Guest guest Posted November 3, 2006 Report Share Posted November 3, 2006 Comprehensive Ayurvedic Herbs for Blood Sugar Support by Dr. Aditya Sharma, Ph.D., Clinical Ayurvedic Specialist, Herbalist Dr. Aditya Sharma, Ph.D., has over 20 years experience in the nutritional and pharmaceutical field. His expertise is in the formulation of vitamins, minerals and Ayurvedic herbs. He is also a founder of the Geeta Ayurvedic Healing Center in Southern California. Dr. Sharma practices Ayurvedic medicine and also teaches the principles of Ayurveda. http://www.nutricology.com/news/letters/2006mar_ayurvedicherbsbloodsu gar.htm For many years, Dr. Sharma has utilized a broad spectrum approach involving a wide variety of Ayurvedic herbal and nutrient adaptogens with his patients to help maintain blood sugar within healthy levels. According to Dr. Sharma, the most common response of benefits in patients occurs in 2-4 days, however, some patients require up to 2-3 weeks. Dr. Sharma also states that the herbs are appropriate for all three Ayurvedic doshas (Vata, Pitta and Kapha). These herbs and nutrients include: Trigonella foenum-graecum extract (fenugreek), Gymnema sylvestre extract (gurmar), guggul extract, green tea extract, Azadirachta indica extract (neem), Eugenia jambolana extract (jambu), Momordica charantia extract (bitter melon), alpha-lipoic acid, chromium polynicotinate, vanadyl sulfate, bilberry extract, turmeric (curcumin 95%), cayenne pepper extract, banaba leaf extract, and cinnamon extract. The following is Dr. Sharma's detailed description of these compounds and their actions. Trigonella Foenum-Graecum Extract (Fenugreek) Fenugreek has a long history in Ayurvedic and Chinese medicine for numerous indications, including labor induction, aiding digestion, and as a general tonic to improve metabolism and health. Preliminary animal and human trials suggest that fenugreek seed powder may help support blood sugar as well as blood lipids within normal levels.1 Fenugreek contains a number of steroidal sapogenins. The alkaloids trigonelline, trigocoumarin, trimethyl coumarin and nicotinic acid are also present. Mucilage is a prominent constituent in the seeds.2 Fenugreek has been mentioned in early literature as a blood sugar stabilizing agent and such effects have been evaluated.3 Rat studies have shown it to support healthy mucosa of the stomach.4 Its effects have been observed for supporting cholesterol within normal levels.5,6 It is used as an adjunct in maintaining normal blood sugar levels, and is also supportive in maintaining blood lipids within normal levels.7 Altern Med Rev 2003;8(1):20-27 Hardman, R.J. et al.: Phytochemistry 19 :698 (1980) Sulman, F.G. and E.Menczel: Harokeach Haire 9:6 (1962). Chem. Abstr. 57:11308 e(1962) Al-Mesgakm I.A et al.: Abstr. Int. Symp. Chinese Med.Mat.Res. Hong Kong, June 12, p. 48 (1984) Singhal, .C. et al. Curr. Sci. 51 : 136 (1982) Khare, A.K. et al : Ind. Drugs, February, p.191 (1982) Selected Medicinal Plants of India, CHEMEXCIL, Mumbai (1992) Gymnema Sylvestre Extract (Gurmar) Gymnema sylvestre is a plant native to the tropical forests of India, and has long been used for blood sugar support. There is some evidence that suggests that gymnema's positive effects on blood sugar are a result of it's regenerative and/or revitalizing effect on the beta cells of the pancreas. What Is Ayurveda? Ayurveda, which literally means the knowledge and wisdom of life, is the traditional healing system of India, which originated over 5000 years ago. Ayurveda is considered the healing side of Yoga. Likewise, Yoga is the spiritual side of Ayurveda. Together, they encompass a complete approach to the well being of the body, mind and spirit. Ayurveda assists the body back to optimal health by balancing the body and mind through the use of herbs, diet, lifestyle, yoga and meditation, along with the ayurvedic cleansing therapies known as Pancha Karma. In Ayurveda, each individual has a unique nature or constitution (prakruti) and is an individual blend of the three doshas, Vata, Pitta, and Kapha. Each person's dosha determines what diet, herbs and lifestyle will be in harmony with their nature. In Ayurveda, an understanding of the constitution is essential in achieving optimal health. Recently, Ayurveda has had a profound impact upon the world of healthcare. Popular books by Deepak Chopra, M.D., and others have called attention to the potential of this ancient healing system. Along with the potential to heal chronic diseases, Ayurveda promises to improve health and increase longevity. The leaves of gymnema contain several O-isopropylidene derivatives of gymnemagenin, crystalline gymnemagenin, gymnestrogenin, and gymnemic acid, which is a complex mixture of at least nine closely related acidic glycosides.1,2,3 Research suggests that the topical and selective anesthetic effect of the plant might result from the competition between these active glycosides and sweet substances for the receptor sites.6 In a study of 22 patients who were given 400 mg gymnema extract daily along with their usual medications, all patients demonstrated healthier blood sugar levels. Of 22 patients, 21 reported considerable improvement.9 It was postulated that gymnema may enhance the production of insulin.10 Gymnemic acids are also useful for prevention of the formation of dental plaque and caries.8 Gymnema also supports the heart and circulatory system, as well as the uterus and urinary tract.7 It is interesting to note that gymnema extract is without side effects and supports blood sugar in a balanced way. When given to healthy volunteers, gymnema demonstrated adaptogenic effects.11 Helv. Chim. Acta, 1969, 52:365 J. Pharma Sci., 1991, 60:190 Ibid, 1970, 59:622, 629 Ind. J. Physiol. Pharmacol., 1983, 27:257 Pharmacol. Res. Commun, 1981, 13(5) : 475 Nature, 1969, 223, 94 Yonga Igaku Zasshi 1987, 38, 127:chem. abst. 187, 107, 89854e. Indian Materia Medica Vol.1, Dr. K.M. Nadkarni, Bombay Popular Prakashan (1996) Baskaran K, Kizar Ahamath B, Radha Shanmugasundaram K, Shanmugasundaram ER. Antidiabetic effect of a leaf extract from Gymnema sylvestre in non-insulin-dependent diabetes mellitus patients. J Ethnopharmacol 1990;30:295-300. Shanmugasundaram ER, Rajeswari G, Baskaran K, et al. Use of Gymnema sylvestre leaf extract in the control of blood glucose in insulin- dependent diabetes mellitus. J Ethnopharmacol 1990;30:281-294. The Healing Power of Herbs pages - 358 & 359 Guggul Extract Guggul resin contains a number of compounds including a diterpene hydrocarbon, a diterpene alcohol, Z-gugulsterone, E-gugulsterone, and Gugulsterols I, II and III.1 Guggul has undergone investigation for its ability to support healthy blood lipid levels, which has been recognized since the vedic ages. Oral administration of guggul supports healthy cholesterol levels, which has been demonstrated in animal studies.2,3 It may also be helpful for weight loss.4 Patil, N.D. et al: Tetrahedron 8 :2341 (1972) Tripathi, S.N. Et al: J.Res.INd. Med.Res. 57: 900 (1969) Das, D. et al: Ind.J.Pharmacol 5 : 223 (1973) Selected Medicinal Plants of India, CHEMIXCIL, Mumbai (1992) Green Tea Extract Green tea extract contains polyphenols and an essential oil.1 The polyphenols strengthen the walls of blood vessels, which are responsible for regulating blood vessel permeability. Polyphenols have been shown to protect ascorbic acid from oxidation in rat tissue because of their antioxidant properties. This indicates an important role of green tea in human nutrition in preventing symptoms of ascorbic acid deficiency. Green tea polyphenols have been found to support normal thyroid function. Green tea extract is also well known for its immune-supporting properties. Green tea polyphenols inhibit the growth of S.mutans, which is one of the causes of dental caries, and has been reported to be more effective in preventing tooth decay than fluoride compounds. Green tea also supports the bladder, gallbladder and kidneys. In addition, green tea extract was found to have strong immune supportive and antioxidant activity, as well as being supportive for cellular health, normal blood flow, and healthy cholesterol and blood pressure levels.1-6 Green tea's ability to support healthy blood sugar levels has also been confirmed in animal studies. The fact that aged rats responded so dramatically to these polyphenols implies that they potentially can inhibit age-related changes in blood sugar levels, which may contribute to several degenerative conditions. Tea polyphenols support healthy blood sugar levels by inhibiting the activity of both salivary and intestinal amylase (the enzyme that breaks down starch), which causes starch to be broken down more slowly, minimizing spikes in blood sugar. In addition, according to a recent study, tea may also reduce the intestinal absorption of glucose. A relatively little known compound found in onions and in tea, especially green tea, called diphenylamine, appears to support healthy blood sugar levels. We are just beginning to identify these significant phenolic compounds and their interactions, thus it is best not to rely on a single constituent, but rather to ingest the whole complex set of bioactive compounds present in tea for best results. In addition, the blood sugar supporting effects of tea offers significant anti-aging benefits through calorie restriction, reduced glycation, and lower insulin secretion. Consuming a carbohydrate-rich meal with tea will slow down the release of glucose and reduce its absorption (it also reduces the absorption of iron, another anti-aging benefit). By preventing the harmful spike in insulin, tea offers other benefits that go with calorie restriction and insulin support.7 Yoshizawas et al : Phytother. Res. 1, 44-46, 1987. Lee M.H. et al: Chung-Kuo Nung yeh Hua Hsueh Hui Chih, 22, 226-231, 1984 Kada T. et al: Mutat. Res. 150, 127-132, 1985. Okuda T. et al: JARQ 12, 27-32, 1978. Hong Rx et al : Zhongxiyi Jiehe Zazhi, 8,621, 1988. Matsuda H et al: J.Ethanopharmacol. 17, 213-214, 1986. Deng ZY, Tao BY, et al. Effect of green tea and black tea on blood glucose, triglycerides, and antioxidants in aged rats. J Agricult Food Chem 1998;46:3875-78. Azadirachta Indica Extract (Commonly known as Neem) Neem contains bitters as well as quercetin and ß-sitosterol glucoside.1 Aqueous extract of neem leaves has been shown to support healthy blood sugar levels.2 Neem was also shown to support blood pressure within normal levels.3 Neem has been commonly used to maintain a healthy microbial environment in the digestive tract. A single dose of 3 g in human subjects was found to be highly effective, and a majority of follow-up stool samples were found to be worm and ovum free. Neem has been found to be effective against intestinal worms in farm animals.4 Shibata el al : Ind.J.Phram., 17:230 (1955) Iketa T.: Nippon Kosholnin Kagakkushu 8(1):67:(1984) Selected Medicinal Plants of India, CHEMEXCIL, NewDelhi (1992) Hennemann,H. and G.Kunnert, Pharmazie 8:463 (1953) Eugenia Jambolana Extract (Jambu) Jambolana, or Jambolan, is a species of cloves used in Ayurvedic medicine. It is used to support blood sugar within normal levels and the health of the pancreas. Jambolan is preferred for blood sugar support because it is without side effects. Jambolan may also promote cardiovascular health because it contains oleanolic acid, which short-circuits the chemical reactions that make toxic free radicals. Oleanolic acid reduces the action of free radicals to further enhance the cardiovascular benefits.1,2 Natural Treatments for Diabetes - page 21 Prescription for Herbal Healing - pages 84 & 85 Momordica Charantia Extract (Bitter Melon) Momordica charantia, also known as bitter melon, balsam pear, or karolla, has been referred to as both a vegetable and a fruit, and is widely cultivated in Asia, Africa, and South America. It has been used extensively in folk medicine as a remedy for blood sugar conditions. The blood sugar-supporting action of the fresh juice or unripe fruit has been established in experimental animal models, as well as human clinical trials.1 Bitter melon contains several compounds with confirmed blood sugar supporting properties. Bitter melon also contains an insulin-like polypeptide called polypeptide-P, which is similar in structure to bovine insulin. Bitter melon's mechanism for supporting healthy blood sugar levels is unknown, but in animal studies it has been proposed that it has a direct action similar to insulin.2 The recommended dose of bitter melon depends on the form being consumed. Dosage for tincture ranges from 5 mL 2-3 times daily to as high as 50 mL per day.3 However, bitter melon juice is very difficult to make palatable since, as the name implies, it is quite bitter. To avoid the bitter taste, the Indians and Chinese crush the herb and form tablets. In Central America, it is prepared as an extract or decoction. Dosages of capsulized dried powder range from 3-15 g daily. However, to avoid the necessity of taking so many capsules, a standardized extract may be used at dosages of 100-200 mg three times daily. Welihinda J, Karunanayake EH, Sheriff MH, Jayasinghe KS. Effect of Momordica charantia on the glucose tolerance in maturity onset diabetes. J Ethnopharmacol 1986;17:277-282. Akhtar MS, Athar MA, Yaqub M. Effect of Momordica charantia on blood glucose level of normal and alloxan-diabetic rabbits. Planta Med 1981;42:205-212. Mozersky RP. Herbal products and supplemental nutrients used in the management of diabetes. J Am Osteopath Assoc 1999;99:S4-S9. Alpha-Lipoic Acid Alpha-Lipoic Acid (ALA) is a vitamin-like substance produced in small amounts by the body, and is important to almost all cells. ALA is found in just a few food sources, such as brewer's yeast, liver and spinach. ALA assists the body's energy production and acts as a powerful antioxidant, making it especially supportive for people with blood sugar conditions. Chromium Polynicotinate Since as early as 1854, a substance was identified that improved healthy blood sugar levels. It was a complex of chromium and several amino acids that is now known as Glucose Tolerance Factor (GTF). GTF chromium does not act like insulin, but rather, appears to enhance insulin sensitivity. It has been noted that tissue concentrations of chromium in the U.S. decline with age. Nearly 20 controlled studies have demonstrated the positive effect of chromium for the management of blood sugar. In clinical studies, supplementing the diet with chromium has been shown to decrease fasting glucose levels, improve glucose tolerance, lower insulin levels, and support healthy cholesterol and triglyceride levels.1 Reversing Diabetes pages 89 & 90, The Pill Guide Book to Natural Medicines - pages 128 & 129 Vanadyl Sulfate Prior to the discovery of insulin in 1922, the trace mineral vanadium was used because of its ability to mimic the activity of insulin. Two small studies have confirmed the effectiveness of vanadyl sulfate at a dose of 100 mg/day in improving insulin sensitivity.1,2 Vanadyl sulfate is a biologically active form of vanadium. Because of its insulin-like properties, vanadyl is being used to manage blood sugar. Studies show that vanadyl is very effective in normalizing blood sugar levels and controlling related conditions.3 Cohen N, Halberstam M, Shlimovich P, et al. Oral vanadyl sulfate improves hepatic and peripheral insulin sensitivity in patients with non-insulin-dependent diabetes mellitus. J Clin Invest 1995;95:2501- 2509. Halberstam M, Cohen N, Shlimovich P, et al. Oral vanadyl sulfate improves insulin sensitivity in NIDDM but not in obese nondiabetic subjects. Diabetes 1996;45:659-666. Earl Mindell's Supplement Bible page 157 Bilberry Extract Bilberry is widely used for conditions related to or resulting from blood sugar imbalances. Bilberry also improves night vision, supports capillary strength, supports healthy blood flow, and has antioxidant activity. Research done mostly in Italy has also uncovered bilberry's potential for supporting the retina and other eye conditions associated with poor blood circulation.1 Journal of Longevity - Volume 5/No. 8, page 40, New Encyclopedia Vitamins, Minerals, Supplements, & Herbs - page 386. Turmeric (Curcumin 95%) Curcuminoids, found in high concentrations in turmeric extract, have been primarily recognized for their " super " antioxidant properties. Curcuminoids are capable of both the prevention of free radical formation and intervention to neutralize existing free radicals. Curcuminoids are natural plant compounds that guard the cells, tissues and organs of the body from numerous " inside " and " outside " detrimental influences. Unlike other antioxidants, which have more of a " policing effect " on such errant molecules, the turmeric curcuminoids merge with the potential free radicals before they form. " In the traditional system of medicine Ayurveda, several spices and herbs are thought to possess medicinal properties. Among these spices, turmeric rhizomes (Curcuma longa. Linn.) are used as flavoring and coloring agents in the Indian diet every day. " Dr. Aditya Sharma, Ph.D. Cayenne Pepper Extract Cayenne contains capsaicin, the compound that produces the " hot " in hot peppers. Cayenne is known to increase the metabolic rate, which is one reason why people get so hot and sweaty after eating spicy foods.1 One of the additional benefits of cayenne is its function as a digestive aid. Cayenne increases the secretion of acids in the stomach, which increases the absorption and effectiveness of other herbs consumed with it. In a double-blind trial, reductions in appetite were found in healthy Japanese women and Caucasian men when they consumed cayenne pepper along with meals.2 A similar trial showed that cayenne raised the metabolic rate in Japanese women.3 These trials suggest that cayenne may be beneficial for weight loss. Henry, C. J. K., (1986). Effect of spiced food on metabolic rate. Human Nutrition: Clinical Nutrition, 40, 165-168 Yoshioka, M., St-Pierre, S., & Drapeau, V. (1999). Effects of red pepper on appetite and energy intake. British Journal of Nutrition, 82, 115-123 Yoshioka, M., St-Pierre, S., Suzuki, M., & Tremblay A. (1998). Effects of red pepper added to high-fat and high-carbohydrate meals on energy metabolism and substrate utilization in Japanese women. British Journal of Nutrition, 80, 503-510. Piper Nigrum & Vinca Rosea (Banaba Leaf Extract) Banaba is a botanical extract that comes from the leaves of the banaba tree. In Southeast Asia and the Philippines, the leaves are traditionally used as an herbal medicine to treat diabetes and hyperglycemia. Banaba balances blood sugar, regulates insulin levels, and supports healthy weight loss.1 Corosolic acid, a triterpenoid found in the leaves, helps balance blood sugar by stimulating glucose uptake. This effect is similar to that of insulin, which induces glucose transport from the blood into body cells.2,3 Animal studies have shown it to be supportive for managing both blood sugar conditions and obesity.3-5 Researchers have found that corosolic acid is not the only active ingredient in banaba leaves. Studies show that banaba contains at least three other active ingredients including lagerstroemin, flosin B and reginin A. These natural phytochemicals regulate glucose uptake, and may play a role in banaba's ability to support healthy blood sugar levels.6,7 The blood sugar regulating properties of banaba have been demonstrated in cell culture and animal and human studies. In an animal study, banaba normalized blood sugar, and also had a normalizing effect on blood pressure.3-5,7 In a human study, banaba extract showed significant blood sugar stabilizing effects.8 American Diabetes Association, http://www.diabetes.org/diabetes- statistics/national-diabetes-fact-sheet.jsp (29 July 2004) Hattori K, Sukenobu N, Sasaki T, Takasuga S, Hayashi T, Kasai R, Yamasaki K, Hazeki O. Activation of insulin receptors by lagerstroemin. J Pharmacol Sci. 2003 Sep;93(1):69-73. Suzuki Y, Unno T, Ushitani M, Hayashi K, Kakuda T. " Antiobesity activity of extracts from Lagerstroemia speciosa L. leaves on female KK-Ay mice. " J Nutr Sci Vitaminol (Tokyo) 1999 Dec;45(6):791-5. Liu F, Kim J, Li Y, Liu X, Li J, Chen X. An extract of Lagerstroemia speciosa L. has insulin-like glucose uptake-stimulatory and adipocyte differentiation-inhibitory activities in 3T3-L1 cells. J Nutr. 2001 Sep;131(9):2242-7. Hayashi T, Maruyama H, Kasai R, Hattori K, Takasuga S, Hazeki O, Yamasaki K, Tanaka T. Ellagitannins from Lagerstroemia speciosa as activators of glucose transport in fat cells. Planta Med. 2002 Feb;68 (2):173 Hosoyama H, Sugimoto A, Suzuki Y, Sakane I, Kakuda T. [isolation and quantitative analysis of the alpha-amylase inhibitor in Lagerstroemia speciosa (L.) Pers. (Banaba)] Yakugaku Zasshi. 2003 Jul;123(7):599-605. [Article in Japanese] Kakuda T, Sakane I, Takihara T, Ozaki Y, Takeuchi H, Kuroyanagi M. Hypoglycemic effect of extracts from Lagerstroemia speciosa L. leaves in genetically diabetic KK-AY mice. Biosci Biotechnol Biochem. 1996 Feb;60(2):204-8. Judy WV, Hari SP, Stogsdill WW, Judy JS, Naguib YM, Passwater R. Antidiabetic activity of a standardized extract (Glucosol) from Lagerstroemia speciosa leaves in Type II diabetics. A dose- dependence study. J Ethnopharmacol. 2003 Jul;87(1):115-7. Cinnamon Extract Cinnamon has been in the news lately because it is proving to be effective in supporting healthy blood sugar and cholesterol within normal levels. Dr. Richard Anderson and his research team at the U.S. Department of Agriculture have been studying the effects of cinnamon on improving insulin, blood sugar and blood lipid metabolism for the past 20 years. In 2004, they identified cinnamon's bioactive compound polyphenol type-A polymer.1 Before that, Anderson worked with a team of researchers in Pakistan to test cinnamon extract's ability to lower glucose and lipid levels in 60 patients.2 One group received a placebo, while the other received cinnamon in daily amounts of 1, 3, or 6 grams. The treatment lasted 40 days.2 The results were dramatic. All three cinnamon doses had a strong impact on blood sugar levels, reducing them by 18-29% following 40 days of treatment. Positive effects on blood lipid levels were also observed. By contrast, the placebo group had no significant effect on either measure. The highest dose (6 g/ day) produced the most rapid response, while the lowest dose (1 g/day) produced the most sustained response, i.e., a continued reduction in glucose levels even at the 60-day mark; the reduction observed was 16%. The two higher doses produced slightly lower sustained responses, which were not statistically significant.1 Researchers also noted blood sugar problems returned when subjects stopped taking cinnamon. Anderson R et al. Isolation and characterization of polyphenol type- A polymers from cinnamon with insulin-like biological activity. J Agric Food Chem 2004, 52:65-70. Khan A, Safdar M, Khan MMA, Khattak KN, Anderson RA. Cinnamon improves glucose and lipids of people with type 2 diabetes. Diabetes Care 2003 Dec;26(12):3215-8. http://care.diabetesjournals.org. --- ----------- Focus on Allergy Research Group® Editor-in-Chief: Stephen A. Levine, Ph.D. Managing Editor: Elise Zurlo, CNC Medical Editor: Jeffry L. Anderson, M.D. Assistant Editors: Dan Milosevich, CN and Luba Voloshko, Ph.D. Graphic Design & Layout: Elise Zurlo & Blake Dayton Quote Link to comment Share on other sites More sharing options...
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