Читать книгу Complementary and Alternative Medicine (CAM) Supplement Use in People with Diabetes: A Clinician's Guide - Laura Shane-McWhorter - Страница 38

Ginseng is available in a variety of forms ranging from cosmetic ingredients to fresh or dried roots to solutions, sodas, and teas.¹⁹ Patients should be aware that there are different types of ginseng but two main types used for diabetes (Asian and American) and that the dose may vary. Both ginseng types have only been studied in type 2 diabetes. There may be inconsistencies in the manufacturing process. One study found that the amount of ginseng stated on the label did not reflect what was contained in the bottle; the ginseng content varied from less (12%) to more (137%) than was indicated on the bottle.¹⁰⁰ Different products have been found to contain other substances, including mandrake root or phenylbutazone, and in one case, an athlete tested positive in a doping test.¹⁰¹ Ginseng may be safe if taken for 3 months or less. The most common side effect is insomnia, although some people may experience anxiety, headache, and increased blood pressure. It should not be used in children or in pregnant or lactating women. There are many potential drug interactions, so this is a product that should be used with caution when taking other medications. The dose of Asian ginseng is 200 mg daily.⁹⁹ The dose of American ginseng is 3 g right before or up to 2 hours before a meal.^92,98