Complementary and Alternative Medicine (CAM) Supplement Use in People with Diabetes: A Clinician's Guide. Laura Shane-McWhorter

      

      Complementary &

      Alternative Medicine (CAM)

      Supplement Use in

      People with Diabetes:

      A CLINICIAN’S GUIDE

      Chemical constituents, mechanism

      of action, adverse effects, and

      drug interactions for 36 commonly

      used supplements.

      Laura Shane-McWhorter, PharmD, BCPS, FASCP, BC-ADM, CDE

      Managing Editor, Book Publishing, Abe Ogden; Acquisitions Editor, Professional Books, Victor Van Beuren; Editor, Aime Ballard-Wood; Production Manager, Melissa Sprott; Composition, Aptara, Inc.; Cover Design, pixiedesign, llc; Printer, Transcontinental Printing.

      © 2007 by the American Diabetes Association, Inc. All Rights Reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including duplication, recording, or any information storage and retrieval system, without the prior written permission of the American Diabetes Association.

      Printed in the United States of America

      1 3 5 7 9 10 8 6 4 2

      The suggestions and information contained in this publication are generally consistent with the Clinical Practice Recommendations and other policies of the American Diabetes Association, but they do not represent the policy or position of the Association or any of its boards or committees. Reasonable steps have been taken to ensure the accuracy of the information presented. However, the American Diabetes Association cannot ensure the safety or efficacy of any product or service described in this publication. Individuals are advised to consult a physician or other appropriate health care professional before undertaking any diet or exercise program or taking any medication referred to in this publication. Professionals must use and apply their own professional judgment, experience, and training and should not rely solely on the information contained in this publication before prescribing any diet, exercise, or medication. The American Diabetes Association—its officers, directors, employees, volunteers, and members—assumes no responsibility or liability for personal or other injury, loss, or damage that may result from the suggestions or information in this publication.

      

The paper in this publication meets the requirements of the ANSI Standard Z39.48-1992 (permanence of paper).

      ADA titles may be purchased for business or promotional use or for special sales. To purchase more than 50 copies of this book at a discount, or for custom editions of this book with your logo, contact Lee Romano Sequeira, Special Sales & Promotions, at the address below, or at [email protected] or 703-299-2046.

      For all other inquiries, please call 1-800-DIABETES.

      American Diabetes Association

      1701 North Beauregard Street

      Alexandria, Virginia 22311

       Library of Congress Cataloging-in-Publication Data

      Shane-McWhorter, Laura.

       Complementary and alternative medicine (CAM) supplement use in people with diabetes / Laura Shane-McWhorter.

       p. ; cm.

       Includes bibliographical references and index.

       ISBN 978-1-58040-296-5 (alk. paper)

       1. Diabetes–Alternative treatment. 2. Dietary supplements. I. American Diabetes

      Association. II. Title.

       [DNLM: 1. Diabetes Mellitus–therapy. 2. Complementary Therapies–methods.

      3. Dietary Supplements. 4. Plants, Medicinal. WK 815 S528c 2007]

       RC661.A47S53 2007

       616.4’6206–dc22

      2007014526

      eISBN: 978-1-58040-348-1

      Contents

       Acknowledgments

       1. Introduction

       Reasons for Concern Regarding CAM Supplement Use

       Epidemiology of CAM Supplement Use

       Regulation of CAM Supplements

       Testing of CAM Supplements

       Evaluating Claims from Manufacturers of Dietary Supplements

       CAM Supplements Used for Diabetes and Its Complications

       2. Botanical CAM Supplements to Treat Diabetes

       Cinnamon (Cinnamomum cassia)

       Gymnema (Gymnema sylvestre R. Br.)

       Fenugreek (Trigonella foenum-graecum L.)

       Bitter Melon (Momordica charantia)

       Asian Ginseng (Panax ginseng C.A. Meyer) and American Ginseng (Panax quinquefolius L.)

       Nopal (Opuntia streptacantha)

       Aloe (Aloe vera L.)

       Banaba (Lagerstroemia speciosa L.)

       Caiapo (Ipomoea batatas)

       Ivy Gourd (Coccinia indica)

       Holy Basil (Ocimum sanctum)

       Vijayasar (Pterocarpus marsupium Roxb. [Leguminoceae])

       Jambolan (Eugenia jambolana or Syzygium cumini

       Blonde