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The Complementary Medical Association

Diabetes

Diabetes

What is Diabetes?

If the body does not produce enough of the hormone insulin in response to sugar levels in the blood, then the sugars accumulate in the blood and body tissues causing defects in various parts of the body. Diabetes is generally split into two groups, type 1 and type 2. The condition affects all ages and genders. 

Causes

Some people are genetically pre-disposed with some cases triggered by stress or a viral infection. A diet high in simple carbohydrates with a lot of refined, processed foods is believed to be the underlying factor in most cases in type 2 diabetes. Sugar has been shown to cause diabetes in animals (1). 

Type I diabetes occurs mostly in children and young adults and means that they are dependent on insulin. With type I individuals, the pancreas cannot make the insulin needed to process glucose so insulin has to be injected into the system. Symptoms include frequent urination and excessive thirst, fatigue, weight loss, nausea, and vomiting, increased appetite, and, in advanced cases, deterioration of vision. Children may well start to wet the bed. Type I individuals either find that their glucose levels are very high in the blood (hyperglycaemia) or very low (hypoglycaemia). Both of these conditions are serious. 

Hyperglycaemia can occur over a period of hours or days, and is characterised by an inability to keep down fluids or an extreme thirst. If not treated, it can lead to coma with many serious long-term complications including kidney failure, gangrene, heart disease, nerve damage, blindness, and stroke. 

Hypoglycaemia may lead to dizziness, confusion, palpitations, numbness or tingling in the lips, sweating, and hunger. It comes on very quickly and can be triggered by missing a meal, having too much exercise, or as a reaction to too much insulin. If not treated, the person becomes very disorientated and may go on to experience trembling, double vision. In extreme cases hypoglycaemia can lead to coma and death. 

Type 2 diabetes is often linked to poor diet and occurs more often in adulthood. Type 2 is unlike Type I in that the pancreas often makes enough insulin, yet the body has trouble using the insulin (2,3). Most non-insulin dependent people are obese (4), which is why weight loss is the preferred treatment, often tending to reverse the condition (5,6,7,8). Symptoms include numbness or tingling sensations in the feet, unusual thirst, blurred vision, itching, fatigue, slow wound healing, skin infections, drowsiness, and blurred vision. (See our article on Tai Chi effective at delaying cognitive decline related to Type 2 Diabetes)

Complementary Approach

Diet

The advice from diabetes organisations, including Diabetes UK, is for diabetics to include a high amount of carbohydrate with each meal. They propose a diet high in complex-carbohydrates and high in fibre (9) as this will reduce the need for insulin. Research, however, points towards a diet that emphasises high quality protein, plenty of vegetables, a little fruit, and low overall carbohydrate intake.    

Eat foods that stabilise blood sugar levels including spirulina, brewer’s yeast, dairy products – especially cheese, berries, egg yolks, fish (10), garlic, sauerkraut, soybeans, and kelp. Foods that are high in fibre are much better for you because they contain less sugar than low fibre foods. Therefore, eat beans for their guar gum content (11), fruit for its pectin content (12), and oat bran for its fibre content (13). Use olive oil as it is high in monounsaturates and good for diabetics (14).   

Don’t eat saturated fats and simple sugars. Avoid fish oil capsules as these can elevate blood sugar levels as too can salt and white flour products the latter often being addictive. Some research indicates that following a vegan (plant-based) diet as reports show dramatic results in the improvement of people who are type 2 diabetic (15,16,17).  

(See our article on Best Low-Carb Diet for Diabetes: Animal versus Plant-Based Protein)

The following information does not constitute a prescription or recommended dose – studies have been conducted using the dosages stated and are included for your information only. The nutrients mentioned here are often recommended by healthcare practitioners.

Nutrients

Zinc helps the immune system and may reduce the risk of certain illnesses. Research suggests that zinc may be beneficial for the management of diabetes (18,19,20,21,22,23). Take 50-80 mg per day, but do not exceed a daily dose of 100 mg. Be sure to check if you are taking other supplements.

Vitamin B12 is needed for normal functioning of cells and helps reduce nerve damage caused by diabetes (24). Take 500 mcg 3 times daily.

Vitamin B complex (25,26,27) and inositol taken together work more effectively. Take 50 mg of vitamin B complex 3 times a day along with 50 mg of biotin as this will help with the metabolism of glucose. Take with it 50 mg a day of inositol as this is important for circulation. Be sure not to exceed 300 mg per day of Vitamin B complex if taking other supplements containing this vitamin. 

Vitamin  E (28,29,30,31,32,33) improves glucose tolerance (34,35,36) and helps protect the blood vessels from damage (37). Take 900 IU per day.  

Vitamin C lowers levels of a sugar called sorbitol that can build up to such a level that it can damage the eyes, nerves, and kidneys of the diabetic (39). It appears that type 2 diabetics have low vitamin C levels (38). Take 1-3grams per day. 

(See our article Can Folic Acid halt the rise of Type 2 Diabetes?)

Nutritional Supplements

L-Carnitine mobilises fat and should be taken on an empty stomach. Take 500 mg twice a day with water not milk. In order for the l-carnitine to work more efficiently take together with 50 mg of vitamin B6 and 100 mg of vitamin C.

Chromium picolinate lowers blood sugar levels by improving insulin’s efficiency. Take 400-600 mcg daily. Alternatively take brewer’s yeast with added chromium as directed on the label. You must consult with your doctor before taking any supplement containing chromium.

Taurine should be taken on an empty stomach. Take 500 mg twice a day.

Quercetin, in the treatment of diabetes, protects the membranes of the lens of the eye. Take 100 mg 3 times daily.

Herbs

Fenugreek seeds (40,41) are very safe, but if you take more than 100 g of fenugreek seeds a day, you may experience intestinal upset and nausea. In the treatment of diabetes take between 5-30 grams with each meal.

Asian Ginseng that contains 5-7% of ginsenosides should be taken 100-200 mg per day, every day for 2-3 weeks Follow this by having a rest period of 1-2 weeks before resuming. Not recommended for pregnant or lactating women or people with uncontrolled high blood pressure. 

Cedar berries are excellent nourishment for the pancreas.   

Blueberry (also known as huckleberry) and its cousin bilberry are of benefit as they maintain healthy blood vessels, especially those round the eyes. A tea made of the leaves of the blueberry seems to be of benefit to diabetics who have damage to the retina. Make a tea using 5-10 grams of dried leaves steeped for 10-15 minutes. Drink 3 cups a day. Alternatively you can use a tincture form of this herb; take 5 ml 3 times a day.  

Further Information

Diabetics should not drink alcohol as they have low glucose tolerance (42). Diabetics who decide to drink should be warned that they have a greater chance of developing eye (43) and nerve damage (44).

Diabetics who smoke increase their chances of going on to develop heart disease (45) and kidney damage (46). Smokers are more prone to developing diabetes than non-smokers (47) and for this reason should avoid it.

Diabetics can develop foot ulcers and peripheral nerve damage due to lack of oxygen to the extremities so wearing cotton socks and ensuring that feet are kept clean is essential. (See our articles on Diabetic Neuropathy and Foot Pain and Heal Naturally: Effective Strategies for Managing Peripheral Neuropathy)

Exercise improves insulin sensitivity (48) while decreasing body fat (49) so it is worth checking out the local gym. Your doctor should be consulted before you undertake any exercise programme, as vigorous exercise can decrease blood sugar levels (50).

References

1. Wright DW, Hansen RI, Mondon CE, Reaven GM. Sucrose-induced insulin resistance in the rat: Modulation by exercise and diet. Am J Clin Nutr 1983;38:879–83.

2. Casassus P, Fontbonne A, Thibult N, et al. Upper-body fat distribution: A hyperinsulinemia-independent predictor of coronary heart disease mortality. Arterioscler Thromb1992;1387–92.

3 Karter AJ, Mayer-Davis EJ, Selby JV, et al. Insulin sensitivity and abdominal obesity in African-American, Hispanic, and non-Hispanic white men and women. Diabetes 1996;45:1547–55.

4 Isida K, Mizuno A, Murakami T, Shima K. Obesity is necessary but not sufficient for the development of diabetes mellitus. Metabolism 1996;45:1288–95.

5 Long SD, Swanson MS, O’Brien K, et al. Weight loss in severely obese subjects prevents the progression of impaired glucose tolerance to type II diabetes. Diabetes Care 1994;17:372.

6. Pi-Sunyer FX. Weight and non-insulin-dependent diabetes mellitus. Am J Clin Nutr 1996;63(suppl):426S–9S.

7 Wing RR, Marcuse MD, Blair EH, et al. Caloric restriction per se is a significant factor in improvements in glycemic control and insulin sensitivity during weight loss in obese NIDDM patients. Diabetes Care 1994;17:30.

8 Henry RR, Gumbiner B. Benefits and limitations of very-low-calorie diet therapy in obese NIDDM. Diabetes Care 1991;14:802–23.

9 Lettle GJ, Emmett PM, Heaton KW. Glucose and insulin responses to manufactured and whole-food snacks. Am J Clin Nutr 1987;45:86–91.

10. Feskens EJM, Bowles CH, Kromhout D. Inverse association between fish intake and risk of glucose intolerance in normoglycemic elderly men and women. Diabetes Care 1991;14:935–41.

11. Landin K, Holm G, Tengborn L, Smith U. Guar gum improves insulin sensitivity, blood lipids, blood pressure, and fibrinolysis in healthy men. Am J Clin Nutr 1992;56:1061–65.

12 Schwartz SE, Levine RA, Weinstock RS, et al. Sustained pectin ingestion: Effect on gastric emptying and glucose tolerance in non-insulin-dependent diabetic patients. Am J Clin Nutr 1988;48:1413–17.

13. Hallfrisch J, Scholfield DJ, Behall KM. Diets containing soluble oat extracts improve glucose and insulin responses of moderately hypercholesterolemic men and women. Am J Clin Nutr 1995;61:379–84.

14. Garg A, Bananome A, Grundy SM, et al. Comparison of a high-carbohydrate diet with a high-monounsaturated-fat diet in patients with non-insulin dependent diabetes mellitus. N Engl J Med 1988;319:829–34.

15. Snowdon DA, Phillips RL. Does a vegetarian diet reduce the occurrence of diabetes? Am J Publ Health 1985;75:507–12.

16. Crane MG, Sample C. Regression of diabetic neuropathy with total vegetarian (vegan) diet. J Nutr Med 

17. Nakamura T, Higashi A, Nishiyama S, et al. Kinetics of zinc status in children with IDDM. Diabetes Care 1991;14:553–57.

18. Mcchegiani E, Boemi M, Fumelli P, Fabris N. Zinc-dependent low thymic hormone level in type I diabetes. Diabetes 1989;12:932–37.

19. Rao KVR, Seshiah V, Kumar TV. Effect of zinc sulfate therapy on control and lipids in type I diabetes. JAPI 1987;35:52 [abstract].

20. Niewoehner CB, Allen JI, Boosalis M, et al. Role of zinc supplementation in type II diabetes mellitus. Am J Med 1986;81:63–68.

22. Pidduck HG, Wren PJJ, Price Evans DA. Hyperzincuria of diabetes mellitus and possible genetic implications of this observation. Diabetes 1970;19:240–47.

23. Cunningham JJ, Fu Aizhong, Mearkle PL, Brown RG. Hyerzincuria in individuals with insulin-dependent diabetes mellitus: Concurrent zinc status and the effect of high-dose zinc supplementation. Metabolism 1994;43:1558–62.

24. Yamane K, Usui T, Yamamoto T, et al. Clinical efficacy of intravenous plus oral mecobalamin in patients with peripheral neuropathy using vibration perception thresholds as an indicator of improvement. Curr Ther Res 1995;56:656–70 [review].

25. Coggeshall JC, Heggers JP, Robson MC, Baker H. Biotin status and plasma glucose in diabetics. Ann NY Acad Sci 1985;447:389–92.

26. Maebashi M, Makino Y, Furukawa Y, et al. Therapeutic evaluation of the effect of biotin on hyperglycemia in patients with non-insulin dependent diabetes mellitus. J Clin Biochem Nutr 1993;14:211–18.

27. Koutsikos D, Agroyannis B, Tzanatos-Exarchou H. Biotin for diabetic peripheral neuropathy. Biomed Pharmacother 1990;44:511–14.

28.Salonen JT, Nyssonen K, Tuomainen T-P, et al. Increased risk of non-insulin dependent diabetes mellitus at low plasma vitamin E concentrations: A four year follow up study in men. BMJ 1995;311:1124–27.

29. Tütüncü NB, Bayraktar M, Varli K. Reversal of defective nerve condition with vitamin E supplementation in type 2 diabetes. Diabetes Care 1998;21:1915–18. 

30. Paolisso G, Di Maro G, Galzerano D, et al. Pharmacological doses of vitamin E and insulin action in elderly subjects. Am J Clin Nutr 1994;59:1291–96.

31. Paolisso G, Gambardella A, Galzerano D, et al. Antioxidants in adipose tissue and risk of myocardial infarction. Lancet 1994;343:596 [letter].

32. Tütüncü NB, Bayraktar M, Varli K. Reversal of defective nerve condition with vitamin E supplementation in type 2 diabetes. Diabetes Care 1998;21:1915–18

33. Colette C, Pares-Herbute N, Monnier LH, Cartry E. Platelet function in type I diabetes: effects of supplementation with large doses of vitamin E. Am J Clin Nutr1988;47:256–61.

34. Bierenbaum ML, Noonan FJ, Machlin LJ, et al. The effect of supplemental vitamin E on serum parameters in diabetics, post coronary and normal subjects. Nutr Rep Internat 1985;31:1171–80.

35.Paolisso G, D’Amore A, Giugliano D, et al. Pharmacologic doses of vitamin E improve insulin action in healthy subjects and non-insulin dependent diabetic patients. Am J Clin Nutr 1993;57:650–56.

36.Paolisso G, D’Amore A, Galzerano D, et al. Daily vitamin E supplements improve metabolic control but not insulin secretion in elderly type II diabetic patients. Diabetes Care 1993;16:1433–37.

37. Gisnger C, Jeremy J, Speiser P, et al. Effect of vitamin E supplementation on platelet thromboxane A2 production in type I diabetic patients: Double-blind crossover trial. Diabetes 1988;37:1260–64.

38. Cunningham JJ, Ellis SL, McVeigh KL, et al. Reduced mononuclear leukocyte ascorbic acid content in adults with insulin-dependent diabetes mellitus consuming adequate dietary vitamin C. Metabol 1991;40:146–49.

39. Will JC, Tyers T. Does diabetes mellitus increase the requirement for vitamin C? Nutr Rev 1996;54:193–202 [review].

40. Sharma RD, Raghuram TC. Hypoglycaemic effect of fenugreek seeds in non-insulin dependent diabetic subjects. Nutr Res 1990;10:731–39.

41. Raghuram TC, Sharma RD, et al. Effect of fenugreek seeds on intravenous glucose disposition in non-insulin dependent diabetic patients. Phytother Res 1994;8:83–86.

42. Ben G, Gnudi L, Maran A, et al. Effects of chronic alcohol intake on carbohydrate and lipid metabolism in subjects with type II (non-insulin-dependent) diabetes. Am J Med 1991;90:70.

43. Young RJ, McCulloch DK, Prescott RJ, Clarke PF. Alcohol: Another risk factor for diabetic retinopathy? BMJ 1984;288:1035.

44. Connor H, Marks V. Alcohol and diabetes. A position paper prepared by the Nutrition Subcommittee of the British Diabetic Association’s Medical Advisory Committee and approved by the Executive Council of the British Diabetic Association. Human Nutr Appl Nutr 1985;39A:393–99.

45. Scala C, LaPorte RE, Dorman JS, et al. Insulin-dependent diabetes mellitus mortality – the risk of cigarette smoking. Circulation 1990;82:37–43.

46. Stegmayr B, Lithner F. Tobacco and end stage diabetic nephropathy. BMJ1987;295:581–82.

47. Rimm EB, Manson JE, Stampfer MJ, et al. Cigarette smoking and the risk of diabetes in women. Am J Public Health 1993;83:211–14.

48. Rasmussen OW, Lauszus FF, Hermansen K. Effects of postprandial exercise on glycemic response in IDDM subjects. Diabetes Care 1994;17:1203.

49. Hersey III WC, Graves JE, Pollack ML, et al. Endurance exercise training improves body composition and plasma insulin responses in 70- to 79-year-old men and women. Metabol 1994;43:847–54.

50. Bell DSH. Exercise for patients with diabetes – benefits, risks, precautions. Postgrad Med 1992;92:183–96 [review].

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