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Acupuncture Offers Hope for Diabetes Management

Acupuncture Offers Hope for Diabetes Management

If you or someone you love suffers from type 2 diabetes, then you understand the challenges that come with this disease. Despite adhering to a medication regimen and making positive lifestyle changes, those dealing with diabetes might still struggle with managing blood sugar levels. Frustration and fatigue can be constant companions. But did you know that acupuncture can help with diabetes management? Whether you are skeptical or desperate for some help, it’s worth looking into acupuncture as a source of hope and help in managing this often-tricky disease. continue reading »

Metabolic Syndrome and Chinese Herbs

Metabolic syndrome is a cluster of risk factors for cardiovascular diseases and DM2 which was first defined by the WHO (World Health Organization) in 1998. “The WHO definition was the first to tie together the key components of insulin resistance, obesity, dyslipidemia and hypertension. The definition mandates that insulin resistance be present; without it, even if all the other criteria were met, the patient would not have metabolic syndrome. The WHO definition also allows patients with T2D to be diagnosed with metabolic syndrome if they meet the other criteria.” (PMID: 19407331) 

The Food and Drug Administration (FDA) has approved five major weight loss medications available for weight management, which are orlistat, phentermine, phentermine/topiramate extended-release, naltrexone/bupropion sustained-release, and liraglutide (PMID: 34815532). All of these drugs are known to have side effects, so patients will ask us what formulas they can take to minimize the consequences of CV and DM2.

Along with counseling someone on dietary and lifestyle changes that they can make to improve their insulin resistance, I would look at what signs and symptoms the patient is presenting with. From there, I could determine which TCM pattern(s) that overall fits the presentation. I also look at recent research to see what would benefit the patient most in regards to formula modifications and/or additional supplementation. 

For example, a recent real-world comparative cohort study demonstrated that “Chinese herbal medicine is associated with higher body weight reduction than liraglutide among the obese population” (PMID: 36160410). Berberine, an alkaloid from Huang Lian (Coptidis rhizoma), has been compared in efficacy to metformin (PMID: 29515798) and Ozempic, although the research on this is still pending. 

Several studies have shown that Shan Zha (Fr. Crataegus pinnatifida) can have beneficial effects on controlling and treating high blood sugar, dyslipidemia, obesity and atherosclerosis. “Its leaves, fruits and seeds have various active substances such as flavonoids, triterpenic acids and sesquiterpenes, which through different mechanisms can be beneficial in metabolic syndrome. 

Flavonoids found in the leaves of hawthorn can significantly reduce atherosclerotic lesion areas, the fruit extracts contain two triterpenic acids (oleanolic acid and ursolic acid), that have the ability to inhibit the acyl-coA-cholesterol acyltransferase (ACAT) enzyme and as a result reduce very low-density lipoprotein (VLDL) and low-density lipoprotein (LDL) cholesterol levels.” (PMID: 31217924).  Chinese hawthorne berries may be used as a single herb tea daily (with contraindications considered), as well as Jiaogulan tea, Gynostemma pentaphyllum. (PMID: 23431428)

 

Sources:

Huang P. L. (2009). A comprehensive definition for metabolic syndrome. Disease models & mechanisms, 2(5-6), 231–237. https://doi.org/10.1242/dmm.001180 

Müller, T. D., Blüher, M., Tschöp, M. H., & DiMarchi, R. D. (2022). Anti-obesity drug discovery: advances and challenges. Nature reviews. Drug discovery, 21(3), 201–223. https://doi.org/10.1038/s41573-021-00337-8 

Liao, Y. N., Chen, H. Y., Yang, C. W., Lee, P. W., Hsu, C. Y., Huang, Y. T., & Yang, T. H. (2022). Chinese herbal medicine is associated with higher body weight reduction than liraglutide among the obese population: A real-world comparative cohort study. Frontiers in pharmacology, 13, 978814. https://doi.org/10.3389/fphar.2022.978814 

Dehghani, S., Mehri, S., & Hosseinzadeh, H. (2019). The effects of Crataegus pinnatifida (Chinese hawthorn) on metabolic syndrome: A review. Iranian journal of basic medical sciences, 22(5), 460–468. https://doi.org/10.22038/IJBMS.2019.31964.7678 

Huyen, V. T., Phan, D. V., Thang, P., Hoa, N. K., & Ostenson, C. G. (2013). Gynostemma

Fan, Q., Xu, F., Liang, B., & Zou, X. (2021). The Anti-Obesity Effect of Traditional Chinese Medicine on Lipid Metabolism. 12. https://doi.org/10.3389/fphar.2021.696603

pentaphyllum Tea Improves Insulin Sensitivity in Type 2 Diabetic Patients. Journal of nutrition and metabolism, 2013, 765383. https://doi.org/10.1155/2013/765383

Acupuncture for Diabetes

Acupuncture for Diabetes

More than 34 million Americans have diabetes, and approximately 90 percent of them have type 2 diabetes, according to the Centers for Disease Control and Prevention. 

Type 2 diabetes, while its exact cause is unknown, develops when the body becomes resistant to insulin or the pancreas doesn’t produce enough insulin. Because of this, treatment often involves taking “insulin sensitizers” or medication that helps the body increase its sensitivity and therefore ability to process insulin, keeping the blood sugar from getting too low. Unfortunately, this medication often causes side effects, including weight gain and anemia. continue reading »

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