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Supplements for blood sugar

Berberine, inositols, ALA, cinnamon — what works, what doesn't.

Berberine 500 mg three times daily reduces HbA1c by ~0.7% in trials — comparable to low-dose metformin. Myo-inositol restores ovulation and improves insulin sensitivity in PCOS. Alpha-lipoic acid has neuropathy and modest glucose data. Cinnamon (Ceylon) has small, inconsistent effects. Bitter melon, gymnema, and fenugreek have limited evidence. CRITICAL: combining glucose-lowering supplements with insulin or sulfonylureas raises hypoglycemia risk substantially — adjust meds only with your prescriber.

Evidence summary

The numbers on the cards are the same composite as the supplement pages: efficacy, safety, research, onset, cost, and drug-interaction ratings, from 20 to 100. The strongest records on this page are Electrolyte replacement (clinical), Oat beta-glucan (cholesterol), and Fibre (general dietary). A higher score is a stronger record in the database, not a personal recommendation.

Who should be careful

98
Electrolyte replacement (clinical)
Hydration · Exercise · Heat illness
Tier 1
94
Oat beta-glucan (cholesterol)
LDL cholesterol · FDA health claim · Soluble fibre · Heart health · Evidence
Tier 2
89
Fibre (general dietary)
Gut · Heart · Glucose
Tier 2
86
Vitamin B1 (Thiamine)
Neurology · Alcohol recovery · Energy
Tier 2
84
Psyllium husk (Plantago ovata)
Cholesterol · Gut · Glucose
Tier 2
82
Magnesium
Sleep · Cognition · Metabolic
Tier 1
72
Inositol myo-form (PCOS/metabolic)
PCOS · Insulin sensitivity · Ovulation
Tier 2
78
Glycine
Sleep · Collagen synthesis · Metabolic
Tier 2
76
Resistant starch (prebiotic)
Gut microbiome · Glucose · Satiety
Tier 2
76
Cluster dextrin (HBCD)
Intra-workout fuel · Endurance · Gastric emptying
Tier 2
68
Myo-inositol
PCOS · Metabolic · Mental health
Tier 2
72
Benfotiamine
Neuropathy · AGEs · Glucose metabolism
Tier 2
72
D-Chiro Inositol
PCOS · Insulin sensitivity · Ovulation · 40:1 ratio · Hormone balance
Tier 2
72
Anthocyanin concentrate (bilberry / blackcurrant)
Vascular · Vision · Polyphenol
Tier 3
71
CoQ10 (ubiquinone, classic form)
Mitochondrial · Antioxidant · Statin users · Converts to ubiquinol
Tier 2
70
Glucomannan (konjac root)
Weight management · Cholesterol · Fibre
Tier 2
69
Amla / Indian gooseberry (Phyllanthus emblica)
Ayurveda · Antioxidant · Vitamin C source
Tier 2
69
Capsinoids (CH-19 sweet pepper)
Weight management · Thermogenesis · Metabolic
Tier 2
68
Taurine
Cardiovascular · Metabolic · Aging
Tier 2
66
Fenugreek seed extract (Testofen / standardised)
Libido · Blood sugar · Lactation
Tier 2
66
Moringa oleifera
Nutrient-dense · Adaptogen · Plant protein
Tier 3
65
Curcumin (bioavailable form)
Inflammation · OA · Metabolic
Tier 2
Educational reference, not medical advice. Discuss any supplement change with a qualified clinician before acting on this list.
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