在購買保健食品前 若本身有糖尿病,請注意有些成分可能會讓血糖控制不易

1. 糖尿病要小心
的保健食品
周孫鴻藥師

2. CLA
共軛亞油酸

3. • 影響 : 惡化血糖控制
• 建議 : 第二型糖尿病 , 或是有糖尿病風險者
( 例如代謝症候群 )~ 服用共軛亞油酸需要
監測血糖
Moloney F, Yeow TP, Mullen A, et al. Conjugated linoleic acid supplementation, insulin
sensitivity, and lipoprotein metabolism in patients with type 2 diabetes mellitus. Am J Clin
Nutr. 2004;80:887-895.
Riserus U, Arner P, Brismar K, et al. Treatment with dietary trans10cis12 conjugated linoleic
acid causes isomer-specific insulin resistance in obese men with the metabolic
syndrome. Diabetes Care. 2002;25:1516-1521.

4. 維他命 E

5. • 影響 : 降低糖尿病人的血壓
• 建議 : 糖尿病病人服用高劑量維他命
E(>400 IU/ 天 ) 時 , 須監測血壓
Ward NC, Wu JH, Clarke MW, et al. The effect of vitamin E on blood pressure in individuals
with type 2 diabetes: a randomized, double-blind, placebo-controlled trial. J
Hypertens. 2007;25:227-234.

6. 銀杏

7. • 影響 : 改變體內胰島素的量
• 建議 : 糖尿病病人服用銀杏時 , 須監測血糖
~ 因為目前只知有影響 , 但還不知會升高或
是降低血糖
Kudolo GB. The effect of three- month ingestion of Ginko Biloba extract (EGb 761) on
pancreatic b-cell function in response to glucose loading in individuals with non-insulin
dependent diabetes mellitus. J Clin Pharmacol. 2001;41:600-611.
Sugiyama T, Kubota Y, Shinozuka K, et al. Ginkgo biloba extract modifies hypoglycemic
action of tolbutamide via hepatic cytochrome P450 mediated mechanism in aged rats. Life
Sci. 2004;75:1113-1122.

8. Selenium 硒

9. • 影響 : 增加第二型糖尿病機率
Stranges S, Marshall JR, Natarajan R, et al. Effects of long-term Selenium supplementation
on the incidence of Type 2 diabetes.Ann Intern Med. 2007 July 9.

10. • 影響 : 增加第二型糖尿病機率
Stranges S, Marshall JR, Natarajan R, et al. Effects of long-term Selenium supplementation
on the incidence of Type 2 diabetes.Ann Intern Med. 2007 July 9.