Herbals for diabetes Flashcards

1
Q

What is the first line for diabetes type 2, what is it the analogue of

A

Metformon, galegine (biguanide)

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2
Q

T/F: Cinnamon is is spice made from the bark of the cinnamomum tree rich in polyphenoilc antioxidants

A

True

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3
Q

What are the meta-analysis of results of cinnamon/ conflicting results

A

Reduced levels of fasting plasma glucose, total cholesterol, LDL-C and triglycerides (increasing insulin sensitivity to enhance glucose transport), HbA1c reduction

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4
Q

What is the thought to be the active ingredient of cinnamon, best dose to use

A

procyanidin polymers, 1 gram

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5
Q

What is concern with using cinnamon, why

A

Contains coumarin, liver damage

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6
Q

What plant is used for diabetes and is a plant related to ginger grown throughout India and many parts of Asia, known properties outside of diabetes

A

Tumeric, antioxidant properties (inflammation reduction), possibly cancer

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7
Q

What is the most active component of tumeric, clinical findings for curcumin

A

Curcumin, decreased fasting plasma glucose, hypolipedemic effect and improved lipid profile

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8
Q

What is a risk of high doses or long term tumeric use

A

Gastrointestinal problems

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9
Q

What are active ingriedients of ginseng

A

ginnsendosides

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10
Q

What are the clinical benefits of using ginseng

A

REDUCTION IN FASTING BLOOD GLUCOSE, reduction in Hba1c, improved postprandial insulin levels, lowering triglycerides and total cholestrol and LDL, improvement of insulin sensitivity

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11
Q

What are reported side of effects of ginseng

A

nausea, insomnia, headache., muscle tension, and fluid retention

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12
Q

What drugs should not be used simultaneously with ginseng, what disease state

A

blood thinning drugs (warfarin/reduction in preventing blood clots), hormone sensitive tumors

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13
Q

What fruit/vegetable is used to reduce blood glucose, what is the biggest benefit seen

A

Bitter melon, lowering HbA1c

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14
Q

Which seed is known to slow down digestion and absorption of carbohydrates, what compound can increase of the seed can stimulate the secretion of insulin and reduce insulin resistance

A

Fenugreek, 4-hydroxyisoleucine

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15
Q

What is the standpoint of the NIH regarding dietary supplements of diabetes

A

Most supplements do not have sufficient evidence to support beneficial effect of these medications

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