon has also been reported to increase the number of beta cells (cells that secrete insulin) in the pancreas, thereby improving your body's capability to produce insulin (insulin promotes the uptake of sugar from your blood by cells and tissues).
Evidence:
A two-day Indian study published in 1999 examined bitter melon's effect on 100 people with type 2 diabetes. On both days, researchers tested the participants' blood sugar levels in a fasting state and after drinking glucose. Participants took 150 to 200 mi of bitter melon extract on the second day. That day, researchers found that 86 percent of the participants experienced an average 14 percent drop in blood sugar after fasting and after drinking glucose.
The most appropriate quality product is in Vegetable Capsules: Morpheme Karela (Bitter Melon) Supplements

About the Author: AyurvedicCure.com http://www.ayurvediccure.com/bittergourd.htm Health, Nutritional and Herbal Vitamin Supplements Guide. Health Guide featuring Home Remedies, Nutritional Herbal Supplements. Complete Guide and Online Health Store. http://www.ayurvediccure.com http://www.ayurvediccure.co.uk http://www.ayurvediccure.com/bittermelon.htm Source: www.isnare.com

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Apr 17
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