WITH type 2 diabetes, the body can’t regulate blood sugar levels on
its own, and people with the health condition must rely on diet changes,
exercise, stress management, and sometimes oral medications and
insulin, according to the American Diabetes Association (ADA).
Some people complement their treatment plan with natural approaches, such as aloe vera capsules.
“I’m
a diabetic myself, and if I can take one fewer pill, I’m all for it,”
says Shirley Winslett, a registered dietitian nutritionist at the
Owatanna Hospital in Owatanna, Minnesota, who specialises in diabetes.
Aloe vera, a succulent plant commonly found in warm countries (its
origin is thought to be Sudan), has been used in traditional medicine
for more than 2,000 years, according to a review published January 2015
in the Journal of Traditional and Complementary Medicine.
A
powerful anti-inflammatory, aloe vera has been used to treat a variety
of health complaints, including constipation, colic, and high blood
pressure, though you’re most likely familiar with it as a treatment for
sunburns.
In fact, aloe vera was officially listed as a skin
protectant in the first written collection of known formulas for common
drugs in 1820 (known as the U.S. Pharmacopoeia), according to the book
Herbal Medicine: Biomolecular and Clinical Aspects.
There are two
substances from aloe vera that are used in health products: a clear gel
that’s commonly applied to the skin to relieve burns and psoriasis, and a
yellow latex that can be taken by mouth as a remedy for constipation,
according to the Mayo Clinic.
The
gel can also be taken by mouth in supplement form to treat other
conditions, including osteoarthritis, bowel diseases, and fever,
according to the National Centre for Complementary and Integrative
Health (NCCIH).
According to Herbal Medicine, aloe vera contains
more than 200 active substances, including vitamins, minerals, enzymes
and polysaccharides (a natural form of carbohydrates).
“There is
some data that suggests that aloe vera may help lower blood glucose
levels,” says Vandana Sheth,
RDN, CDE, a national spokesperson for the
American Academy of Nutrition and Dietetics and the author of My Indian
Table.
For example, a review published in June 2016 in the Journal
of Alternative and Complementary Medicine cites research that suggests
oral aloe vera supplements can lower fasting blood sugar by 46.6
milligrammes per decilitre (mg/dL) and A1C blood levels by 1.05 per
cent.
Fasting blood sugar and A1C measurements are used to
diagnose diabetes, according to the Mayo Clinic, and A1C is typically
used to tell how well blood sugar levels are being managed on average
over a three month period, says the National Institute of Diabetes and
Digestive and Kidney Diseases (NIDDK).
Similarly, a study published in Planta Medica found that 30
participants with type 2 diabetes who took a 300 mg aloe vera gel
capsule once every 12 hours for two months saw significant health
improvements.
Compared with the placebo group, the aloe vera group
dropped their fasting blood sugar levels by an average of 4.8, their A1C
blood levels by 8.07 percent, total cholesterol by 8.35 percent, and
low-density lipoprotein cholesterol (LDL, also known as “bad”
cholesterol) by 4.48 percent.
Why might aloe vera help treat type 2
diabetes? According to the authors of a review published in February
2016 in the Journal of Clinical Pharmacy and Therapeutics, aloe vera
supplements may lower the absorption of sugar into the gastrointestinal
tract following a meal, stimulate the breakdown of sugar, and prevent
sugar production.
Unfortunately, aloe vera isn’t a risk-free
solution for lowering blood sugar in people with type 2 diabetes. In
fact, the blood-sugar-lowering effects of aloe vera can come with other
consequences.
According to the NCCIH, people with type 2 diabetes
who use medications to lower blood sugar should be careful about taking
aloe vera orally. If you combine the two, you can send your blood sugar
levels crashing (a serious condition known as hypoglycemia), notes the
Mayo Clinic.
“If you’re taking any medication that lowers your
blood sugar significantly, adding in aloe vera may cause hypoglycemia,
which is just as bad as hyperglycemia, if not worse,” Winslett says.
When blood sugar levels get too low, you may feel fatigued, shaky, and
sweaty, and develop an irregular heart rhythm. When hypoglycemia
worsens, you may experience confusion, blurred vision, seizures, or even
loss of consciousness.
And because aloe vera has been shown to have laxative effects, it may
lower the absorption — and therefore the effectiveness — of other oral
medications, says the NCCIH.
If you’re interested in adding an
aloe vera supplement to your diabetes treatment plan, it’s best to talk
to your doctor first. But even if your doctor gives you the all-clear,
proceed with caution. Monitor your blood sugar closely to avoid low
blood sugar reactions, Sheth says.
What’s more, start logging your
experiences when you add aloe vera to your diabetes treatment plan. “I
always tell my patients, when you start something new, or if you’re
going from one diet to a different one, journal the side effects,”
Winslett says. Write down how you feel (for example, energetic or
fatigued) each day, how much you’re taking, and what other side effects —
if any — you may be experiencing.
Because the FDA doesn’t put
supplements through the same rigorous vetting as conventional
medication, you’ll want to look for an aloe vera gel supplement that’s
been third-party tested for safety. A few top testing agencies include
NSF International, ConsumerLab, and USP.
More research on the
effects of aloe vera for type 2 diabetes is needed before healthcare
providers can recommend exact dosages, Sheth says. Existing research may
offer a clue: In the Plant Medica study, participants with type 2
diabetes who took 300 mg of aloe vera gel capsules once every 12 hours
for two months saw improvements in blood sugar, A1C, total cholesterol,
and LDL cholesterol, without side effects.