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Apple cider vinegar and diabetes
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How would you answer this question?
Apple cider vinegar has been shown to reduce postprandial blood glucose in Type II diabetics by what mechanism?
a. Slowed gastric emptying.
b. Increased digestive enzyme release.
c. Increased glucose uptake by muscle.
d. Hypokalemia.
The correct answer is "a" slowed gastric emptying.
Although not much is known about many complimentary medicine therapies, it appears that apple cider vinegar has medicinal properties that may help to reduce blood glucose in diabetic patients. Dr. Lie (2012) reports favorable results in lowering blood glucose by administering two tablespoons of apple cider vinegar with high-glycemic-index meals 2-3 times a day. Hypokalemia and low bone mineral density have been reported as side effects after several years of use, but are rare.
Apple cider vinegar slows gastric emptying, which in turn slows carbohydrate digestion and glucose absorption. Apple cider vinegar also decreases digestive enzyme release and decreases glucose uptake by muscle. If your patient with Type II DM is interested in using apple cider vinegar to help improve their blood glucose control, have them talk with their physician about the possible benefits.
From: Lie, D.A. (2012). Does a spoonful -- or 2 -- of vinegar make the sugar go down? Medscape Family Medicine, Retrieved August 20, 2012 from http://www.medscape.com/viewarticle/758599.
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David W. Woodruff, MSN, RN-BC, CNS, CMSRN, CEN
President, Ed4Nurses, Inc.
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