The Blood Sugar Blues

You can lower your risk of forming glycated hemoglobin by taking the antioxidant vitamins C and E and drinking three or four alcoholic drinks a week (American Journal of Clinical Nutrition 2000: 71(5)). In addition, losing weight and exercising also drops your glycated hemoglobin.

Helpful Chromium

When glucose enters the bloodstream after a meal, it has a variety of possible destinations. It can be picked up by brain cells, which use glucose as their only source of fuel (this explains why low blood sugar can cause headaches, dizziness and shakiness). Glucose also can enter muscles, which can burn either glucose or fat for energy. Or glucose can enter fat cells for storage-not a desirable option for someone who is already overweight.

One reason blood sugar may rise to unhealthy levels is a condition called glucose resistance or intolerance, which occurs when insulin, the hormone-like substance that shepherds glucose into the body's cells, can't do its job efficiently. That leads to blood which is too rich in both sugar and insulin.

Researchers believe that the element chromium can help the body use insulin more effectively, which, when combined with adequate exercise, allows glucose to more easily enter muscle cells.

"In experiments, chromium supplementation has actually been found to improve glucose tolerance in some diabetics and in people with impaired glucose tolerance," says nutrition researcher and teacher Shari Lieberman, PhD, in The Real Vitamin and Mineral Book (Avery/Penguin).

In a number of investigations, chromium has not only helped improve glucose tolerance, but it has also decreased circulating insulin, glycated hemoglobin and cholesterol levels (Journal of the American College of Nutrition 1998; 17:548-55). (People with elevated glucose levels often suffer from elevations in cholesterol as well. In the search for ways to improve cholesterol levels, Germany's Commission E, an herbal authority respected around the world, has approved the use of garlic to help support healthy cholesterol.)

Ginseng and Blood Sugar

American ginseng, an herb known as an adaptogen (which means it helps the body cope with everyday stress) is another tool for controlling blood sugar. Research at St. Michael's Hospital and the University of Toronto shows that taking American ginseng (Panax quinquefolium) about 40 minutes before you eat can reduce your blood sugar (Archives of Internal Medicine 4/9/00).

According to Vladimir Vuksan, MD, lead investigator for the research team, these findings may have important implications for the treatment and prevention of diabetes. "Although preliminary, these findings are encouraging and indicate that American ginseng's potential role in diabetes should be taken seriously and investigated further. Controlling after-meal blood sugar levels is recognized as a very important strategy in managing diabetes. It may also be important in the prevention of diabetes in those who have not yet developed the disease," says Dr. Vuksan.

Fat vs Sugar

Supplemental helpings of the fatty acid conjugated linoleic acid (CLA) have also been shown to control blood sugar and lower your risk of diabetes (Journal of Nutrition 1/03). "In previous work, we found that CLA delayed the onset of diabetes in rats," says Martha Belury, PhD, the senior author of the investigation and an associate professor of human nutrition at Ohio State University. "In (our latest) study, we found that it also helped improve the management of adult-onset diabetes in humans."

Dr. Belury's research shows that CLA may help lower levels of leptin, a hormone believed to regulate fat levels. By reducing leptin, CLA may help reduce body fat, which, in turn, may lower the risk of diabetes and high blood sugar.

Sweet Workouts

A consistent, long-term exercise program is one of the single best ways to convince your body to temper blood sugar levels and lower your risk of developing diabetes (Clinical Exercise Physiology 2/15/02).

"It now appears that there is...a long-term beneficial effect from regular exercise, most likely due to the fact that a significant amount of fat is lost," says exercise physiologist Cris Slentz, PhD. "Long-term exercise leads to loss of fat in the gut (stomach) region, which is especially beneficial since this fat is thought to be directly linked to increased risk of diabetes and heart disease."

Dr, Slentz's study examined how exercise influences the way the body uses sugar in people who have a high risk of diabetes.

In this research, five overweight individuals who had never exercised before engaged in an intensive workout program for nine months. Afterwards, they went back to their couch potato lives.

Dr. Slentz and other investigators measured their blood sugar before they started the exercise program and then remeasured these levels at one day, five days and thirty days after the nine-month regimen ended.

The researchers also looked at these people's insulin sensitivity, a measure of how well their bodies controlled blood sugar.

"Insulin sensitivity, or its ability to stimulate glucose metabolism, was higher after nine months of exercise, and the fasting insulin levels were lower," Slentz said. "Just as importantly, 30 days after stopping exercise, insulin sensitivity was still 24% higher than pre-exercise levels, indicating that beneficial effects of exercise persisted."

In this study, people pedaled exercise bikes, walked on treadmills and climbed stairs. By the end of the research, they were working out about an hour a day.

So if you've put off devoting yourself to an exercise program and taking care of your blood sugar, you now have more reason to start as soon as possible. Paying attention to blood sugar pays off.

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