In addition, new longer-acting basal analogs Zpproaches glargine approches degludec may confer a lower hypoglycemia risk compared with U glargine Antimicrobial coatings individuals Altrrnative type 1 diabetes 13 Durability of Addition of Roux-en-Y Gastric Bypass to Lifestyle Intervention and Medical Management in Achieving Primary Treatment Goals for Uncontrolled Type 2 Diabetes in Mild to Moderate Obesity: A Randomized Control Trial. J Med Assoc Thai ;—6.

Diabetes and alternative treatment approaches -

Encourage patients to inform all of their health care professionals about any and all complementary treatments they are trying and to continue to take conventional medication as prescribed. Supplements are unregulated. Urge patients to look for a US Pharmacopeial Convention seal on packaging to ensure that supplements come from a reputable source.

More information is available at www. To ensure an online pharmacy is legitimate, the FDA recommends the following:. If a patient wants to try a supplement or treatment and it can be determined that this treatment is not dangerous or detrimental to health , suggest trying it for a limited period of time.

Work with patients to determine whether A1c, blood sugar control, or quality of life has improved after the trial period. Patients may not realize that "natural" remedies can have adverse effects.

Recommend laboratory tests for kidney and liver function to ensure the supplement is not harming the patient's health. References 1. Kesavadev J, Saboo B, Sadikot S, et al. Unproven therapies for diabetes and their implications.

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J Pak Med Assoc. Johnston CS, Kim CM, Buller AJ. Vinegar improves insulin sensitivity to a high-carbohydrate meal in subjects with insulin resistance or type 2 diabetes.

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November Mitrou P, Petsiou E, Papakonstantinou E, et al. Vinegar consumption increases insulin-stimulated glucose uptake by the forearm muscle in humans with type 2 diabetes.

J Diabetes Res. Lim J, Henry CJ, Haldar S. Vinegar as a functional ingredient to improve postprandial glycemic control-human intervention findings and molecular mechanisms.

Mol Nutr Food Res. Find a vitamin or supplement: apple cider vinegar. WebMD website. Cotey S, Harris A. Can taking cinnamon supplements lower your blood sugar? Cleveland Clinic website.

Published October 4, Allen RW, Schwartzman E, Baker WL, Coleman CI, Phung OJ. Cinnamon use in type 2 diabetes: an updated systematic review and meta-analysis. Ann Fam Med. Costello RB, Dwyer JT, Saldanha L, Bailey RL, Merkel J, Wambogo E. Do cinnamon supplements have a role in glycemic control in type 2 diabetes?

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Diabet Med ;— Suppapitiporn S, Kanpaksi N, Suppapitiporn S. The effect of cinnamon cassia powder in type 2 diabetes mellitus. JMed Assoc Thai ;89 Suppl. Allen RW, Schwartzman E, Baker WL, et al. Cinnamon use in type 2 diabetes: An updated systematic reviewand meta-analysis.

Ann FamMed ;—9. Eriksson JG, Forsen TJ, Mortensen SA, et al. The effect of coenzyme Q10 administration on metabolic control in patients with type 2 diabetes mellitus.

Biofactors ;— Kolahdouz Mohammadi R, Hosseinzadeh-Attar MJ, Eshraghian MR, et al. The effect of coenzyme Q10 supplementation on metabolic status of type 2 diabetic patients. Minerva Gastroenterol Dietol ;—6. Suksomboon N, Poolsup N, Juanak N. Effects of coenzyme Q10 supplementation on metabolic profile in diabetes: A systematic review and meta-analysis.

Zahedi H, Eghtesadi S, Seifirad S, et al. Effects of CoQ10 supplementation on lipid profiles and glycemic control in patients with type 2 diabetes: A randomized, double blind, placebo-controlled trial. J Diabetes Metab Disord ; Suksomboon N, Poolsup N, Yuwanakorn A.

Systematic review and metaanalysis of the efficacy and safety of chromium supplementation in diabetes.

Akbari Fakhrabadi M, Zeinali Ghotrom A, Mozaffari-Khosravi H, et al. Effect of coenzyme Q10 on oxidative stress, glycemic control and inflammation in diabetic neuropathy: A double blind randomized clinical trial. Int J Vitam Nutr Res ;— Moradi M, Haghighatdoost F, Feizi A, et al.

Effect of coenzyme Q10 supplementation on diabetes biomarkers: A systematic review and meta-analysis of randomized controlled clinical trials. Arch Iran Med ;— Ludvik B, Neuffer B, Pacini G. Efficacy of Ipomoea batatas Caiapo on diabetes control in type 2 diabetic subjects treated with diet.

Ludvik B, Hanefeld M, Pacini G. Improved metabolic control by Ipomoea batatas Caiapo is associated with increased adiponectin and decreased fibrinogen levels in type 2 diabetic subjects. Derosa G, Cicero AF, Gaddi A, et al. The effect of L-carnitine on plasma lipoprotein a levels in hypercholesterolemic patients with type 2 diabetes mellitus.

Clin Ther ;— Rahbar AR, Shakerhosseini R, Saadat N, et al. Effect of L-carnitine on plasma glycemic and lipidemic profile in patients with type II diabetes mellitus. Eur J Clin Nutr ;—6. Derosa G, Maffioli P, Ferrari I, et al.

Orlistat and L-carnitine compared to orlistat alone on insulin resistance in obese diabetic patients. Endocr J ;— Derosa G, Maffioli P, Salvadeo SA, et al. Sibutramine and L-carnitine compared to sibutramine alone on insulin resistance in diabetic patients.

Intern Med ;— Rodriguez-Moran M, Guerrero-Romero F. Oral magnesium supplementation improves insulin sensitivity and metabolic control in type 2 diabetic subjects: A randomized double-blind controlled trial. de Valk HW, Verkaaik R, van Rijn HJ, et al. Oral magnesium supplementation in insulin-requiring type 2 diabetic patients.

Diabet Med ;—7. Eibl NL, Kopp HP, Nowak HR, et al. Hypomagnesemia in type II diabetes: Effect of a 3-month replacement therapy. Eriksson J, Kohvakka A. Magnesium and ascorbic acid supplementation in diabetes mellitus. Ann Nutr Metab ;— Song Y, He K, Levitan EB, et al.

Effects of oral magnesium supplementation on glycaemic control in Type 2 diabetes: A meta-analysis of randomized doubleblind controlled trials. Diabet Med ;—6. Navarrete-Cortes A, Ble-Castillo JL, Guerrero-Romero F, et al. No effect of magnesium supplementation on metabolic control and insulin sensitivity in type 2 diabetic patients with normomagnesemia.

Magnes Res ;— Solati M, Ouspid E, Hosseini S, et al. Oral magnesium supplementation in type II diabetic patients.

Med J Islam Repub Iran ; Veleba J, Kopecky J Jr, Janovska P, et al. Combined intervention with pioglitazone and n-3 fatty acids in metformin-treated type 2 diabetic patients: Improvement of lipid metabolism.

Nutr Metab Lond ;— Chen C, Yu X, Shao S. Effects of omega-3 fatty acid supplementation on glucose control and lipid levels in type 2 diabetes: A meta-analysis.

Zhang Q, Wu Y, Fei X. Effect of probiotics on glucose metabolism in patients with type 2 diabetes mellitus: A meta-analysis of randomized controlled trials. Medicina Kaunas ;— Razmpoosh E, Javadi M, Ejtahed HS, et al. Probiotics as beneficial agents in the management of diabetes mellitus: A systematic review.

Diabetes Metab Res Rev ;— Capdor J, Foster M, Petocz P, et al. Zinc and glycemic control: A meta-analysis of randomised placebo controlled supplementation trials in humans. J Trace Elem Med Biol ;— Jayawardena R, Ranasinghe P, Galappatthy P, et al.

Effects of zinc supplementation on diabetes mellitus: A systematic review and meta-analysis. Diabetol Metab Syndr ; Landman GW, Bilo HJ, Houweling ST, et al.

Chromium does not belong in the diabetes treatment arsenal: Current evidence and future perspectives. World J Diabetes ;—4. Lewicki S, Zdanowski R, Krzyzowska M, et al. The role of Chromium III in the organism and its possible use in diabetes and obesity treatment. Ann Agric Environ Med ;—5.

McIver DJ, Grizales AM, Brownstein JS, et al. Risk of type 2 diabetes Is lower in US adults taking chromium-containing supplements. J Nutr ;— Althuis MD, Jordan NE, Ludington EA, et al. Glucose and insulin responses to dietary chromium supplements: Ameta-analysis.

Martin J, Wang ZQ, Zhang XH, et al. Chromium picolinate supplementation attenuates body weight gain and increases insulin sensitivity in subjects with type 2 diabetes.

Kleefstra N, Houweling ST, Jansman FG, et al. Chromium treatment has no effect in patients with poorly controlled, insulin-treated type 2 diabetes in an obese Western population: A randomized, double-blind, placebo-controlled trial.

Diabetes Care ;—5. Ghosh D, Bhattacharya B, Mukherjee B, et al. Role of chromium supplementation in Indians with type 2 diabetes mellitus. J Nutr Biochem ;— 7. Anderson RA, Roussel AM, Zouari N, et al.

Potential antioxidant effects of zinc and chromium supplementation in people with type 2 diabetes mellitus.

J Am Coll Nutr ;— Anderson RA, Cheng N, Bryden NA, et al. Elevated intakes of supplemental chromium improve glucose and insulin variables in individuals with type 2 diabetes.

Diabetes ;— Kleefstra N, Houweling ST, Bakker SJ, et al. Chromium treatment has no effect in patients with type 2 diabetes in aWestern population: A randomized, doubleblind, placebo-controlled trial. Diabetes Care ;—6.

Balk EM, Tatsioni A, Lichtenstein AH, et al. Effect of chromium supplementation on glucose metabolism and lipids: A systematic review of randomized controlled trials. Albarracin CA, Fuqua BC, Evans JL, et al. Chromium picolinate and biotin combination improves glucose metabolism in treated, uncontrolled overweight to obese patients with type 2 diabetes.

Albarracin C, Fuqua B, Geohas J, et al. Combination of chromium and biotin improves coronary risk factors in hypercholesterolemic type 2 diabetes mellitus: A placebo-controlled, double-blind randomized clinical trial. J Cardiometab Syndr ;—7. Lai MH. Antioxidant effects and insulin resistance improvement of chromium combined with vitamin C and e supplementation for type 2 diabetes mellitus.

J Clin Biochem Nutr ;—8. Abdollahi M, Farshchi A, Nikfar S, et al. Effect of chromium on glucose and lipid profiles in patients with type 2 diabetes; a meta-analysis review of randomized trials.

Paiva AN, Lima JG, Medeiros AC, et al. Beneficial effects of oral chromium picolinate supplementation on glycemic control in patients with type 2 diabetes: A randomized clinical study.

Yin RV, Phung OJ. Effect of chromium supplementation on glycated hemoglobin and fasting plasma glucose in patients with diabetes mellitus. Nutr J; Witham MD, Dove FJ, Dryburgh M, et al. The effect of different doses of vitamin D 3 on markers of vascular health in patients with type 2 diabetes: A randomised controlled trial.

Diabetologia ;— Patel P, Poretsky L, Liao E. Lack of effect of subtherapeutic vitamin D treatment on glycemic and lipid parameters in type 2 diabetes: A pilot prospective randomized trial.

J Diabetes ;— Jorde R, Figenschau Y. Supplementation with cholecalciferol does not improve glycaemic control in diabetic subjects with normal serum hydroxyvitamin D levels. Eur J Nutr ;— Nasri H, Behradmanesh S, Maghsoudi AR, et al. Efficacy of supplementary vitamin D on improvement of glycemic parameters in patients with type 2 diabetes mellitus; a randomized double blind clinical trial.

Nigil Haroon N, Anton A, John J, et al. Effect of vitamin D supplementation on glycemic control in patients with type 2 diabetes: A systematic review of interventional studies. Forouhi NG, Menon RK, Sharp SJ, et al.

Effects of vitamin D2 or D3 supplementation on glycaemic control and cardiometabolic risk among people at risk of type 2 diabetes: Results of a randomized double-blind placebo-controlled trial. Ghavamzadeh S, Mobasseri M, Mahdavi R. The effect of vitamin D supplementation on adiposity, blood glycated hemoglobin, serum leptin and tumor necrosis factor-alpha in type 2 diabetic patients.

Int J Prev Med ;—8. Krul-Poel YH, Westra S, ten Boekel E, et al. Effect of vitamin D supplementation on glycemic control in patients with type 2 diabetes SUNNY trial : A randomized placebo-controlled trial. Nwosu BU, Maranda L. The effects of vitamin D supplementation on hepatic dysfunction, vitamin D status, and glycemic control in children and adolescents with vitamin D deficiency and either type 1 or type 2 diabetes mellitus.

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Effect of a randomised controlled vitamin D trial on insulin resistance and glucose metabolism in patients with type 2 diabetes mellitus. Horm Metab Res ;—8. Jehle S, Lardi A, Felix B, et al. Swiss Med Wkly ;w Ryu OH, Lee S, Yu J, et al.

A prospective randomized controlled trial of the effects of vitamin D supplementation on long-term glycemic control in type 2 diabetes mellitus of Korea. Al-Sofiani ME, Jammah A, Racz M, et al. Effect of vitamin D supplementation on glucose control and inflammatory response in type II diabetes: A double blind, randomized clinical trial.

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Effect of high doses of vitamin D on arterial properties, adiponectin, leptin and glucose homeostasis in type 2 diabetic patients. Clin Nutr ;—5. Seida JC, Mitri J, Colmers IN, et al. Clinical review: Effect of vitamin D3 supplementation on improving glucose homeostasis and preventing diabetes: A systematic review and meta-analysis.

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Int J Clin Pharmacol Ther ;— In addition, a full-body massage can stimulate better blood flow. As a result, improved blood circulation helps prevent or control diabetic-related complications. Acupuncture is a common diabetes treatment approach in china.

It is not only effective in treating diabetes but also prevents and manages its complications. In addition, people consider acupuncturing the best alternative treatment for chronic pain. The therapeutic effect of acupuncture on the pancreas will boost insulin synthesis and increase the number of insulin receptors.

As a result, the body accelerates glucose utilisation, resulting in low blood sugar. A study analysed the efficacy and safety of acupuncture and related techniques in diabetes.

As per the results, acupuncture shows an anti-obesity effect and reduces body weight by regulating hunger hormones. In addition, it suppresses insulin resistance and appetite to reduce food intake, possibly managing blood glucose levels. Moreover, acupuncture treatment combined with hypoglycemic drugs adjusts the levels of diabetes-related hormones.

It mainly acts on melatonin, insulin, glucocorticoid, and epinephrine. Traditionally, numerous herbs work for the treatment of diabetes. Also, certain medicinal plants show anti-diabetic effects and hypoglycemic actions.

In addition, they provide symptomatic relief and prevent the secondary complication of diabetes. Over traditional herbs are present in the alternative treatment field for diabetes.

However, only a small number of these have scientific evidence and medicinal evaluation. Besides the intense aromatic properties, fenugreek is a remedy for diabetes, particularly in India.

In addition, a study shows that drinking 15 g of powdered fenugreek seed soaked in water can reduce postprandial glucose levels. Postprandial means after a meal.

Neem, also called Azadirachta indica , significantly decreases blood sugar levels and prevents glucose-induced hyperglycemia. If you are a diabetic patient, try to eat Neem leaves in their raw form, drink them in hot water or even as a powder. Aqueous extract of neem leaves contains quercetin, a flavonoid that increases glucose uptake.

As a result, it promotes improved blood sugar control. Bitter melon or Momordica charantia is a folk medicine for diabetes. Drinking its fresh juice or eating unripe fruit shows blood sugar lowering action.

Bitter melon contains charanti, an active substance with anti-diabetic properties. It also includes an insulin-like compound known as polypeptide-p.

These substances either work individually or together to help reduce blood sugar levels. A study shows that consuming mg of Gymnema Sylvestre extract daily with oral hypoglycemic drugs reduces blood glucose.

As a result, some diabetic patients could discontinue their conventional medicine and maintain their glucose level with gurmar alone. Dietary supplements are preventive and treatment agents for type 1 and type 2 diabetes. Alternative treatments propose chromium, vanadium, magnesium, nicotinamide, and vitamin E supplements.

People with diabetes may also have more antioxidant requirements. So, eating vitamin E supplements functions primarily as an antioxidant. In addition, nicotinamide supplementation works effectively for newly diagnosed diabetes. Magnesium is one of the more common micronutrient deficiencies in diabetes.

As a result, magnesium supplements prevent the complication of diabetes, retinopathy in particular. You may also use chromium and vanadium supplements to enhance insulin sensitivity.

Consult your doctor before you include any of these supplements in your regime. Individuals diagnosed with diabetes have to be on a proper diet. Having a healthy, carb moderated diet regimen is a standard recommendation for people with diabetes. The first step in controlling diabetes is to limit simple carbs.

Excessive consumption of carbohydrates can cause insulin problems. Eating foods that help keep blood sugar, insulin, and inflammation in check can significantly manage diabetes. Despite popular beliefs, exercise belongs to alternative treatments. Health experts say that people with diabetes should set aside at least 30 minutes each day for regular exercise.

Consistent workout sessions can help you lose weight and increase insulin sensitivity. In addition, exercising helps muscles use blood sugar for energy and muscle contraction.

Effective exercise routines include weight training, brisk walking, running, biking, dancing, hiking, and swimming. Walking is an exercise that anyone can do without training. It does not require going to the gym or exercising.

Email address:. Recipients Name:. Recipients Diabetes and alternative treatment approaches. Diabetes is Weight management for athletes chronic altenative term condition marked by abnormally high apprkaches Diabetes and alternative treatment approaches sugar glucose in the blood. People with diabetes either zpproaches not produce enough insulin, a hormone that is needed to convert sugar, starches, and other food into energy needed for daily life, or cannot use the insulin that their bodies produce. As a result, glucose builds up in the bloodstream. If left untreated, diabetes can lead to blindness, kidney disease, nerve disease, heart disease, and stroke.