Is there a home remedy for diabetes

Does Apple Cider Vinegar Help For Diabetes?

On the occasion of a patient inquiry, we looked around a bit on the Internet about apple cider vinegar and diabetes. In fact, there are countless reports on the positive effects of apple cider vinegar as a slimming agent, cholesterol-lowering agent, antimicrobial, anti-cancer agent and also as an "indispensable aid in diabetes" - often with reference to some studies and almost always with the application of "particularly suitable" products.

Apple cider vinegar seems to be the purest miracle cure - at least if you look around on the internet.

On the occasion of a patient inquiry, we looked around a bit on the Internet about apple cider vinegar and diabetes. In fact, there are countless reports on the positive effects of apple cider vinegar as a slimming agent, cholesterol-lowering agent, antimicrobial, anti-cancer agent and also as an "indispensable helper in diabetes" - often with reference to some studies and almost always with the application of "particularly suitable" products.

"As effective as various drugs"

Here are a few quotes about the antidiabetic apple cider vinegar:

  • "Apple cider vinegar lowers blood sugar levels"
  • "Apple cider vinegar reduces the risk of diabetes-related diseases"
  • "Apple Cider Vinegar May Be As Effective as Various Diabetes Medicines"
  • "One of the most widely researched properties is the ability to regulate blood sugar levels in diabetics. It is believed that this property can be crucial in the treatment of diabetes."
  • "How can apple cider vinegar help with diabetes? This treatment must be carried out under medical supervision. In order to regulate diabetes and rule out other complaints, one should not consume more than two tablespoons of apple cider vinegar per day."

In forums there are also reports on self-experiments with the natural product. No wonder that patients also ask their docs. What should you tell them then? What about the evidence?

The positive effects of vinegar have been known for a long time

Studies, traditional healing practices and anecdotal reports suggest that vinegar has health benefits, including as an antimicrobial agent and for cardiovascular diseases and diabetes. There are numerous hypotheses about the antiglycemic mode of action. Delayed gastric emptying, an increased feeling of satiety and increased intracellular glucose absorption are discussed.

The specific evidence on the use of apple cider vinegar in blood sugar disease is steadily growing, but still manageable. These are mainly clinical studies with a very small number of participants or animal experiments. In addition, the source of the vinegar is not always mentioned.

Many but small studies

In 2004 it was published in1 in Diabetes Care described that vinegar improved insulin sensitivity in patients with insulin resistance and type 2 diabetes. After a high glycemic meal such as B. Mashed potatoes, it helped reduce postprandial blood sugar levels. This effect was not observed after meals with a low glycemic index (e.g. whole grain bread with salad). The work comes from the US nutrition expert Prof. Carol Johnston from Arizona State University. She has now carried out ten small randomized controlled studies on the influence of vinegar (acid) on diabetic blood sugar levels and published six papers.

Including a study2 with 11 test persons, in whom two teaspoons of apple cider vinegar combined with a small piece of cheese before going to bed had a positive effect on the morning sugar. With a reduction of 6%, especially type 2 diabetics with an increased fasting glucose of more than 130 mg / dl benefited from the evening vinegar gestion.

"People with prediabetes are likely to benefit particularly"

In a CNN interview last year, Johnston draws the following conclusion: People with prediabetes are most likely to benefit from the blood sugar-lowering effect of vinegar. According to the scientist, the main mechanism lies in the blockade of starch absorption by acetic acid - regardless of the type of vinegar. Her recommendation: vinegar in salad dressing (see Mediterranean cuisine!) Or diluted in water as a non-alcoholic aperitif.

Johnston also points out, however, that in the absence of large studies there is no evidence that vinegar can significantly influence or prevent diabetes. (Well, who would be interested in financing extensive vinegar studies?)

A Greek crossover study found three years ago3 with 11 patients with type 2 diabetes: taking vinegar before a meal significantly reduced the postprandial elevated blood sugar, insulin and triglyceride levels without influencing lipolysis. The authors attribute the effect at least in part to an increased insulin-mediated glucose uptake in the skeletal muscles, which they were able to observe.

Especially useful as a natural product, not as tablets

Quite positively expressed themselves in one post4 from 2016 two Australian scientists: "Apple cider vinegar is a readily available product that can easily be added to meals. A large body of research has demonstrated the useful properties of the product as a whole as well as its individual components, acetic acid and chlorogenic acid. Apple cider vinegar can support the control of blood sugar, lipids, weight and blood pressure and thereby be helpful in the management of type 2 diabetes. "

And what about side effects and risks? There is, of course, also potential. The use of vinegar can possibly increase the effects of an antidiabetic medication and make dose adjustments necessary. Apple cider vinegar can also worsen a gastroparetic tendency in prolonged diabetes, according to a study5 with type 1 diabetics. Finally, esophageal injuries from commercially available apple cider vinegar tablets have already been reported, the acidity of which can vary widely and can be three to five times that of normal vinegar.

Conclusion: The healthier the lifestyle, the easier it is to dispense with the lifestyle products advertised en masse on the Internet - in favor of a sensible use of natural resources. An important message for the patient could be: drink the salad dressing, do not throw it away ...

You can read the latest expert articles on this topic every week in the esanum Diabetes Blog.

Credentials:
1. Johnston CS et al. Vinegar improves insulin sensitivity to a high-carbohydrate meal in subjects with insulin resistance or type 2 diabetes. Diabetes Care 2004; 27 (1): 281-2
2. White AM et al. Vinegar Ingestion at Bedtime Moderates Waking Glucose Concentrations in Adults With Well-Controlled Type 2 Diabetes. Diabetes Care 2007; 30 (11): 2814-5.
3. Mitrou P et al. Vinegar Consumption Increases Insulin-Stimulated Glucose Uptake by the Forearm Muscle in Humans with Type 2 Diabetes. J Diabetes Res 2015; 2015: 175204.
4. Morgan J, Mosawy S. The Potential of Apple Cider Vinegar in the Management of Type 2 Diabetes. Int J Diabetes Res 2016; 5 (6): 129-34
5. Hlebowicz J. Effect of apple cider vinegar on delayed gastric emptying in patients with type 1 diabetes mellitus: a pilot study. BMC Gastroenterol 2007; 7:46.
6. Peloso E. Apple cider vinegar for diabetes: Limited evidence, potential risks. Pharmacy Today 2016; 22 (2): 18

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