Читать книгу Complementary and Alternative Medicine (CAM) Supplement Use in People with Diabetes: A Clinician's Guide - Laura Shane-McWhorter - Страница 28

In the U.S., fenugreek has GRAS (generally recognized as safe) status⁸⁴ and has been used in both type 1 and type 2 diabetes. However, there are few studies confirming its efficacy. It may have beneficial effects in pancreatic and other tissues and may affect glucose and carbohydrate absorption, as well as affect insulin resistance. Side effects are mostly uncomfortable gastrointestinal effects that may resolve in a few days. Pregnant women should not take fenugreek, since they may experience uterine contractions.⁷⁵ Women who use fenugreek as a galactogogue should be aware that it may appear in breast milk, and their infant may experience the side effects of this botanical. Caution is warranted in those who have a peanut allergy or are allergic to chickpeas, soybeans, or green peas. Individuals who take antiplatelet agents, anti-inflammatory drugs, or herbs that have blood-thinning effects should not use fenugreek. Although the dose used is variable, a typical amount is 10–15 g/day, as a single dose or divided with meals, or 1 g of a hydroalcoholic extract.¹⁹ If fenugreek is combined with insulin or other diabetes medications, the patient may experience hypoglycemia; thus doses of diabetes medications may have to be adjusted.