Everyone Healthy Library
Diabetes Type 2
Condition / disease reference page from the Everyone Healthy database.
Connected health information
Explore this condition in a clear order
Condition overview
Attributes
Linked signs and symptoms
21Each sign/symptom opens its own page and links back to related conditions.
- Retinopathy (Non-Inflammatory Damage to Retina of Eye)
- Appetite Or Hunger Increase
- Arterial Disease
- Arteriolosclerosis
- Blood Glucose Levels High or Increased (Hyperglycaemia, Hyperglycemia)
- Blood Pressure High (Hypertension)
- Cholesterol Raised
- Distal Sensory Loss: Peripheral Neuropathy
- Excessive Hunger
- Excessive Thirst
- Fatigue
- Infections Frequent
- Mind: Lethargy
- Obesity
- Skin Dry
- Skin Itching Generalized
- Skin Tingling Or Numbness (Paresthesias)
- Urination of Large Volume of Urine (Polyuria)
- Vision Blurred
- Weight Loss (Body Mass Index Decreased)
- Wound Healing Delayed
Linked drugs / medications
15Medication information is educational only. A doctor or pharmacist should advise whether any medicine is appropriate.
Treatments, therapies and supportive options
39Grouped by treatment type. These are educational database links, not personal treatment recommendations. Evidence labels are shown only where stored in the EH database.
Medical therapy
1Lifestyle changes
13- Blood Glucose Monitoring
- Blood Glucose MonitoringWeakly in Favour(Low Evidence)
- Glycemic Control
- Home or Self MonitoringWeakly in Favour(Low Evidence)
- Increase Exercise
- Increase ExerciseStrongly in Favour(Moderate Evidence)
- Low Glycemic Index Diet
- Reduce or Stop Smoking
- Reduce or Stop SmokingStrongly in Favour(High Evidence)
- Regular Excercise
- Regular Exercise (30 Minutes A Day)Weakly in Favour(Moderate Evidence)
- Weight Reduction
- Weight ReductionStrongly in Favour(High Evidence)
Behavioural changes
2Counselling and support
2Alternative and complementary therapies
9- BiofeedbackNo Recommendation(Very Low Evidence)
- Chlorella (Green Algae, Chlorella Pyrenoidosa)No Recommendation(Very Low Evidence)
- Germanium (Germanium Sesquioxide, Vitamin O)Strongly Against(Moderate Evidence)
- Goldenseal (Hydrastis Canadensis)Weakly in Favour(Low Evidence)
- Milk ThistleNo Recommendation(Low Evidence)
- Pine BarkNo Recommendation(Very Low Evidence)
- ReflexologyNo Recommendation(Low Evidence)
- Six Flavor Tea (Liu Wei Di Huang Wan, Rehmannia Six)No Recommendation(Very Low Evidence)
- Uncaria tomentosa Plant (Cats Claw Herb)No Recommendation(Very Low Evidence)
Alternative medicine
6- Curcumin
- Goldenseal (Hydrastis Canadensis)Weakly Against(Low Evidence)
- Milk ThistleNo Recommendation(Low Evidence)
- Pine BarkNo Recommendation(Very Low Evidence)
- Six Flavor Tea (Liu Wei Di Huang Wan, Rehmannia Six)No Recommendation(Very Low Evidence)
- Uncaria tomentosa Plant (Cats Claw Herb)No Recommendation(Very Low Evidence)
Alternative therapies
2Vitamins and minerals
3Linked diagnostic tests and investigations
47These are pulled from both EH diagnostic-test link tables, including the older large test-link table.
- Angiotensin Converting Enzyme (ACE) Concentration
- Apolipoprotein A Concentration
- Apolipoprotein B Concentration
- Blood Urea Nitrogen Tests
- C-Peptide Concentration Test
- Cerebrospinal Fluid Albumin Concentration
- Cerebrospinal Fluid Protein Concentration
- Cerebrospinal Fluid Protein Electrophoresis
- Cholesterol Concentration
- Cholinesterase (Serum Acetylcholinesterase, Pseudocholinesterase)
- Creatinine Concentration (Blood, Serum Creatinine)
- Euglobulin Lysis Time (Fibrinolysis Time)
- excisional Biopsy
- genetic Testing
- Glucagon Concentration Test
- Glucose Tolerance Test (GTT, OGTT, 120 Minutes After Glucose Load)
- Glucose Tolerance Test (GTT, OGTT, 160 Minutes After Glucose Load)
- Glucose Tolerance Test (GTT, OGTT, 30 Minutes After Glucose Load)
- Glucose Tolerance Test (GTT, OGTT, 60 Minutes After Glucose Load)
- Glucose Tolerance Test (GTT, OGTT, Fasting Glucose)
- Glucose Tolerance Test for Gestational Diabetes (1 Hour After Glucose Load)
- Glucose Tolerance Test for Gestational Diabetes (Fasting Glucose Value)
- Glucose, Blood (Fasting Blood Glucose)
- Glucose, Blood (Post Prandiol Blood Glucose Test, 2 Hour Post Meal Blood Glucose)
- Glucose, Blood (Random Blood Glucose Test)
- Glycosylated Hemoglobin (HbA1c) Concentration
- High Density Lipoprotein (HDL) Concentration
- Human Placental Lactogen Concentration (hPL, Chorionic Somatomammotropin)
- Insulin Concentration (Insulin Assay, Serum Insulin)
- Lactic Acid Concentration
- Low Density Lipoprotein (LDL) Concentration
- Magnesium Concentration (Mg, Blood)
- Osmolality, Blood (Serum Osmolality)
- Potassium Concentration (K, Blood)
- Protein Electrophoresis (Blood, Serum Protein)
- Triglyceride (TGs) Concentration
- Urine Albumin 24hr test
- Urine Crystal Concentration
- Urine Fatty Cast Concentration
- Urine glucose concentration
- Urine Ketone Concentration
- Urine Osmolality
- Urine Oxalate Concentration (24 Hour)
- Urine pH Test
- Urine Specific Gravity (SG)
- Urine Volume
- Vitamin B12 (VB12) Concentration
Biological and test markers
40This visual map uses existing EH database links to show biological agents and lab markers reported as increased, decreased, or associated with this condition. These are educational relationships only; test results must be interpreted by a qualified clinician because ranges vary by lab, method, age, sex and clinical context.
Often increased
32- Albumin (Cerebrospinal Fluid, CSF)Reference range exampleAll: 10–35 mg/dL; All: 56–76 %Linked diagnostic tests2Cerebrospinal Fluid Albumin Concentration, Cerebrospinal Fluid Protein Electrophoresis
- Alpha-1-Globulin (Blood, Serum)Reference range exampleAll: 0.1–0.3 gm/dLLinked diagnostic tests1Protein Electrophoresis (Blood, Serum Protein)
- Alpha-2-Globulin (Blood, Serum)Reference range exampleAll: 0.6–1 gm/dLLinked diagnostic tests1Protein Electrophoresis (Blood, Serum Protein)
- Angiotensin Converting Enzyme (ACE)Reference range exampleAll: 0–45 units/LLinked diagnostic tests1Angiotensin Converting Enzyme (ACE) Concentration
- Apolipoprotein B (Apo B)Reference range exampleAdult ( > 16y), Female: 47–115 mg/dL; Adult ( > 16y), Male: 52–120 mg/dLLinked diagnostic tests1Apolipoprotein B Concentration
- Beta GlobulinReference range exampleAll: 0.7–1.2 gm/dLLinked diagnostic tests1Protein Electrophoresis (Blood, Serum Protein)
- Blood Urea NitrogenReference range exampleAdult ( > 16y): 6–18 mg/dL; Child (< 10y): 5–15 mg/dLLinked diagnostic tests1Blood Urea Nitrogen Tests
- Calcium Oxalate Crystals (Urine)Reference range exampleAll: 0–1 Not PresentLinked diagnostic tests1Urine Crystal Concentration
- Cerebrospinal Fluid Total ProteinReference range exampleAdult ( > 16y): 15–45 mg/dL; Child (< 10y): 15–70 mg/dLLinked diagnostic tests1Cerebrospinal Fluid Protein Concentration
- Cholesterol (Total)Reference range exampleInfant (0 - 1y): 75–180 mg/dL; Adult ( > 16y): 0–190 mg/dLLinked diagnostic tests1Cholesterol Concentration
- CholinesteraseReference range exampleAll: 6–19 U/mLLinked diagnostic tests1Cholinesterase (Serum Acetylcholinesterase, Pseudocholinesterase)
- Creatinine (Blood)Reference range exampleInfant (0 - 1y): 0.1–0.4 mg/dL; Adult ( > 16y), Female: 0.6–1.2 mg/dLLinked diagnostic tests1Creatinine Concentration (Blood, Serum Creatinine)
- GlucagonReference range exampleChild (0 - 16y): 0–147 pg/mL; Adult ( > 16y): 20–110 pg/mLLinked diagnostic tests1Glucagon Concentration Test
- Glucose (Blood)Reference range exampleInfant (0 - 1y): 3–6.1 mmol/L; Adult ( > 16y): 0–6.1 mmol/LLinked diagnostic tests11fasting Blood Glucose Test, Glucose Tolerance Test (GTT
- Hemoglobin A1c (HbA1c)Reference range exampleAdult ( > 16y): 2.2–5.5 %Linked diagnostic tests1Glycosylated Hemoglobin (HbA1c) Concentration
- Human Placental Lactogen (HPL, Pregnancy Weaks 25 to 30)Reference range exampleAdult ( > 16y), Female: 2,300–6,100 µg/LLinked diagnostic tests1Human Placental Lactogen Concentration (hPL, Chorionic Somatomammotropin)
- Human Placental Lactogen (hPL, Pregnancy Weaks 31 to 35)Reference range exampleAdult ( > 16y), Female: 3,800–8,800 µg/LLinked diagnostic tests1Human Placental Lactogen Concentration (hPL, Chorionic Somatomammotropin)
- Human Placental Lactogen (hPL, Pregnancy Weaks 36 to 40)Reference range exampleAdult ( > 16y), Female: 4,900–8,600 µg/LLinked diagnostic tests1Human Placental Lactogen Concentration (hPL, Chorionic Somatomammotropin)
- Human Placental Lactogen (HPL, Pregnancy Weaks 5 to 25)Reference range exampleAdult ( > 16y), Female: 0–4,500 µg/LLinked diagnostic tests1Human Placental Lactogen Concentration (hPL, Chorionic Somatomammotropin)
- Lactic Acid (Venous Blood)Reference range exampleAll: 0.5–2.2 mEq/LLinked diagnostic tests1Lactic Acid Concentration
- Low Density Lipoprotein (LDL)Reference range exampleAdult ( > 16y): 0–125 mg/dL; 6y - 16y: 0–100 mg/dLLinked diagnostic tests1Low Density Lipoprotein (LDL) Concentration
- Osmolality, Blood (Serum Osmolality)Reference range exampleChild (0 - 16y): 274–290 mOsm/kg; Birth - 2wks: 265–285 mOsm/kgLinked diagnostic tests1Osmolality, Blood (Serum Osmolality)
- Plasma Clot Lysis TimeReference range exampleAll: 120–600 MinutesLinked diagnostic tests1Euglobulin Lysis Time (Fibrinolysis Time)
- Potassium (K, Blood)AbbreviationKReference range exampleInfant (0 - 1y): 4.1–5.3 mEq/L; Child (0 - 16y): 3.4–4.7 mEq/LLinked diagnostic tests1Potassium Concentration (K, Blood)
- PrealbuminReference range exampleAll: 2–7 %Linked diagnostic tests1Cerebrospinal Fluid Protein Electrophoresis
- TriglyceridesReference range exampleAdult ( > 16y), Female: 32–137 mg/dL; Adult ( > 16y), Male: 35–155 mg/dLLinked diagnostic tests2Triglyceride (TG's) Concentration, Triglyceride (TGs) Concentration
- Urine AlbuminReference range exampleAdult ( > 16y), Female: 30–105 mg/dL; Adult ( > 16y), Male: 10–145 mg/dLLinked diagnostic tests1Urine Albumin 24hr test
- Urine Fatty CastReference range exampleAdult ( > 16y): 0–0 PresentLinked diagnostic tests1Urine Fatty Cast Concentration
- Urine glucoseReference range example0–2.5; Adult ( > 16y): 0–2.5 mmol/dayLinked diagnostic tests1Urine glucose concentration
- Urine KetoneReference range exampleAdult ( > 16y): 0–0.25 mg/dLLinked diagnostic tests1Urine Ketone Concentration
- Urine OxalateReference range exampleAdult ( > 16y), Female: 5–30 mg/24hrs; Adult ( > 16y), Male: 7–43 mg/24hrsLinked diagnostic tests1Urine Oxalate Concentration (24 Hour)
- Vitamin B12 (VB12)Reference range exampleAdult ( > 16y): 130–670 pmol/LLinked diagnostic tests1Vitamin B12 (VB12) Concentration
Often decreased
8- Albumin (Blood)Reference range exampleAdult ( > 16y): 37–52 gm/dL; Infant (0 - 1y): 4.4–5.4 gm/dLLinked diagnostic tests2Blood Albumin Concentration, Protein Electrophoresis (Blood
- Apolipoprotein A (Apo A)Reference range exampleAdult ( > 16y), Female: 85–170 mg/dL; Adult ( > 16y), Male: 77–155 mg/dLLinked diagnostic tests1Apolipoprotein A Concentration
- C-PeptideReference range exampleAdult ( > 16y): 0.5–2.7 ng/mLLinked diagnostic tests1C-Peptide Concentration Test
- High Density Lipoprotein (HDL)Reference range exampleAdult ( > 16y), Female: 53–500 mg/dL; Adult ( > 16y), Male: 45–500 mg/dLLinked diagnostic tests1High Density Lipoprotein (HDL) Concentration
- InsulinReference range exampleChild (0 - 16y): 3–15 µIU/mL; Adult ( > 16y): 6–28 µIU/mLLinked diagnostic tests1Insulin Concentration (Insulin Assay, Serum Insulin)
- Magnesium (Mg, Blood)Reference range exampleAdult ( > 16y): 1.3–2.6 mEq/L; Birth - 2wks: 1.4–2.2 mEq/LLinked diagnostic tests1Magnesium Concentration (Mg, Blood)
- Urine OsmolalityReference range exampleAdult ( > 16y): 250–950 mOsm/kgLinked diagnostic tests1Urine Osmolality
- Urine Specific Gravity (SG)Reference range exampleAdult ( > 16y): 1.005–1.03Linked diagnostic tests1Urine Specific Gravity (SG)
Other associated markers
0No markers in this group.
Introduction / full article
Diabetes Type 2
Efficacy of Alternative and Other Treatments According to GRADE* Ranking:
Six Flavor Tea (Liu Wei Di Huang Wan, Rehmannia Six) [1, 34, 35]:
Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.
Recommendation: No recommendation (There is insufficient evidence to show that Six Flavor Tea helps in any way in the treatment of diabetes)
Grade of Evidence: very low quality of evidence
Red Clover (Trifolium Pratense) [1, 27, 28, 29, 30, 31, 32, 33]:
Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.
Recommendation: no recommendation (There is insufficient evidence to support claims that Red Clover helps to treat diabetes. Early tests done had unreliable results. More tests are needed.)
Grade of Evidence: low of evidence
Pine Bark Extract [1, 24, 25, 26]:
Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.
Recommendation: no recommendation (There is insufficient evidence to support claims that Pine Bark extract helps to treat diabetes)
Grade of Evidence: very low of evidence
Phytochemicals (Antioxidants) [1, 21, 22, 23]:
Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.
Recommendation: no recommendation (There is insufficient evidence to support claims that phytochemical supplements can prevent or treat diabetes. More studies are needed. A balanced diet with fruit, vegetables, and grain is recommended to prevent illness until further research into supplements is done.)
Grade of Evidence: low of evidence
Milk Thistle [1, 16, 17, 18, 19, 20]:
Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.
Recommendation: No recommendation (There is insufficient evidence to support claims that Milk Thistle helps to treat diabetes.)
Grade of Evidence: low quality of evidence
Goldenseal (Hydrastis Canadensis) [1, 9, 10, 11, 12, 13, 14, 15]:
Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.
Recommendation: Weakly in favor (Early studies show that Goldenseal may help stabilize diabetes. However, more studies are needed. In addition, Goldenseal may produce toxic effects, including depression, constipation, rapid heartbeat, stomach pain, mouth ulcers and vomiting.)
Grade of Evidence: low quality of evidence
Germanium (Germanium Sesquioxide, Vitamin O) [1, 6, 7, 8]:
WARNING: Germanium may cause permanent Kidney failure. Even organic supplements, though less toxic than inorganic supplements, have caused kidney and liver damage. NOT TO BE USED.
Recommendation: strongly against (Evidence shows that Germanium is not effective in treating diabetes in any way, and is also toxic, causing severe kidney and liver damage.)
Grade of Evidence: moderate quality of evidence
Chlorella (Green Algae, Chlorella Pyrenoidosa) [3, 4, 5]:
Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.
Recommendation: no recommendation (There is insufficient evidence to support claims that Chlorella helps to treat diabetes in any way)
Grade of Evidence: very low quality of evidence
Cats Claw (Uncaria Tomentosa) [1, 2]:
Please note, this management does NOT treat the condition itself. It is proposed only as a weak supportive symptomatic support, and even then, has insufficient evidence to back up this claim at present.
Recommendation: no recomendation (insufficient evidence to support claims that Cats Claw can help to treat diabetes)
Grade of Evidence: very low quality of evidence
Calcium Gluconate:
Please note, this management does NOT treat the condition itself. It is proposed only as a preventative or supportive management, not as a treatment.
Recommendation: weakly in favor (Early studies show that calcium supplements may be effective in reducing insulin resistance in diabetes)
Grade of Evidence: low quality of evidence
Calcium Supplements:
Please note, this management does NOT treat the condition itself. It is proposed only as a preventative or supportive management, not as a treatment.
Recommendation: weakly in favor (Early studies show that calcium supplements may be effective in reducing insulin resistance in diabetes)
Grade of Evidence: low quality of evidence
Reflexology:
Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.
Recommendation: no recommendation (there is insufficient evidence to show that reflexology helps to treat diabetes)
Grade of Evidence: low quality of evidence
Biofeedback:
Please note, this management does NOT treat the condition itself. It may mildly help with some of the symptoms, and even then has insufficient evidence to back up this claim at present.
Recommendation: no recommendation (there is insufficient evidence to show that biofeedback helps to treat diabetes. However, small studies have shown that biofeedback can help with migraines in people with diabetes)
Grade of Evidence: very low quality of evidence
* www.gradeworkinggroup.org
Summary References
Treatments:
1. Ades T, Alteri R, Gansler T, Yeargin P, "Complete Guide to Complimentary & Alternative Cancer Therapies", American Cancer Society, Atlanta USA, 2009
2. http://www.nutrasanus.com/cats-claw.html
3. Nakano, S et al. “Maternal-fetal distribution and transfer of dioxins in pregnant women in Japan, and attempts to reduce maternal transfer with Chlorella (Chlorella pyrenoidosa) supplements...” Chemosphere 2005 Dec; 61(9): 1244–55.
4. http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=11347287&dopt=Abstract
5. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/chlorella
6. Baselt, R. (2008). Disposition of Toxic Drugs and Chemicals in Man (8 ed.). Foster City, CA: Biomedical Publications. pp. 693–694.
7. http://www.ncbi.nlm.nih.gov/pubmed/9237323
8. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/germanium
9. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/goldenseal
10. http://nccam.nih.gov/health/goldenseal/
11. Tierra Michael (1998): The Way of Herbs. New York, Pocket Books
12. Grieve M. (1971): A Modern Herbal. New York, Dover Publications, Inc
13. Mills S. and Bone K. (2000): Principles and Practice of Phytotherapy. Philadelphia, Churchill Livingstone
14. Tice Raymond (1997): Goldenseal and Two of its constituent alkaloids: berberine and hydrastine Research Triangle Park, National Institute of Environmental Health Sciences, in Seiger E: Review of Toxilogical Literature
15. http://www.henriettesherbal.com/eclectic/ellingwood/hydrastis.html
16. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/milk-thistle
17. http://nccam.nih.gov/health/milkthistle/ataglance.htm
18. Kroll DJ, Shaw HS, Oberlies NH.(2007). Milk thistle nomenclature: why it matters in cancer research and pharmacokinetic studies. Integrative Cancer Therapies. 6: 110-119.
19. http://www.ncbi.nlm.nih.gov/pubmed/16279916
20. http://www.ncbi.nlm.nih.gov/pubmed/14506392
21. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/phytochemicals
22. http://www.fda.gov/Food/LabelingNutrition/LabelClaims/QualifiedHealthClaims/ucm073992.htm
23. http://www.ncbi.nlm.nih.gov/pubmed/20216418
24. http://www.clinicaltrials.gov/ct/show/NCT00214032
25. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/pine-bark-extract
26. http://www.nlm.nih.gov/medlineplus/druginfo/natural/patient-pycnogenol.html
27. http://nccam.nih.gov/health/redclover/
28. http://www.ncbi.nlm.nih.gov/pubmed/19609225
29. http://www.babyhopes.com/articles/natural-fertility-boosters.html
30. http://indigo-herbs.co.uk/acatalog/Red_Clover_Flowers_Info.html
31. http://www.hort.purdue.edu/newcrop/duke_energy/trifolium_pratense.html
32. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/red-clover
33. http://www.mskcc.org/mskcc/html/69350.cfm
34. Shen JJ, Lin CJ, Huang JL, Hsieh KH, Kuo ML. The effect of liu-wei-di-huang wan on cytokine gene expression from human peripheral blood lymphocytes. Am J Chin Med. 2003;31(2):247-57.
35. http://www.cancer.org/Treatment/TreatmentsandSideEffects/ComplementaryandAlternativeMedicine/HerbsVitaminsandMinerals/six-flavor-tea