DESCRIPTION

Diabetes is a disease in which the body either does not produce or cannot properly use the pancreatic hormone insulin. Insulin controls the amount of glucose (sugar) in the blood and the rate at which glucose is absorbed into the cells. The cells need glucose to produce energy. Furthermore, glucose must be maintained at a certain minimum for the brain to function normally. After eating a meal that contains carbohydrate or protein, the blood sugar normally rises to between 120 and 130 milligrams per decaliter (mg/dL), but generally not above 140 mg/dL. This increase triggers a release of insulin from cells in the pancreas called beta-cells. The insulin "opens the doors" of cells throughout the body, allowing glucose to enter them. As glucose enters the cells, the blood sugar level falls back toward normal and the release of insulin tapers off until the next time protein or carbohydrates are eaten. Every day, every hour, blood sugar levels vary, even in people who do not have diabetes. If blood sugar falls too low hypoglycemia, a person's ability to reason can become impaired. If blood sugar is too high (hyperglycemia) the person has diabetes.

In people with diabetes, glucose builds up in the bloodstream instead of being taken into and used by the cells, leading to hyperglycemia. If it is not properly controlled, diabetes can lead to heart disease, kidney disease, edema, nerve damage, and infections of the mouth, gums, lungs, skin, feet, bladder, and genital areas. Skin sores may develop and fail to heal properly.

According to figures published by the American Diabetes Association (ADA), 18.2 million people in America, or 6.3 percent of the population, have diabetes. This disease is the sixth leading cause of death in the United States and the primary cause of blindness in people between the ages of 20 and 74. The death rate for African-Americans with diabetes is 27 percent higher than the death rate for Caucasians who have the disease. Unfortunately, 2/3 of the people diagnosed with diabetes do not associate the disease with an increased risk of cardiovascular problems, such as heart disease and stroke. To someone with diabetes, controlling the blood sugar must be done in conjunction with controlling cholesterol and blood pressure.

There are two basic types of diabetes: diabetes insipidus and diabetes mellitus.

DIABETES INSIPIDUS

This is a rare metabolic disorder caused either by a deficiency of the pituitary hormone vasopressin or by the inability of the kidneys to respond properly to this hormone. Failure to produce adequate amounts of vasopressin is usually the result of damage to the pituitary gland. Diabetes insipidus is characterized by extreme thirst and by the production of enormous amounts of urine, regardless of how much liquid is consumed.

DIABETES MELLITUS

This results from a defect in the production of insulin by the pancreas. Without insulin, the body cannot utilize glucose (blood sugar), its principal energy source. As a result, the level of glucose circulating in the blood is high and the level of glucose absorbed by the body tissues is low. Perhaps more than most diseases, diabetes mellitus is associated with diet. It is a chronic disorder of carbohydrate metabolism that over time increases the risk of kidney disease, atherosclerosis, blindness, and neuropathy (loss of nerve function). It also creates a predisposition to infections such as candidiasis and can complicate pregnancy. Although genetics may make a person susceptible to diabetes, a diet high in refined, processed foods and low in fiber and complex carbohydrates is believed to be behind most cases of the disease. Those who are overweight face the greatest risk of developing diabetes.

Some individuals have impaired glucose tolerance (IGT),indicating an asymptomatic subclinical, or latent, form of diabetes. IGT describes those whose plasma glucose levels and responses to glucose are intermediate, somewhere between those of a diabetic and a healthy person.

This page will primarily discuss diabetes mellitus.

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CAUSES

Diabetes mellitus is generally divided into two categories: Type I, called insulin-dependent or juvenile diabetes (IDDM) and Type II, or non-insulin-dependent diabetes (NIDDM).

TYPE I (TYPE 1)

Type I diabetes affects 5 to 10 percent of people with diabetes and usually starts at an early age. It is an auto-immune disease in which the body's immune system attacks and is associated with destruction of the beta cells of the pancreas, which manufacture insulin. This type of diabetes occurs mostly in children and young adults. Experts believe this may result from an immune response after a viral infection or something related to nutrition.

TYPE II (TYPE 2)

Type II diabetes mellitus, by far the most common form of diabetes, affects 90 to 95 percent of diabetes sufferers. It is often referred to as maturity-onset diabetes, is most likely to occur in people with a family history of diabetes. In this type of the disorder, the pancreas does not produce enough insulin to fuel the cells. Although the insulin is produced, it may be ineffective. The cells may also become resistant to the effects of what little insulin there is in the bloodstream. Many people have Type 2 diabetes and are completely unaware of it. In fact, as many as 5.2 million Americans may have the disease and not yet be diagnosed. This type of diabetes usually has an onset during later adulthood and is linked to a poor diet. Unfortunately, it is now becoming more common in young people.

The first clinical study sponsored by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) has begun in 12 medical centers around the country. The five-year study called Treatment Options for Type 2 Diabetes in Adolescents and Youth (TODAY), will compare three treatments of type 2 diabetes in children and teens to determine how well and how long each treatment approach controls blood glucose levels. The treatments will involve FDA-approved drugs and life-style changes. TODAY is the first clinical study aimed at showing the effects of lowering weight by cutting calories and increasing physical activity in youths with type 2 diabetes.

RISK FACTORS

It is now recognized that obesity and type 2 diabetes are among the most serious health challenges facing American's youth. During the last 30 years, the number of overweight children in the United States has more than doubled. Known risk factors for type 2 diabetes include:

• Age (risk increases with age).
• Overweight, as measured by a body mass index (BMI), of 25 or higher (23 or higher for Asian-Americans and 26 or higher for Pacific Islanders).
• Blood pressure of 140/90 mm/Hg or higher.
• Abnormal blood fat levels, including levels of HDL (good) cholesterol, less than 40 mg/dL for men and less than 30 mg/dL for women, and triglycerides of 250 mg/dL or higher.
• Having a parent, brother, or sister with diabetes.
• Ethnicity (African-Americans, American Indians, Alaskan natives, Asian-Americans, Pacific Islanders, and Hispanics have a greater risk than do Caucasians).
• Birth weight of less than 5.5 pounds or more than 9 pounds.
• A history of diabetes in pregnancy, or having given birth to a baby weighing more than 9 pounds.
• Inactivity, defined as exercising fewer than 3 times per week.

Epidemiological data from around the world show that the United States is not the only area that has this problem. Within the next 30 years, diabetes is projected to increase by 50 percent in Great Britain, 72 to 78 percent in New Zealand and Australia, and an incredible 184 percent in Mexico.

GESTATIONAL DIABETES

Gestational diabetes is a form of the condition that develops during pregnancy, affecting about 4 percent of pregnant women. Hormonal changes during pregnancy can affect the body's resistance to insulin. Most often, this condition disappears after delivery, but it seems to be a sign that the woman is more likely to develop type 2 diabetes in later life.

MoonDragon's ObGyn Womens Health Information: Pregnancy & Diabetes

IMPAIRED GLUCOSE TOLERANCE (IGT)

Impaired glucose tolerance is a condition that affects about 11 percent of American adults. In people with IGT, blood glucose levels are above normal, but are not of diabetic levels. However, about 7 percent of people with IGT go on to develop type 2 diabetes.

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FREQUENT SIGNS & SYMPTOMS

People with diabetes are subject to episodes of both high (hyperglycemia) and low blood sugar (hypoglycemia).

TYPE I

COMMON SIGNS & SYMPTOMS OF TYPE 1 DIABETES

• Irritability.
• Frequent urination.
• Abnormal thirst.
• Nausea or vomiting.
• Weakness.
• Fatigue.
• Weight loss despite a normal (or even increased) intake of food.
• Unusual hunger.
• In children, frequent bed wetting. Especially by a child who did not previously wet the bed, is a common sign.

Episodes of very high blood glucose levels (hyperglycemia) and episodes of very low blood glucose levels (hypoglycemia). Either of these conditions can lead to a serious medical emergency.

Episodes of hypoglycemia, which strike suddenly, can be caused by a missed meal, too much exercise, or a reaction to too much insulin.

INITIAL SIGNS OF HYPOGLYCEMIA (LOW BLOOD SUGAR)

• Hunger.
• Sweating.
• Dizziness.
• Confusion.
• Palpitations.
• Numbness or tingling of the lips.

If not treated, the individual may experience:

• Double vision.
• Trembling.
• Disorientation.
• May act strangely.
• May eventually lapse into a coma.

In contrast, a hyperglycemic episode can come on over a period of several hours or even days. The risk for hyperglycemia is greatest during illness, when insulin requirements rise; blood sugar can creep up, ultimately resulting in coma, a reaction also known as diabetic ketoacidosis. One of the warning signs of developing hyperglycemia is the inability to keep down fluids. Possible long-term complications include stroke, blindness, heart disease, kidney failure, gangrene, and nerve damage.

TYPE II

COMMON SIGNS AND SYMPTOMS OF TYPE 2 DIABETES:

• Frequent urination.
• Extreme hunger.
• Unexplained weight loss.
• Extreme fatigue.
• Blurred vision.
• Itching of skin.
• Unusual thirst.
• Irritability.
• Drowsiness.
• Skin infections, infections of gums, vagina or bladder.
• Slow healing of wounds, cuts, and bruises.
• Tingling or numbness in the feet, legs, or hands.

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OTHER SIGNS THAT MAY BE ASSOCIATED WITH DIABETES

• Lingering flu-like symptoms.
• Loss of hair on the legs.
• Increased facial hair.
• Small yellow bumps known as xanthomas anywhere on the body.
• Balanoposthitis (inflammation of the penial glans and foreskin) often is the first sign of diabetes and is usually associated with frequent urination day and night.

An estimated 5.5 million Americans are being treated for diabetes. Studies indicate that there are 5 million adults with undetected type II diabetes, and another 20 million have impaired glucose tolerance that may lead to full-blown diabetes. The National Institute of Health report that undiagnosed diabetes has caused millions of people to lose their vision. In addition, complications of diabetes are the third leading cause of death in the United States. Urinalysis can often detect unsuspected diabetes.

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PREVENTION

Maintain your ideal weight and eat a well-balanced diet consisting of whole foods.

Get moderate exercise regularly.

Research indicates that supplementation with the hormone dehydroepiandrosterone (DHEA) in the form of 7-keto-DHEA may help prevent diabetes.

MoonDragon's Health Therapy: DHEA Therapy

DHEA PRODUCTS DHEA (Dehydroepiandrosterone) is the most abundant steroid in the blood stream produced mainly in the adrenal glands. DHEA is the biochemical building blocks for the synthesis of other hormones. DHEA may be used for immune system dysfunction, heart disease, diabetes, obesity, osteoporosis, arthritis, anti-aging and auto-immune diseases. 7 KETO DHEA is a powerful antioxidant that aids fat metabolism and supports the production of lean muscle tissue. DHEA is the most plentiful hormone in the human body, but its production declines with age. As the levels of DHEA decrease, so does this important metabolite. Kalyx: DHEA, Nutricology, 10 mg, 60 Tabs Kalyx: DHEA, Nutricology, 15 mg, 60 Tabs Kalyx: DHEA, Nutricology, 25 mg, 60 Tabs Kalyx: DHEA, Schiff, 25 mg, 60 Tabs Kalyx: DHEA, Natrol, 25 mg, 90 Tabs Kalyx: DHEA, Natrol, 25 mg, 90 Tabs Kalyx: DHEA, Thompson Nutritional, 50 mg, 60 Caps Kalyx: DHEA, Natrol, 50 mg, 60 Tabs HerbsPro: DHEA, Natrol, 25 mg, 300 Tabs HerbsPro: 7-KETO DHEA Metabolite, Now Foods, 100 mg, 60 VCaps House of Nutrition: DHEA, Ultimate Nutrition, 100 mg, 100 Caps House of Nutrition: DHEA, Life Link, 200 mg, 50 Caps House of Nutrition: DHEA Sublingual, Douglas Labs, 25 mg, 120 Tabs

IF YOU ARE AT RISK OR HAVE DIABETES

If diabetes runs in your family or if you have concerns about diabetes, consider joining a self-help group for diabetics. It will provider you with advice and access to courses or seminars. Research the disease and learn as much as you can about it.

If you are an insulin-dependent diabetic, keep carbohydrates with you in case of low blood sugar.

Strenuous activity can cause a serious drop in blood sugar. Test your levels and eat carbohydrates if necessary.

If you are pregnant, your midwife will check your urine at each visit for many things, including ketones (a byproduct of fat metabolism) and glucose in the urine. If you have a repeated positive urine test (more than one test with positive results), you may be questioned about our dietary habits and have your blood tested for glucose levels. You may be instructed about eating a well-controlled diabetic diet to keep your glucose levels within a normal range. Pregnancy can put a burden on may systems in the mother and someone who is borderline or has pre-diabetic tendencies may have abnormal glucose levels showing up during her pregnancy (gestational diabetes). Be sure to follow your midwife's suggestions and recommendations to keep it under control until after you deliver your baby. You should be watched and monitored carefully throughout the remainder of your pregnancy.

DIAGNOSIS & TREATMENT

Chances are pretty good that you or someone you know has diabetes. There are more than 5 million Americans currently being treated for this disease. Diabetes occurs when the body does not produce or use insulin, the hormone that helps move ingested sugars out of the blood and into the cells, as it should. In some types of diabetes, the target tissues just don't respond, but in the most common type of diabetes, diabetes mellitus, the production of insulin is impaired, which can greatly increase blood-sugar levels. Untreated, this rise in sugar can lead to coma or even death. There are two forms of diabetes mellitus: Type 1, or juvenile diabetes that develops during childhood or early adulthood and type 2, or adult-onset diabetes that usually occurs after the age of 40. Treatment for Type I requires a carefully adjusted diet and insulin injections in precise dosages. Exercise, diet and natural remedies, combined with medication, can help control type 2 diabetes.

TEST YOUR URINARY SUGAR LEVEL YOURSELF Even in the early stages of the disease, elevated sugar levels are detectable in the urine. You can purchase test strips in a pharmacy or medical supply store to check your urinary glucose level. Collect midstream morning urine. Dip the test strip in the urine and leave it there for approximately 1 minute (follow direction label on the test strip box or bottle). Wipe off the excess on the side of the container. After 1-2 minutes, a change in color on the strip indicates glucose levels that are elevated. If this occurs, you should consult with your health care provider. URINE TEST STRIPS

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CONSIDERATIONS



GENERAL TREATMENT OVERVIEW

A Type II diabetic's course of treatment depends on the severity of the disease. Your health care provider (or midwife, if you are pregnant) should determine your insulin needs, if insulin is required, and how eating habits should be adjusted. it is also important to maintain your normal weight and get moderate exercise. Limiting breads, rolls, rice, pastas, chips, potatoes and sweets may be required. Choose instead fresh vegetables and proteins, such as salmon, tuna, beans and nuts.

DRUGS USED IN THE TREATMENT OF DIABETES

To compensate for the lack of insulin production, a person with type 1 diabetes must inject insulin on a daily basis. Injections are necessary because insulin cannot be absorbed from the gastrointestinal tract into the bloodstream if taken orally. Insulin pumps and pens (individual, disposable pre-filled insulin syringes in the form of a pen) are also available for the delivery of insulin. Because the management of type 1 diabetes is such a complex challenge, it is imperative that a person with this condition have a good relationship with the health care provider prescribing the insulin. There are many insulin formulations on the U.S. market. See table below.

Rosiglitazone (Avandia) is a drug sometimes prescribed for type 2 diabetes. This drug controls blood sugar by adjusting the sensitivity of fat and muscle tissue to the insulin of the body.

Trials of a promising new diabetes vaccine, produced by Clinalfa, a subsidiary of Merck, are underway. The vaccine contains a molecule that is similar to a part of the insulin-producing cells in the pancreas. This molecule when added to human blood, forms a protective barrier against the white blood cells that typically destroy the insulin-producing cells. In effect, the vaccine would inoculate someone receiving it against getting diabetes, possibly for life.

People with diabetes who experience the pain associated with nerve damage (diabetic peripheral neuropathy) have a new treatment option - the first FDA-approved drug for managing the burning, tingling, and numbing sensations in the extremities that mark this condition. The drug, duloxetine (Cymbalta), was approved in September 2004 for treating the condition, the most common complication of diabetes. In clinical trials, people treated with Cymbalta reported less pain than those given a placebo. Treated with Cymbalta, 58 percent of the people reported at least a 30 percent sustained reduction in pain. Only 34 percent of the people treated with a placebo reported sustained pain reduction. Most commonly reported side effects included nausea, dry mouth, constipation, and diarrhea. In a few cases, patients experienced dizziness and hot flashes.

ORAL MEDICATIONS FOR TYPE 2 DIABETES Type 2 diabetes may be managed with any number of different drugs. Following is a quick reference guide to the major medications currently used for this purpose, together with how they act in the body, generic and brand names, and general comments. ACTION IN THE BODY GENERIC NAME BRAND NAMES COMMENTS Sulfonylureas Stimulates beta cells to release insulin. Chlorpropamide Diabinese Taken 1 or 2 times daily before meals. First-generation drug.   Glipizide Glucotrol Second-generation drug. Used in smaller doses than first-generation agents.   Glyburide DiaBeta Micronase Glynase Second-generation drug. Smaller doses.   Glimepiride Amaryl Second-generation drug. Smaller doses. Meglitinides Stimulate the pancreas to release more insulin. Repaglinide Prandin Taken before each of three meals. Nateglinides Works similarly to sulfonylureas. Nateglinide Starlix Taken before each of three meals. Biguanides Sensitizes the body to insulin already present. Metformin Metformin Extended Release Metaformin With Glyburide Glucophage Glucophage XR Glucovance Taken two times daily with food for best results. Thiazolidinediones (Glitazones) Helps insulin work better in muscle and fat and lowers insulin resistance. Rosiglitazone Pioglitazone Avandia Actos Taken once or twice daily with food. Very rare but serious side effects on the liver are possible. Alpha-Glucose Inhibitors Slows or blocks breakdown of starches and sugars; action slows rise in blood sugar after eating. Acarbose Miglitol Precose Glyset Should be taken with first bite of meals.

INSULIN PREPARATIONS FOR TYPE 1 DIABETES Type 1 diabetes may be managed with injections of the hormone insulin, as well as with close attention to diet and other lifestyle factors. Not all insulins are the same, however, and it may take some trial and error to find the one or ones that are right for any given individual. The principle differences are related to the speed with which they take effect, and the period of time they remain active in the body. Following is a quick reference guide to the major types of insulin available. EXAMPLES ONSET OF ACTION PEAK OF ACTION DURATION OF ACTIONS Long-Acting Insulin Humalog (Lispro) 15 minutes 30-90 minutes 3-5 hours NovoLog (Aspart) 15 minutes 40-50 minutes 3-5 hours Short-Acting Insulin (Regular) Humulin R 30-60 minutes 50-120 minutes 5-8 hours Novolin R 30-60 minutes 50-120 minutes 5-8 hours Intermediate-Acting Insulin (NPH) Humulin L 1-2.5 hours 7-15 hours 18-24 hours Humulin N 1-3 hours 8 hours 20 hours Novolin N 1-3 hours 8 hours 20 hours Intermediate- & Short-Acting Insulin Mixtures Humulin 50/50 Humulin70/30 Humalog Mix 75/25 Humalog Mix 50/50 Novolin 70/30 Novolog Mix 70/30 The onset, peak and duration of action of these mixtures reflects a composite of the intermediate- and short- or rapid-acting components, with one peak of action. Long-Acting Insulin Ultralente 4-8 hours 8-12 hours 36 hours Lantus (Glargine) 1 hour None 24 hours

Since 1982, most of the newly approved insulin preparations have been produced by inserting portions of DNA (recombinant DNA) into special lab-cultivated bacteria or yeast. This process allows the bacteria or yeast cells to produce complete human insulin. Recombinant human insulin has all but completely replaced animal-derived insulin, such as pork or beef insulin. Recently, insulin analogs have been produced that have a structure differing slightly from human insulin (usually by one or two amino acids). This changes the onset and peak of action times. See table above.

Strict glucose control in type 1 diabetes also reduces the risk of atherosclerosis, according to a study reported in The New England Journal of Medicine. Intensive glucose control was found to greatly reduce damage to the eyes, nerves and kidneys. Researchers also concluded that the tight control also benefited the heart. Strict glucose control involves at least 3 insulin injections per day, or the use of an insulin pump, plus frequent self-monitoring.

The FDA has approved pramlintide (Symlin), a new drug for people with diabetes who cannot adequately control their blood glucose levels with insulin. It is intended to be used along with insulin to help lower blood glucose during the 3 hours after meals. Pramlintide must be kept separately from insulin and never mixed, nor should the same syringe be used to administer both, to prevent alteration of the activity of the insulin.

NEW INSULIN DELIVERY METHODS

Insulin inhalers are now in development. The dose is inhaled through the mouth into the lungs, and from there, the dry or dissolved insulin can easily be absorbed into the bloodstream. The benefits to this method of ingestion, as compared with injection, are obvious. The drawbacks, however, are in accurately administering the correct dose in the correct form. The inhalers deliver only up to 10 percent of the drug into the lungs, making it more expensive because more insulin is needed. The size of the drug particles is also critical - if they are too small, the drug will bind together, if too large, the insulin will not be able to reach the lungs.

DIABETES & PREGNANCY

A woman with diabetes who wants to become pregnant should watch her blood sugar levels long before she plans to conceive. The fetus has the greatest chance of developing birth defects during the first 5 to 8 weeks of pregnancy, before most women know they are pregnant. It usually takes a few months to get the blood sugar under proper control; if a woman begins to monitor her blood sugar level the day she conceives, damage may already be done by the time it is under control.

Women with diabetes who do become pregnant are considered high risk and will need carefully managed care during her prenatal period and possibly for the postpartum period for her and her newborn. These women are not usually considered for a homebirth option, and may not be considered for a birthing center option as well, depending upon the guidelines set up by these midwives and health care providers. It will be very important to find a pregnancy and birth practitioner that is well informed about diabetic management during pregnancy and one that is willing to work with the woman's birth experience desires.

MoonDragon's ObGyn Womens Health Information: Pregnancy & Diabetes

MoonDragon's Nutrition Information: Gestational Diabetes Diet

KEEP A JOURNAL

Keep a journal to monitor your progress. Eventually, your journal should answer the following questions:

• What does your blood-sugar/glucose curve look like with an average diet and average insulin administration (if you are required to use insulin)?



• To what extent does physical activity reduce your sugar level, and does your insulin need to be reduced as a result?



• How does the insulin work when you inject it in different sites, such as your abdomen or upper thigh?



• How does your blood-sugar/glucose level change in stressful situations?

GLUCOSE MANAGEMENT

Because the management of type I diabetes is such a complex challenge, it is important that a person with this condition have a good relationship with the health care provider prescribing the insulin. There are more than 30 insulin formulations in the U.S. market, but all are variations of several basic types. The most commonly used are purified porcine (pork), purified bovine (beef), and recombinant DNA-origin (human) insulin. Purified porcine insulin is insulin derived from the pancreases of pigs that has undergone further purification; purified bovine insulin is cattle-pancreas-derived insulin that has undergone further purification. Recombinant DNA-origin insulin production is genetically engineered by inserting the human gene for insulin production into a non-disease-producing laboratory strain of Escherichea coli bacteria or yeast.

Since people with type II diabetes are less able than most people to perceive sweet tastes, and this may make it more difficult for them to lose weight. Because they do not recognize the sweet taste of substances, they often consume sugary products that they do not appreciate as sweet. If a person with type II diabetes attains a better understanding of food, exercises greater care in choosing foods, and reads food product labels carefully, he or she should be able to control the problem and avoid the need for treatment with drugs or insulin.

Type II diabetes can usually be controlled by dietary modification and exercise; insulin treatment is not usually required. Obesity is a major factor in type II diabetes, and a weight reduction program is often all that is required to control it.

Some people with diabetes may be able to abandon insulin injections for an inhaler in a few years or less. Researchers at John Hopkins School of Public Health in Baltimore reported that an experimental aerosol inhaler normalized blood glucose levels in six volunteers with type II diabetes, according to an article by Mike Snider in USA Today.

• CBS News: Insulin Inhaler
• NPR: Insulin Inhaler Cleared for Use by Diabetics
• International Herald Tribune: Pfizer Markets First Insulin Inhaler for Diabetes Sufferers
• NJBiz: Pfizer's Insulin Inhaler May Cause Lung Cancer
• CNN: Insulin Inhaler May Replace Injections
• Bessed: Insulin Inhaler
• Diabetes Monitor: Inhaled Insulin
• Pharmalot: Exhale - Lilly Bails On Alkermes Insulin Inhaler
• Exubra Official Site: Announcement about Exubra Insulin Inhaler being discontinued, October 18th, 2007.

Research indicates that supplementation with the hormone dehydroepiandrosterone (DHEA) may help prevent diabetes. See DHEA Therapy.

DIABETIC COMPLICATIONS

There is no cure for diabetes, but the disease can be managed. The major danger with diabetes is not the disease itself but the complications that can arise if insulin levels are not maintained at a constant level. Consistently high blood sugar levels can, over time, lead to blindness, kidney failure, heart disease, limb amputations, and nerve damage.

EYE DAMAGE & BLINDNESS

Retinopathy (damage to the retina) from diabetes is the leading cause of blindness in the United States in adults between the age of 20 and 74. One in twenty people with type I diabetes and one in fifteen people with type II diabetes develop retinopathy. However, the incidence of blindness from diabetic retinopathy has dropped with the use of laser surgery. If persons in the later stages of retinopathy are left untreated, almost 50 percent lose their sight within 5 years. Of those who receive laser treatment, only 5 percent lose their sight. Persons with diabetes should get annual retinal examinations to check on their condition.

Elevated glucose levels in the lens of the eye can result in the accumulation of substances called polyols, whose presence can ultimately cause damage to the lens. High polyol concentrations resulting from high glucose levels can persist even if glucose levels subsequently return to normal. Flavonoids, such as quercetin, help to inhibit the accumulation of polyols.

Glycosylation - the binding of glucose and other sugars onto proteins in the blood, nerve cells, and lenses of the eyes - may be responsible for many of the long-term effects of diabetes. Research at the University of Surrey's School of Biological Sciences and the Academic Unit of Diabetes and Endocrinology of London's Whittington Hospital have shown that vitamin C may inhibit this destructive process. Researchers state that if glycosylation is part of the normal aging process, taking vitamin C supplements may slow it.

MoonDragon's Health & Wellness: Diabetic Retinopathy

KIDNEY DAMAGE (NEPHROPATHY)

Diabetic nephropathy (damage to the kidneys from diabetes) is quite common and has been a leading cause of death among people with diabetes. Diabetes accounts for 40 percent of the people who have kidney failure. It is important to monitor kidney function periodically. Controlling wide springs in blood sugar levels reduces the risks of these complications. Nephropathy is becoming less common as more people recognize the necessity of maintaining a stable blood sugar level. A low-protein diet containing less than 40 grams of protein each day is recommended for prevention and treatment of diabetic nephropathy.

Diabetes and high blood pressure often go hand in hand, and both can lead to kidney disease. Treating high blood pressure is important. In one recent study, hypertensive diabetics who took drugs called angiotensin converting enzyme (ACE) inhibitors cut their risk of developing serious kidney disease in half.

Researchers at the University of Colorado Health Sciences Center found that diabetics who smoke are two to three times more likely than nonsmoking diabetics to develop kidney damage, often leading to the need for dialysis or a transplant. Smoking constricts blood vessels. In people with diabetes, this helps to push large protein molecules out of the vessels and into the kidneys. That can eventually lead to kidney failure.

NERVE DAMAGE (NEUROPATHY)

Diabetic neuropathy (damage to the nerves caused by diabetes) usually affects the peripheral nerves, such as those in the feet, hands, and legs. Symptoms include numbness, tingling, and pain. Amitriptyline and desipramine, common antidepressant drugs, have proved to be successful in the treatment of this condition. They work by increasing levels of the neurochemical that carries messages between cells, thus increasing sensation.

Autonomic neuropathy may lead, among other complaints, to a buildup of gastric juices in the stomach. Too much stomach acid can cause nausea and diarrhea, but the condition can be relieved by either antibiotic treatment or by eating smaller, low-fat meals.

For men, neuropathy or circulatory problems can lead to erectile dysfunction (ED). Sildenafil (Viagra) may be able to alleviate this problem. Your health care provider will probably want to do a stress test before prescribing this drug.

It is vital for people who have diabetes to take care or their feet. Nerve damage can lead to lack of sensation in the feet, and once the skin is broken, sores there may not heal. Treatment for diabetic foot problems include becaplermin (Regranex), a topical gel that encourages tissue growth in the wound, and Dermagraft. Dermagraft is a skin substitute used to help wound closure associated with diabetic foot ulcers. It helps replace and rebuild damaged tissue.

FOOT ULCERS & ASSOCIATED FOOT PAIN

A wound dressing, called Apligraf, is available that helps heal diabetic food ulcers, open foot sores that can lead to amputation. It is manufactured by Organogenesis. Inc.

Magnet therapy helps some people with diabetes in coping with food pain associated with the disorder.

MoonDragon's Health & Wellness: Leg Ulcers

MoonDragon's Health & Wellness: Bed Sores

MoonDragon's Health & Wellness: Bed Sores Guidelines

MoonDragon's Health Therapy: Pain Control

HYPOTHYROIDISM

Hypothyroidism may be a leading cause of diabetes. Well-known researcher and author Stephen Langer, M.D., has noticed that neuropathies, together with other diabetic complications, disappear when thyroid hormone is administered. Many complications of diabetes and hypothyroidism are a result of clogged arteries, which prevent the blood from delivering nutrients and oxygen and carrying off waste products and debris.

MoonDragon's Health & Wellness: Hypothyroid

CARDIOVASCULAR DISEASE

Cardiovascular disease is 2 to 4 times more common among people with diabetes, and is the leading cause of diabetes-related deaths. The risk of stroke is also 2 to 4 times higher in people with diabetes, and 60 to 65 percent have high blood pressure as well.

Coronary artery disease is common in people with diabetes. Women with diabetes are particularly at risk. A 16 year study published in Circulation: Journal of the American Heart Association by Frank B. Hu, M.D., lead author and associate professor of nutrition and epidemiology at Harvard School of Public Health, indicates that women with type 2 diabetes who consumed fish 5 or more times a week had a 64 percent reduction in coronary heart disease and a 52 percent reduction in total mortality compared with women who ate fish less than 5 times per month. This was attributed to the higher consumption of omega-3 fatty acids associated with this diet. Concerns with environmental toxins found in fresh fish point to fish oil supplements as an acceptable substitute for the actual consumption of fish. Dr. Hu did not study supplements specifically, but did not rule out their theoretical use as substitutes. It is probable that the consumption of omega-3 fatty acids would have the same effect on men.

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On days having high levels of airborne particulates, such as dust and soot, people with diabetes are twice as likely to be hospitalized for cardiovascular problems. Exposure to these particles may affect heart rate and inflammation in the heart. This places diabetics with cardiovascular problems at greater risk. If you have diabetes, check air quality levels and stay indoors during periods of risk.

People with diabetes should be vigilant about blood fat and cholesterol levels. Optimum cholesterol levels are LDL (bad cholesterol), less than 130; HDL (good cholesterol), 60 or above; triglycerides, 150 or under. Your health care provider may set different levels for you if you are diagnosed with diabetes.

DIABETIC KETOACIDOSIS (DKA) & HYPEROSMOLAR SYNDROME

If diabetes is left untreated, it can lead to diabetic ketoacidosis or hyperosmolar syndrome. DKA occurs when the body is so low in insulin that it starts using stored fat as fuel. When this fat breaks down, a substance known as ketones can cause the body to become excessively acidic. Ketoacidosis is most often seen in people with type 1 diabetes. Symptoms include nausea, difficulty breathing , sweet breath, and confusion that can progress to coma. Hyperosmolar syndrome is a result of a combination of very high blood sugar levels (but without the presence of ketones) and dehydration. It is more common in older people with type 2 diabetes who are taking steroid medications. The condition may be prompted by stress from a major illness. With hyperosmolar syndrome, blood sugar levels are so high that the blood thickens. Symptoms include confusion, tiredness, and coma. Hyperosmolar syndrome can sometimes be the first indication of diabetes in older adults. Both of these conditions require the immediate attention of a health care provider. Urinalysis can often detect unsuspected diabetes.

GASTROPARESIS

Gastroparesis, which affects up to 75 percent of people with diabetes, causes bloating, loss of appetite, vomiting, and dehydration. With this condition, the flow of food from the stomach to the intestine is blocked or slowed. Because timing of the digestive process is disrupted, this can complicate efforts to control blood sugar levels with medication. Researchers at John Hopkins University School of Medicine have found that sildenafil (Viagra) could be an effective remedy for the condition. Sildenafil appears to cause muscles in the digestive tract to relax.

OTHER CONSIDERATIONS

Caiapo, an extract of white sweet potatoes that is taken as a supplement in Japan, has recently been studies for its efficacy and tolerability. Dr. Bernard Ludvik of the University of Vienna Medical School found that subjects with type 2 diabetes experienced improvement in both blood sugar and cholesterol levels when taking caiapo. Subjects who took a placebo experienced no significant change.

Cinnamon, a spice third only to pepper and mustard in popularity, may be a possible and pleasant treatment for diabetes. In a small study, taking 1 or 2 teaspoonfuls a day in capsule form was show to lower blood sugar, triglycerides and cholesterol. Mostly associated with pastry products, cinnamon is also an excellent spice for teas, meats, and vegetables, as well as fruits such as apples, bananas, and peaches. the continuous ingestion of table cinnamon is, however, probably not advisable due to the potential toxic buildup of certain cinnamon compounds. It would be safer to use an aqueous extract, such as Cinnulin PF from NutraVitals, that contains the active type-A polymers that appear to be the beneficial compounds found in the spice, but without the toxic agents found in table cinnamon. These type-A polymers act to make insulin receptor sites more sensitive to insulin. Cinnulin PF is taken at a dose of 125 to 250 mg, 2-3 times daily for best results.

SWEET CINNAMON PRODUCTS Experiments conducted by the USDA have shown that this - the variety we call True Cinnamon or Sweet Cinnamon (Cinnamomum verum) can lower blood sugar by mimicking insulin, activating insulin receptors and working with insulin in the cells to reduce blood sugar by up to percent. Just half a teaspoon of cinnamon a day has previously been shown to significantly reduce blood sugar levels, triglycerides, LDL (bad) cholesterol, and total cholesterol levels in people with type 2 diabetes. Mountain Rose Herbs: Sweet Cinnamon (Cinnamomum verum) & Powder, Certified Organic Bulk Herbs Kalyx: Sweet Cinnamon Powder, Herbal Extracts Plus, 1 lb HerbsPro: Cinnamon Bark (Cinnamomum verum), Now Foods, 600 mg, 240 Caps HerbsPro: Full Spectrum Cinnamon Extract, Planetary Herbals, 200 mg, 240 VCaps

Cut back on soft drinks that contain sugar. That is the conclusion drawn by a study that appeared in the Journal of the American Medical Association. Women who drank more than one sugar-sweetened soft drink a day were found to be twice as likely to develop diabetes than those who did not. Even when other factors, such as weight, diet, and life-style differences, were factored in, researchers still found that the soft-drink group was 1.3 times more likely to develop the disease. It was hypothesized that in addition to the extra calories, the increase in risk might be attributable to the high amount of rapidly absorbed sugars that cause a dramatic rise in glucose and insulin. Neither diet soda nor fruit juice indicated a problem in the study, but sugared fruit punch showed higher results similar to sugared soda.

Monitoring blood sugar levels is a key component in treatment and management of the disease. Research has indicated that the people who keep their blood sugar levels within individual target ranges set by their health care providers stand a good chance of reducing the risk of associated complications. In many cases, intensive lifestyle changes in the diet and exercise actually can prevent, reduce, or delay the risk of developing adult-onset diabetes.

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DIABETES SELF-TESTS There are several ways to test yourself for diabetes. The tests used for type 1 diabetes are also for self-monitoring by persons diagnosed with the condition. Home testing tends to be slightly less accurate than tests done in a health care provider's office. GLUCOSE BLOOD TESTING STRIPS & METERS Type I Diabetes (Insulin-Dependent or Juvenile-Onset Diabetes) To test for type I diabetes: 1. Purchase chemically treated plastic strips at drugstore for testing blood. 2. Prick your finger and apply a drop of blood to the tip of the strip. 3. Wait one minute and compare the color on the strip to a color chart, which lists various glucose levels. There are also electronic devices available that can analyze the test strips for you and give you a numerical readout of the glucose level. There are more than 100 different brands and types of glucometers used for home-testing blood glucose levels. Many of these devices are available free or have a large rebate attached if you have a health care provider's prescription. They are easily available through your pharmacy or medical supply stores with various styles to choose from. Each work on the same principles, though their detailed use may vary slightly. Be sure to read any instructions carefully. They are easy to use and give you your blood glucose level results quickly with minimal discomfort. You simply prick your finger with the spring-loaded needle, apply a drop of your blood to the test strip, and place it in the machine for analysis. This test gives you an immediate blood sugar result. It is a device that all people with diabetes should have available, own and use frequently every day as directed by your health care provider. A FEW TYPES OF NEW GLUCOSE MONITORING & NEEDLE MANAGEMENT SYSTEMS A new automated home blood glucose monitor called Sof-Tact, uses a suction (vacuum) to hold the skin in place while an integrated device lances the skin. The device then transfers the blood sample to a biosensor strip to deliver a blood glucose test result within 20 seconds. The device, for use on the forearm or upper arm, is manufactured by Abbot Laboratories. A continuous glucose monitoring system, the CGMs System Gold, is available from MiniMed. It records blood glucose levels at 5-minute intervals for periods up to 3 days. Data can be downloaded into a computer for review by a health care provider. This device should be used along with traditional finger stick tests for calibration purposes. A portable, battery-operated laser, called a Lasette, is available for use in drawing blood without using the traditional lancets. it is manufactured by Cell Robotics International, Inc. The FDA recently approved a wristwatch-like glucose monitoring device for use by children and adolescents. The device, called the GlucoWatch G2 Biographer, manufactured by Cygnus, Inc., was previously approved for use by adults. Fluid is extracted through the skin as the device is worn and the glucose level is measured and displayed. Up to 6 painless measurements per hour for a thirteen hour period are possible. The device must be warmed up and calibrated using a finger stick. A needle management system, called the Q-103 Needle Management System, is available to remove certain hypodermic needles from insulin syringes and to store them safely for later disposal. The device holds as many as 5000 needles, and is produced by QCare International LLC. FASTING BLOOD SUGAR GUIDELINE The following is an approximate guideline for fasting blood sugar levels for people who have not been diagnosed with diabetes. Fasting blood sugar levels should be measured from 6 to 8 hours after eating. The measurement is milligrams of glucose per one-tenth liter (mg/dL) of blood: 70-100 - Normal. 100-125 - Impaired glucose tolerance / borderline. 126 and over for a 2 or 3 day period: Possible diabetes. If you test at random, without fasting, any reading less than 100 mg/dL is considered normal. If you get a number between 100 and 199 mg/dL, it suggests prediabetes. A blood sugar level of 200 mg/dL and above is an indicator of diabetes. Charts are often published containing different figures. Those might be the ones used by diagnosed diabetics and are target goals. As such, they will be somewhat higher. See the Quick Reference Guide - Goals For Blood Glucose Control. HEMOGLOBIN A1c TEST There is another test that is used normally as a diabetes management tool rather than a screening test. This is the hemoglobin A1c lab test. It is based on the notion that sugar is sticky, and the longer it is around the harder it is to get off. The red blood cells in the bloodstream usually live for about 3 months, circulating around the body all that time. As they circulate, blood sugar sticks to them, and if it can be measured, it will tell you how much sugar has been in the blood over the life of those cells, or about 3 months. The normal range for this test is 4 to 5.9 percent, but people can have 8 percent or above if they have poorly controlled diabetes. Those whose diabetes is under control usually have about a 7 percent or lower reading. There is a correlation between average blood sugar levels in mg/dL and A1c as follows: A1c of 6: 135 mg/dL. A1c of 7: 170 mg/dL. A1c of 8: 205 mg/dL. A1c of 9: 240 mg/dL. A1c of 10: 275 mg/dL. A1c of 11: 310 mg/dL. A1c of 12: 345 mg/dL. THE SUGAR-TASTE TEST Type 2 Diabetes (Maturity-Onset Diabetes) People with type 2 diabetes mellitus are less able and often cannot perceive sweet tastes than most people. This may make it more difficult for them to lose weight. Because they do not recognize the sweet taste of substances, they often consume sugary products that they do to appreciate as sweet. This abnormality may play an important role in how individuals with diabetes perceive the taste of their food, and also in how well they comply with the dietary aspects of treatment. Because our society as a whole is addicted to sugar, this distorted taste perception is very common among the population in general. If a person with type 2 diabetes attains a better understanding of food, exercises greater care in choosing foods, and reads food products carefully, he or she should be able to control the problem and avoid the need for treatment with drugs or insulin. The following test can detect an impaired ability to taste sweets: 1. Do not consume stimulants (coffee, tea, soda) or sweets for one hour before the test. 2. Fill seven identical glasses with 8 ounces of water each and label the glasses as having no sugar, 1/4 teaspoon sugar, 1/2 teaspoon sugar, 1 teaspoon sugar, 1-1/2 teaspoons sugar, 2 teaspoons sugar, and 3 teaspoons sugar. Add the appropriate amount of sugar to each glass, then ask someone else to arrange the order of the glasses and hide the labels. 3. Take a straw and sip from each glass, then write down the amount of sugar you think it contains. Between sips, rinse your mouth with pure water. Healthy people generally notice a sweet taste when a teaspoon or less of sugar is added to 8 ounces of water. By contrast, people with adult-onset diabetes usually do not notice sweetness until 1-1/2 to 2 teaspoons of sugar have been added to the water.

GLUCOSE TESTING METERS For more glucose meter products, use the amazon.com search box further down on this page or click on one of the links above and do a product search,

QUICK REFERENCE GUIDE - GOALS FOR BLOOD GLUCOSE CONTROL

WHEN CHECKED	GOAL FOR PEOPLE WITH NO DIABETES DIAGNOSIS	GOAL FOR PEOPLE WITH DIABETES
Before Breakfast (fasting)	Less than 110 mg/dL	90 - 130 mg/dL
Before Lunch, dinner, and snack	Less than 110 mg/dL	90 - 130 mg/dL
Two hours after meals	Less than 140 mg/dL	Less than 160 mg/dL
At bedtime	Less than 120 mg/dL	110 - 150 mg/dL
Anytime (A1c hemoglobin)	Less than 6 percent	7 percent

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TRAVELING WITH TYPE 1 DIABETES

When you have Type 1 diabetes you can usually do everything you want to do when you travel. But it does take planning ahead to handle your diabetes.

How you prepare depends on where you are going and for how long. Two weeks backpacking through Europe takes different planning than a week at the beach. Will you be crossing time zones? What kind of food will you eat and when? Will you be more active or less active than usual?

TRAVEL TIPS

Carry essential supplies and insulin on you at all times.

Have several copies of a medical letter stating you have diabetes and are carrying syringes or pen needles on you to give to customs agents. Do not give away the original of this letter.

Do not store insulin in the baggage compartment of planes because it will freeze.

Get a specialist's help before you leave on adjusting insulin doses and food through time zones.

If you use an insulin pump, follow the manufacturer's guidelines for flying.

Don't expose your insulin to extremes of temperature. If necessary carry it in an insulated bag or small wide mouthed thermos flask.

Always obtain medical insurance when traveling.

Check the strength of any insulin you get overseas (some countries market different strength insulin).

Check your blood glucose frequently while traveling.

GETTING READY

Consider telling your travel agent that you have diabetes and explain some of the particular needs that traveling with diabetes entails. That way together, you can plan a suitable itinerary that will be more likely to meet your needs.

IMMUNIZATIONS

Get immunization shots (if you need them) at least one month before you leave. Find out what is required for where you are going and make sure you get the right shots, on time. If the shots make you unwell, you will have time to recover before your trip. You should have a medical check-up 4 to 6 weeks before your trip to make sure all bases are covered and you are in a healthy range before you leave.

HEALTH INSURANCE

Health insurance for your trip is an absolute must. Handling your diabetes while traveling is a challenge and you are more likely to have problems with unexpected low or high blood glucose levels. All travelers are prone to infectious illnesses as they travel through new countries. If you develop an infection it can result in serious problems such as ketoacidosis. It is very important you can access good quality healthcare if you need it.

DIABETES RELATED DOCUMENTS

Before any trip, get two papers from your health care provider:

• A letter for customs.
• A letter for a health care provider (should you need to see one when you are away) with your prescription.

THE LETTER FOR CUSTOMS:

Should state that you have diabetes and are carrying syringes or insulin pens and needles for your diabetes.

Store the original of this letter safely with your travel documents. Have enough photocopies of the letter to give to the customs agents at each border you are crossing. Do NOT give away your original!

THE LETTER & PRESCRIPTION FOR A HEALTH CARE PROVIDER:

Explain you have Type 1 diabetes and what insulin type and doses you are on. Also the times you usually take your insulin. The prescription should be for insulin or diabetes pills. You should have more than enough insulin and syringes or pills to last through the trip. But the prescription may help in case of emergency. In the United States, prescription rules may vary from state to state.

The prescription laws may be very different in other countries. If you are going out of the country, write for a list of International Diabetes Federation groups. Write to: IDF, 1 rue Defaeqz, B-1000, Belgium (www.idf.org).

You may want to get a list of English-speaking foreign health care providers from the International Association for Medical Assistance to Travelers (IAMAT), 1623 Military Road, #279, Niagara Falls, NY 14304 (www.iamat.org). IAMAT can be reached at 716-754-4883. If an emergency occurs while you are traveling and you do not have such a list, contact the American Consulate, American Express, or local medical schools for a list of health care providers.

List the pen device or syringes you use plus the blood glucose meter you use and the testing strips.

Note any other medical conditions you have.

List any allergies you have or any foods or medications to which you are sensitive.

Supplies of diabetes medications.

Make sure you have a full supply of all your diabetes medications before you leave.

TRAVELING DIABETIC SUPPLIES

The prescription to get filled before you leave should give you:

• Ample supplies of insulin and test strips. Enough to get you through to the next time that you will be settled in a country where you are certain you can get supplies (never run low on insulin or test strips while you are traveling).



• A supply of individually foil-wrapped urine ketone testing strips.



• Two glucagon hypokits if you are traveling with a companion.

OTHER MEDICAL SUPPLIES

It is often sensible to get a prescription from your health care provider for anti-nausea and vomiting medication, anti diarrhoea medication, and some basic antifungal and antibiotic medication. Doing this means you will have the medications you need should you become sick overseas and are unable to get medical help quickly. Discuss your needs with your health care provider and remember to get he/she to give you instructions on when and how to use the medication. Get the prescription filled before you leave and carry these medications on you.

DIABETES IDENTIFICATION

No matter where you go, wear a medical ID bracelet or necklace that states you have diabetes and take insulin. It is also wise to carry a card in your wallet or amongst your traveling papers that states you have Type 1 diabetes and are on insulin. If you are leaving the country learn how to say, "I have diabetes" and "sugar or orange juice, please" in the language or languages of the countries you will be visiting. The identification should be written in the language of the places you are visiting.

Visit the Medic Alert Website for more information about obtaining a medical ID bracelet.

MANAGING LOW BLOOD GLUCOSE LEVELS

Always carry a source of simple carbohydrate on you e.g., orange juice, glucose tablets, jelly beans. It also pays to carry a small complex carbohydrate snack on you (e.g., muesli bar). People on holiday often drink more alcohol than usual. Try to drink only moderately, and be aware of the safety guidelines for drinking alcohol when on insulin.

MANAGING SICKNESS & HIGH BLOOD GLUCOSE LEVELS

If you get sick overseas you may not have access to the same level of health care that you have in most parts of the United States. You may get sick in some very inconvenient places overseas where quality medical services may be lacking or non-existent.

It is important for you to be really clear about how you go about managing sickness and high blood glucose levels. You also need to have the tools for avoiding ketoacidosis on you at all times. These tools are:

• In-date, individual foil-wrapped urine ketone testing strips (with the color matching guide chart that comes with them).
• A good supply of unsweetened fluids. The best is a supply of bottled water.
• A good supply of short-acting insulin that has been stored properly.
• Anti-nausea and vomiting medicine.
• Anti-diarrhea medicine.
• A supply of a basic broad-spectrum antibiotic tablets.
• Anti-fungal cream.
• Your own knowledge about managing your diabetes during illness.
• Basic guidelines written down (for yourself and others) on managing Type 1 diabetes in illness.

PACKING YOUR SUPPLIES

Pack more medication and blood-testing supplies than you think you will need. Pack all of these in your personal carry bag so that your medication and testing supplies are always with you. This way you are less likely to get separated from your essential supplies if your luggage goes astray. Also the temperature in the baggage compartments of some planes can be very low. This can damage your insulin, testing strips or meter. If you have questions about what you can bring with you in a carry-on bag (new Homeland Security Regulations since 9-11), contact your airline or airport security. Traveling guidelines can be found at www.diabetes.org.

Whether you travel by car, plane, boat, bike, or foot, you will want to keep this "carry-on" bag with you at all times. Your carry bag should contain:

• All the insulin and delivery devices (syringes or pen) you will need for the trip.
• Blood testing supplies (include extra batteries for your glucose meter).
• Ketone (urine) testing sticks.
• All oral medications you take (an extra supply is a good idea).
• Your other medications such as glucagon, anti-diarrhea medication, antibiotics, and anti-nausea drugs.
• Your ID and diabetes identity card stating your name and the fact you are on insulin.
• A well-wrapped, air-tight snack pack supply of simple carbohydrate e.g., glucose tablets, small juice pack, jelly beans.
• A well-wrapped snack pack of something containing complex carbohydrate e.g., muesli bar, crackers, cheese, peanut butter, fruit, juice box, and some form of sugar (hard candy or glucose tablets) to treat low blood glucose.
• A clear, written guide sheet for managing Type 1 diabetes through illness.

TIPS FOR TRAVELING BY AIR

Under normal conditions, insulin can safely pass through X-ray machines at airport terminals. If the insulin remains in the path of the X-ray longer than normal, or if it is repeatedly exposed to X-rays, be careful. This can affect the stability of your insulin. If you have concerns about X-rays, you can request hand-inspection. Also, insulin never should be placed in checked baggage. Passenger baggage stored in cargo holds is subject to powerful X-rays. It also could be affected by severe changes in pressure and temperature. Inspect your insulin before injecting each dose. If you notice anything unusual about the appearance of your insulin or you notice that your insulin needs are changing, call your health care provider.

Transportation Security Administration (TSA) recommends that passengers traveling with prescription liquid medications such as insulin, Symlin, Byetta, or a Glucagon Emergency Kit should make sure their medications are clearly identified with a prescription label matching the name of the passenger. Although having a prescription label is not required by TSA, making it available with the medication will expedite the security check-in process.

Please Note: There has been no change in protocol for airline passengers with diabetes who are traveling with insulin pumps or continuous glucose monitoring devices. Pump and CGMS wearers may request a visual inspection rather than walking through the metal detector or being hand-wanded.

Please Note: For passengers with diabetes, TSA does allow multiple containers of glucose gel, cakemate or liquid of 5 oz. to treat low blood sugar. Passengers should consider alternative forms of carbohydrates to treat hypoglycemia such as glucose tablets, Life Savers, gumdrops, or raisins.

TSA recommends that travelers with disabilities and medical conditions may want to consider the following.

• Arrive at the airport 2-3 hours prior to flight.
• Review TSA's Web site for travel updates.
• Bring required prescription labels for medication.
• Bring prescriptions for medical devices when possible.
• Pack medications in a separate clear bag and place in your carry-on luggage.
• Be patient with lines, delays, and new screening procedures.

American Diabetic Association: Traveling With Diabetic Supplies

Food: Some people have found that if they request special diabetes meals on airlines, they get served meals that are very low in carbohydrates. Discuss the meals with your flight attendant. It is often best to order standard meals and to make healthy choices within that. Always have some appropriate snacks with you also in case your flight or in-flight meal is delayed or the meal does not have enough carbohydrates. If no food is offered on your flight, bring a meal on board for yourself. Keep your diabetic medications and emergency snacks with you at your seat. Do not store them in an overhead bin.

Hypoglycemia Control: Make sure you carry a supply of simple carbohydrates on you, e.g., glucose tablets, raisins, fruit juice or jelly beans. Also carry urine ketone testing strips.

Safety: The cabin staff need to know that you have diabetes (especially if you are traveling alone) and are on insulin (in case you get unwell during the trip). If you plan on using the restroom for insulin injections, ask for an aisle seat for easier access.

On-Board Insulin Injection: When drawing up your dose of insulin, do not inject air into the bottle (the air on your plane will probably be pressurized).

Insulin Pump: If you are on an insulin pump make doubly sure that the safety plug (for waterproofing the pump when swimming) is NOT in your pump. If you leave this plug in your pump when flying your pump can deliver wrong doses due to pressure changes in the atmosphere. Otherwise, a pump is an ideal way to deliver your insulin across time zones as you can pump and dose for meals in the normal way with no real change to your dosages.

Avoid Risks of Blood Clots In Your Legs: Keep up a good level of activity during your journey. Walk around in the terminal before boarding. When you are booking your seat try to get an aisle seat. Because you have diabetes you are more likely to develop blood clots in your legs. To prevent this happening it is essential that you get up and walk around in flight for a few minutes every hour while you are awake. Doing simple stretching exercises when seated also helps. Move your ankles in circles and point and release your toes often. This encourages good blood flow in your legs.

Blood Glucose Testing: Test your blood glucose levels frequently when traveling through time zones. The timing of your eating and insulin administration will be changed. It is also easy to mix up the effects of jet lag with either high or low blood glucose levels, so it pays to know what your glucose levels are doing. Remember when you are tired it is easy to neglect your diabetes. But it is at these times that you need to know more about what is happening.

Once You Have Arrived At Your Destination: After a long flight, take it easy for a few days. Test your blood glucose often. If you take insulin, plan your activities so you can work in your insulin and meals. If you are more active than usual, your blood glucose could go too low. Take along snacks when hiking or sightseeing. Don't assume you will be able to find food wherever you are.

TRAVELING WITH INSULIN

Keep these things in mind when you travel with insulin:

• Insulin does not need to be refrigerated, but if insulin is stored in very hot or very cold temperatures it may lose its strength.



• The glove compartment or trunk of your car are not good places to store your insulin as they can get very hot. Nor are backpacks or cycle bags exposed to direct sunlight.



• If you plan to travel by car or bike or be out in the elements, take steps to protect your insulin.



• At room temperature the insulin you have opened (and are using) retains its potency for 30 days.



• There are travel packs available to keep your insulin cool. They are insulated bags. Diabetes Supplies Ltd can supply these bags. Another option some people use to keep their insulin cool is a small wide-mouthed thermos. This can be bulky however and if you are hiking or traveling light you may prefer an insulated bag.

INSULIN TRAVEL BAGS

INSULIN DOSES WHEN TRAVELING

Managing your insulin doses while traveling is complex, especially if you are crossing time zones rapidly (by air). Crossing time zones, effectively, makes your day either longer or shorter, so you will need to adjust your insulin doses (and food) to compensate for this. Traveling westward means a longer day, so more insulin may be needed. Traveling eastward means a shorter day and if you inject insulin, less may be needed.

The safest way to plan your insulin management when traveling is to work it through with your specialist diabetes team before you leave. Give yourself plenty of time to plan by making this appointment well in advance of your departure date.

Take your full travel itinerary when you see the team. Make sure you come away with a plan you are happy with and that you understand. This plan should be written down. See more on managing your insulin across time zones in the Tips for Travel by Air section.

INSULIN MANAGEMENT & TIME ZONES

Making dose changes to your insulin as you cross time zones is complex. Work out a plan in conjunction with your specialist diabetes team, in advance, as to how you will manage your insulin doses. In general, you should stick with the exact brand and formulation of insulin that you have been prescribed by your health care provider. However, if you run out while you are on the road, and your regular brand is unavailable, you may substitute another brand's equivalent formulation (for example, NovoLog for Humalog, Humulin R for Novolin R). Changes in formulation (for example, from rapid-acting Humalog to short-acting Humulin R) require medical supervision.

Insulins used in the United States are all of the strength U-100. In foreign countries, insulins may come as U-40 or U-80. If you need to use these insulins, you must buy new syringes to match the new insulin to avoid a mistake in your insulin dose. If you use U-100 syringes for U-40 or U-80 insulin, you will take much less insulin than your correct dose. If you use U-100 insulin in a U-40 or U-80 syringe, you will take too much insulin.

A simple way that some people choose to manage their insulin crossing time zones is to use short acting insulin only for the flight. Once they get into the time zone of the country they are traveling to they reintroduce the intermediate-acting insulin. In this system you dose with short acting insulin every 4-6 hours (before snacks or meals which are taken at these times also) until you are established back onto your usual insulins in the new time zone. BUT get advice, before you leave, on the dosages you need if you are using this system. Other people adjust the dose of their intermediate insulin up or down according to whether the time zone change means that their day will be getting longer or shorter by more than 2 hours. Get advice before you travel on a plan that will suit you.

TIPS FOR TRAVELING BY SEA

With the wide array of mouth-watering foods available on cruise holidays, it is easy for your diabetes management to get out of kilter. Talk to your diabetes educator or dietitian before you leave about how you plan to deal with the food aspect of the trip. It is often helpful to get a sample menu from the cruise line so you can get an idea of the types of foods that will be served.

Cruise ships offer some great activities to help you stay active. These range from aerobics classes, swimming, gym workouts, dancing, or strolling the deck at sunset.

It is a good idea to make the cruise staff aware of your diabetes in case any problems arise. Keep a card or ID on you that states you have diabetes and that you are on insulin.

Because you are crossing time zones slowly the changes in your insulin dosing times will happen gradually and usually without the need for planned changes.

TIPS FOR TRAVELING BY CAR

Do not leave your medications in the trunk, glove compartment, or near a window. They might overheat. If possible, carry a cooler in the car to keep medications cool.

Bring extra food with you in the car in case you cannot find a restaurant. Test your glucose before and during driving and treat any low blood glucose levels promptly. Check your glucose often. Changes in diet, activity, and time zones can affect your blood glucose in unexpected ways.

Stay comfortable and reduce your risk for blood clots by moving around every hour or two. Stop and stretch your legs. Wear comfortable clothes and shoes.

Protect your feet. Never go barefoot, even in the shower or pool.

Always tell at least one person traveling with you about your diabetes.

TIPS FOR TRAVELING BY FOOT
(Or other physically active means e.g. cycling or kayaking.)

A holiday in the great outdoors can be a wonderful retreat from the pressures of everyday life. But there are a few things to consider before you go. Here are some tips:

Avoid going camping or hiking alone.

Tell someone where you will be and when you expect to return, so you can be found if there is an emergency.

Carry all your insulin supplies (as outlined above). Make sure you carry an in-date glucagon kit and teach your travel companion when and how to use glucagon.

The key to enjoying a trip of this kind is to try to avoid things that may severely alter your blood glucose levels. Be aware of safety and try to avoid sunburn, injuries, blisters, insect bites and contaminated food or water. Make sure your footwear is sturdy and fits you well. Do not use brand new shoes to hike in, try them out before the trip.

Eat and drink enough to meet your needs. Take extra food, water, medication and supplies of simple carbohydrate (e.g., glucose, sugar).

Hiking, cycling or kayaking nearly always means you are a lot more physically active than usual, so you may need to significantly reduce all your insulin doses. You will also need to increase your carbohydrate food intake. Have a good understanding of how to reduce your insulin to compensate for increased activity. Your specialist diabetes team can help you with this before you go.

GENERAL TRAVEL TIPS

Test your blood glucose frequently. Your whole routine of activity and food is likely to be very different. The type of food you eat may also change your insulin requirements.

Keep a daily record of insulin doses and test results (to help you identify any trends, and to help any medical advisors that you may need to see).

If you are having problems with your blood glucose levels, follow the guidelines you worked out with your team before you went away and/or contact a hospital or diabetes health care provider in the area for advice.

If you do visit a hospital take along as much supporting documentation as you can (your medications, test results, travel/medical insurance forms etc.).

Some insulins have different names and are supplied in different strengths in other countries. If you have to use insulin from another country make sure it is either the same strength as you are used to or a diabetes specialist has helped you make the necessary dose adjustments to take a different strength insulin.

Avoid using local needles if not sterile.

It is smart to watch what you eat and drink when traveling. Avoid tap water overseas (including ice cubes made from tap water). Ask for a list of ingredients for unfamiliar foods. Some foods may upset your stomach and this may make your blood glucose management more difficult.

Wear comfortable shoes and never go barefoot. Check your feet every day. Look for blisters, cuts, redness, swelling, and scratches. Get medical care at the first sign of infection or inflammation on your feet.

Go wherever your heart leads you. But remember that you take your diabetes with you. Your self care is your traveling friend.

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DIET FOR DIABETES

A special diet will be prescribed (consult a dietitian or nutritionist). Follow the diet carefully. This is one of the most important aspects of your self-care and can affect the outcome of your pregnancy.

MoonDragon's Nutritional Information: Gestational Diabetes Diet.

MoonDragon's Nutritional Information: Hypoglycemic Diet

MoonDragon's Nutritional Information: Weight Loss Diet

DIET FOR GESTATIONAL DIABETES

Dietary changes are an important aspect of the treatment and specific diet instructions will be provided. Following the prescribed diet will decrease the risks to mother and unborn child. A low fat, high fiber diet including raw vegetables and fresh vegetable juice is recommended. Avoid saturated fats and simple sugars. Avoid or restrict alcohol use.

MoonDragon's Nutritional Information - Gestational Diabetes: Nutrition & Diet

These diet changes will involve increased fiber intake, fat restriction, elimination of concentrated sweets, and possibly the monitoring of caloric intake to prevent excessive weight gain.

Consultation with a dietician is often recommended for educational purposes, to answer your dietary questions and to provide follow-up encouragement.

BENEFICIAL DIETARY SUPPLEMENTS & PRODUCTS

The nutrients below may be taken in combination with one another unless otherwise noted or as recommended by your midwife or health care provider. Those suffering from gestational diabetes should consult a midwife, health care provider or dietary consultant before using any supplement or herb.

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HERBAL & HOLISTIC RECOMMENDATIONS

HERBS

Note: Not all of these recommended supplements and herbs are recommended during pregnancy and lactation. These are general suggestions for people with diabetes health issues. Always consult with your midwife or health care provider before taking any medication, dietary supplement, or herbal therapy while you are pregnant and breastfeeding your baby.

Beanpod tea, made up of kidney, white, navy, lima, and northern beans, detoxifies the pancreas.

Most legumes are a good meal choice for diabetics. even though beans contain starch, they are also rich in protein, fiber and saponins, all of which can help to balance blood sugar. Eat bean burritos, make chili with beans, put kidney beans in salads and prepare bean dips. Homemade bean soup is always nice, especially during the winter months when it is cold and miserable outdoors.

Bitter Melon (Momordica Charantia), Gudmar (Gymnema sylvestre), and Gulvel/Guduchi (Tinospora Cordifo) are herbal remedies used in Ayurvedic medicine to regulate blood sugar levels.

BITTER MELON (Momordica Charantia) PRODUCTS Kalyx: Momordica Extract (Momordica charantia); Bitter Melon Fruit, 2 fl. oz. Kalyx: Bitter Melon Fruit (Momordica charantia); 10:1, 90 VCaps Kalyx: Sugar Balance, Supports Normal Blood Sugar Levels, 60 Caps HerbsPro: Bitter Melon, Natures Herbs, Premium Quality, Standardized 2.5% Bitter Principles, 100 Caps HerbsPro: Bitter Melon, Charantea, 90 VCaps HerbsPro: Bitter Melon, (Memordica charantia), Whole Fruit, Eclectic Institute Inc, 90 Caps HerbsPro: Bitter Melon Power, Natures Herbs, Standardized Extract, 150 mg, 60 Caps HerbsPro: Bitter Melon (Memordica charantia), Whole Fruit, Eclectic Institute Inc, 50 Caps HerbsPro: Bitter Melon (Memordica charantia), Whole Fruit, Eclectic Institute Inc, 45 Caps House of Nutrition: Bitter Melon, Pacific BioLogic, 500 mg, 100 Caps House of Nutrition: Bitter Melon, Natures Herbs, 100 Caps House of Nutrition: Bitter Melon Power, Natures Herbs, 60 Caps House of Nutrition: Bitter Melon Extract, Solaray, 500 mg, 30 Caps House of Nutrition: Bitter Melon Pure Extract, Himalaya Herbal, 250 mg, 60 Caps TakeHerb: GlyMordica Bitter Melon, Diabetes Support, Theramune Nutritionals, 60 Caps TakeHerb: Karela (Momordica charantia), Bazaar of India, 100 VCaps TakeHerb: Bitter Melon - Nature's Anti-Diabetic Book, By W.G. Goreja, Amazing Herbs, 51 Pages TakeHerb: Ampalaya Bitter Melon Tea, Maintain Blood Sugar Levels, Fullife Natural Options, 30 Tea Bags TakeHerb: Momordica Extract, Diabetes Support, Health Herbs, 2 fl. oz. GUDMAR (GYMNEMA SYLVESTRE) PRODUCTS Kalyx: Gymnema, The Sugar Destroyer, 60 VCaps Kalyx: Shardunikha Leaf Powder (Gymnema sylvestre), Sugar Destroyer, 450 mg, 100 Caps Kalyx: Shardunikha Leaf Powder (Gymnema sylvestre), Sugar Destroyer, 8 oz. Kalyx: Sugar Fight, 120 Caps Kalyx: Sugar Balance, Supports Normal Blood Sugar Levels, 60 Caps HerbsPro: Gymnema Sylvestre, Natrol, 300 mg, 30 Caps HerbsPro: Gymnema Sylvestre, Natrol, 300 mg, 90 Caps HerbsPro: Gymnema Sylvestre, Now Foods, 400 mg, 90 Caps HerbsPro: Gymnema Sylvestre, Source Naturals, 260 mg, 60 Tabs HerbsPro: Gymnema Sylvestre, Source Naturals, 260 mg, 120 Tabs HerbsPro: Ultra Gymnema Sylvestre, Source Naturals, 550 mg, 120 Tabs HerbsPro: Gymnema Sylvestre, Source Naturals, 450 mg, 120 Tabs House of Nutrition: Gymnema Leaf Extract, Alcohol-Free, Natures Answer, 1 fl. oz. House of Nutrition: Gymnema Extract, Wise Woman Herbal, 2 oz. TakeHerb: Gymnema Leaf Extract, Organic, Starwest Botanicals, 1 oz. TakeHerb: Gymnema Leaf Extract, Organic, Starwest Botanicals, 4 oz. TakeHerb: Gymnema Sylvestre Leaf Powder, Organic, Starwest Botanicals, 1 lb. TakeHerb: Gymnema Sylvestre Leaf, Cut & Sifted, Organic, Starwest Botanicals, 1 lb. TakeHerb: Shardunikha Leaf Powder (Gymnema Sylvestre), Wildcrafted, Bazaar of India, 1 lb. GUDUCHI / GULVEL (TINOSPORA CORDIFO) PRODUCTS Kalyx: Guduchi Root Powder (Tinosporia cordifolia), 100 Caps Kalyx: Guduchi Root Powder (Tinosporia cordifolia), 8 oz. Kalyx: Sugar Fight, 120 Caps TakeHerb: Guduchi, Himalaya, 60 Caps TakeHerb: Guduchi (Tinospora cordifolia), Bazaar of India, 100 VCaps TakeHerb: Guduchi, Organic, Banyan Botanicals, 1 lb. TakeHerb: Guduchi Herb Powder (Tinospora cordifolia), Certified Organic, Bazaar of India, 1 lb.

Cedar berries are excellent nourishment for the pancreas.

CEDAR BERRY PRODUCTS Kalyx: Diabetes Extract (With Juniper Berries), 2 fl. oz. Kalyx: Diabetes Extract (With Juniper Berries), 8 fl. oz. Kalyx: Diabetes Extract (With Juniper Berries),16 fl. oz. This formula may help to decrease the amount of insulin required by the individual. Can also be used for adrenal glands, hypoglycemia, infection, and pancreatic disorders. Huckleberry Leaf, Yarrow Flower, Juniper Berry, Goldenseal Root, Cayenne Pepper, Reverse Osmosis filtered spring water, 12% Alcohol. Use 6-12 drops in juice, water, under the tongue, or as desired. May be taken 3 times daily. Shake well. Store in cool, dark place. Keep out of reach of children. TakeHerb: Cedar Berries (Juniperus monosperma), Wildcrafted, Starwest Botanicals, 1 lb. TakeHerb: Cedar Berry Powder, Wildcrafted, Starwest Botanicals, 1 lb. TakeHerb: Cedar Berry Extract, Health Herbs, 2 fl. oz.

Dandelion root protects the liver, which converts nutrients into glucose and improves liver function and the metabolism of fats. Note: If you suffer from gallbladder problems, avoid large quantities of dandelion.

DANDELION PRODUCTS Mountain Rose Herbs: Dandelion Leaf & Root, Certified Organic, 4 oz. to 1 lb. Kalyx: Dandelion Root (Taraxacum officinale), 500 mg, 100 Caps Kalyx: Dandelion Root (Taraxacum officinale), 500 mg, 500 Caps Kalyx: Dandelion Root Powder, Certified Organic (Taraxacum officinale), 4 oz. Kalyx: Dandelion Leaf, Herbal Extracts Plus, 600 mg, 90 VCaps Kalyx: Dandelion Leaf, Herbal Extracts Plus, 600 mg, 360 VCaps Kalyx: Dandelion Root, Thompson Nutritional, 520 mg, 60 Caps Kalyx: Dandelion Root 4:1, Herbal Extracts Plus, 600 mg, 90 VCaps Kalyx: Dandelion Root, Nature's Answer, 1260 mg, 90 Caps Kalyx: Dandelion Root, Cut & Sifted, Certified Organic, Frontier Bulk Herbs, 1 lb. Kalyx: Dandelion Root Powder, Certified Organic, Frontier Bulk Herbs, 1 lb. Kalyx: Dandelion Root Extract, Certified Organic, Starwest Botanicals, 1 fl. oz. Kalyx: Dandelion Root Extract, Health & Herbs, 2 fl. oz. Kalyx: Dandelion Root Extract, Certified Organic, Starwest Botanicals, 4 fl. oz. Kalyx: Dandelion Root Extract, Health & Herbs, 8 fl. oz. HerbsPro: Dandelion Root Extract, Natures Answer, Organic, Alcohol Free, 1 oz. HerbsPro: Dandelion Extract, Glycerite, Herb Pharm, 1 oz. HerbsPro: Dandelion Extract, Glycerite, Herb Pharm, 4 oz. HerbsPro: Dandelion Root Tea, Alvita Teas, 30 Bags HerbsPro: Dandelion Root, Now Foods, 500 mg 100 Caps TakeHerb: Dandelion Root, Healthier Gall Bladder, Nature's Way, 1620 mg, 180 VCaps TakeHerb: Dandelion Root, NOW Foods, 500 mg, 100 Caps TakeHerb: Organic Roasted Dandelion Root Tea, Traditional Medicinals, 16 Bags TakeHerb: Dandelion Leaf Tea, Organic, Celebration Herbals, 24 Bags TakeHerb: Dandelion Root Extract, Alcohol Free, Nature's Answer, 1 oz.

Fenugreek seeds have been shown to reduce cholesterol and blood sugar levels. This can be purchased under the brand name Sugar-Down (unable to find this product under this brand name online).

Fenugreek seeds and blackberry and blueberry leaves have a beneficial effect on pancreatic function. Mix in equal parts to make a tea blend. Use 1 teaspoon of the mixture for each cup of water. Steep for 30 minutes and then strain. Drink as much as 2 quarts daily.

FENUGREEK PRODUCTS Mountain Rose Herbs: Fenugreek Seeds, Certified Organic, 4 oz. to 1 lb. Kalyx: Fenugreek Extract (Trigonella foenum-graecum, 2 fl. oz. HerbsPro: Fenugreek Seed Tea, Alvita Teas, 30 Bags HerbsPro: Fenugreek Extract, Herb Pharm, 1 oz. HerbsPro: Fenugreek Seed Extract, Natures Answer, 2 fl. oz. HerbsPro: Fenugreek Extract, Herb Pharm, 4 oz. HerbsPro: Fenugreek, Now Foods, 500 mg, 100 Caps HerbsPro: Fenugreek Seed, Organic, Starwest Botanicals, 1 lb. House of Nutrition: Fenugreek, Natures Herbs, 620 mg 100 Caps BLACKBERRY LEAF PRODUCTS Mountain Rose Herbs: Blackberry Leaf, Certified Organic, 4 oz. to 1 lb. Kalyx: Blackberry Leaf Powder, 1/4 lb. Kalyx: Blackberry Leaf Powder, 1/2 lb. Kalyx: Blackberry Leaf Powder, 1 lb. Kalyx: Blackberry Leaf, 90 VCaps TakeHerb: Blackberry Leaf Tea, Organic, Celebration Herbals, 24 Bags BLUEBERRY LEAF PRODUCTS Kalyx: Just Blueberry Juice, 12 Bottles, 32 oz. Each Bottle Kalyx: Blueberry Leaf Extract (Vaccinium angustifolium), 2 fl. oz. Kalyx: Blueberry Leaf Extract (Vaccinium angustifolium), 8 fl. oz. Kalyx: Blueberry Leaf Powder (Vaccinium angustifolium), 1 kg. ( 2.2 lbs) TakeHerb: Blueberry Leaf Extract, Tonic & Blood Purifier, Health Herbs, 2 fl. oz. TakeHerb: Blueberry Leaf Extract, Natures Answer, 1 fl. oz.

Take Garlic capsules and/or eat fresh Garlic in salad dressings or prepare a Garlic tincture. For the tincture, peel 8-10 whole bulbs of garlic and place in a blender with enough vodka or brandy to cover. Purée and transfer to a glass jar. Ensure that the garlic is fully covered by adding additional vodka, as needed. Let stand in a dark, warm place for about 2 weeks, shaking it daily. Filter out the garlic pieces and take 1 teaspoon of the tincture 3-4 times daily.

GARLIC PRODUCTS Mountain Rose Herbs: Garlic Powder, Granules & Minced, Certified Organic, 4 oz. to 1 lb. Kalyx: Garlic Juice Powder, 1 kg (2.2 lbs) Kalyx: Garlic Extract (Allium sativum), 2 fl. oz. Kalyx: Garlic Extract (Allium sativum), 8 fl. oz. HerbsPro: Garlic Time, Time Release Garlic, 180 Caps HerbsPro: Garlic, Super Odorless, Now Foods, 5000 mg, 180 Caps HerbsPro: Garlic Gold Allicin, Olympian Labs, 600 mg / 7200 mcg, 60 Caplets HerbsPro: Pure Garlic Allicin, 5000 mg, 90 Tabs HerbsPro: Garlipure Maximum Allicin Garlic, Natrol, 600 mg, 100 Tabs TakeHerb: Kyolic Aged Garlic Liquid Extract, Formula 100, Wakunaga, 4 fl. oz. TakeHerb: Kyolic Aged Garlic, Formula 100, High Potency, Wakunaga, 600 mg, 200 Caps TakeHerb: Kyolic Aged Garlic Extract, Formula 100, Wakunaga, 100 VCaps TakeHerb: Kyolic One Per Day, Wakunaga, 60 Caplets. TakeHerb: Garlic Gold, Olympian Lab, 600 mg (7200 mcg Allicin), 250 Caplets TakeHerb: Quintessence Pure Garlic, Natrol, 1000 mg, 250 Caps TakeHerb: Garlic Oil, Cholesterol Level Support, Good'n Natural, 5000 mg, 100 Softgels TakeHerb: Garlic, Odorless, NOW Foods, 2500 mg, 250 Softgels. TakeHerb: Super Odorless Garlic, NOW Foods, 5000 mg, 180 Caps

Ginseng tea is believed to lower the blood sugar level. Caution: Do not use this herb if you have high blood pressure.

GINSENG PRODUCTS Mountain Rose Herbs: Ginseng Root Powder, Whole, Red (Panax), Certified Organic, 1 oz. to 1 lb. Kalyx: Ginseng Royal Vitality Tea, Yogi Tea, 16 Tea Bags HerbsPro: Panax Ginseng Tea, Alvita Teas, 24 Bags HerbsPro: Panax Ginseng Tea, Health King, 20 Bags HerbsPro: Chinese Panax Ginseng Root Tea, Prince of Peace, 20 Bags HerbsPro: Korean Ginseng Tea, Superior Trading Co., 100 Bags House of Nutrition: American Ginseng Tea, Triple Leaf, 20 Bags TakeHerb: American Windser Ginseng Tea, Solstice, 48 Tea Bags

Huckleberry helps to promote insulin production. Huckleberry leaf is used by naturopathic physicians to treat sugar diabetes and ailments of the kidneys and gallbladder.

HUCKLEBERRY PRODUCTS Kalyx: Diabetes Extract (With Huckleberry), 2 fl. oz. Kalyx: Diabetes Extract (With Huckleberry), 8 fl. oz. Kalyx: Diabetes Extract (With Huckleberry), 16 fl. oz. TakeHerb: Huckleberry Extract, Diabetes Support, Health Herbs, 2 fl. oz. TakeHerb: Huckleberry Extract, Eclectic Herb, 2 fl. oz. TakeHerb: Huckleberry Extract, Eclectic Herb, 1 fl. oz.

Stimulate the metabolism. Because the excessive sugars and fats in the blood stream can cause damage to the blood vessels, it is especially important for diabetics to maintain healthy circulation. Ensuring that all organs get enough oxygen is the only way to prevent complications, such as blindness, loss of kidney function and circulatory disease in the extremities. Blueberries and Hawthorn berries can help protect blood vessels from damage, too, just as keeping blood-sugar and cholesterol levels in check and stave off many complications. Regular use of saunas and hot baths can help stimulate the elimination of toxins from the body.

HAWTHORN BERRY PRODUCTS Mountain Rose Herbs: Hawthorn Berries & Powder, Certified Organic, 4 oz. to 1 lb. Bulk Herbs Kalyx: Hawthorn Berry, 525 mg, 60 Caps Kalyx: Hawthorn Berry Extract (Crataegus laevigata), 2 fl. oz. HerbsPro: Hawthorn Berry Juice Concentrate Heart Syrup, Dr. Christophers Formula, 16 oz. HerbsPro: Hawthorn Berry Heart Syrup, Dr. Christophers Formula, 4 oz. HerbsPro: Hawthorn Berry Tea, Alvita Teas, 24 Bags HerbsPro: Hawthorn Berry Extract, Now Foods, 2 fl. oz. HerbsPro: Hawthorn Berries Extract, Natures Answer, 2 fl. oz. HerbsPro: Organic Hawthorn Berries, Whole, Starwest Botanicals, 1 lb. TakeHerb: Hawthorn Berry Powder, Organic, Starwest Botanicals, 1 lb. BLUEBERRY PRODUCTS Kalyx: Just Blueberry Juice, 12 Bottles, 32 oz. Each Bottle TakeHerb: BlueBerry Magic Liquid Concentrate Formula, Deep Blue Antioxidant Power, Herbasway, 2 fl. oz. TakeHerb: Blueberry Extract, Life Extension, 60 VCaps.

Juniper berries have been found to lower blood glucose levels.

JUNIPER BERRY PRODUCTS Mountain Rose Herbs: Juniper Berry, Certified Organic, 4 oz. to 1 lb. Bulk Herbs Kalyx: Juniper Berry Powder, Certified Organic (Juniperus communis), 4 oz. Kalyx: Juniper Berry Powder, Certified Organic (Juniperus communis), 1 lb. Kalyx: Juniper Berry Extract (Juniperus communis), 2 fl. oz. TakeHerb: Juniper Berries, Whole Organic, Starwest Botanicals, 1 lb. TakeHerb: Juniper Berry Powder, Organic, Starwest Botanicals, 4 oz. TakeHerb: Juniper Berry Supreme Extract, Gaia Herbs, 1 fl. oz. TakeHerb: Juniper Berry Supreme Extract, Gaia Herbs, 4 fl. oz.

Other herbs that may be beneficial for diabetes include Bilberry, Buchu, Goldenseal, and Uva Ursi. CAUTION! Do not take goldenseal on a daily basis for more than one week at a time, and DO NOT USE IT DURING PREGNANCY. If you have a history of cardiovascular disease, diabetes, or glaucoma, use it only under a health care provider's supervision.

BILBERRY PRODUCTS Bilberry leaf isused in connection with vascular and blood disorders and shows positive effects when treating varicose veins, thrombosis, and angina. Bilberry extract is high in bioflavonoid complex anthocyanosides and supports healthy vision. Bilberry is useful for maintaining a healthy digestive system, is an anti-inflammatory and an antioxidant. Mountain Rose Herbs: Bilberry Fruit & Leaf, Certified Organic, 4 oz. to 1 lb. Bulk Herbs Kalyx: Bilberry Fruit Powder (Vaccinium myrtillus), 1 kg. (2.2 lb.) Kalyx: Bilberry Fruit & Leaf Extract (Vaccinium myrtillus), 2 fl. oz. Kalyx: Bilberry Leaf Powder, Certified Organic, 1 lb. HerbsPro: Bilberry Tea, Alvita Teas, 24 Bags HerbsPro: Bilberry, Alcohol Free, Eclectic Institute Inc, 1 fl. oz. edium%3DFeed&cjsku=31829" target="_top"> HerbsPro: Bilberry, Alcohol Free, Eclectic Institute Inc, 2 fl. oz. HerbsPro: Bilberry Extract, Enzymatic Therapy, 160 mg, 60 Caps HerbsPro: Bilberry Extract, Source Naturals, 100 mg, 60 Tabs HerbsPro: Bilberry Extract, Source Naturals, 100 mg, 120 Tabs TakeHerb: Bilberry Extract, Health Herbs, 2 fl. oz. TakeHerb: Bilberries, Organic, Starwest Botanicals, 4 oz. BUCHU LEAF PRODUCTS Buchu herb has traditionally been claimed to treat a wide variety of disorders, some of which include stomach complaints and urinary tract infections. Buchu leaves act as a diuretic and antisepic, and today is used in treating inflammation of the urethra, blood in the urine, bladder infections, and other chronic urinary trat infections. Mountain Rose Herbs: Buchu Leaf, Certified Organic, 4 oz. to 1 lb. Kalyx: Buchu Leaf, 90 VCaps Kalyx: Buchu Leaf Extract (Barosma betulina), 2 fl. oz. Kalyx: Buchu Leaf Powder, 1/4 lb. HerbsPro: Buchu Extract, Herb Pharm, 1 fl. oz. HerbsPro: Buchu Extract, Eclectic Institute Inc, 2 fl. oz. HerbsPro: Buchu Extract, Herb Pharm, 4 oz. House of Nutrition: Buchu Leaves TincTrac, African Red Tea Imports, 2 fl. oz. House of Nutrition: Buchu Extract (Agathosma betulina), Herb Pharm, 8 fl. oz. House of Nutrition: Rooibos & Buchu Tea, African Red Tea Imports, Value Pack, 40 Bags TakeHerb: Buchu Leaf Extract, Digestive System Support, Health Herbs, 2 fl. oz. TakeHerb: Buchu Leaf Powder, Wildcrafted, Starwest Botanicals, 1 lb. GOLDENSEAL ROOT PRODUCTS Goldenseal is an antibacterial and antiseptic. Use especially when mucus turns thick and discolored. Use short term only with other herbs. Mountain Rose Herbs: Goldenseal Extract, Wild Harvested, 1 oz. or 4 oz. Bulk Herbs Kalyx: Goldenseal Leaf, Cut & Sifted, Certified Organic, Frontier Bulk Herbs, 1 lb. Kalyx: Goldenseal Leaf, Cut & Sifted, Certified Organic, Frontier Bulk Herbs, 1 lb. Kalyx: Goldenseal Leaf Powder, Starwest Botanicals, 1 lb. Kalyx: Goldenseal Root 5%, Herbal Extracts Plus, 600 mg, 90 VCaps Kalyx: Goldenseal Root, Nature's Answer, 550 mg, 50 VCaps Kalyx: Goldenseal Root Extract, Alcohol Free, Starwest Botanicals, 1 fl. oz. Kalyx: Goldenseal Root Extract, Alcohol Free, Starwest Botanicals, 4 fl. oz. Kalyx: Goldenseal Root Extract, Nature's Answer, 1 fl. oz. Kalyx: Goldenseal Root Extract, Health & Herbs, 2 fl. oz.. Kalyx: Goldenseal Root Fresh Extract, Starwest Botanicals, 4 fl. oz. Kalyx: Goldenseal Root Extract, Health & Herbs, 8 fl. oz. Kalyx: Goldenseal Root Powder, Certified Organic, Frontier Bulk Herbs, 1/4 lb. Kalyx: Goldenseal Root Powder, Certified Organic, Frontier Bulk Herbs, 1 lb. Kalyx: Goldenseal Root, Starwest Botanicals, 500 mg, 500 Caps HerbsPro: Goldenseal Root Tea, Breezy Morning Teas, 16 Bags HerbsPro: Goldenseal Liquid Extract, Alcohol Free, Eclectic Institute Inc, 1 fl. oz HerbsPro: Goldenseal Liquid Extract, Alcohol Free, Eclectic Institute Inc, 2 fl. oz. HerbsPro: Goldenseal Glycerite Extract, Herb Pharm, 4 fl. oz. HerbsPro: Goldenseal Root, Wildcrafted, Now Foods, 500 mg, 100 Caps House of Nutrition: Goldenseal Root, Nature's Way, 570 mg 100 Caps House of Nutrition: Goldenseal Extract (Hydrastis canadensis), Herb Pharm, 8 fl. oz. TakeHerb: Goldenseal Herb Tea, Organic, Celebration Herbals,, 24 Tea Bags TakeHerb: Goldenseal Herb Tea, Caffeine Free, Alvita Teas, 30 Tea Bags UVA URSI PRODUCTS Uva ursi, also known as bearberry, has a specific affinity for the genito-urinary organs, especially for urinary tract infections, cystitis, nephritis, urethritis, pyelitis, hematuria (bloody urine), yeast infections, vulvitis. Uva Ursi leaves were officially a drug for urinary antiseptic in the United State Pharmacopoeia (U.S.P.) and the National Formulary N.F. from 1820 until 1950. Mountain Rose Herbs: Uva Ursi, Certified Organic, 4 oz. to 1 lb. Bulk Herbs HerbsPro: Uva Ursi Extract, Natures Answer, 1 fl. oz. HerbsPro: Uva Ursi Extract, Natures Answer, 2 fl. oz. HerbsPro: Uva Ursi Extract, Herb Pharm, 4 fl. oz. HerbsPro: Uva Ursi, Now Foods, 500 mg, 100 Caps House of Nutrition: Uva Ursi Leaf Extract, Gaia Herb, 4 fl. oz. House of Nutrition: Uva-Ursi Extract (Arctostaphylos uva-ursi), Herb Pharm, 8 fl. oz. TakeHerb: Uva Ursi Leaf Powder, Wildcrafted, Starwest Botanicals, 1 lb. TakeHerb: Uva Ursi Leaf, Wildcrafted, Cut & Sifted, Starwest Botanicals, 1 lb.

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RECOMMENDATIONS

Opinions may differ as to the optimal ratio of dietary carbohydrates, proteins and fats for prevention and treatment of diabetes. However, it is safe to say that carbohydrates trigger the release of insulin. As more carbohydrates are consumed, more insulin is produced. The current epidemic of obesity and diabetes in the United States indicates that we are asking our bodies to burn the wrong fuel - refined carbohydrates in this case. It has been suggested by Dr. Gerald Reaven of Stanford University that a diet consisting of 45 percent complex carbohydrates, 40 percent "good" (polyunsaturated) fats, and 15 percent protein will benefit individuals with insulin resistance, the precursor to diabetes. It is estimated that as many as 70 to 80 million Americans may be affected by insulin resistance syndrome. Medications such as metformin (Glucophage) and rosiglitazone (Avandia) are prescribed to combat insulin resistance.

Eat a low-fat, high-fiber diet including plenty of raw fruits and vegetables as well as fresh vegetable juices. This reduces the need for insulin and also lowers the level of fats in the blood. Fiber helps to reduce blood sugar surges. For snacks, eat oat or rice bran crackers with nut butter or cheese. Legumes, root vegetables, and whole grains are also good. Remember to regulate your carbohydrate intake. See Hypoglycemic Diet for helpful dietary suggestions to prevent hypoglycemic episodes.

The types of carbohydrates consumed are at least as important as the total carbohydrate loading. High-glycemic foods such as white rice, white flour products, pasta, starchy vegetables, and many processed foods are quickly converted into blood sugar during digestion, causing insulin to go up. Carbohydrates found in lower glycemic foods such as asparagus, broccoli, cabbage, green beans, and low-starch vegetables and fruits are converted into blood sugar more slowly, which only gradually raises insulin levels. Avoiding "white foods" might be best.

Supplement your diet with spirulina. Spirulina helps stabilize blood sugar levels. Other foods that help normalize blood sugar include berries, brewer's yeast, dairy products (especially cheese), egg yolks, fish, garlic, kelp, sauerkraut, soybeans, and vegetables.

SPIRULINA PRODUCTS Kalyx: Spirulina Powder (Spirulina platensis), Certified Organic, Frontier Brand, 1 lb. Kalyx: Spirulina, Natural, Earthwise, 600 mg, 300 Caps Kalyx: Spirulina Extract, Health & Herbs, 2 fl. oz. TakeHerb: Spirulina Powder, Chinese (Spirulina platensis), Starwest Botanicals, 1 lb. TakeHerb: Spirulina Powder, Organic, Starwest Botanicals, 4 oz. TakeHerb: Spirulina Powder, Now Foods, 1 lb. HerbsPro; Spirulina Powder, Hawaiian, Now Foods, 4 oz. HerbsPro: Hawaiian Spirulina Powder, Nutrex, 5 lbs. HerbsPro; Spirulina Pacifica, Nutrex, 500 mg, Tabs House of Nutrition: Spirulina Greens Blend, Earthwise, 7.4 oz.

Get your protein from vegetable sources, such as grains and legumes. Fish and low-fat dairy products are also acceptable sources of protein. Kidney function in people with type 2 diabetes seems to benefit from dietary soy protein. This protein also raises the level of "good" cholesterol.

SOY PROTEIN PRODUCTS Kalyx: Soy Protein Powder (Glycine max; Dan Dou), Kalyx, 1 kg (2.2 lbs.) HerbsPro: 100% Soy Protein, Naturade, Fat-Free, Natural Flavor, 32 oz. HerbsPro: Soy Protein Isoate, Non-GMO, Now Foods, 2 lb. House of Nutrition: 100% Soy Protein, Optimum, Vanilla Bean, 2 lbs. House of Nutrition: 100% Soy Protein, Optimum, Dutch Chocolate, 2 lbs. House of Nutrition: 100% Soy Protein, Optimum, Strawberry Smoothie, 2 lbs. House of Nutrition: Super Earth Soy Protein, BlueBonnet, Natural Chocolate Truffle Flavor Powder, 2.2 lbs. House of Nutrition: Super Earth Soy Protein, BlueBonnet, Toasted French Vanilla Flavor Powder, 2.2 lbs.

Avoid saturated fats, trans-fats, hydrogenated or partially hydrogenated oils, and simple sugars (except when necessary to balance an insulin reaction). While total fat intake does not seem to change the risk of getting diabetes, the trans-saturated fats and hydrogenated oils found in most fast foods can greatly increase the risk. Beneficial fats and oils include extra virgin olive oil, fish oil, almond oil and butter, avocados, nuts and seed oils such as sesame, flax sunflower, and pumpkin.

OIL PRODUCTS Mountain Rose Herbs: Bulk Carrier and Vegetable Oils Vegetable and carrier oils have a plethora of fine uses which include acting as a carrier for therapeutic applications, as an excellent addition to your culinary creations, as a lathering agent for soap, and a binding medium for cosmetics. It is hard to imagine where we would be with our creations, if it were not for the goodness and substance that pure oil provides. At Mountain Rose Herbs they are committed to providing you the most magnificent vegetable oils that are unsurpassed in color, depth, consistency, essential fatty acids and key nutrients. Since 1987 they have become the leading supplier of exquisite quality bulk oils known for the full bodied aroma and color, and they have firm procedures in place to ensure you that each oil is screened, analyzed, and sampled by their quality control department. All of this is done to protect the very qualities that make the line of oils offered by Mountain Rose Herbs some of the finest. Every vegetable oil they offer is extracted through expeller or cold pressed methods. They do not employ the use of solvent, hexane or alcohol extraction, and they do not stock oils that have been processed through heat intensive hydraulic extraction as these methods produce relatively unhealthy oils that lack in the qualities required. SOME OIL SUGGESTIONS Mountain Rose Herbs: Avocado Oil, Bulk Oils Mountain Rose Herbs: Olive Oil, Pumpkin Seed Oil, Bulk Oils Mountain Rose Herbs: Safflower Oil, Sesame Seed Oil, Soybean Oil, Sunflower Oil, Wheat Germ Oil, Bulk Oils

Eat more complex carbohydrates or reduce your insulin dosage before exercise. Exercise produces as an insulin-like effect in the body. Talk to your health care provider about the right approach for you.

Type 2 diabetes can be controlled by diet and exercise alone, but oral medications or injections of insulin can be added if regulating the diet does not work. Obesity is a major factor in type 2 diabetes, and a weight reduction program is often all that is required to control it.

It was once thought that people with diabetes should avoid sweetened foods. For weight control, this is still the case. However, research has shown that sugar - a simple carbohydrate - does not cause the greatest increase in blood glucose. Eating baked potatoes or some breakfast cereals causes a greater rise in blood sugar. Indeed carrots raise blood sugar more than ice cream does. It is on this principle that many high-protein, low-carbohydrate diets are based. It is essential, therefore, that people with diabetes measure their intake of both simple and complex carbohydrates - not simply those coming from sugar.

MoonDragon's ObGyn Womens Health Information: Obesity - Description Overview

MoonDragon's ObGyn Womens Health Information: Obesity - Herbal Suggestions For Weight Loss

MoonDragon's ObGyn Womens Health Information: Obesity - Holistic & Dietary Information

MoonDragon's Nutrition Information: Diets - Weight Control Diet

MoonDragon's Nutrition Information: Diets - Weight Loss Diet

Do not take fish oil capsules or supplements containing large amounts of para-aminobenzoic acid (PABA), and avoid salt and white flour products. Consumption of these products results in an elevation of blood sugar.

Eat more carbohydrates or reduce your insulin dosage before exercise. Exercise produces an insulin-like effect in the body. Discuss with your health care provider about the right approach for you.

A higher magnesium intake lowers the risk of getting type 2 diabetes. The journal Diabetes Care published a study in which overweight women who consumed large amount of magnesium were 22 percent less likely to develop type 2 diabetes than women who consumed lower amounts. A diet rich in nuts, whole grains, and vegetables that are high in magnesium may be beneficial.

Do not take supplements containing amino acid cysteine. It has the ability to break down the bonds of the hormone insulin and interferes with absorption of insulin by the cells.

Do not take extremely large doses of vitamins B-1 (thiamine) and C. Excessive amounts may inactivate insulin. These vitamins may, however, be taken in normal amounts. See Nutrient Table for recommendations.

If symptoms of hyperglycemia develop, go to the emergency room of the nearest hospital or medical center. This is a potentially dangerous situation. Intravenous administration of proper fluids, electrolytes, and insulin may be required.

Avoid taking large amounts of vitamin B-3 (Niacin). However, small amounts (50 to 100 milligrams daily), taken by mouth, may be beneficial. In one study, large amounts of niacin raised blood sugar levels in people with non-insulin-dependent diabetes by as much as 16 percent. Over time, this could cause dependence on insulin or medication. Niacin can also cause the level of uric acid in the blood to rise, indicating probable kidney dysfunction and an increased risk of gout. However, niacinamide, a form of niacin, shows down the destruction and enhances the regeneration of the insulin-producing beta cells in the pancreas, and therefore may be helpful for those with type I diabetes.

Chromium deficiency may be a key player in the type 2 diabetes problem. In addition, chromium may help improve body composition - that is, the ratio of fat to muscle. Chromium is not generally available in plant foods as plants have no requirement for it and thus do not concentrate it. Brewer's yeast, beer, whole grains, cheese, broccoli, and meat are good dietary sources, but not all are good choices for people with diabetes. Inorganic forms of chromium are poorly absorbed. Chromium picolinate is an effective organic form that is readily available as a supplement. See Nutrient Table for dosage and details.

Many nutrients recommended for people with diabetes are available in combination supplements. One company that produces a line of specialty supplements for people with diabetes is Progressive Research Labs of Houston.

DIABETIC SUPPLEMENT PRODUCTS House of Nutrition: Nutra Support Diabetes, Multi-Vitamin & Mineral, Iron Free, Carlsons, 60 Softgels House of Nutrition: Nutra-Support Diabetes, Multi-Vitamin & Mineral, Iron-Free, Carlsons, 120 Softgels HerbsPro: Alpha Betic For People with Diabetes, 30 Tabs HerbsPro: Diabetic Support, Liquid Health, 32 fl. oz. HerbsPro: Completia Diabetic, Diabetic Multivitamin, Natures Way, 30 Tabs HerbsPro: Completia Diabetic, Diabetic Multivitamin, Natures Way, 60 Tabs HerbsPro: Completia Diabetic, Diabetic Multivitamin, Natures Way, 90 Tabs TakeHerb: Diabetes Health Pack, Nature Made, 30 Tabs TakeHerb: Diabetic Multiple Formula, 90 Tabs

If you have a child with diabetes, be sure his or her teacher knows how to respond to the warning signs of hypoglycemia and hyperglycemia.

If symptoms of hypoglycemia develop, immediately consume fruit juice, soda pop, or anything else that contains sugar. If that fails to help within 20 minutes, repeat this regimen. If the second treatment fails, or if you cannot ingest food, seek immediate medical attention and/or administer a glucagon injection. Anyone who has insulin-dependent diabetes should always carry a glucagon kit and know how to use it.

MoonDragon's Nutrition Information: Diets - Hypoglycemic Diet

Avoid tobacco in any form. It constricts the blood vessels and inhibits circulation. Keep your feet clean, dry, and warm, and wear only white cotton socks and well-fitting shoes. Lack of oxygen (because of poor circulation) and peripheral nerve damage (with loss of pain sensation) are major factors in the development of diabetic foot ulcers. Try to avoid injury, and take measures to improve the circulation in the feet and legs. See Circulatory Problems.

Alcohol now and then may help. A growing body of evidence links moderate alcohol consumption with reduced risks of heart disease. The same may be true for type 2 diabetes. Moderate amounts of alcohol - a drink a day for men, a drink every other day for women - increases the efficiency of insulin at getting glucose inside cells. And some studies indicate that moderate alcohol consumption decreases the risk of type 2 diabetes. If you already drink alcohol, the key is to keep your consumption in the moderate range. If you do not drink alcohol, there is no need to start - you can get the same benefits by losing weight, exercising more, and changing your eating patterns.

Chromium Picolinate: A Complementary Nutritional Therapy for Diabetes Chromium picolinate is a nutritional supplement that can help control diabetes. As the name implies, it is a combination of two different substances: chromium and picolinate. Chromium is a mineral that helps to increase the efficiency of insulin, the hormone that controls blood glucose (blood sugar) levels; picolinate is an amino acid derivative that allows the body to use chromium much more readily. The shape of individual insulin molecules is important to the hormone's effectiveness. If the molecules maintain their proper shape, the insulin can effectively transport glucose into the cells, where it is needed. Without chromium, insulin molecules become misshapen, and can no longer serve as an effective transportation system, glucose builds up in the bloodstream, starting a chain reaction that eventually leads to diabetes. Scientists have long known that chromium is a vital nutrient, but not until chromium was combined with picolinate was a truly effective means of providing supplemental chromium developed. In the body, chromium takes the form of an ion, a particle with an electrical charge. This charge is repelled by the body's cells, making it difficult for chromium to enter the cells. Picolinate is a chelator, a substance that can bind with an ion and neutralize its charge. Once chromium and picolinate join together, the chromium's repellant charge is done away with. The body's cells then are able to accept the chromium. The effectiveness of chromium picolinate has been tested on individuals with a number of different health problems, including diabetes. Research shows that most people with diabetes experience a decline in blood glucose levels after they start taking daily chromium picolinate supplements. As a result, it is believed that chromium picolinate may be able to help many people with diabetes (especially type II diabetes) to control their blood sugar levels. This in turn would allow them to cut back on their intake of insulin and other drugs, likely resulting in fewer side effects. Furthermore, since improving the action of insulin also helps the body to use fat as a fuel, chromium picolinate can help reduce obesity. This means that it may enable some people with type II diabetes to lose enough weight to stop taking drugs entirely. However, it is not recommended that people with diabetes simply go out and buy chromium picolinate supplements and start taking them. Anyone who has diabetes, especially type I diabetes, must exercise caution with this supplement. Its effects on insulin requirements are very real. Blood sugar levels must be monitored carefully and the appropriate dosages of insulin and/or other drugs adjusted as needed in response. Otherwise, a potentially dangerous insulin reaction may occur as a result of too little glucose in the blood. Anyone interested in using chromium picolinate for the treatment of diabetes should first seek the advice of a qualified health-care provider, preferably a nutritionally oriented practitioner who has experience in this area. CHROMIUM SUPPLEMENT PRODUCTS Kalyx: Chromium Picolinate, TwinLab, 200 mcg, 200 Caps Kalyx: Chromium Picolinate, TwinLab, 200 mcg, 60 Tabs HerbsPro: Chromium Picolinate, Country Life, 200 mcg, 200 Caps HerbsPro: Chromium Picolinate Mega, Anabol Naturals, 400 mcg, 90 Caps HerbsPro: Ultra Chromium Picolinate, Yeast Free, Source Naturals, 500 mg, 120 Tabs HerbsPro: Chromium Picolinate Solution, Sublingual, 2 fl. oz. TakeHerb: Chromium Picolinate, TwinLab, 200 mcg, 200 Caps TakeHerb: Chromium Picolinate, Chromax, Olympian Labs, 200 mcg, 100 Caps TakeHerb: Chromium Picolinate, Yeast-Free, Source Naturals, 200 mcg, 240 Tabs TakeHerb: Mega Chromium Picolinate, Source Naturals, 300 mcg, 60 Tabs TakeHerb: Ultra Chromium Picolinate, Good'n Natural, 500 mcg, 100 Tabs TakeHerb: Mega Chromium Picolinate, Good'n Natural, Once Daily Formula, 800 mcg, 90 Tabs

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NUTRITIONAL SUPPLEMENTS

Unless otherwise specified, the following recommended doses are for adults over the age of 18. For a child between 12 and 17 years, reduce the dose to 3/4 the recommended dose. For a child between 6 and 12 years old, use 1/2 the recommended dose, and for a child under 6, use 1/4 the recommended dose.

NUTRIENTS
Supplement	Suggested Dosage	Comments
Very Important
Alpha-Lipoic Acid	As directed on label.	For treatment of peripheral nerve damage in diabetic patients. Helps control blood sugar levels.
Kalyx: Alpha Lipoic Acid, 50 mg, 90 Tabs Kalyx: Alpha Lipoic Acid, 100 mg, 100 Caps Kalyx: Alpha Lipoic Acid, 250 mg, 60 Caps Kalyx: Alpha Lipoic Acid, 300 mg, 50 Caps Kalyx: Alpha Lipoic Acid, 600 mg, Double Strength, 30 Caps Kalyx: Alpha Lipoic Acid, AlphaBetic (For Diabetics), 30 Caps HerbsPro: Alpha Lipoic Acid, Timed Release, Source Naturals, 300 mg, 60 Tabs HerbsPro: Alpha Lipoic Acid, Timed Release, Source Naturals, 300 mg, 120 Tabs HerbsPro: Alpha Lipoic Acid, Now Foods, 600 mg, 60 VCaps HerbsPro: Alpha Lipoic Acid, Now Foods, 600 mg, 120 VCaps TakeHerb: Alpha Betic Alpha Lipoic Acid, Enzymatic Therapy, 60 Caps TakeHerb: Alpha Lipoic Acid, Source Naturals, 200 mg, 60 Tabs TakeHerb: Alpha Lipoic Acid, Good'n Natural, 300 mg, 120 Softgels TakeHerb: Alpha Lipoic Acid, Solgar, 600 mg, 50 Tabs TakeHerb: Alpha Lipoic Acid, Good'n Natural, 600 mg, 60 Caps
Chromium Picolinate	400-600 mcg daily.	Improves insulin's efficiency, which lowers blood sugar levels. Caution: If you have diabetes, consult with your health care provider before taking any supplement containing chromium.
Kalyx: Chromium Picolinate, TwinLab, 200 mcg, 200 Caps Kalyx: Chromium Picolinate, TwinLab, 200 mcg, 60 Tabs HerbsPro: Chromium Picolinate, Country Life, 200 mcg, 200 Caps HerbsPro: Chromium Picolinate Mega, Anabol Naturals, 400 mcg, 90 Caps HerbsPro: Ultra Chromium Picolinate, Yeast Free, Source Naturals, 500 mg, 120 Tabs HerbsPro: Chromium Picolinate Solution, Sublingual, 2 fl. oz. TakeHerb: Chromium Picolinate, TwinLab, 200 mcg, 200 Caps TakeHerb: Chromium Picolinate, Chromax, Olympian Labs, 200 mcg, 100 Caps TakeHerb: Chromium Picolinate, Yeast-Free, Source Naturals, 200 mcg, 240 Tabs TakeHerb: Mega Chromium Picolinate, Source Naturals, 300 mcg, 60 Tabs TakeHerb: Ultra Chromium Picolinate, Good'n Natural, 500 mcg, 100 Tabs TakeHerb: Mega Chromium Picolinate, Good'n Natural, Once Daily Formula, 800 mcg, 90 Tabs
Or Diabetic Nutrition Rx (Progressive Research Labs)	As directed on label.	Mix the desired amount into your favorite foods to taste. Dissolves easily and brings added nutritional value to all foods. Sprinkle over salads, cottage cheese, and yogurt. Excellent as a vitamin supplement. Add a tablespoon in your favorite morning juice. A combination of chromium picolinate, vanadyl sulfate, and other vitamins and minerals that work synergistically to regulate blood sugar levels and correct deficiencies. Caution: If you have diabetes, consult with your health care provider before taking any supplement containing chromium.
Or Brewer's Yeast (With Added Chromium)	As directed on label.	An excellent source of protein and several B-vitamins. Take with chromium supplement.
HerbsPro: Brewers Yeast Powder, Reduced Bitterness, Now Foods, 1 lb. HerbsPro: Brewer's Yeast 10 Grain, NOW Foods, 650 mg, 200 Tabs Kalyx: Brewers Yeast (Saccharomyces cerevisiae), Starwest Botanicals, 1 lb. House of Nutrition: Brewers Yeast, Solgar, 250 Tabs House of Nutrition: Brewers Yeast, Modern Product, 14 oz. House of Nutrition: Kyolic's Formula 101 With Brewers Yeast, 300 Caps
Garlic (Kyolic)	As directed on label.	Decreases and stabilizes blood sugar levels. Enhances immunity and improves circulation.
Mountain Rose Herbs: Garlic Powder, Granules & Minced, Certified Organic, 4 oz. to 1 lb. Kalyx: Garlic Juice Powder, 1 kg (2.2 lbs) Kalyx: Garlic Extract (Allium sativum), 2 fl. oz. Kalyx: Garlic Extract (Allium sativum), 8 fl. oz. HerbsPro: Garlic Time, Time Release Garlic, 180 Caps HerbsPro: Garlic, Super Odorless, Now Foods, 5000 mg, 180 Caps HerbsPro: Garlic Gold Allicin, Olympian Labs, 600 mg / 7200 mcg, 60 Caplets HerbsPro: Pure Garlic Allicin, 5000 mg, 90 Tabs HerbsPro: Garlipure Maximum Allicin Garlic, Natrol, 600 mg, 100 Tabs TakeHerb: Kyolic Aged Garlic Liquid Extract, Formula 100, Wakunaga, 4 fl. oz. TakeHerb: Kyolic Aged Garlic, Formula 100, High Potency, Wakunaga, 600 mg, 200 Caps TakeHerb: Kyolic Aged Garlic Extract, Formula 100, Wakunaga, 100 VCaps TakeHerb: Kyolic One Per Day, Wakunaga, 60 Caplets. TakeHerb: Garlic Gold, Olympian Lab, 600 mg (7200 mcg Allicin), 250 Caplets TakeHerb: Quintessence Pure Garlic, Natrol, 1000 mg, 250 Caps TakeHerb: Garlic Oil, Cholesterol Level Support, Good'n Natural, 5000 mg, 100 Softgels TakeHerb: Garlic, Odorless, NOW Foods, 2500 mg, 250 Softgels. TakeHerb: Super Odorless Garlic, NOW Foods, 5000 mg, 180 Caps
L-Carnitine	500 mg twice daily, on an empty stomach. Take with water. Do not take with milk. Take with 50 mg vitamin B-6 and 100 mg vitamin C for better absorption.	Mobilizes fat.
HerbsPro: L-Carnitine, Now Foods, 500 mg, 60 Caps HerbsPro: L-Carnitine, Jarrow Formulas, 500 mg, 180 Caps HerbsPro: L-Carnitine Liquid, Tropical Punch, NOW Foods, 1000 mg, 16 oz. HerbsPro: L-Carnitine Liquid, Citrus, NOW Foods, 1000 mg, 16 oz. HerbsPro: L-Carnitine Liquid, Citrus, Triple Strength, NOW Foods, 3000 mg, 16 oz. L-Carnitine Liquid provides all of the extensive benefits of Carnitine in a highly absorbable liquid form. L-Carnitine Liquid is a non-essential amino acid that helps to maintain overall good health by facilitating the transfer of fatty acid groups into the mitochondrial membrane for cellular energy production. It naturally occurs in red meat and other animal-source foods, but we recommend supplementation to obtain optimal levels of this excellent amino acid. TakeHerb: Acetyl L-Carnitine, Source Naturals, 500 mg, 60 Tabs TakeHerb: Acetyl L-Carnitine, Carlson Lab, 500 mg, 120 Caps TakeHerb: Acetyl L-Carnitine Powder, Carlson Lab, 100 grams Kalyx: Acetyl L-Carnitine, Nutricology, 500 mg, 100 Caps Kalyx: Acetyl L-Carnitine, TwinLab, 500 mg, 30 Caps House of Nutrition: Acetyl L-Carnitine Powder, Vital Nutrient, 100 gms House of Nutrition: Acetyl-L Carnitine Pure Powder, NOW Foods, 3 oz. House of Nutrition: Acetyl L-Carnitine, Jarrow, 250 mg, 120 Caps House of Nutrition: Acetyl L-Carnitine, Jarrow, 500 mg, 60 Caps House of Nutrition: Acetyl L-Carnitine, Carlson, 500 mg, 120 Caps House of Nutrition: Acetyl-L Carnitine, NOW Foods, 500 mg, 100 Caps House of Nutrition: Acetyl L-Carnitine, Doctor's Best, 588 mg, 120 Caps House of Nutrition: Acetyl-L Carnitine, NOW Foods, 750 mg, 90 Tabs House of Nutrition: Acetyl-L-Carnitine HCL, Designs For Health, 800 mg, 90 Caps House of Nutrition: Acetyl L-Carnitine, Solgar, 1000 mg, 30 Tabs House of Nutrition: Acetyl L-Carnitine, Physiologic, 1000 mg, 30 Caps
Plus L-Glutamine	500 mg twice daily, on an empty stomach. Take with water. Do not take with milk.	Reduces the craving for sugars.
HerbsPro: L-Glutamine Powder, Anabol Naturals, 100 Grams HerbsPro: L-Glutamine Powder, Anabol Naturals, 500 Grams HerbsPro: L-Glutamine, Nutricology, 500 mg, 100 Caps HerbsPro: L-Glutamine, Source Naturals, 500 mg, 100 Tabs HerbsPro: L-Glutamine, TwinLab, 500 mg, 100 Caps HerbsPro: L-Glutamine, Now Foods, 1000 mg, 240 Caps House of Nutrition: L-Glutamine, Free Form, Now Foods, 500 mg, 120 Caps TakeHerb: Glutamine, NOW Foods, 1500 mg, 180 Tabs TakeHerb: Glutamine, NOW Foods, 1500 mg, 90 Tabs TakeHerb: L-Glutamine, NOW Foods, 1000 mg, 240 Caps TakeHerb: L-Glutamine, NOW Foods, 1000 mg, 120 Caps TakeHerb: Glutamine, NOW Foods, 500 mg, 120 Caps TakeHerb: Glutamine Powder, NOW Foods, 1 lb.. TakeHerb: Glutamine Pure Powder, NOW Foods, 6 oz. TakeHerb: Glutamine Powder, NOW Foods, 1000 grams TakeHerb: L-Glutamine, Dymatize, 1000 grams TakeHerb: Power Glutamine, Pharmaceutical Grade L-Glutamine, Champion Nutrition, 454 grams TakeHerb: Glutamine Fuel Powder, Twin Lab, Pure L-Glutamine, 4500 mg, 18 oz.
Plus Taurine	500 mg twice daily, on an empty stomach. Take with water. Do not take with milk.	Aids in the release of insulin.
Kalyx: Taurine, Nutricology, Free Form, 1000 mg, 250 Caps Kalyx: L-Taurine, Nutricology, Pure Free Form Amino Acid, 500 mg, 100 Caps Kalyx: Mega Taurine, TwinLab, 1000 mg, 50 Caps TakeHerb: Taurine Powder, Life Extension, 300 grams House of Nutrition: American Biologic Taurine Plus Drops, 1 oz.
Quercetin (Activated Quercetin) (Quercetin-C)	100 mg 3 times daily.	Helps protect the membranes of the lens of the eye from accumulations of polyols as a result of high glucose levels.
Kalyx: Quercetin, Natrol, 250 mg, 50 Caps Kalyx: Quercetin, Nutricology, 300 mg, 60 Caps Kalyx: Quercetin, Herbal Extracts Plus, 600 mg, 360 Caps Kalyx: Quercetin With Bioflavonoids, Nutricology, 100 Caps HerbsPro: Activated Quercetin, Source Naturals, 300 mg, 100 Tabs HerbsPro: Activated Quercetin, Source Naturals, 300 mg, 200 Tabs HerbsPro: Quercetin Plus C, TwinLab, 500 mg / 1400 mg, 100 Caps HerbsPro: Quercetin Nutra Drops, Source Naturals, 2 oz. TakeHerb: Quercetin, NOW Foods, 500 mg, 100 VCaps TakeHerb: Quercetin With Bromelain, Doctor's Best, 250 mg / 125 mg, 180 Caps TakeHerb: Quercetin With Bromelain, NOW Foods, 800 mg / 200 mg (2,000 GDU), 120 VCaps TakeHerb: Quercetin Complex, Solgar, 100 VCaps TakeHerb: Activated Quercetin, Source Naturals, 1000 mg, 200 Tabs TakeHerb: Activated Quercetin Capsule, Source Naturals, 50 Caps TakeHerb: Activated Quercetin, Source Naturals, 1000 mg, 100 Tabs TakeHerb: Activated Quercetin Capsule, Source Naturals, 100 Caps TakeHerb: Activated Quercetin, Source Naturals, 1000 mg, 50 Tabs TakeHerb: Activated Quercetin Capsule, Source Naturals, 50 Caps
Raw Adrenal Glandular And Raw Pancreas Glandular And Thyroid Glandular	As directed on labels.	Aids in rebuilding and nourishing these organs. See Glandular Therapy.
ADRENAL GLANDULARS HerbsPro: Raw Adrenal, Natural Sources, 60 Caps HerbsPro: Raw Adrenal, Ultra Glandulars, 200 mg, 60 Tabs HerbsPro: Adrenal Cortex Glandular, Ultra Glandular, 200 mg, 60 Tabs PANCREAS GLANDULARS HerbsPro: Pancreas Organic Glandulars, Pork, Nutricology, 425 mg, 60 Caps HerbsPro: Pancreas Organic Glandulars, Lamb, Nutricology, 425 mg, 90 Caps HerbsPro: Raw Pancreas Glandular, Ultra Glandulars, 200 mg, 60 Tabs HerbsPro: Raw Pancreas, Natural Sources, 50 Tabs THYROID GLANDULARS HerbsPro: Raw Thyroid, Natural Sources, 60 Caps HerbsPro: Raw Thyroid, Natural Sources, 90 Caps HerbsPro: Raw Thyroid Glandular, Ultra Glandulars, 200 mg, 90 Tabs
Vanadium	As directed on label.	Vanadium aids insulin's ability to move glucose into the cells. Use Vanadyl Sulfate form. Vanadyl Sulfate is a trace mineral that is believed to help support normal glucose and lipid metabolism. Vanadyl Sulfate is a supplement derived from the trace mineral vanadium.
House of Nutrition: Vanadium, Douglas Labs, 250 mcg, 60 Tabs House of Nutrition: Chromium-Vanadium (Colloidal), Futurebiotics, 4 fl. oz. House of Nutrition: Vanadium With Chromium, Source Naturals, 1000 mcg (1 mg) / 200 mcg, 90 Tabs House of Nutrition: Vanadium With Chromium, Source Naturals, 1000 mcg (1 mg) / 200 mcg, 180 Tabs TakeHerb: Vanadyl Sulfate, Country Life, 5000 mcg, 180 VCaps TakeHerb: Vanadyl Sulfate, Ultimate Nutrition, 10 mg, 75 Tabs TakeHerb: Vanadyl Sulfate, Ultimate Nutrition, 10 mg, 150 Tabs TakeHerb: Chelated Vanadium, Carlson Labs, 120 Tabs TakeHerb: Vanadyl Sulfate, Genesis Nutrition, 8 mg, 60 Tabs
Vitamin B Complex	50 mg of each B vitamin daily, with meals 3 times daily (amounts of individual vitamins in a complex will vary). Do not exceed 300 mg daily from all supplements.	B vitamins work best when taken together.
Kalyx: Super Vitamin B-Complex With B-12, Schiff, 120 Caps Kalyx: Vitamin B-Complex, Schiff, 50 mg, 100 Tabs Kalyx: Vitamin B-Complex, Schiff, From Whole Rice, 50 mg, 100 Softgels Kalyx: Complete B-Complex, Rainbow Light, 180 Tabs Kalyx: Stress B-Complex, TwinLab, 100 Caps Kalyx: Vitamin B-100 Complex, Thompson, 60 Tabs HerbsPro: Liquid B-Complex With Vitamin B-12, NOW Foods, 8 oz. HerbsPro: Platinum Vitamin-B Complex, Nature's Answer, 16 oz. HerbsPro: Liquid Yeast B Complex, TwinLab, 16 fl. oz. HerbsPro: Coenzymate B Complex, Sublingual Orange, Source Naturals, 120 Tabs HerbsPro: Coenzymate B Complex, Sublingual Peppermint, Source Naturals, 120 Tabs HerbsPro: Stress B-Complex, TwinLab, 250 Caps HerbsPro: Super B Complex, Herbal Liquid, TwinLab, 8 fl. oz. HerbsPro: Super B Complex, Regular Liquid Formula, 8 fl. oz. HerbsPro: B Complex Liquid, World Organics, 16 fl. oz. HerbsPro: Maxi B-50 Complex, Maxi-Health Research, 100 Caps HerbsPro: Coenzymate B Complex, Sublingual Orange, Source Naturals, 60 Tabs Kalyx: B-Complex Gummy Vitamins, Be Calm Strawberry For Adults, Nutrition Now, 70 Gummy Chewables TakeHerb: Liquid B Complex, B Vitamins With Energy Herbs, Tropical Oasis, 16 oz. TakeHerb: Super B-Complex Regular Liquid, TwinLab, 8 oz. TakeHerb: Liquid Yeast B-Complex, TwinLab, 16 oz. TakeHerb: Ultra B Liquid, World Organics, In Raisin Juice, 16 oz. TakeHerb: Liquid B-Complex, With Vitamin C, Strawberry Flavor, Lifetime, 16 oz.
Plus Extra Biotin	5-50 mg (5,000-50,000 mcg) daily.	Improves the metabolism of glucose. Biotin does not appear to have any toxic levels when taken at high doses. Studies have been done with doses between 5 mg (5,000 mcg) to 15 mg (15,000 mcg) daily. Biotin is not known to be toxic. Oral biotin supplementation has been well-tolerated in doses up to 200 mg/day in people with hereditary disorders of biotin metabolism. In people without disorders of biotin metabolism, doses of up to 5 mg/day for two years were not associated with adverse effects.
Kalyx: Biotin (Vitamin B-7), Thompson Nutritional, 800 mcg, 90 Tabs Kalyx: Biotin, Natrol, 1000 mcg, 100 Tabs Kalyx: Biotin, Natrol, Maximum Strength, 10,000 mcg, 100 Tabs Kalyx: Biotin, Thompson Nutritional, 5 mg, 60 Caps Kalyx: Biotin 5000, Nutricology, 5000 mcg, 60 Caps Kalyx: Biotin, TwinLab, 600 mcg, 100 Caps HerbsPro: Biotin, Country Life, 500 mcg, 100 Tabs HerbsPro: Biotin, Source Naturals, 600 mcg, 200 Tabs HerbsPro: Biotin, Country Life, 1000 mcg, 100 Tabs HerbsPro: Biotin, High Potency, Vegetarian, Country Life, 5 mg (5000 mcg), 120 Caps TakeHerb: Biotin, Now Foods, 1000 mcg, 100 Caps TakeHerb: Biotin, Now Foods, 5000 mcg, 120 VCaps
And Inositol	50 mg daily.	Important for circulation and for prevention of atherosclerosis.
Kalyx: Inositol, TwinLab, 500 mg, 100 Caps HerbsPro: Inositol, Natures Way, 500 mg, 100 Caps HerbsPro: Inositol Powder, Country Life, 650 mg, 2 oz. HerbsPro: Inositol Powder, Country Life, 650 mg, 4 oz. HerbsPro: Inositol Power, Country Life, 650 mg, 8 oz. HerbsPro: Inositol, Jarrow Formulas, 750 mg, 100 Caps TakeHerb: IP-6 Inositol Hexophosphate, Jarrow Formulas, 500 mg, 120 Caps TakeHerb: Cell Forte With IP-6 & Inositol, Enzymatic Therapy, 120 Tabs TakeHerb: Cell Forte With IP-6 & Inositol, Enzymatic Therapy, 240 Tabs TakeHerb: Cell Forte Max3, Enzymatic Therapy, 120 Ultracaps TakeHerb: Cell Forte With IP-6 & Inositol Powder, Enzymatic Therapy, 14.6 oz. TakeHerb: Cell Forte With IP-6 & Inositol Chewable, Enzymatic Therapy, 60 Chew Tabs
Vitamin B-12	As prescribed by health care provider or directed on label.	Needed to prevent diabetic neuropathy. Injections (under a health care provider's supervision) are best. If injections are not available, use a lozenge or sublingual form.
HerbsPro: Vitamin B-12, Country Life, 500 mcg, 100 Tabs HerbsPro: Vitamin B-12, Time Release, Country Life, 1000 mcg, 60 Tabs HerbsPro: Vitamin B-12 Lozenges, Natures Way, 2000 mcg, 100 Lozenges HerbsPro: Vitamin B-12 Gummy Adult Chewables, Raspberry Flavor, Nutrition Now, 100 Count HerbsPro: Vitamin B-12 with Folic Acid Sublingual, Natural Cherry, Country Life, 500 mcg, 100 Lozenges TakeHerb: Vitamin B-Complex B-12 Sublingual Liquid, Good'n Natural, Promotes Energy Metabolism, 2 oz. TakeHerb: Vitamin B-12 Liquid B-Complex, NOW Foods, 2 oz. TakeHerb: Vitamin B-12 Liquid B-Complex, NOW Foods, 8 oz. TakeHerb: Sublingual Liquid B-12 With B-Complex, 2000 mcg, Solgar, 2 oz. TakeHerb: Vegan Sublingual B-12, Deva Nutrition, 90 Tabs TakeHerb: Ultra Vitamin B-12, NOW Foods, 4 fl. oz.
Zinc	50-80 mg daily. Do not exceed a total of 100 mg daily from all supplements.	Deficiency has been associated with diabetes. Use zinc gluconate lozenges or OptiZinc for best absorption.
HerbsPro: Zinc Orotate, NCI (Dr. Hans Nieper), 60 mg, 200 Tabs HerbsPro: Zinc High Potency, Thompson Nutritional Products, 50 mg, 60 Tabs HerbsPro: Zinc Plus, Olympian Labs, 30 mg, 100 Caps HerbsPro: Opti L-Zinc, Now Foods, 30 mg, 100 Caps HerbsPro: Zinc Lozenges, FoodScience of Vermont, 23 mg, 60 Lozenges HerbsPro: Ultimate Zinc - C, NOW Foods, 100 Lozenges HerbsPro: Zinc Gluconate, NOW Foods, 50 mg, 100 Tabs HerbsPro: Zinc Picolinate, NOW Foods, 50 mg, 120 Caps TakeHerb: Wellness Zinc Lozenges With Vitamin C (Zinc Ascorbate), Source Naturals, 23 mg / 30 mg, 120 Tabs TakeHerb: Wellness Zinc Throat Spray, Source Naturals, 2 oz. TakeHerb: Zinc Plus, Olympian Labs, 30 mg, 100 Caps TakeHerb: OptiZinc, Zinc Monomethionine Complex, Source Naturals, 240 Tabs Kalyx: Zinc, TwinLab, 30 mg, 100 Caps Kalyx: Zinc, TwinLab, 50 mg, 180 Caps Kalyx: Zinc & Echinacea, Quantum, 48 Cherry Flavored Lozenges
Coenzyme Q-10	80 mg daily.	Improves circulation and stabilizes blood sugar.
Kalyx: Super CoQ10, TwinLab, 50 mg, 60 Caps Kalyx: CoEnzyme Q-10, Natrol, Time Release, 100 mg, 30 VCaps Kalyx: CoEnzyme Q-10, Natrol, 200 mg, 45 Softgels Kalyx: CoEnzyme Q-10, Natrol, 50 mg, 60 Caps HerbsPro: Coenzyme Q10, Vegan, 25 mg, 60 Tabs HerbsPro: Coenzyme Q10 Sublingual, Peppermint, Source Naturals, 30 mg, 120 Tabs HerbsPro: Coenzyme Q10, Source Naturals, 30 mg, 120 Softgels HerbsPro: Coenzyme Q10 Sublingual, Peppermint, Source Naturals, 60 mg, 120 Tabs HerbsPro: Coenzyme Q10, Source Naturals, 75 mg, 120 Caps HerbsPro: Coenzyme Q10, Source Naturals, 100 mg, 90 Softgels HerbsPro: Coenzyme Q10, Ultra Potency, Source Naturals, 125 mg, 60 Caps HerbsPro: Coenzyme Q10, Source Naturals, 200 mg, 60 Softgels HerbsPro: Coenzyme Q10, Source Naturals, 400 mg, 60 Softgels
Coenzyme A	As directed on label.	Facilitates the repair of RNA and DNA. Supports the immune system's detoxification of many dangerous substances. Can streamline metabolism, ease depression and fatigue, and increase energy. Works well with CoQ10.
COENZYME A INGREDIENTS Coenzyme A (CoA, CoASH, or HSCoA) is a coenzyme, notable for its role in the synthesis and oxidation of fatty acids, and the oxidation of pyruvate in the citric acid cycle. All sequenced genomes encode enzymes that use coenzyme A as a substrate, and around 4% of cellular enzymes use it (or a thioester, such as acetyl-CoA) as a substrate.[1] It is adapted from cysteamine, pantothenate, and adenosine triphosphate. (Source: Wikipedia: Coenzyme A) The nutrients supplied by Coenzyme-A product also help the cells efficiently deliver fuel from aerobic and anaerobic metabolism to the TCA cycle for energy release. Because the human body can rapidly absorb these nutrients, Coenzyme-A can be taken by an athlete shortly before a workout or sport performance to provide extra metabolic power when they need it the most. Proprietary Formula: Calcium Pyruvate - 46 mg; Magnesium (as Dimagnesium Malate) - 20 mg; Coenzyme A Modulator Matrix-I - 1000 mg; Pantethine Powder; Calcium Pyruvate; Dimagnesium Malate; Acetyl-L-Carnitine HCL; L-Cysteine HCL. (Source: www.coenzyme-a.com)
Magnesium	750 mg daily.	Important for enzyme systems and pH balance. Protects against coronary artery spasm in arteriosclerosis.
Kalyx: Magnesium, Thompson Nutritional, 100 mg, 120 Tabs Kalyx: Magnesium, TwinLab, 400 mg, 100 Caps Kalyx: Magnesium, TwinLab, 400 mg, 200 Caps Kalyx: Magnesium Chloride Liquid, Nutricology, 8 oz. Kalyx: Magnesium Citrate Powder, Starwest Botanicals, 1 lb. Kalyx: Magnesium Citrate Powder, Frontier Natural, 1 lb. Kalyx: Magnesium Malate, Thompson Nutritional, 400 mg, 120 Tabs HerbsPro: Chelated Magnesium, Country Life, 250 mg, 180 Tabs HerbsPro: Buried Treasure Liquid Magnesium, 16 oz. HerbsPro: Bone Builder With Magnesium Glycinate, Ethical Nutrients, 220 Tabs TakeHerb: Chelated Magnesium, Solgar, 400 mg, 100 Tabs TakeHerb: Chelated Magnesium, Solgar, 400 mg, 250 Tabs TakeHerb: Magnesium Blend Liquid, Orange Vanilla, Lifetime, 16 fl. oz.
Manganese	5-10 mg daily. Take separately from calcium.	Needed for repair of the pancreas. Also a cofactor in key enzymes of glucose metabolism. Deficiency is common in people with diabetes.
Kalyx: Manganese, TwinLab, 10 mg, 100 Caps HerbsPro: Manganese, Natural Chelated, TwinLab, 10 mg, 100 Caps HerbsPro: Manganese Chelate, Source Naturals, 15 mg, 100 Tabs HerbsPro: Manganese Chelate, Source Naturals, 15 mg, 250 Tabs TakeHerb: Chelated Manganese, Solgar, 8 mg, 100 Tabs TakeHerb: Manganese, Nature's Plus, 50 mg, 90 Tabs TakeHerb: Manganese Acetate Liquid, Hanna's Vibropathics, 1 oz. House of Nutrition: Manganese, Nature's Life, 25 mg, 100 VTabs House of Nutrition: Chelated Manganese, Carlson Labs, 20 mg, 250 Tabs House of Nutrition: Manganese Chelated, Kals, 12 mg, 100 Tabs House of Nutrition: BodyBio/E-Lyte 6 Manganese Trace Minerals, 4 oz. House of Nutrition: Manganese Trace Minerals #6, BodyBio, 2.5 mg, 2 oz.
Psyllium Husks Or Aerobic Bulk Cleanse (ABC) (Aerobic Life Industries)	As directed on label. Take with a large glass of water. Take separately from other supplements and medications.	Psyllium husks and Aerobic Bulk Cleans are good fiber sources and fat mobilizers. Flax seed is a good fiber source as well as a source of essential fatty acids.
Mountain Rose Herbs: Flax Meal & Whole Flax Seed, Certified Organic, 4 oz. to 1 lb. Mountain Rose Herbs: Psyllium Husk & Powder, Seed & Powder, Certified Organic, 4 oz. to 1 lb. TakeHerb: Organic Essential Whole Flaxseed, Spectrum Naturals, 15 oz. TakeHerb: Organic Essential Ground Flaxseed, Spectrum Naturals, 15 oz. TakeHerb: Flax Seed, FiProFLAX Sprouted, Health From The Sun, 16 oz. TakeHerb: Organic Roasted Flaxseed, Spectrum Essentials, 12 oz. TakeHerb: Organic Ground Flaxseed With Mixed Berries, Spectrum Essentials, 12 oz. TakeHerb: Super Fabulous Fiber, Lewis Lab, 16 oz. TakeHerb: Multiple Fiber Formula, Soluble & Insoluble Fiber, Solgar, 120 VCaps TakeHerb: Fiber Plus Powder, Apple Spice Flavor, Yerba Prima, 12 oz. Kalyx: Psyllium Husk, Bazaar of India, Plantago ovata, 1 lb. Kalyx: Psyllium Husk, Starwest Botanicals, 500 mg, 100 Caps Kalyx: Psyllium Husk, Starwest Botanicals, 500 mg, 500 VCaps Kalyx: Psyllium Husk Powder, Certified Organic (Plantago ovata), Starwest Botanicals, 1 lb. Kalyx: Smoothe Move Fiber With Organic Psylllium, Traditional Medicinals, 180 Caps Kalyx: Truman's Fiber, 12 oz.
Important
Vitamin A	15,000 IU daily. If you are pregnant, do not exceed 10,000 IU daily.	An important antioxidant needed to maintain the health of the eyes. Use emulsion form for the best absorption.
Kalyx: Vitamin A & D, TwinLab Allergy D, 10,000 IU / 400 IU, 100 Caps House of Nutrition: Vitamin A, Nature's Life, 10,000 IU, 100 Softgels House of Nutrition: Vitamin A, Nature's Life, 10,000 IU, 250 Softgels House of Nutrition: Vitamin A, Nature's LIfe, 25,000 IU, 100 Softgels House of Nutrition: Vitamin A & D-3, BlueBonnet, 25,000 I.U. / 1000 I.U., 100Softgels House of Nutrition: Vitamin A Suppositories, Wise Woman Herbal, 10 Count House of Nutrition: Vitamin A Suppositories, Wise Woman Herbal, 30 Count House of Nutrition: Solaray's Emulsified Dry Vitamin A, 25,000 IU, 60 Caps House of Nutrition: Thompson's Nutritional Vitamin A & D Fish Liver Oil, 10,000 IU / 400 IU, 30 Softgels House of Nutrition: Vitamin A Palmitate, Carlson Lab, 15,000 IU, 120 Gels House of Nutrition: Vitamin A, BlueBonnet, 1000 IU, 100 Softgels TakeHerb: Vitamin A, NOW Foods, 10,000 IU, 100 Softgels TakeHerb: Vitamin A, Nature's Way, 10,000 IU, 100 Softgels
Plus Natural Beta-Carotene Or Carotenoid Complex (Betatene)	25,000 IU daily. As directed on label.	An antioxidant and precursor of vitamin A. Needed by all cells for repair and rebuilding. Important antioxidant needed to maintain the health of the eyes.
Kalyx: Beta Carotene, Thompson Nutritional, 25,000 IU, 30 Softgels Kalyx: Beta Carotene, Schiff, 25,000 IU, 90 Softgels Kalyx: Beta Carotene, FoodScience Laboratories, 25,000 IU, 180 Softgels Kalyx: Beta Carotene, Thompson Nutritional, 25,000 IU, 30 Softgels HerbsPro: Carotenoid Complex, Country Life, 60 Softgels House of Nutrition: Biochem Phyto-Nutrient Carotenoid Complex, Country Life, 60 Softgels House of Nutrition: Carotenoid Complex, Pharmax, 60 Caps TakeHerb: Advanced Carotenoid Complex, Solgar, 60 Softgels TakeHerb: LycoPom, New Chapter, 60 VCaps TakeHerb: NAT Beta Carotene, NOW Foods, 25,000 IU, 180 Softgels TakeHerb: Oceanic Beta Carotene, Solgar, 25,000 IU, 180 Softgels
Vitamin C With Bioflavonoids	3,000-6,000 mg daily, in divided doses.	Essential in immune function and tissue repair. Deficiency may lead to vascular problems in people with diabetes.
Kalyx: Vitamin C (Ascorbic Acid) Powder, Pure, Nutricology, 1000 mg, 120 Grams Kalyx: Vitamin C, Pure, Nutricology, 1000 mg, 100 Caps Kalyx: HerbaLozenges Orange C, Zand, 125 mg, 15 Per Bag Kalyx: Gummy Vitamin C Slices, Rainbow Light, 30 Single Serve Packets Kalyx: Fruit Snacks, 100% Vitamin C, Farley's & Sathers Candy Co., 5 lbs. Kalyx: Ester- C Powder With Citrus Bioflavonoids, American Health, 8 oz. Kalyx: Ester-C Liquid, American Health, 8 fl. oz. Kalyx: Ester-C Advanced Antioxidant Formula, American Health, 90 Vegetarian Tabs Kalyx: Ester-C Chewable Wafers, American Health, 250 mg, 125 Wafers HerbsPro: Maxi-C Complex Vitamin C, Country Life, 1000 mg, 180 Tabs TakeHerb: Ascorbic Acid Powder (Vitamin C), NOW Foods, 3 lbs. TakeHerb: Ascorbate C Powder, TwinLab, 2000 mg, 8 oz. TakeHerb: Liquid C With Rose Hips, Good'n Natural, 300 mg, 4 oz. TakeHerb: Alive! Organic Vitamin C Powder, Made With Organic Fruit, Nature's Way, 120 grams TakeHerb: Vitamin C-500 Complex With Bioflavonoids, Acerola & RoseHips, NOW Foods, 100 Tabs
Vitamin E	200-400 IU daily.	Improves circulation and prevents complications through its antioxidant properties. Use d-alpha-tocopherol emulsion form for easier assimilation and greater safety at higher doses.
Kalyx: Vitamin E One Grand, Thompson Nutritional, 1000 IU, 30 Softgels Mountain Rose Herbs: Vitamin E Oil, Mixed Tocopherols, GMO Free, Kosher Certified, 7500 IU per oz., 2 oz. to 1 gallon TakeHerb: Natural Vitamin E Oil, Good'n Natural, 30000 IU, 2.5 oz. Kalyx: Vitamin E One Grand, Thompson Nutritional, 1000 IU, 30 Softgels TakeHerb: Vitamin E, Good'n Natural, 1000 IU, 100 Softgels TakeHerb: Vitamin E, D-Alpha Tocopherol Acetate, NOW Foods, 600 IU, 100 Softgels TakeHerb: Natural Dry Vitamin E, Country Life, 400 IU, 100 Tabs TakeHerb: Vitamin E, Dry, 100% Natural, TwinLab, 400 IU, 100 Caps TakeHerb: Vitamin E, D-Alpha Tocopherol, Source Naturals, 400 IU, 250 Softgels TakeHerb: Vitamin E, Mixed Alpha Tocopherol, Solgar, 400 IU, 100 Softgels TakeHerb: Vitamin E, Natural With Mixed Tocopherols, Enzymatic Therapy, 400 IU, 100 Softgels TakeHerb: Vitamin E, D-Alpha Tocopherol, Source Naturals, 200 IU, 250 Softgels TakeHerb: Vitamin E, Mixed Tocopherols, Solgar, 200 IU, 250 Softgels TakeHerb: Vitamin E, Dry Alpha Tocopherol, Solgar, 200 IU, 100 VCaps TakeHerb: Vitamin E, D-Alpha Tocopherol Acetate, Natural, 21st Century, 200 IU, 110 Softgels TakeHerb: Vitamin E, Mixed Tocopherols, Solgar, 100 IU, 250 Softgels
Helpful
Calcium	1,500 mg daily.	Important for pH balance.
Gold Crown Natural Products: Liquid Calcium with Vitamin D, 1200 mg / 400 IU, 60 Softgels Kalyx: Calcium With Vitamin D, TwinLab, 1000 mg / 400 IU, 120 Tabs Kalyx: Calcium Citrate Powder, Frontier Natural, 1 lb. Kalyx: Calcium Complex, Calcium & Magnesium, All One, 1000 mg / 500 mg, 8.5 oz. HerbsPro: Calcium Plus Liquid, French Vanilla, Buried Treasure Products, 16 fl. oz. HerbsPro: Calcium Plus Liquid, Blueberry, Buried Treasure Products, 16 fl. oz. HerbsPro: Calcium with Magnesium Chewable Wafers, Vanilla / Orange, Country Life, 1000 mg / 500 mg, 120 Wafers HerbsPro: Calcium Magnesium Complex Powder, All-One Nutri-Tech, 1000 mg / 500 mg, 8.5 oz. HerbsPro: Calcium Magnesium Liquid, Mint Flavor, Enzymatic Therapy, 16 oz. HerbsPro: Yummi Bears Vegetarian Calcium With Vitamin D, Hero Nutritional Products, 90 Bears HerbsPro: Calcium Soft Chews, Chocolate, Nutrition Now, 500 mg, 75 Chews HerbsPro: Calcium Soft Chews, Fruit Flavor, Nutrition Now, 500 mg, 75 Chews HerbsPro: Just An Ounce Liquid Calcium & Magnesium, Almond Flavor, Trimedica, 16 oz. HerbsPro: Calm Plus Calcium, Raspberry-Lemon, Peter Gillhams Natural Vitality, 8 oz. TakeHerb: Bone Strength Take Care, New Chapter, 120 Tabs TakeHerb: Liquid Coral Calcium Complex, Natural Calcium, Dynamic Health Labs, 32 fl. oz. TakeHerb: Osteo Rx, Bone Health & Density, Hi-Tech Pharmaceuticals, 120 Tabs TakeHerb: Calcium, Liquid Health, 32 fl. oz. TakeHerb: Calcium Citrate Chew, TwinLab, 1000 mg, 60 Wafers TakeHerb: Total Soy Calcium Shake, Vanilla, Naturade, 1000 mg, 17.3 oz. TakeHerb: Super Calcium-Magnesium With Vitamin D & Boron, Schiff, 1200 mg / 400 mg / 400 IU / 3 mg, 90 Softgels TakeHerb: Super Calcium With Vitamin D, Schiff, 1200 mg / 400 IU, 120 Softgels TakeHerb: Calcium Citrate With Magnesium, TwinLab, 300 mg / 150 mg, 250 Caps TakeHerb: Coral Calcium Complete Liquid, Buried Treasure, 32 fl. oz. TakeHerb: Coral Calcium Powder, Source Naturals, 8 oz.
Copper Complex	As directed on label.	Aids in protein metabolism and in many enzyme systems.
Kalyx: Copper Sebacate, Nutricology, 4 mg, 75 Caps HerbsPro: Copper Sebacate, Source Naturals, 22 mg, 120 Tabs HerbsPro: Copper Sebacate, Nutricology, 4 mg, 75 Caps House of Nutrition: Copper Complex, Natures Life, 100 Caps House of Nutrition: Copper, Solaray, 2 mg 100 Caps House of Nutrition: Pro-Copper, Ecological Formula, 4 mg, 60 Caps House of Nutrition: Chelated Copper, Carlson Lab, 5 mg, 100 Tabs TakeHerb: OptiZinc Plus Copper, NOW Foods, 30 mg / 300 mcg, 100 Caps TakeHerb: Copper, TwinLab, 2 mg, 100 Caps TakeHerb: Chelated Copper, Solgar, 2.5 mg, 100 Tabs TakeHerb: Copper Sebacate, Source Naturals, 22 mg, 120 Tabs
Maitake	1-4 g (1,000-4,000 mg) daily.	Maitake mushroom extract may help to normalize blood sugar levels.
Kalyx: Maitake Mushroom Extract, Health & Herbs, 2 fl. oz. Kalyx: Maitake Mushroom Extract, Health & Herbs, 8 fl. oz. Kalyx: Maitake, Freeze-Dried, Organic, Fungi Perfecti, 500 mg, 120 VCaps Chinese Herbs Direct: Maitake Full Spectrum, Planetary Formulas, 600 mg, 120 Tabs HerbsPro: Dry Maitake Pack, Maitake Mushroom Wisdom, 1 oz. HerbsPro: Maitake Extract Liquid, Hen of the Woods, Eclectic Institute, 1 oz. HerbsPro: Maitake Extract Liquid, Hen of the Woods, Eclectic Institute, 2 oz. HerbsPro: Maitake Bio-Beta-Glucan Extract, Alcohol Free, 2 fl. oz. HerbsPro: Full Spectrum Maitake Mushroom, Planetary Herbals, 600 mg, 60 Tabs HerbsPro: Full Spectrum Maitake Mushroom, Planetary Herbals, 600 mg, 120 Tabs House of Nutrition: Reishi Shiitake Maitake Mushroom Extract, Solgar, 50 Tabs Kalyx: Stamets 7 Mushroom Blend, Fungi Perfecti, 575 mg, 60 VCaps Kalyx: Stamets 7 Mushroom Blend Extract, Fungi Perfecti, 2 fl. oz. Kalyx: Mushroom Therapy (Trametes | Shiitake | Maitake | Reishi | Cordyceps), Rainbow Light, 60 VCaps
Multi-Enzyme Complex Plus Proteolytic Enzymes	As directed on label. Take with meals.	To aid digestion. Proper digestion is essential in management of diabetes.
Kalyx: Enzyme Probiotic Complex, American Health, 90 VCaps HerbsPro: Plant Enzymes, NOW Foods, 120 VCaps HerbsPro: Wellness Nutrition Digestive Enzymes, 120 Caps HerbsPro: Super Enzymes, NOW Foods, 180 Caps HerbsPro: Liquid-Gel Digestion Enzymes, Nature's Secret Irwin Naturals, 60 Softgels HerbsPro: All Complete Enzymes, TriMedica, 250 mg, 90 Caps HerbsPro: Essential Enzymes, Source Naturals, Vegetarian, 500 mg, 240 VCaps HerbsPro: Best Proteolytic Enzymes, Doctors Best, 90 VCaps House of Nutrition: Natural Factors Dr. Murray's Multi-Enzyme Vegetarian Formula, High Potency, 60 Caps House of Nutrition: Natural Factors Dr. Murray's Multi-Enzyme Vegetarian Formula, High Potency, 120 Caps TakeHerb: Bio Gestin Digestive Enzymes, Biotech Foods, 200 Caps TakeHerb: Broad Spectrum Enzyme Active, Natural Food Enzymes, Nature's Way, 90 Caps TakeHerb: Trevinol, Landis Revin Nutraceuticals, All Natural Systemic Enzymes, 90 Count TakeHerb: RejuvenZyme, Whole Body Systemic Enzymes, Source Naturals, 180 Caps
Pantethine	As directed on label.	A form of pantothenic acid that reduces LDL cholesterol and helps prevent buildup in the arteries.
Kalyx: Pantethine, Nutricology, 330 mg, 60 Caps HerbsPro: Pantethine, Now Foods, 300 mg, 60 Softgels HerbsPro: Pantethine (Pantothenic Acid; Vitamin B-5), Source Naturals, 300 mg, 90 Tabs HerbsPro: Pantethine, Jarrow Formulas, 450 mg, 60 Softgels HerbsPro: Pantethine (Pantesin), Nutricology, 330 mg (600 mg), 60 VCaps HerbsPro: Pantethine, Now Foods, 600 mg, 60 Softgels HerbsPro: Pantethine Co B-5 Sublingual, Coenzyme B-5 Precursor, Source Naturals, 25 mg, 60 Tabs House of Nutrition: Pantethine, Pure Encap, 250 mg, 60 VCaps House of Nutrition: Pantethine (Vitamin B-5; Pantothenic Acid), Cardiovasular, 165 mg (300 mg; 135 mg), 60 Tabs House of Nutrition: Pantethine, Douglas Labs, 500 mg, 50 Tabs
Pycnogenol Or Grape Seed Extract	As directed on label. As directed on label.	Contains powerful antioxidants that also enhance the activity of vitamin C and strengthens connective tissue, including that of the cardiovascular system.
PYCNOGENOL PRODUCTS HerbsPro: Pycnogenol (Proanthocyanidin Complex), Source Naturals, 25 mg, 60 Tabs HerbsPro: Pycnogenol, Now Foods, 30 mg, 60 Caps HerbsPro: Pycnogenol, TwinLab, 50 mg, 60 Caps HerbsPro: Pycnogenol, Now Foods, 60 mg, 50 VCaps HerbsPro: Pycnogenol (Proanthocyanidin Complex Antioxidant Support), Source Naturals, 75 mg, 60 Tabs HerbsPro: Pycnogenol (Proanthocyanidin Complex), Source Naturals, 100 mg, 60 Tabs HerbsPro: Pycnogenol Complex (Proanthocyanidin & Vitamin C Antioxidants), Source Naturals, 60 Tabs TakeHerb: Pycnogenol Complex, Source Naturals, 120 Tabs TakeHerb: Pycnogenol, Source Naturals, 100 mg, 30 Tabs TakeHerb: Pycnogenol, Country Life, 100 mg, 30 VCaps TakeHerb: Pycnogenol, Source Naturals, 75 mg, 60 Tabs TakeHerb: Pycnogenol, NOW Foods, 60 mg, 50 VCaps TakeHerb: Pycnogenol, Good'n Natural, 60 mg, 30 Caps TakeHerb: Pycnogenol, Nature's Way, 50 mg, 30 Tabs TakeHerb: Pycnogenol, FoodScience of Vermont, 50 mg, 60 Caps TakeHerb: Pycnogenol, Schiff, 50 mg, 30 Caps TakeHerb: Pycnogenol, Good'n Natural, 30 mg, 30 Caps TakeHerb: Pycnogenol, Source Naturals, 25 mg, 120 Tabs GRAPESEED OIL PRODUCTS HerbsPro: Grapeseed, FoodScience of Vermont, 50 mg, 60 Caps HerbsPro: Grapeseed, FoodScience of Vermont, 100 mg, 60 Caps HerbsPro: Grapeseed Extract (Proanthodyn), Source Naturals, 200 mg, 60 Caps HerbsPro: Grapeseed Oil, Heritage Products, 16 fl. oz. TakeHerb: Grapeseed Extract, Good'n Natural, 100 mg, 50 Caps TakeHerb: Grapeseed, FoodScience of Vermont, 50 mg, 60 Caps TakeHerb: Grapeseed 95%, Starwest Botanicals, 500 Caps TakeHerb: Grapeseed Oil, Heritage Products, 16 oz. TakeHerb: Grapeseed Oil, Starwest Botanicals, 16 oz.
Spirulina Or Spiru-tein from Nature's Plus	As directed on label. Take between meals.	To supply protein, needed to build and repair tissue. Also acts as an appetite stimulant.
SPIRULINA PRODUCTS HerbsPro: Spirulina, Earthrise, 500 mg, 360 Tabs HerbsPro: Spirulina Pacifica, Nutrex, 500 mg, 400 Tabs HerbsPro: Spirulina, Earthrise, 600 mg, 150 Caps HerbsPro: Spirulina Powder, Earthrise, 6.3 oz. HerbsPro: Spirulina Natural Powder, Earthrise, 16 oz. HerbsPro: Hawaiian Spirulina Pacifica Powder, Nutrex, 5 lbs. SPIRUTEIN PROTEIN PRODUCTS House of Nutrition: Nature's Plus Spirutein Whey Vanilla Lo-Carb, 1.05 lb. House of Nutrition: Nature's Plus Spirutein Whey Vanilla Shake 1.05 lb. House of Nutrition: Nature's Plus Spirutein Whey Strawberry Lo-Carb, 1.08 lb. House of Nutrition: Nature's Plus Spirutein Whey Strawberry Shake, 1 lb. House of Nutrition: Nature's Plus Spirutein Whey Chocolate Lo-Carb, 1 lb. House of Nutrition: Nature's Plus Spirutein Whey Chocolate, 1 lb. House of Nutrition: Nature's Plus Spirutein Whey Cookies & Cream, 1.05 lb. House of Nutrition: Nature's Plus Spirutein Whey Raspberry Royale, 1.05 lb. House of Nutrition: Nature's Plus Spirutein Whey Cherries Jubilee, 1.05 lb. House of Nutrition: Nature's Plus Spirutein Chai Latte Shake, 1.1 lb. House of Nutrition: Nature's Plus Spirutein Cookie Dough, 1.12 lb. House of Nutrition: Nature's Plus Spirutein Egg Nog, 1 lb. House of Nutrition: Nature's Plus Spirutein S'mores Shake, 1 lb. House of Nutrition: Nature's Plus Spirutein Exotic Red Fruit, 1.1 lb. House of Nutrition: Nature's Plus Spirutein Pina Colada Powder, 1.2 lb. House of Nutrition: Nature's Plus Spirutein Black Cherry Chocolate, 1.12 lb. House of Nutrition: Nature's Plus Spirutein Cappuccino Shake, 1.1 lb. House of Nutrition: Nature's Plus Spirutein Tropical Fruit Shake, 1.2 lb. House of Nutrition: Nature's Plus Spirutein Tangerine, 1.16 lb. House of Nutrition: Nature's Plus Spirutein Blueberries & Creme Shake, 1.2 lb. House of Nutrition: Nature's Plus Spirutein Choc Shake, 1.05 lb. House of Nutrition: Nature's Plus Spirutein Cookies & Cream Shake, 1.2 lb. House of Nutrition: Nature's Plus Spirutein Strawberry Shortcake, 1 lb. House of Nutrition: Nature's Plus Spirutein Cherries Jubilee Shake, 1 lb. House of Nutrition: Nature's Plus Spirutein Banana Shake, 1.2 lb. House of Nutrition: Nature's Plus Spirutein Peaches & Cream Shake, 1.1 lb. House of Nutrition: Nature's Plus Spirutein Strawberry Banana, 1.12 lb.

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DIABETES SUPPLEMENTAL PRODUCTS

Information, products and supplements for diabetes, a disease of the pancreas related to the release of insulin into the blood stream. Consult with your health care provider or midwife before taking any nutritional supplement or changing your dietary/medicational plan. Please note that some of these products may not be recommended for use during pregnancy. Be sure to read product descriptions carefully before using.

ALFALFA PRODUCTS Alfalfa's (Medicago sativa) deep root system pulls valuable minerals from the soil. With the aid of sunlight, nutrients including beta carotene and chlorophyll are made available to the body in a usable form. Alfalfa is one of the best natural sources of vitamin K and a rich source of vitamins A, B Complex, C, D, and E, biotin, carotenes, calcium, phosphorus, choline, inositol, PABA, actacosonal, trace minerals including iron, potassium, magnesium, phosphorus, sodium, chlorophyll, and many other nutrients. Alfalfa is an excellent tonic for the whole body and it may help build iron levels in blood. It contains natural fluoride that may help rebuild tooth decay and strengthen tooth enamel. It is a good infection fighter and may help cleanse the body of toxins. Alfalfa contains 8 digestive enzymes, thereby aiding the digestion of protein, fat, and carbohydrates. The resultant improved assimilation is helpful for gastritis, indigestion, morning sickeness, and nausea. Alfalfa tea is an appetite stimulator. Vitamin K helps blood to clot by moving calcium into proteins that form a microscopic net to capture red blood cells. Vitamin K likewise helps bones to knit by working with vitamin D and glutamic acid to activate osteocalcin. The combination of these three nutrients is essential to building good bone. Your body can not use calcium without it. Alfalfa not only helps keep calcium in bones, it helps keep calcium out of the linings of arteries. Good for the pituitary gland and to help the quantity and quality of mother’s milk. Alfalfa is used with homeopathic remedy Lactuca Virosa to stimulate milk production in breastfeeding mothers. It can also be used with blessed thistle, fenugreek, and/or marshmallow for this purpose. Mountain Rose Herbs: Alfalfa Leaf, Powder & Sprouting Seed, Certified Organic, 4 oz. to 1 lb. Bulk Herbs Kalyx: Alfalfa, Thompson Nutritional, 500 mg, 180 Tabs Kalyx: Alfalfa Sprouting Seed, Certified Organic, Starwest Botanicals, 4 oz. Kalyx: Alfalfa Mint Herbal Tea Blend, Certified Organic, Starwest Botanicals, 1 lb. Kalyx: Alfalfa Leaf, Cut & Sifted, Certified Organic, Frontier Herbs, 1 lb. Kalyx: Alfalfa Juice Extract Powder, 50% Protein, Starwest Botanicals, 1 lb. HerbsPro: Alfalfa Leaf, Organic, Cut & Sifted, Starwest Botanicals, 1 lb. HerbsPro: Alfalfa Leaf Powder, Organic, Starwest Botanicals, 1 lb. HerbsPro: Alfalfa Leaf Tea, Alvita Teas, 30 Bags HerbsPro: Alfalco Alfalfa Tonic, Boericke & Tafel, 8 fl oz. HerbsPro: Alfalfa, Organic, Natures Answer, Alcohol Free, 1 fl. oz. HerbsPro: Alfalfa Extract, Eclectic Institute, 2 fl. oz. HerbsPro: Alfalfa Extract, Herb Pharm, 4 fl. oz. TakeHerb: Alfafa, Single Herb, Dr. Christophers Original Formulas, 100 Caps TakeHerb: Alfalfa Herb, NOW Foods, 10 Grain, 250 Tabs TakeHerb: Alfalfa Powder, NOW Foods, 1 lb

STEVIA PRODUCTS Stevia Sweetener an all natural, no calories, no carbs, no bitter aftertaste, with endless uses sweetener. HerbsPro: Stevia Balance Packets, Now Foods, 100 Packets / Box HerbsPro: Stevia Glycerite, Now Foods, 8 fl. oz. HerbsPro: Stevia Instant Tabs, Now Foods, 200 Tabs HerbsPro: Stevia Spoonable, Stevita, 16 oz. HerbsPro: Stevia Tea, Wisdom Herbs, 20 Bags

ALOE VERA PRODUCTS The magnificent Aloe plant, that is designed to be self-sufficient & thrive in the desert, feeds us in unique ways with its 250+ naturally occurring constituents including: enzymes, amino acids, essential fatty acids, vitamins, minerals, glycoproteins, sterols, growth factors, & all sizes of uniquely complex Aloe polysaccharides and mannans. Mountain Rose Herbs: Aloe Vera Leaf & Powder, Organic Bulk Herbs Mountain Rose Herbs: Aloe Vera Gel, Organic Bulk Herbs, 8 oz to 5 gallon sizes Kalyx: Aloe Vera Gel (Aloe Barbadensis Officinalis), Nature's Herbs, 50 Softgels Kalyx: Aloe Vera Gel, Starwest Botanicals, 16 fl. oz. Kalyx: Aloe Vera Juice, Preservative Free, Organic, Lily of the Desert, 16 fl. oz. Kalyx: Aloe Vera Juice, Preservative Free, Organic, Lily of the Desert, 32 fl. oz. Kalyx: Aloe Vera Juice, Preservative Free, Organic, Lily of the Desert, 1 gallon HerbsPro: Organic Aloe Vera Juice, Orange-Mango Flavor, Dynamic Health, 32 oz. HerbsPro: Organic Aloe Vera Juice, Cranberry Flavor, Dynamic Health, 32 oz. TakeHerb: Aloe Vera Gel & Juice, Wild Berry Flavor, Nature's Way, 1 Liter TakeHerb: Aloe Vera Concentrated Gel, NOW Foods, 4 oz. TakeHerb: Aloe Vera, NOW Foods, 5000 mg, 100 Softgels TakeHerb: Aloe Vera Gel, Nature's Herbs, 50 Softgels TakeHerb: Aloe Farms Aloe Vera Gel, Organic, NOW Foods, 32 oz.

ALPHA LIPOIC ACID PRODUCTS Alpha Lipoic Acid is central to recycling other antioxidants like Vitamin E, Vitamin C, and GSH glutathione. By "sparing" their destruction, Alpha Lipoate extends their antioxidant power. Being both water and fat soluble, lipoic acid is the "universal" antioxidant that can easily function in both cellular membranes and fluid media within and outside the cell. Kalyx: Alpha Lipoic Acid, 50 mg, 90 Tabs Kalyx: Alpha Lipoic Acid, 100 mg, 100 Caps Kalyx: Alpha Lipoic Acid, 250 mg, 60 Caps Kalyx: Alpha Lipoic Acid, 300 mg, 50 Caps Kalyx: Alpha Lipoic Acid, 600 mg, Double Strength, 30 Caps Kalyx: Alpha Lipoic Acid, AlphaBetic (For Diabetics), 30 Caps HerbsPro: Alpha Lipoic Acid, Timed Release, Source Naturals, 300 mg, 30 Tabs HerbsPro: Alpha Lipoic Acid, Timed Release, Source Naturals, 300 mg, 60 Tabs HerbsPro: Alpha Lipoic Acid, Timed Release, 300 mg, 120 Tabs HerbsPro: Alpha Lipoic Acid, Easy Solve, Lipid & Water Soluble Thiol, Jarrow Formulas, 100 mg, 60 Tabs HerbsPro: Alpha Lipoic Acid, Easy Solve, Lipid & Water Soluble Thiol, Jarrow Formulas, 100 mg, 180 Tabs TakeHerb: Alpha Betic Alpha Lipoic Acid, Enzymatic Therapy, 60 Caps TakeHerb: Alpha Lipoic Acid, Source Naturals, 200 mg, 60 Tabs TakeHerb: Alpha Lipoic Acid, Good'n Natural, 300 mg, 120 Softgels TakeHerb: Alpha Lipoic Acid, Solgar, 600 mg, 50 Tabs TakeHerb: Alpha Lipoic Acid, Good'n Natural, 600 mg, 60 Caps

SIBERIAN ELEUTHERO GINSENG PRODUCTS Ginseng is considered to be the King of all Tonics; as it provides stimulation to the entire body for stress, fatigue, weakness, and deficiencies. It stimulates and improves the brain cells and is especially stimulating for mental fatigue. Siberian Ginseng Root improves physical an mental vitality. It is an adaptogenic herb, which helps the body to adapt to daily stress. It is an ideal supplement for those leading a demanding and hectic lifestyle. Siberian Eleuthero Ginseng helps bronchial disorders and boosts energy. Caution: Do not use this herb if you have hypoglycemia, high blood pressure, or a heart disorder. Siberian Ginseng strengthens the adrenal and reproductive glands. It enhances immune function, helps prevent infection, promotes lung functioning and stimulates the appetite. It useful for bronchitis, circulatory problems, diabetes, infertility, lack of energy, and stress. There is some evidence that it can help ease withdrawal from cocaine, and help improve drug or alcohol induced liver dysfunction in older adults. Siberian Ginseng protects the body against the effects of radiation exposure. It is used by athletes for overall body strengthening. Siberian Ginseng is most effective in the treatment of prolonged exhaustion and debility, resulting from overwork and long-term stress. As a decoction take 35 ml of Siberian Ginseng 2 times a day for use as a general tonic. To take in tincture form, use 1/2 teaspoon with water 3 times a day. For other forms, read follow product label directions. PANAX GINSENG Mountain Rose Herbs: Ginseng Root (Panax), Organic Bulk Herbs HerbsPro: Panax Ginseng Tea, Alvita Teas, 24 Bags HerbsPro: Panax Ginseng, Enzymatic Therapy, 50 mg, 60 Tabs HerbsPro: Panax Ginseng, Source Naturals, 10 Grain, 648 mg, 50 Tabs HerbsPro: Panax Ginseng Extract, Chinese Imports, 1.76 fl. oz. ELETHERO ROOT Mountain Rose Herbs: Eleuthero Root, Organic Bulk Herbs Kalyx: Eleuthero Root Powder (Eleutherococcus senticosus; Siberian Ginseng), Certified Organic, Frontier Chinese Herbs, 1 lb Kalyx: Eleuthero Root (Eleutherococcus senticosus; Siberian Ginseng), Cut & Sifted, Certified Organic, Frontier Chinese Herbs, 1 lb Kalyx: Eleuthero Root Extract, Starwest Botanicals, Certified Organic, 1 fl. oz. Kalyx: Eleuthero Root Extract, Health & Herbs, 2 fl. oz. Kalyx: Eleuthero Root Extract, Starwest Botanicals, Certified Organic, 4 fl. oz. Kalyx: Eleuthero Root Extract, Health & Herbs, 8 fl. oz. TakeHerb: Siberian Eleuthero Tea, Sun Chlorella Products, 25 Tea Bags TakeHerb: Eleuthero Vascutone Herb Tea, Health King, 20 Tea Bags TakeHerb: Siberian Eleuthero, Imperial Ginseng, 2500 mg, 100 Caps TakeHerb: Eleuthero, NOW Foods, 500 mg, 250 Caps TakeHerb: Eleuthero Root, Starwest Botanicals, 470 mg, 100 Caps TakeHerb: Eleuthero Root, Starwest Botanicals, 470 mg, 500 Caps TakeHerb: Siberian Eleuthero Regular, Sun Chlorella Products, 300 Tabs TakeHerb: Siberian Eleuthero, Nature's Way, 235 mg Root & 250 mg Extract, 180 Caps TakeHerb: Eleuthero Root, Organic Cut & Sifted, Starwest Botanicals, 1 lb TakeHerb: Eleuthero Root Powder, Organic, Starwest Botanicals, 1 lb TakeHerb: Siberian Eleuthero Root Extract, Nature's Answers, Alcohol-Free, 2 fl. oz. TakeHerb: Eleuthero Root Extract, Gaia Herbs, 2 fl. oz. TakeHerb: Eleuthero Root Extract, Gaia Herbs, 4 fl. oz. HerbsPro: Siberian Eleuthero, Imperial Elixir - Ginseng Company, 10 ml Extract Vials, 30 Count

APPETITE SUPPRESSANT PRODUCTS HerbsPro: 1-EZ Diet Appetite Suppressant, Maximum International, 60 Caps An all natural breakthrough dietary formula that reduces hunger without unwanted side effects, and addresses the underlying causes of hunger. Appetite Suppressant contains reputable herbs and proven special extracts shown to stabilize blood sugar, enhance metabolic processes (to utilize foods more effectively), and gently stimulate energy levels. HerbsPro: Appetite Suppressant, Natural Care, 60 Caps Appetite Suppressant is a safe homeopathic appetite suppressant that helps curb appetite, lessen sweet cravings, relieve hunger pains and help metabolize fat without caffeine or stimulants. A safe, maximum-strength, natural homeopathic therapy to help curb the appetite, control ravenous hunger, excessive desire for sweets, and hanger pains. An aid for effective appetite control to assist weight reduction.

ASTRAGALUS ROOT SUPPLEMENT PRODUCTS Astragalus root is used to stimulate the immune system and astragalus root improves adrenal gland function and digestion. Astragalus root is considered to have a normalizing effect on the body's functions. Astragalus is an important herb in Chinese medicine and is commonly included in Chinese cuisine. Early Chinese writings refer to Astragalus as The Superior Tonic. Astragalus contains polysaccharides, flavonoid, saponins, choline, betaine, folic acid, amino acids, vitamins, and 14 minerals: selenium, zinc, iron, etc. As an adaptogen, it helps the body regain balance and is the most popular herb in Chinese medicine for its tonifying, diuretic, cardiotonic, vasodilating and other useful qualities, to help maintain normal functions of the liver, lung, kidney, stomach and heart, to boost energy, defer aging, detoxify, etc., to bolster white blood cells growth, support the immune systems, and to promote the effect of other herbs, and help reduce side effect of chemotherapy and radiation. HerbsPro: Astragalus Immunity Tea, Health King, 20 Bags HerbsPro: Astragalus, Dr. Christophers Formulas, 100 VCaps HerbsPro: Astragalus (70 Percent Extract), Now Foods, 500 mg, 90 VCaps HerbsPro: Full Spectrum Astragalus Extract, Planetary Herbals, Immune Support, 500 mg, 120 Tabs House of Nutrition: Astragalus Root Extract, Alcohol-Free, Gaia Herb, 4 oz. House of Nutrition: Astragalus Root Extract, BlueBonnet, 400 mg, 120 VCaps House of Nutrition: Astragalus Root, Nature's Way, 470 mg, 180 VCaps TakeHerb: Full Spectrum Astragalus Extract, Planetary Herbals, 500 mg, 120 Tabs TakeHerb: Full Spectrum Astragalus Extract Liquid, Planetary Herbals, 2 oz.

BASIL ESSENTIAL OIL PRODUCTS Basil, along with lotus, is revered as a sacred plant in India and has a warm, spicy aroma that is refreshing, uplifting, purifying and energizing. Essential oil is 100% pure. For aromatherapy use. For all other uses, carefully dilute with a carrier oil such as jojoba, grapeseed, olive, or almond oil prior to use. Please consult an essential oil book or other professional reference source for suggested dilution ratios. See MoonDragon's Aromatherapy Information. HerbsPro: Basil Oil, Now Foods, 1 fl. oz. HerbsPro: Basil (Ocimum basilcum) Essential Oil, Aura Cacia, 0.5 fl. oz. HerbsPro: Basil Pure Essential Oil, Natures Alchemy, 0.5 fl. oz.

BEAN POD PRODUCTS Bean Pod contains amino acids and enzymes. It gradually aids the pancreas to produce insulin. Beanpod Tea is an all natural, mild and pleasant tasting tea which is very beneficial for diabetics. This tea is a natural detox tea that detoxifies the pancreas and other related organs. Bean pod Tea is comprised of a combination of the pods of kidney, white, navy, great northern and baby lima beans. Beanpod Tea contains the following amino acids: tyrosine, trytophan, arginine plus the B vitamin choline and the enzyme betaine. The aim of Bean pod Tea is to enable the pancreas to produce its own insulin and to bring blood sugar levels to an acceptable range: somewhere between 110-140 without additional medication. Very often although blood sugar has not yet reached an acceptable level, nevertheless, the body experiences positive changes. Many people may be able to replace their insulin or medications with all natural Beanpod Tea. Many individuals feel relief from their diabetic symptoms (for example, excessive thirst, dry mouth, frequent urination, headaches, etc.). A diabetic taking insulin or other medication is not being cured; he is only being aided in the digestion of starches and sugars that the individual has just consumed. The problem with most diabetics is that the pancreas lies dormant because of all the sweets and toxins that a person consumes. Depending on the severity of each individual case, this tea will locate the sugars and toxins in the blood and organs and flush them out. Realizing that the blood and organs are cleansed, the pancreas will start functioning once again to produce its own insulin. Patience is the key word in the usage of this tea. Most people will not experience instant relief with the usage of this tea. Diabetics must take the Bean pod Tea on a regular basis for approximately three months in order to normalize their blood sugar levels. Really difficult cases will probably need more time to see results. For Tea - Place one heaping tablespoon of tea leaves in 12 oz. of boiling water. Cook for 5 minutes on medium flame in covered pot. Turn off fire and allow to steep for an additional 10 minutes. It is preferable for the tea to be boiled at night and left overnight in pot. Strain liquid and divide into three equal parts. (The strained liquid equal a full cup.) Drink one part approximately 15 minutes before each meal. The tea can be used either hot, cold or at room temperature. Beanpod tea should be used within 30 hours of preparation. Dosage: Juvenile diabetics, age 6-12 should take half the recommended adult dosage. Those ages 12-16 should takes 3/4 of the recommended adult dosage. For Tincture Extract - Use 6-12 drops in juice, water, under the tongue or as desired. May be taken 3 times daily. Shake well. Store in cool dark place. Keep out of reach of children. WARNING: Do not take if you have kidney stones, hypoglycemia, or if you are pregnant. TakeHerb: Large Beanpod Tea, Bean Pod, 2.3 oz. TakeHerb: Bean Pod Extract, Health Herbs, 2 fl. oz.

BHUMY AMALAKI PRODUCTS Bhumy Amalaki is employed for numerous conditions including blennorrhagia, colic, diabetes, dysentery, fever, flu, abnormal cell growths, jaundice, vaginitis, and dyspepsia. It is of little wonder that Chanca Piedra is used for so many things since the plant has proven antihepatotoxic, antispasmodic, antiviral, antibacterial, diuretic, febrifugal and hypoglycemic activities. It is also considered anodyne, apertif, carminative, digestive, emmenagogue, laxative, stomachic, tonic and vermifuge based on its long documented history of uses. Ayurvedic Herbs Direct: Bhumy Amalaki, Vadik, 100 Count TakeHerb: Bhumy Amalaki Herb Powder (Phyllanthus niruri), Wildcrafted, Bazaar of India, 1 lb. TakeHerb: Bhumy Amalaki (Phyllanthus niruri), Bazaar of India, 100 VCaps TakeHerb: Bhumy Amalaki, Organic, Banyan Botanicals, 1 lb.

BLACK SEED WITH BITTER MELON PRODUCTS Black Seed Capsules with Bitter Melon is a high potency diabetic supplement. Natural diabetic support formula made with Black Seed and high potency GlyMoridica brand bittermelon. For centuries Black Seed (Black Cumin) has been used by millions of people around the world to promote health and general well-being. Also known as "the Blessed Seed," it has been traditionally used for a variety of conditions and treatments related to respiratory health, stomach and intestinal health, kidney and liver support, circulatory and immune system support, and to promote general health. Bitter Melon is known as Karela, Momordica Charantia, and Cerasee in various parts of the world. Promotes healthy blood sugar levels. Supports healthy pancreas. Use as part of a healthy diet to help maintain healthy blood sugar levels. TakeHerb: Black Seed With Bitter Melon, Theramune Nutritionals, 250 mg / 250 mg, 100 Caps

BLOOD SUGAR MANAGMENT PRODUCTS Blood Sugar management products to balance and manage blood sugar problems. TakeHerb: Blood Sugar Manager, Enzymatic Therapy, 60 Tabs Blood Sugar Manager™ supports healthy blood sugar metabolism by enhancing the ability of cells to accept and convert glucose more efficiently. TakeHerb: Full Spectrum Fenugreek, Planetary Herbals, 600 mg, 60 Tabs To promote optimal wellness through healthy sugar metabolism and support healthy glucose levels, Planetary Herbals created Full Spectrum Fenugreek, a traditional fenugreek seed powder combined with fenugreek extract rich in galactomannan fibers and 4-hydroxyisoleucine. These ingredients have been shown in research to support healthy glucose levels. As a complement to your diet, it’s an excellent strategy to improve blood sugar levels, and consequently, quality of life. TakeHerb: Karela (Momordica charantia), Bazaar of India, 450 mg, 100 VCaps Momordica charantia is a member of the Cucurbitaceae (gourd) family, and a relative of squash, watermelon, muskmelon, and cucumber Known as the 'Sugar Destroyer', this herb is historically given in cases of Diabetes and related conditions for blood-sugar control. Used as a tea, decoction or food additive. The vegetable karela or bitter gourd or hairy mordica helps to lower blood glucose levels. British researchers have given this plant and alternative name plant insulin. They have found that eating karela over long periods significantly lowers sugar levels in the blood and urine. TakeHerb: Karela Fruit Powder (Momordica charantia), Wildcrafted, Bazaar of India, 1 lb. 'The effect of Karela (Momordica charantia), a fruit indigenous to South America and Asia, on glucose and insulin concentrations was studied in nine non-insulin-dependent diabetics and six non-diabetic rats. These results show that karela improves glucose tolerance in diabetes. TakeHerb: Banaba Leaf, Paradise Herbs, 60 VCaps Banaba leaf extract has actions in stimulating glucose transport into cells and can help maitain healthy blood sugar levels. For some people, fluctuations in blood sugar are related to appetite hunger and various food cravings for carbohydrates such as breads and sweets. Banaba leaf may be a healthy way to support a leaner and more slender body through appetite and sugar control. TakeHerb: SUGO Body Balancer, Regulate Blood Sugar Levels, Newayceutical, 60 Caps Sugo is made from 11 natural herbal extract and antioxidant. It is the most comprehensive natural product available to provide nutritional supplement for efficient blood sugar metabolism. Sugo is not a diabetic medication or a drug. It is a unique nutritional product that promotes and encourages the body's natural mechanisms to balance blood sugar levels. TakeHerb: Pancreatic Support Tincture, Natures Inventory, 2 fl. oz. Pancreatic Support - The pancreas is a very important organ which is often overlooked and highly misunderstood. Clearly, restoring optimal pancreatic function is key to the treatment of many health issues and central to the holistic approach of Integrated Medicine Pancreatic Support contains essential oil of Basil, Vetiver, and Cypress all support the pancreas and help it to normalize it’s function. TakeHerb: Glucozene Rx, Hi-Tech Pharmaceuticals, 90 Caplets Glucozene-Rx is a Hi-Tech Healthcare, Fat Loss & Energy Enhancement, and Muscle & Strength supplement that serves as a remarkable insulin-assist agent. Glucozene-Rx incorporates within its arsenal of sugar weapons many potent insulin mimickers, potentiators, sensitizing agents, and also glucose transport agents to help facilitate insulin's role in glucose metabolism. For bodybuilders, athletes, and anyone trying to build muscle, Glucozene-Rx helps ignite the muscle-building, anabolic power of insulin by unleashing its nutraceutical compounds to make insulin receptors more sensitive to the effects of insulin. Glucozene-Rx contains Lagerstroemia speciosa L., which serves as an excellent glucose transport stimulator through its use of chlorogenic acid (CGA) and corosolic acid. CGA inhibits the glucose-6-phosphatase enzyme and results in a decrease in intestinal absorption of glucose. Glucozene-Rx also contains chromium, vanadyl sulfate, D-ribose, guggulsterones, green tea (EGCG), and several other key compounds that team up to enhance insulin action by decreasing insulin resistance and also by supporting cellular energy production. TakeHerb: Blood Sugar Balance, Natures Inventory, 2 fl. oz. This oil was designed to lower your blood sugar naturally. Clinical studies have proven that cinnamon, lemon, and cypress all lower blood sugar levels within minutes of exposure. Grapefruit Increases circulation, stimulates lymphatic system detoxification, regulates body weight with regular use. Many studies have been done on the medicinal properties of Cinnamon Essential Oil. These studies suggest that it is anti-inflammatory, anti-clotting, and anti-microbial. It has been shown to reduce blood sugar levels in people with Type 2 Diabetes. To use apply to wrist or bottoms of feet twice daily or as needed. TakeHerb: Mega Benfotiamine, Life Extension, 250 mg, 120 VCaps. One of the most deleterious effects of "normal" aging is impaired glucose metabolism. Failure to control excess sugar can trigger a cascade of ill health effects throughout the body. For example, patients with high blood sugar can suffer after-meal endothelial dysfunction, induced by a flood of glucose, fats, and abnormal proteins called advanced glycation end products entering the bloodstream. Benfotiamine, a fat-soluble form of vitamin B1 (thiamine), supports healthy blood sugar metabolism and acts through several mechanisms to block the biochemical pathways by which high blood sugar wreaks havoc throughout the body. In a study published in the journal Diabetes Care, scientists demonstrated for the first time that benfotiamine (1050 mg per day) effectively reduced postprandial endothelial dysfunction and oxidative stress normally seen in patients with high blood sugar who were fed a heat-processed meal with a high content of advanced glycation end products. Mega Benfotiamine can help maintain already-normal blood sugar levels and support the health of the nerves, kidneys, eyes, blood vessels, and heart. TakeHerb: Blood Sugar With Gymnema, Blood Sugar Balance, Natures Way, 90 Caps Contains GTF Chromium part of an important cofactor for insulin as well as other herbs and minerals used in support of healthy blood sugar levels. This formula represent the powerful synergy of current scientific research and traditional herbal medicine. TakeHerb: Doctors Choice For Glucose Regulation, Enzymatic Therapy, 90 Tabs This formula helps maintain healthy insulin and blood sugar levels that are already within the normal range. Perfectly suited for use with multiple vitamins and flax or fish oil supplements. HerbsPro: Diabetic Support, Liquid Health, 32 fl. oz. Diabetic Support contains minerals and Ayurvedic herbs to promote healthy blood sugar levels and support pancreas function. Diabetic Support also promotes proper immune function and healthy circulation.

SWEET CINNAMON PRODUCTS Experiments conducted by the USDA have shown that this - the variety we call True Cinnamon or Sweet Cinnamon (Cinnamomum verum) can lower blood sugar by mimicking insulin, activating insulin receptors and working with insulin in the cells to reduce blood sugar by up to percent. Just half a teaspoon of cinnamon a day has previously been shown to significantly reduce blood sugar levels, triglycerides, LDL (bad) cholesterol, and total cholesterol levels in people with type 2 diabetes. Mountain Rose Herbs: Sweet Cinnamon (Cinnamomum verum) & Powder, Certified Organic Bulk Herbs Kalyx: Sweet Cinnamon Powder, Herbal Extracts Plus, 1 lb HerbsPro: Cinnamon Bark (Cinnamomum verum), Now Foods, 600 mg, 240 Caps HerbsPro: Full Spectrum Cinnamon Extract, Planetary Herbals, 200 mg, 240 VCaps

CHLORELLA PRODUCTS Chlorella is a green single-celled microalgae that contains the highest concentrations of chlorophyll known. Chlorella also supplies high levels of Beta-Carotene, Mixed Carotenoids, Vitamin C, Iron and Protein. Green Algae Chlorella is helpful as a support for long-term debilitating systemic conditions which lower energy and resistance; such as diabetes, arthritis, high blood pressure, allergies, and infections. Kalyx: Chlorella Powder, Cracked Cell Wall, Taiwan, Certified Organic (Chlorella pyrenoidosa), 1 lb. Kalyx: Chlorella Powder, Cracked Cell Wall, Japan, Starwest Botanicals (Chlorella pyrenoidosa), 1 lb. HerbsPro: Chlorella Powder, Certified Organic, 100% Pure, Now Foods, 1 lb. HerbsPro: Chlorella, Pure Powder, Now Foods, 4 oz. HerbsPro: Chlorella Powder, Emerald Garden, Organic, Source Naturals, 3 oz. HerbsPro: Chlorella, Now Foods, 1000 mg, 120 Tabs HerbsPro: King Chlorella Immune Detox Chewables With Russian Choice Immune, Nutricology, 2000 mg / 50 mg, 600 Tabs HerbsPro: Chlorella, Emerald Garden, Organic, Source Naturals, 500 mg, 200 Tabs HerbsPro: Wakunaga Kyo-Chlorella, 120 Tabs TakeHerb: Chlorella Powder (China), Starwest Botanicals, 1 lb. TakeHerb: Chlorella Powder (Japan), Starwest Botanicals, 1 lb.

COMPLETIA DIABETIC PRODUCTS Nature's Way Completia Diabetic Supplement supports the nutritional needs of individuals with diabetes and the related blood support needed. Specially balanced nutritional supplement. Extra support with Alpha Lipoic Acid, Chromium, L-Carnitine, Quercetin Taurine and Vanadium. Plus an herbal blend of Fenugreek, Cinnamon and Neem. HerbsPro: Completia Diabetic, Diabetic Multivitamin & Mineral, Natures Way, 30 Tabs HerbsPro: Completia Diabetic, Diabetic Multivitamin & Mineral, Natures Way, 60 Tabs HerbsPro: Completia Diabetic, Diabetic Multivitamin & Mineral, Natures Way, 90 Tabs

DANDELION PRODUCTS Dandelion root is known as a blood purifier used for liver and kidney disorders. Dandelion root also contains nutritive salts to build up the blood. Dandelion leaves are commonly recommended as a food supplement for pregnant and post-menopausal women because of the numerous nutrients they contain. This plant produces a mild diuretic effect and reduces serum cholesterol levels. Dandelion root is used to improve appetite, minor digestive problems, and works as a milk laxative. Some modern naturopathic physicians believe that it can help detoxify the liver and gallbladder. Clinical trials have shown Dandelion to be effective in treating pneumonia, bronchitis and upper respiratory infections. It also helps with kidney function, pancreas, spleen, stomach, tinnitus, tonsillitis, osteoporosis, abscesses, anemia, boils, breast tumors, and cirrhosis of the liver, fluid retention, hepatitis, jaundice, rheumatism and warts. Dandelion may aid in prevention of age spots and works well in treating warts, fungus infections, and external and internal malignant growths. It is also used for treat skin problems such as acne, eczema, psoriasis, and arthritis conditions. This plant is used for ulcerations of the urinary passages, obstructions of the liver, gallbladder, and spleen. The roasted Dandelion root can even be used as a coffee substitute. The German Commission E suggests the Dandelion Leaf for loss of appetite and dyspepsia, such as feeling of fullness and flatulence. This info was published in August of 92. Dandelion comes in various forms and is an ingredient in many products. For use as a tonic, take 3-5 grams of the dried root or 5-10 ml of a tincture from the root, 3 times a day. For use as a diuretic or appetite stimulant take 4-10 grams of the dried Dandelion leaves in 1 cup boiling water and drink 3 times a day. For other formulations, read and follow product label directions. Mountain Rose Herbs: Dandelion, Organic Bulk Herbs Kalyx: Dandelion Leaf, Herbal Extracts Plus, 600 mg, 90 VCaps Kalyx: Dandelion Leaf, Herbal Extracts Plus, 600 mg, 360 VCaps Kalyx: Dandelion Root, Thompson Nutritional, 520 mg, 60 Caps Kalyx: Dandelion Root 4:1, Herbal Extracts Plus, 600 mg, 90 VCaps Kalyx: Dandelion Root, Nature's Answer, 1260 mg, 90 Caps Kalyx: Dandelion Root, Cut & Sifted, Certified Organic, Frontier Bulk Herbs, 1 lb. Kalyx: Dandelion Root Powder, Certified Organic, Frontier Bulk Herbs, 1 lb. Kalyx: Dandelion Root Extract, Certified Organic, Starwest Botanicals, 1 fl. oz. Kalyx: Dandelion Root Extract, Health & Herbs, 2 fl. oz. Kalyx: Dandelion Root Extract, Certified Organic, Starwest Botanicals, 4 fl. oz. Kalyx: Dandelion Root Extract, Health & Herbs, 8 fl. oz. HerbsPro: Dandelion Glycerite, Herb Pharm, 4 fl. oz. HerbsPro: Dandelion Root Tea, Alvita Teas, 30 Bags HerbsPro: Dandelion Root, Cut & Sifted, Organic, Starwest Botanicals, 1 lb. HerbsPro: Dandelion Root, Eclectic Institute, 400 mg, 90 Caps TakeHerb: Dandelion Root, Healthier Gall Bladder, Nature's Way, 1620 mg, 180 VCaps TakeHerb: Dandelion Root, NOW Foods, 500 mg, 100 Caps TakeHerb: Organic Roasted Dandelion Root Tea, Traditional Medicinals, 16 Bags TakeHerb: Dandelion Leaf Tea, Organic, Celebration Herbals, 24 Bags TakeHerb: Dandelion Root Extract, Alcohol Free, Nature's Answer, 1 oz.

DHEA PRODUCTS DHEA (Dehydroepiandrosterone) is the most abundant steroid in the blood stream produced mainly in the adrenal glands. DHEA is the biochemical building blocks for the synthesis of other hormones. DHEA may be used for immune system dysfunction, heart disease, diabetes, obesity, osteoporosis, arthritis, anti-aging and auto-immune diseases. Kalyx: DHEA, Nutricology, 10 mg, 60 Tabs Kalyx: DHEA, Nutricology, 15 mg, 60 Tabs Kalyx: DHEA, Nutricology, 25 mg, 60 Tabs Kalyx: DHEA, Schiff, 25 mg, 60 Tabs Kalyx: DHEA, Natrol, 25 mg, 90 Tabs Kalyx: DHEA, Natrol, 25 mg, 90 Tabs Kalyx: DHEA, Thompson Nutritional, 50 mg, 60 Caps Kalyx: DHEA, Natrol, 50 mg, 60 Tabs HerbsPro: DHEA, Natrol, 25 mg, 300 Tabs HerbsPro: 7-KETO DHEA Metabolite, Now Foods, 100 mg, 60 VCaps House of Nutrition: DHEA, Ultimate Nutrition, 100 mg, 100 Caps House of Nutrition: DHEA, Life Link, 200 mg, 50 Caps House of Nutrition: DHEA Sublingual, Douglas Labs, 25 mg, 120 Tabs

DIABETIC FOOT CARE PRODUCTS Diabetic foot care products for cleansing and moisturizing dry, calloused, sensitive skin. TakeHerb: DiabEase Foot Therapy Scrub, Masada Health & Beauty, 6 oz. An important step in total diabetic foot care, Diabease Foot Therapy Scrub is a gentle exfoliating scrub with antiseptic Tea Tree Oil and Vitamins C and K help to purify and soften feet, lifting away rough, dry, cracked skin. A regular exfoliation with this scrub will help prevent calluses and keep feet looking and feeling healthy. TakeHerb: DiabEase Foot Therapy Cream, Masada Health & Beauty, 6 oz. Diabetic Foot Therapy Cream hydrates and protects the feet with Dead Sea Minerals, deeply moisturizing Urea, and anti-bacterial Tea Tree. A nourishing vitamin complex of Vitamin A, C, E and K supports healthy revitalization. Wintergreen stimulates circulation and soothes the skin. As part of a total diabetic foot care regimen, this refreshing, deeply moisturizing foot cream softens the skin and helps protect the feet from dryness and cracking. Antibacterial Dead Sea Minerals stimulate circulation and soften the skin Vitamins A, C, E, and K help nourish and revitalize the skin Antioxidant Green Tea Extract helps protect feet from environmental stress Wintergreen naturally stimulates tired feet and relaxes tense muscles Clean, refreshing menthol aroma. TakeHerb: DiabetiDerm, Toenail & Foot Fungus, Antifungal Cream, Health Care Products, 1.5 oz. All DiabetiDerm creams contain the breakthrough ingredients, L-Arginine HCL, which plublished research shows can significantly increase blood flow and improve temperature in feet. Kills the fungus that causes fungal nails. Prevents fungus from growing on the skin and around the nails. Pediatrists often recommend using around nails daily to prevent recurrence.

GINKGO BILOBA PRODUCTS Ginkgo supports circulation to the brain as well as the extremities. This is achieved by maintaining healthy blood vessel tone and reducing blood viscosity. Additionally, the active compounds in Ginkgo biloba act as free radical scavenger and a proven antioxidant. An herbal supplement to support brain function. They support the utilization of oxygen and glucose, healthy circulation, activity, memory, and mood balance. Mountain Rose Herbs: Ginkgo, Organic Bulk Herbs Kalyx: Ginkgo IQ Tea, Certified Organic, Yogi Tea, 16 Tea Bags Kalyx: Ginkgo Biloba, FoodScience Labs, 60 mg, 90 Caps Kalyx: Ginkgo Biloba Extract, Thompson Nutritional, 60 mg, 60 Caps Kalyx: Ginkgo Biloba Extract Advanced Formula, 60 Caps Kalyx: Ginkgo Biloba, Herbal Extracts Plus, 25/6 Powder, 1 lb. HerbsPro: Ginkgo Biloba, Now Foods, 60 mg, 240 Caps HerbsPro: Ginkgo Biloba, Now Foods, 120 mg, 200 VCaps HerbsPro: Ginkgo Biloba, Eclectic Institute, 500 mg, 120 Caps HerbsPro: Ginkgo Biloba, Eclectic Institute, 750 mg, 100 Tabs HerbsPro: Ginkgo Extract, Alcohol Free, Natures Answer, 1 fl. oz. HerbsPro: Ginkgo Leaf Extract, Alcohol Free, Natures Answer, 2 fl. oz. HerbsPro: Ginkgo Biloba Extract, Eclectic Institute, 1 fl. oz. HerbsPro: Ginkgo Biloba Extract, Eclectic Institute, 2 fl. oz. HerbsPro: Ginkgo Extract, Herb Pharm, 4 fl. oz. House of Nutrition: Ginkgo Biloba Tea, Health King, 20 Tea Bags House of Nutrition: Ginkgo Standardized Extract, For Mental Function, Natures Way, 60 mg, 60 Caps House of Nutrition: Ginkgo Biloba, Wise Woman Herbal, 8 oz. TakeHerb: Ginkgo Biloba Leaf, Cut & Sifted, Starwest Botanicals, 1 lb.

GLUCOMANNAN PRODUCTS Glucomannan (Amorphophallus konjac fiber) is a 100% dietary fiber source obtained from the root of the konjac plant. Glucomannan is a calorie-free, natural plant fiber that removes fat from the colon wall and gently helps to cleanse the intestines and relieve constipation. It increases bulk in the stomach (and intestines) and gives dieters a feeling of fullness, which helps reduce the appetite and assist in weight loss programs. Glucomannan fiber may also be beneficial in lowering total cholesterol and regulating blood sugar levels. We need fiber in our diets every day for good health and Glucomannan supplements are an easy way to fulfill that need. Kalyx: Glucomannan, Herbal Extracts Plus, 600 mg, 90 VCaps Kalyx: Glucomannan Powder, Herbal Extracts Plus, 1 lb. HerbsPro: Glucomannan, Natures Way, 100 Caps HerbsPro: Glucomannan, Natures Way, 180 VCaps House of Nutrition: Glucomannan, Natures Way, 665 mg, 100 Caps House of Nutrition: Glucomannan, Nature Max, 2000 mg, 90 Caps House of Nutrition: Glucomannan, Pure Encap, 90 VCaps House of Nutrition: Glucomannan, Pure Encap, 180 VCaps TakeHerb: Glucomannan, Now Foods, 575 mg, 180 Caps TakeHerb: Glucomannan, Good'n Natural, Soluble Fiber Formula, 90 Caps TakeHerb: Glucomannan Powder (Amorphophallus species), Starwest Botanicals, 1 lb.

GLUCOMANNAN PRODUCTS Glucozene-RX Blood Sugar Supplement is a state-of-the-art herbal alternative that regulates glucose and sugar levels. TakeHerb: Glucozene RX, Provides Sugar Level Control, Hi-Tech Pharmaceuticals, 90 Caplets

GLYMORDICA BITTER MELON PRODUCTS Bitter melon is one of the few agents which has the potential to bolster a flagging pancreas. It has been recommended by the Department of Health of the Philippines as one of the best herbal medicines for it's ability to help with liver problems, Diabetes and HIV. It is an excellent natural remedy for the common cold. Mountain Rose Herbs: Bitter Melon, Organic Bulk Herbs. TakeHerb: GlyMordica Bitter Melon, Diabetes Support, Theramune Nutritionals, 60 Caps TakeHerb: Black Seed With Bitter Melon, Theramune Nutritionals, 100 Caps

GTF CHROMIUM PRODUCTS GTF Chromium polynicotinate is the patented ChromeMate polynicotinate form. Chromium polynicotinate meets all the requirements for GTF. It contains no artificial ingredients or preservatives. TakeHerb: GTF Chromium, Blood Sugar Level Regulator, Natures Way, 200 mcg, 100 Caps TakeHerb: GTF Chromium Polynicotinate, Nature Works, 200 mcg, 100 Caps TakeHerb: Ultra Chromium GTF, Source Naturals, 200 mcg, 120 Tabs TakeHerb: Chromium Polynicotinate, ChromeMateA, Olympian Labs, 200 mcg, 100 Caps

GYMNEMA PRODUCTS Millions of Americans have difficulty maintaining stable blood sugar levels that are already within the normal range. The herb Gymnema is traditionally known as gurmar (the sugar destroyer). For the past 1500 years, Ayurvedic physicians have used a combination of diet and Gymnema leaf to help support normal blood sugar levels. Gymnema is a traditional Ayurvedic medicine and is referred to as destroyer of sugar because chewing the leaves blocks the taste of sweetness. Mountain Rose Herbs: Gymnema, Organic Bulk Herbs. Kalyx: Gymnema, The Suger Destroyer, Ayurceutics, 60 VCaps. Kalyx: Gymnema Sylvestre With Pullulan, Natrol, 300 mg, 90 Caps HerbsPro: Ultra Gymnema Sylvestre, Source Naturals, 550 mg, 120 Tabs HerbsPro: Full Spectrum Gymnema, Planetary Ayurvedics, 450 mg, 120 Tabs HerbsPro: Gymnema Sylvestre, Source Naturals, 450 mg, 120 Tabs HerbsPro: Gymnema Sylvestre, Now Foods, 400 mg, 90 Caps HerbsPro: Gymnema Sylvestre With Pullulan, Natrol, 300 mg, 90 Caps HerbsPro: Gymnema Leaf Standardized Extract, 300 mg, 60 VCaps HerbsPro: Gymnema Sylvestre, Source Naturals, 260 mg, 120 Tabs HerbsPro: Gymnema Leaf Liquid Extract, Alcohol Free, Natures Answer, 1 fl. oz. House of Nutrition: Gymnema (Gymnema sylvestre), Wise Woman Herbal, 2 fl. oz. TakeHerb: Gymnema Sylvestre Leaf, Organic Cut & Sifted, Starwest Botanicals, 1 lb. TakeHerb: Gymnema Sylvestre Leaf Powder, Organic, Starwest Botanicals, 1 lb. TakeHerb: Gymnema Sylvestre, For Diabetes, Hypoglycemia & Tonic, Health Herbs, 2 fl. oz. TakeHerb: Gymnema Standardized, Destroyer of Sugar, Natures Way, 60 Caps

HUCKLEBERRY EXTRACT PRODUCTS Huckleberry leaf is used by naturopathic physicians to treat sugar diabetes and ailments of the kidneys and gallbladder. Huckleberry is a natural stimulant to the pancreas. It helps to promote the production of insulin, especially the leaves. Use 6 to 12 drops in juice, water, under the tongue, or as desired. May be taken 3 times daily. Kalyx: Diabetes Extract (With Huckleberry), Health & Herbs, 2 fl. oz. Kalyx: Diabetes Extract (With Huckleberry), Health & Herbs, 8 fl. oz. Kalyx: Diabetes Extract (With Huckleberry), Health & Herbs, 16 fl. oz. TakeHerb: Huckleberry Extract, For Treating Diabetes, Health Herbs, 2 fl. oz.

GLUTAMINE / L-GLUTAMINE PRODUCTS L-Glutamine is an important amino acid and natural Growth Hormone Releaser that helps brain function, and may be used for combating effects of alcoholism, alleviating hypoglycemia, fatigue reduction, improving exercise endurance, benefiting the liver and intestines, maintaining a healthy gastrointestinal tract, and strengthening the immune system. TakeHerb: Glutamine, NOW Foods, 1500 mg, 180 Tabs TakeHerb: Glutamine, NOW Foods, 1500 mg, 90 Tabs TakeHerb: L-Glutamine, NOW Foods, 1000 mg, 240 Caps TakeHerb: L-Glutamine, NOW Foods, 1000 mg, 120 Caps TakeHerb: Glutamine, NOW Foods, 500 mg, 120 Caps TakeHerb: Glutamine Powder, NOW Foods, 1 lb.. TakeHerb: Glutamine Pure Powder, NOW Foods, 6 oz. TakeHerb: Glutamine Powder, NOW Foods, 1000 grams TakeHerb: L-Glutamine, Dymatize, 1000 grams TakeHerb: Power Glutamine, Pharmaceutical Grade L-Glutamine, Champion Nutrition, 454 grams TakeHerb: Glutamine Fuel Powder, Twin Lab, Pure L-Glutamine, 4500 mg, 18 oz.

SUGAR HABIT - ADDICTION BOOKS Nancy Appleton, Ph.D., shows you how sugar upsets the body chemistry and devastates the endocrine and immune systems, leading to a host of diseases and conditions including hypoglycemia, diabetes, osteoporosis, arthritis, cancer, heart disease, headaches, allergies, asthma, obesity, periodontal disease, tooth decay, and more. Amazon: Lick the Sugar Habit, By Nancy Appleton, Ph.D. Amazon: Suicide By Sugar: A Startling Look at Our #1 National Addiction, By Nancy Appleton, Ph.D. Amazon: Lick the Sugar Habit Sugar Counter: Discover the Hidden Sugar in Your Food, By Nancy Appleton, Ph.D.

NATURAL CALM PRODUCTS Natural Calm takes the magnesium in a form where it is completely dissolved in water. In this form the magnesium assimilates fast into the body producing almost instant relief. What makes Natural Calm so special over other forms of magnesium supplements, such as magnesium tablets or magnesium caps, also including other powdered formuals is a special delivery system developed by Peter Gillham after 20 years of research. HerbsPro: Natural Calm, Peter Gillhams Natural Vitality, Regular, 350 mg, 8 oz. HerbsPro: Natural Calm, Peter Gillhams Natural Vitality, Regular, 350 mg, 16 oz. HerbsPro: Natural Calm, Peter Gillhams Natural Vitality, Regular, 30 Packets HerbsPro: Natural Calm, Peter Gillhams Natural Vitality, Lemon, 350 mg, 8 oz. HerbsPro: Natural Calm, Peter Gillhams Natural Vitality, Lemon, 350 mg, 16 oz. HerbsPro: Natural Calm, Peter Gillhams Natural Vitality, Lemon-Raspberry, 350 mg, 8 oz. HerbsPro: Natural Calm, Peter Gillhams Natural Vitality, Lemon-Raspberry, 350 mg, 16 oz. HerbsPro: Natural Calm, Peter Gillhams Natural Vitality, Lemon-Raspberry, 30 Packets HerbsPro: Natural Calm, Peter Gillhams Natural Vitality, Orange Calm, 350 mg, 8 oz. HerbsPro: Natural Calm, Peter Gillhams Natural Vitality, Orange Calm, 350 mg, 16 oz. HerbsPro: Natural Calm Plus Calcium, Peter Gillhams Natural Vitality, 350 mg / 230 mg, 8 oz. HerbsPro: Natural Calm Plus Calcium, Peter Gillhams Natural Vitality, 350 mg / 230 mg, 16 oz. HerbsPro: Natural Calm Plus Calcium, Peter Gillhams Natural Vitality, Lemon-Raspberry, 8 oz. HerbsPro: Osteo Calm Peter Gillhams Natural Vitality, 30 oz.

NATURALLY SWEET PRODUCTS Naturally Sweet is a delicious new sugar substitute that tastes and cooks like sugar, is tooth friendly and contains pre-biotic fiber, which assists in healthy digestion. Naturally Sweet is a natural sweetener that is perfect for coffee, tea, and other beverages that are normally sweetened with sugar or artificial sweeteners. Naturally Sweet can also be used in place of sugar when baking, which results in delicious, reduced calorie desserts and other baked goods. Naturally Sweet looks, feels, and tastes just like sugar, but that is where the similarities end. Naturally Sweet is made from a blend of four naturally-occurring sugars and one sugar derivative whose metabolic profiles yield substantial sweetness with virtually no caloric impact. TakeHerb: Naturally Sweet Natural Sweetener, Hi-Tech, 100 Packets

NATURAL TREATMENTS FOR DIABETES BOOKS Diabetes is a growing epidemic, but you can protect yourself - naturally! This revised and updated booklet provides a comprehensive overview of diabetes (including its symptoms and complications) and covers natural approaches, dietary guidelines and supplements that can help with both prevention and treatment of diabetes. Amazon: Natural Treatments for Diabetes (Woodland Health), By R.N. Ellsworth

PANCREATIC SUPPORT PRODUCTS The human pancreas produces pancreatic endocrine hormones (e.g., insulin & glucagon) which help regulate many aspects of our metabolism and produces pancreatic digestive enzymes. Clearly, restoring optimal pancreatic function is key to the treatment of many health issues and central to the holistic approach of Integrated Medicine Contains essential oils of Basil, Vetiver, and Cypress all support the pancreas and help it to normalize it’s function. TakeHerb: Pancreatic Support Wellness Oil, Natures Inventory, 2 fl. oz.

REISHI MUSHROOM PRODUCTS Red Reishi is called Ling Zhi and it is believed to be one of the ingredients for youth elixirs. Reishi offers botanical immune support. Mountain Rose Herbs: Reishi Mushrooms, Organic Bulk Herbs. Kalyx: Reishi Mushroom, Red Whole, Starwest Botanicals, 1 lb. Kalyx: Reishi Mushroom, Red Powder, Starwest Botanicals, 1 lb. Kalyx: Reishi Mushroom Mycelia, Nature's Answer, 90 VCaps Kalyx: Reishi Mushroom Extract, Health & Herbs, 8 fl. oz. House of Nutrition: Reishi Shiitake Maitake Mushroom Extract, Solgar, 50 Tabs Kalyx: Stamets 7 Mushroom Blend, Fungi Perfecti, 575 mg, 60 VCaps Kalyx: Stamets 7 Mushroom Blend Extract, Fungi Perfecti, 2 fl. oz. Kalyx: Mushroom Therapy (Trametes | Shiitake | Maitake | Reishi | Cordyceps), Rainbow Light, 60 VCaps HerbsPro: Reishi Mushroom Supreme, Planetary Herbals, 650 mg, 100 Tabs HerbsPro: Reishi Mushroom Supreme, Planetary Herbals, 650 mg, 200 Tabs HerbsPro: Mushroom Wisdom Super Reishi, Maitake Mushroom Wisdom, 120 Caps HerbsPro: Full Spectrum Reishi Extract, Planetary Herbals, 1 fl. oz. HerbsPro: Reishi Extract, Eclectic Institute, 1 fl. oz. HerbsPro: Reishi Extract, Alcohol Free, Natures Answer, 1 fl. oz. HerbsPro: Reishi Extract, Eclectic Institute, 2 fl. oz. HerbsPro: Full Spectrum Reishi Extract, Planetary Herbals, 2 fl. oz. HerbsPro: Reishi Extract, Herb Pharm, 4 oz. HerbsPro: Reishi Liver Guard Tea, Health King, 20 Bags

REVERSING DIABETES BOOKS Reversing Diabetes guide will arm you with safer and equally effective ways of treating diabetes through a sensible diet, exercise, and specific nutritional supplement suggestions. You can improve blood sugar control, reduce if not eliminate reliance on medication, decrease risk of complications and diseases associated with diabetes. Amazon: Reversing Diabetes, By Julian Whitaker Amazon: Reversing Diabetes Cookbook: More Than 200 Delicious, Healthy Recipes, By Julian Whitaker

RHODIOLA ROSEA PRODUCTS An adaptogen, Rhodiola comes from Arctic regions and has been shown to increase energy, physical endurance (stamina) and well-being. Rhodiola Rosea is standardized to 3 percent Rosavins and 1 percent Salidroside. Serves as an excellent adaptogenic tonic. House of Nutrition: Rhodiola Rosea Standardized Extract, Natures Way, Vegetarian, 60 VCaps HerbsPro: Rhodiola, Eclectic Institute, 500 mg, 90 Caps HerbsPro: Rhodiola Glycerite Extract, Alcohol Free, Herb Pharm, 1 fl. oz. HerbsPro: Rhodiola Glycerite Extract, Alcohol Free, Herb Pharm, 4 fl. oz.

SAMENTO - CATS CLAW PRODUCTS Samento contains Uncaria tomentosa, it is a Cat's Claw herb that may be beneficial in supporting the treatment of a wide range of immune system related conditions. Immune disorders may be the cause for various conditions such as cancer, arthritis, bursitis, rheumatism, allergies, ulcers, systemic candidiasis, all forms of herpes, diabetes, lupus, chronic fatigue syndrome, intestinal disorders and HIV infection. Cat's Claw Bark (Uncaria tomentosa) was reputed to be a super drug in the Andean region of South America. Modern chemistry has revealed the presence of oxyindole alkaloids which may, in fact, aid the immune system. Cat's claw's glycosides may be responsible for the anti-inflammatory and antioxidant actions of this herb. That is, Cat's Claw Bark does appear to assist immune function, reduce inflammations and help in the healing of minor injuries. Use 1 teaspoon 2 to 3 times a day depending on condition. Capsules: Take 1,000 mg twice daily. TakeHerb: Samento, Immune Enhancer, Health Herbs, 600 mg, 30 Caps TakeHerb: Samento Extract, Immune Enhancer, Health Herbs, 1 fl. oz. Mountain Rose Herbs: Cat's Claw, Organic Bulk Herbs Kalyx: Cat's Claw (Uncaria tomentosa), Nature's Herbs, 1000 mg, 250 Caps Kalyx: Cat's Claw (Uncaria tomentosa), Thompson Nutritional, 540 mg, 60 Caps Kalyx: Cat's Claw Bark 4:1, Herbal Extracts Plus, 600 mg, 90 VCaps Kalyx: Cat's Claw Inner Bark Extract (Uncaria tomentosa), Nature's Answer, Standardized, 250 mg, 60 VCaps Kalyx: Cat's Claw Bark, Cut & Sifted, Frontier Bulk Herbs, 1 lb Kalyx: Cat's Claw Inner Bark Powder, Certified Organic, Starwest Botanicals, 1 lb Kalyx: Cat's Claw Bark Extract, Starwest Botanicals, 1 fl. oz. Kalyx: Cat's Claw Extract, Health & Herbs, 2 fl. oz. Kalyx: Cat's Claw Bark Extract, Starwest Botanicals, 4 fl. oz. Kalyx: Cat's Claw Extract, Health & Herbs, 8 fl. oz. HerbsPro: Cat's Claw Defense Complex, Source Naturals, 90 Tabs TakeHerb: Cat's Claw, NOW Foods, 500 mg, 100 Caps TakeHerb: Cat's Claw 5000, NOW Foods, 60 Caps TakeHerb: Cat's Claw Powder, Wildcrafted, Starwest Botanicals, 1 lb TakeHerb: Cat's Claw & Kombucha Tea, Yogi Teas, 16 Tea Bags

SEABUCKTHORN OIL PRODUCTS This oil contains 106 bioactive elements. Of the14 fatty acids almost 90 percent are unsaturated and the two essential unsaturated fatty acids linolenic acid (Omega 3) and linoleic acid (Omega 6) are in almost perfect 1:1 ratio. A rare source of vitamin E, Seabuckthorn Oil also provides other vitamins including Vitamins A, C, D, K, etc, carotenoids, flavonoids, phytosterols, amino acids, serotonin and 28 trace elements: iron, zinc, calcium, magnesium, selenium, iodine, etc. It is cardiotonic, stomachic, dermatropic, antioxidant, anti-fungal, anti-inflammatory, anti-radiation (protects white blood cells), anti-constipation, maintains healthy cholesterol level, softens blood vessel, reduces blood fat, promotes circulation and natural healing, a perfect dietary supplement as well as infant food. TakeHerb: Seabuckthorn Berry Oil, Health King, 1.76 oz. TakeHerb: Seabuckthorn Seed Oil, Health King, 60 Softgels TakeHerb: Seabuckthorn Seed Oil, Health King, 120 Softgels

SUGAR BALANCER TCM PRODUCTS Chinese medicine uses this time-honored formula to supplement the Qi and Yin and to maintain healthy blood and urine sugar level and healthy functions of the autonomic nerve. Chinese Herbs Direct: Sugar Balancer, TCM Formula, Huafen Yuxiao, 60 Caps

SUTHERLANDIA PRODUCTS Sutherlandia powerfully assists the body to mobilize its own immunological physiological resources to cope with diverse physical, mental and chemical stressors. HerbsPro: Rooibos Tea With Sutherlandia - Bush Cancer Tea Blend, Organic Kosher, African Red Tea Imports, 20 Bags House of Nutrition: Sutherlandia Frutescens, African Red Tea Imports, 350 mg, 60 Caps

THE METABOLIC SYNDROME PROGRAM BOOKS Big Belly? High Body Mass Index? High Blood Pressure? If this sounds like you, you may be one of the millions of North Americans with Metabolic Syndrome. Predicted by medical experts as the likely number one risk factor for heart disease-Metabolic Syndrome, or MSX, describes a constellation of conditions, including those mentioned above, of which the body' resistance to insulin is a primary feature. A byproduct of obesity, 25 percent of the adult U.S. population is now estimated to have MSX. The Metabolic Syndrome Program offers readers a sensible lifestyle-based approach to treating MSX. One of the first books to name and address this condition, The Metabolic Syndrome Program outlines a realistic plan of treatment-without magic pills or quick-fixes to a growing and little-known threat to public health. The Metabolic Syndrome Program includes: Facts about MSX, the risk factors associated with it and its impact on your overall health. The role of nutrition in combating MSX. The truth about fats, carbs and proteins and the balance needed to maintain optimal health. All the latest research on insulin resistance, Type 2 Diabetes, hypertension and Cardiovascular disease-the worst outcomes of metabolic syndrome. Detailed information on natural supplements that can be used to combat the risk factors of MSX. Recipes and meal plans that will help you make the immediate lifestyle changes required if you are one of the millions at risk for MSX. "Karlene Karst has done an excellent job outlining the seriousness of obesity and insulin resistance, and their ensuing complications,while providing a nutrition and lifestyle action plan to help you get back to the basics of good health." --Sam Graci, author of the Path to Phenomenal Health and The Food Connection. "The Metabolic Syndrome Program provides an effective comprehensive solution by detailing a clear, rational approach to a complex topic." --Michael T. Murray, N.D., co-author of the Encyclopedia of Natural Medicine. Amazon: The Metabolic Syndrome Program: How to Lose Weight, Beat Heart Disease, Stop Insulin Resistance and More

CHROMIUM SUPPLEMENTS Chromium is an essential trace mineral that works with insulin to help the body maintain and support normal blood sugar (glucose) levels. Preliminary research has found that chromium supplementation also improves glucose tolerance in people with Turner's syndrome disease linked with glucose intolerance. Chromium plays an important role in the proper utilization of protein, fat and carbohydrates. The tri-chromium supplement (see below) contains three chromium forms and also has cinnamon. Cinnamon has been used throughout history by herbalists to promote healthy digestion and metabolism. Kalyx: Chromium Picolinate, TwinLab, 200 mcg, 200 Caps Kalyx: Chromium Picolinate, TwinLab, 200 mcg, 60 Tabs HerbsPro: Chromium Picolinate Solution, Sublinual, 2 fl. oz. TakeHerb: Tri-Chromium With Cinnamon, NOW Foods, 500 mcg, 90 VCaps TakeHerb: Tri-Chromium With Cinnamon, NOW Foods, 500 mcg, 180 VCaps TakeHerb: Chromium Picolinate, TwinLab, 200 mcg, 200 Caps TakeHerb: Chromium Picolinate, Chromax, Olympian Labs, 200 mcg, 100 Caps TakeHerb: Chromium Picolinate, Yeast-Free, Source Naturals, 200 mcg, 240 Tabs TakeHerb: Mega Chromium Picolinate, Source Naturals, 300 mcg, 60 Tabs TakeHerb: Ultra Chromium Picolinate, Good'n Natural, 500 mcg, 100 Tabs TakeHerb: Mega Chromium Picolinate, Good'n Natural, Once Daily Formula, 800 mcg, 90 Tabs

VANADIUM SUPPLEMENTS Vanadium regulates the circulatroy system, helps reduce cholesterol levels and buildup in the central nervous system, lowers elevated blood sugar and is believed to help reduce the incidence of heart attack. Vanadyl sulfate is an effective form of the trace mineral vanadium. Research indicates vanadyl sulfate may promote healthy glucose metabolism. TakeHerb: Chelated Vanadium, Carlson Labs, 120 Tabs TakeHerb: Vanadium Chelavite, Optimal Nutrients, 50 mg, 120 Caps TakeHerb: Completia Diabetic, Twice Daily Multivitamin For Diabetics, Nature's Way, 90 Tabs TakeHerb: Vanadyl Sulfate, Life Extension, 7.5 mg, 100 Tabs

VITAMIN E SUPPLEMENTS Vitamin E is a major antioxidant and the primary defense against lipid peroxidation. It is particularly important in protecting the body's cells from free radical/oxidative damage. Mountain Rose Herbs: Vitamin E Oil, Mixed Tocopherols, GMO Free, Kosher Certified, 7500 IU per oz., 2 oz. to 1 gallon TakeHerb: Natural Vitamin E Oil, Good'n Natural, 30000 IU, 2.5 oz. Kalyx: Vitamin E One Grand, Thompson Nutritional, 1000 IU, 30 Softgels TakeHerb: Vitamin E, Good'n Natural, 1000 IU, 100 Softgels TakeHerb: Vitamin E, D-Alpha Tocopherol Acetate, NOW Foods, 600 IU, 100 Softgels TakeHerb: Natural Dry Vitamin E, Country Life, 400 IU, 100 Tabs TakeHerb: Vitamin E, Dry, 100% Natural, TwinLab, 400 IU, 100 Caps TakeHerb: Vitamin E, D-Alpha Tocopherol, Source Naturals, 400 IU, 250 Softgels TakeHerb: Vitamin E, Mixed Alpha Tocopherol, Solgar, 400 IU, 100 Softgels TakeHerb: Vitamin E, Natural With Mixed Tocopherols, Enzymatic Therapy, 400 IU, 100 Softgels TakeHerb: Vitamin E, D-Alpha Tocopherol, Source Naturals, 200 IU, 250 Softgels TakeHerb: Vitamin E, Mixed Tocopherols, Solgar, 200 IU, 250 Softgels TakeHerb: Vitamin E, Dry Alpha Tocopherol, Solgar, 200 IU, 100 VCaps TakeHerb: Vitamin E, D-Alpha Tocopherol Acetate, Natural, 21st Century, 200 IU, 110 Softgels TakeHerb: Vitamin E, Mixed Tocopherols, Solgar, 100 IU, 250 Softgels

WOLFBERRY - GOJI JUICE SUPPLEMENTS Wolfberry (Goji) is a small red berry indigenous to Asia and is similar in texture and size to a raisin. It has healing benefits of nourishing and strengthening the eyes, liver, kidneys and nourishing the blood. Wolfberry is known for its benefits as an antioxidant and has natural sources of Zeaxanthin, which is a carotenoid naturally found in healthy eyes. In addition to Zeaxanthin, Goji contains natural polysaccharides, antioxidants and phytonutrients and has been used as a tonic by herbalists to help bring a sense of well-being and harmony to the body and mind. Should be considered by all as an addition to a well balanced nutritional diet to help promote a healthy lifestyle. Wolfberry has a fresh, robust flavor and aroma and used for centuries by the Himalayan people to promote healthy living. House of Nutrition: Wolfberry, Only Natural, 200 mg Extract (Equivalent To 2000 mg Fresh Fruit), 60 Caps House of Nutrition: SODzyme With GliSODin & Wolfberry, Life Extension, 90 VCaps TakeHerb: Wolfberry Extract, High Nutrition & Powerful Antioxidants, Health Herbs, 2 fl. oz. TakeHerb: Wolfberry Liquid, 100% Pure Standardized Health Tonic, Only Natural, 32 fl. oz. TakeHerb: Wolfberry Rich Antioxidant Extract, Only Natural, 200 mg (Equivalent to 2000 mg Fresh Fruit), 60 Caps TakeHerb: Goji Wolfberry, Protective Antioxidant Health, Good'n Natural, 32 fl. oz. TakeHerb: Herbal Actives Goji, Extended Release, Nature's Plus, 1000 mg, 30 Tabs TakeHerb: Healthy Pregnancy With Wolfberry, TCM Formula, Health King, 60 Caps Chinese cornbind (shou wu), mugwort leaf, morinda, atractylodes, codonopsis, deglued antler powder, wolfberry, dipsacus and eucommia bark. Chinese medicine uses this time-honored formula to tonify the Qi and blood, promote secretion of ovary hormone, ovulation and conception, maintain healthy functions of the ovary and uterus, nurture the fetus and promote healthy pregnancy.

YARROW SUPPLEMENTS Yarrow is well-known for its use as a remedy for colds, flu and fever and it is also used for its skin wound healing and antibiotic properties. HerbsPro: Yarrow Flowers, Nature's Way, 650 mg, 100 Caps HerbsPro: Yarrow Extract, Herb Pharm, 1 fl. oz. HerbsPro: Yarrow Extract, Eclectic Institute Inc, 2 fl. oz. HerbsPro: Yarrow Extract, Herbs Pharm, 4 fl. oz. HerbsPro: Yarrow Flowers Extract, Alcohol Free, Natures Answer, 1 fl. oz. TakeHerb: Yarrow Flower (Achillea millefolium), Organic Cut & Sifted, Starwest Botanicals, 1 lb TakeHerb: Yarrow Flower (Achillea millefolium), Wildcrafted Cut & Sifted, Starwest Botanicals, 1 lb TakeHerb: Yarrow Flower Powder (Achillea millefolium), Wildcrafted, Starwest Botanicals, 1 lb TakeHerb: Yarrow Leaf & Flower Tea, Organic, Celebration Herbals, 24 Bags TakeHerb: Yarrow Yes Tea, North American Herb & Spices, 2.5 oz.

YOHIMBE SUPPLEMENTS Yohimbe is a tall evergreen forest tree, reaching a height of 90 feet and width of 40 feet, native to Nigeria, Cameroon, Gabon, and the Congo. West Africans have used yohimbe for centuries by making a bitter tea from bark shavings. The resultant stamina was used for both love and war. Male members of some tribes would take yohimbe as part of marriage and mating rituals and during special week-long fertility celebrations when sexual relations were expected. Yohimbe gained a reputation for increasing libido as well as improving male sexual performance by enhancing the size and staying power of erections. Modern double-blind trials have confirmed yohimbe's ability to help with erectile dysfunction. It is used for impotence, exhaustion and even angina. Yohimbe is a hormone stimulant and has been used in numerous formulas to improve sexual performance and for general sexual dysfunction in both men and women. Orally, yohimbe is used as an aphrodisiac and has stimulant and tonic properties. As a testosterone stimulant, Yohimbe is also used in athletic formulas. Yohimbe dilates (enlarges) blood vessels, particularly in the sexual organs and lowers blood pressure. It also elevates mood and reduces depression and anxiety. Yohimbine, demonstrably, does some interesting things. It blocks alpha-2 adrenergic receptors, thus increasing the level of epinephrine and norepinephrine in the blood. Yohimbine also dilates blood vessels and inhibits monoamine oxidase (MAO). MAO metabolizes serotonin, norepinephrine and dopamine. By inhibiting this, MAOIs increase levels of those neurotransmitters. Phenelzine (Nardil) and tranycypromine (Parnate) are two popularly prescribed antidepressant MAOIs. Yohimbe is, apparently, another. Kalyx: Yohimbe Bark Powder (Corynanthe yohimbe), Wildcrafted, Starwest Botanicals, 1 lb Kalyx: Yohimbe Bark (Corynanthe yohimbe), Cut & Sifted, Starwest Botanicals, 1 lb Kalyx: Yohimbe Bark, Natrol, 500 mg, 90 Caps Kalyx: Yohimbe Bark 8%, Herbal Extracts Plus, 600 mg, 90 VCaps Kalyx: Yohimbe Bark (Pausinystalia yohimbe), Starwest Botanicals, 280 mg, 100 Caps TakeHerb: Passion Rx With Yohimbe, Support Healthy Sexuality in Men & Women, Physician Formulas, 30 Caps HerbsPro: Yohimbe 1000 Plus, Only Natural, For Men Only Booster, 60 Tabs

YOHIMBE EXTRACT-TINCTURE SUPPLEMENTS Yohimbe is often used for impotence and sexual dysfunction. Yohimbe can also be used for High blood pressure, Arteriosclerosis, Angina pectoris, and as a local anesthetic. Kalyx: Yohimbe Bark Extract (Corynanthe yohimbe), Starwest Botanicals, 1 fl. oz. Kalyx: Yohimbe Bark Extract (Corynanthe yohimbe), Health & Herbs, 2 fl. oz. Kalyx: Yohimbe Bark Extract (Corynanthe yohimbe), Starwest Botanicals, 4 fl. oz. Kalyx: Yohimbe Bark Extract (Corynanthe yohimbe), Health & Herbs, 8 fl. oz. Kalyx: Yohimbe Bark Extract (Corynanthe yohimbe), Health & Herbs, 16 fl. oz. TakeHerb: Yohimbe Extract, Health Herbs, 2 fl. oz. TakeHerb: Yohimbe Extract, Alcohol Free, Nature's Answer, 1 fl. oz. TakeHerb: Yohimbe Power Max 2000 Liquid, Action Labs, 2 fl. oz. TakeHerb: Yohimbe Bark Liquid, Ultimate Nutrition, 2 fl. oz. TakeHerb: Yohimbe Bark Extract, Starwest Botanicals, 4 fl. oz. TakeHerb: Yohimbe Bark Extract, Starwest Botanicals, 1 fl. oz.

ZINC SUPPLEMENTS Zinc supplements boosts cold season defense, widely recognized as an important nutritional support during the cold season, and echinacea pupurea, clinically shown to support the immune system, and Vitamin C, a vitally important vitamin for general health maintenance. TakeHerb: Wellness Zinc Lozenges With Vitamin C (Zinc Ascorbate), Source Naturals, 23 mg / 30 mg, 120 Tabs TakeHerb: Wellness Zinc Throat Spray, Source Naturals, 2 oz. TakeHerb: Zinc Plus, Olympian Labs, 30 mg, 100 Caps TakeHerb: OptiZinc, Zinc Monomethionine Complex, Source Naturals, 240 Tabs Kalyx: Zinc, TwinLab, 30 mg, 100 Caps Kalyx: Zinc, TwinLab, 50 mg, 180 Caps Kalyx: Zinc & Echinacea, Quantum, 48 Cherry Flavored Lozenges

NOTIFY YOUR MIDWIFE OR HEALTH CARE PROVIDER IF...

GESTATIONAL DIABETES:

You are 24 to 28 weeks pregnant and have not had a screening test for gestational diabetes mellitus.

Following diagnosis of gestational diabetes, you develop any new signs or symptoms that cause you concern.

You have difficulty in following a recommended diet or exercise program.

MoonDragon's Pregnancy Information: Gestational Diabetes Index

DIABETES MELLITUS:

You or a family member has diabetes mellitus and wants to become pregnant or is pregnant.

The following occur during treatment call 9-1-1 immediately:

• Inability to think clearly.
• Weakness.
• Excessive sweating.
• Paleness.
• Rapid heartbeat.
• Seizures.
• Loses consciousness or becomes unconscious. A coma may indicate hypoglycemia.
• Fruity odor on the breath.
• Changes in breathing pattern.
• Stupor (may indicate ketoacidosis).
• Several days of illness or weakness.
• Numbness.
• Tingling or pain in the hands and feet.
• Chest pain.

Has a low blood sugar level (less than 50 mg/dL), symptoms of low blood sugar (see above) and does not wake up after being given sugar.

Is becoming increasingly sleepy and has a blood sugar level of less than 60 mg/dL after following steps for dealing with low blood sugar.

Call your health care provider or midwife if you have gestational diabetes and:

• You notice a change in the pattern of or stop having fetal movements.
• Your blood sugar level is below 55 mg/dL and you have not talked with your health care provider or midwife about how to deal with low blood sugar levels.
• Your blood sugar level does not rise above 60 mg/dL after following the steps for dealing with low blood sugar.
• Your blood sugar level is above normal and you have not talked with your health care provider or midwife about how to deal with high blood sugar.
• You are taking insulin and your blood sugar level stays high after taking a missed dose of insulin or taking an extra dose of insulin (if prescribed by your health care provider).
• You have problems with high or low blood sugar levels. If you are taking insulin, you may need to change how much you are taking.
• You are sick for more than 2 days (unless it is a mild illness, such as a cold) and you:
  • Have been throwing up or have had diarrhea for more than 6 hours.
  • Think your symptoms, such as feeling very thirsty and weak, are being caused by high blood sugar.
  • Have tried the home treatments suggested by your health care provider or midwife, and they have not worked.
  • Have blood sugar levels consistently above 180 mg/dL.

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FOR FURTHER INFORMATION ABOUT DIABETES

For more information on diabetes and its potential complications, contact the following organizations:

American Diabetes Association
1701 North Beauregard Street
Alexandria, VA 22311
1-800-DIABETES
1-800-342-2383
Website: www.diabetes.org
Ask about state and local chapters.

American Heart Association
7272 Greenville Avenue
Dallas, TX 75231
1-800-AHA-USA1
1-800-242-8721
Website: www.americanheart.org
Ask about state and local chapters.

International Diabetes Center
3800 Park Nicollet Boulevard
Minneapolis, Minnesota 55416-2699
1-888-825-6315
1-952-993-3393
1-952-993-1302 (fax)
Website: www.parknicollet.com/diabetes/index.html

Joslin Diabetes Center
One Joslin Place
Boston, MA 02215
1-617-732-2400
Website: www.joslin.harvard.edu

Juvenile Diabetes Research Foundation International (JDRF)
120 Wall Street
New York, NY 10005-4001
1-800-533-CURE
1-800-533-2873
1-212-785-9595 (fax)
Website: www.jdrf.org

National Diabetes Information Clearinghouse (NDIC) 1 Information Way
Bethesda, MD 20882-3560
1-800-860-8747
1-301-654-3327
1-301-907-8906 (fax)
Website: www.niddk.nih.gov/health/diabetes/ndic.htm

National Eye Institute (NEI)
National Institutes of Health
2020 Vision Place
Bethesda, MD 20892-3655
1-301-496-5248
Website: www.nei.nih.gov

National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK)
Building 31, Room 9A04
31 Center Drive, MSC 2560
Bethesda, MD 20892-2560
1-301-496-3583
Website: www.niddk.nih.gov

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GESTATIONAL DIABETES LINKS

MoonDragon's Pregnancy Information: Gestational Diabetes (GD) Index

MoonDragon's Pregnancy Information: Gestational Diabetes (GD)

MoonDragon's Pregnancy Information: Gestational Diabetes Introduction & Overview

MoonDragon's Pregnancy Information: Gestational Diabetes Introduction & Overview (Page 2)

MoonDragon's Pregnancy Information: ADA Clinical Practice Recommendations

MoonDragon's Nutrition Information: Gestational Diabetes: Nutrition & Diet

MoonDragon's Nutrition Information: Hypoglycemic Diet

MoonDragon's Health & Wellness: Diabetes, Types & Descriptions

MoonDragon's Birthing Guidelines - Glucosuria

OFF-SITE WEB-LINKS

What is Gestational Diabetes?

Understanding Gestational Diabetes

Gestational Diabetes: Self-Care Tips

BabyZone: Understanding Gestational Diabetes

What is Different About Gestational Diabetes?

Diabetes & Pregnancy - Pregnancy/Childbirth

Jelly Bean Alternatives for Glucose Testing

Diabetes Resource Website

NIH Index - Government Publications About Gestational Diabetes

Plus Size Pregnancy Website by Kmom - Kmom has some excellent information & resources about Gestational Diabetes and the larger woman.

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MoonDragon's Nutritional Guidelines & Information

MoonDragon's Variations of Pregnancy Birthing Guidelines

MoonDragon's Variations of Pregnancy: Glycosuria / Glucosuria In Pregnancy

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PREGNANCY RELATED LINKS

MoonDragon's Pregnancy Information & Survival Tips

MoonDragon's Pregnancy Information Index

MoonDragon's Pediatric Information Index

MoonDragon's Parenting Information Index

MoonDragon's Nutrition Information Index

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