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Gymnema
has been used in India and South China for the treatment of diabetes for
over 2,000 years. The leaves were also used for stomach ailment,
constipation, water retention and liver disease.
Function:
Hypoglycemic
Activity
The
hypoglycemic (blood sugar-lowering) action of gymnema leaves was first
documented in the late 1920s.1
This action is gradual in nature, differing from the rapid effect of many
prescription hypoglycemic drugs. Gymnema leaves raise insulin levels,
according to research in healthy volunteers.2
Based on animal studies, this may be due to regeneration of the cells in
the pancreas that secrete insulin.3
Other animal research shows that gymnema can also improves uptake of
glucose into cells and prevent adrenaline from stimulating the liver to
produce glucose, thereby reducing blood sugar levels.4
It was also shown that the administration of GSE to diabetic animals not
only resulted in improved glucose homeostasis, this improvement was
accompanied by a regeneration of beta cells in the pancreas3.This
is the only compound that has shown the ability to lessen indicators of
diabetes by directly repairing/regenerating the pancreas cells responsible
for producing insulin.
The
leaves are also noted for lowering serum cholesterol and triglycerides.5
Some researchers have suggested gymnemic acid as one possible candidate.6
Gurmarin, another constituent of the leaves, and gymnemic acid have been
shown to block the ability in humans to taste sweets.7
Dosage:
Double-blind
clinical trials in India have used 400 mg per day of a water-soluble
acidic extract of the gymnema leaves(standardized to 25% gymnema acids).
In type 2 diabetics, ongoing use for periods as long as 18 to 24 months
has proven successful.8
In type 1 (insulin-dependent) diabetes patients, a similar amount has been
used successfully as an adjunct to ongoing use of insulin9
Consult closely with a physician, as insulin amounts may need to be
lowered while taking gymnema extract.
Safety:
Used
at the amounts suggested, gymnema is generally safe and devoid of side
effects. The safety of gymnema during pregnancy and breast-feeding has not
yet been determined. People with diabetes should only use gymnema extract
to lower blood sugar under the clinical supervision of a healthcare
professional.
Chemistry:
The
gymnema extract is standardized to 25% gymnema acids.
References:
1.
Mhasker KS, Caius JF. A study of Indian medicinal plants. II. Gymnema
sylvestre R.Br. Indian
J Med Res Memoirs 1930;16:2–75.
2. Shanmugasundaram KR, Panneerselvam C, Sumudram P, Shanmugasundaram ERB.
Insulinotropic activity of G. sylvestre,
R.Br. and Indian medicinal herb used in controlling diabetes mellitus. Pharmacol
Res Commun 1981;13:475–86.
3. Shanmugasundaram ER, Gopinath KL, Radha Shanmugasundaram K, Rajendran
VM. Possible regeneration of the islets of Langerhans in streptozotocin
diabetic rats given Gymnema sylvestre
leaf extracts. J Ethnopharmacol
1990;30:265–79.
4. [No authors listed]. Gymnema sylvestre.
Alt Med Rev 1999;4:46–7 [review].
5. Bishayee A, Chatterjee M. Hypolipidemic and antiatherosclerotic effects
of oral Gymnema sylvestre
R.Br. leaf extract in albino rats fed on a high fat diet. Phytother
Res 1994;8:118–20.
6. Gymnema monograph. Lawrence Review of
Natural Products. Aug 1993.
7. Fushiki T, Kojima A, Imoto T, et al. An extract of Gymnema
sylvestre leaves and purified gymnemic acid
inhibits glucose-stimulated gastric inhibitory peptide secretion in rats. J
Nutr 1992;122:2367–73.
8. Baskaran K, Ahmath BK, Shanmugasundaram KR, Shanmugasundaram ERB.
Antidiabetic effect of a leaf extract from Gymnema
sylvestre in non-insulin-dependent diabetes
mellitus patients. J Ethnopharmacol
1990;30:295–305.
9. Shanmugasundaram ERB, Rajeswari G, Baskaran K, et al. Use of Gymnema
sylvestre leaf extract in the control of
blood glucose in insulin-dependent diabetes mellitus. J
Ethnopharmacol 1990;30:281–94.erkeley,
CA.
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