Psyllium supplement - Health benefit of psyllium for diabetes

Psyllium seed husk is a dietary fiber from Plantago ovata that increases stool weight and promotes laxation by its presence in stool and by increasing the moisture content of stool.

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A combination of hoodia, ginger, cinnamon, green tea extract, psyllium, spirulina, acetyl-l-carnitine, choline, guggul, and several other herbs and nutrients, as found in Diet Rx, a very effective herbal diet pill with psyllium for weight loss. Users of Diet Rx have lost several pounds within a week or two.

Benefit of psyllium

Psyllium may help with weight loss.
Psyllium is a wonderful bulking agent for constipation. It also reduces fecal incontinence.
Psyllium helps lower cholesterol and blood lipid levels
Psyllium may help reduce blood pressure.
Psyllium added to a traditional diet for persons with type II diabetes is safe, well tolerated, and improves glycemic and lipid control.
Psyllium reduces radiation-induced diarrhea.
Psyllium could be helpful with blood sugar control.

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Psyllium improves blood lipids
The acute effects of psyllium on postprandial lipaemia and thermogenesis in overweight and obese men.
Br J Nutr. 2007 Nov 16;:1-8  Department of Nutrition, Dietetics and Food Science, ATN Centre for Metabolic Fitness, School of Public Health, Curtin University, Perth, Western Australia 6102, Australia.
This study examined the postprandial metabolic effects of dietary psyllium in overweight and obese men. Ten overweight and obese men consumed a mixed meal accompanied by either a high psyllium or low psyllium  supplement on two separate visits, in a random order, 1 week apart. Two isoenergetic breakfast meals with similar composition were consumed by ten overweight/obese men. The meals contained either a low (3 g) or high (15 g) amount of psyllium. Serum triacylglycerol incremental area under the curve during 6 h of the postprandial period was significantly lower after the consumption of high psyllium compared with low psyllium. These findings suggest that a single acute dose of dietary fibre in the form of psyllium supplement can decrease arterial exposure to TAG and modify chylomicron responses in the postprandial period.

Psyllium lowers blood sugar in patients with diabetes
Psyllium decreased serum glucose and glycosylated hemoglobin significantly in diabetic outpatients.
J Ethnopharmacol. 2005 Nov 14;102(2):202-7. Department of Pharmacology, Institute of Medicinal Plants, ACECR, No. 97 Bozorgmehr Street, Qods Street, Enghelab Avenue, P.O. Box 13145-1446 Tehran, Iran.
The beneficial effect of dietary fiber in the management of type II diabetes, has not been totally demonstrated. The purpose of this study was to determine the plasma-lowering effects of 5g twice daily of psyllium husk fiber, as an adjunct to dietary and drug therapy on lipid and glucose levels, in patients with type II diabetes. Forty-nine subjects were included in the study that were given diet counseling before the study and then followed for 8 weeks in the treatment period. Fasting plasma glucose was measured every 2 weeks, and total plasma cholesterol - , LDL-cholesterol (LDL-C), HDL-cholesterol (HDL-C), triglyceride, and insulin levels were measured every 4 weeks. Glycosylated hemoglobin (HbA1c) was also measured at the beginning and ending of the study. Better gastric tolerance to metformin was recorded in the psyllium group. Fasting plasma glucose, and HbA1c, showed a significant reduction, whereas HDL-C increased significantly following psyllium treatment. LDL / HDL ratio was significantly decreased. These results show that 5 g b.i.d. of psyllium for persons with type II diabetes is safe, well tolerated, and improves glycemic control.


Psyllium dosage
Psyllium is best taken in a dose of 1 to 5 grams with a meal, particularly if the meal has a low fiber content. You can mix half a teaspoon or a teaspoon with a glass of water, once or twice a day. I also recommend drinking a glass of water in the morning when you wake up. Many psyllium products on the market add sugar. Try to find a product without added sugar.

Psyllium lowers cholesterol
Long-term cholesterol-lowering effects of psyllium as an adjunct to diet therapy in the treatment of hypercholesterolemia.
Am J Clin Nutr. 2000 Jun;71(6):1433-8. University of Kentucky and the Veterans Affairs Medical Center, Lexington, KY
Hypercholesterolemia is a major risk factor for coronary heart disease and nutrition management is the initial therapeutic approach. This multicenter study evaluated the long-term effectiveness of psyllium husk fiber as an adjunct to diet in the treatment of persons with primary hypercholesterolemia. Men and women with hypercholesterolemia were recruited. After following an American Heart Association Step I diet for 8 wk (dietary adaptation phase), eligible subjects with serum LDL-cholesterol concentrations between 3.36 and 4.91 mmol/L were randomly assigned to receive either 5.1 g psyllium or a cellulose placebo twice daily for 26 wk while continuing diet therapy. Serum total and LDL-cholesterol concentrations were 4.7% and 6.7% lower in the psyllium group than in the placebo group after 24-26 wk. Other outcome measures did not differ significantly between groups. Treatment with 5.1 g psyllium twice daily produces significant net reductions in serum total and LDL-cholesterol concentrations in men and women with primary hypercholesterolemia. Psyllium therapy is an effective adjunct to diet therapy and may provide an alternative to drug therapy for some patients.

Psyllium supplement does not affect C reactive protein levels
Dr. Dana E. King and colleagues at the Medical University of South Carolina, Charleston assigned 162 overweight or obese adults without heart disease to take psyllium supplements (7 or 14 grams daily) or no supplements. Their objective was to see whether daily fiber supplementation would lower blood levels of C-reactive protein or CRP and other markers of inflammation. After 3 months, the results showed changes in CRP levels or the other markers of inflammation were no different between the group that got psyllium fiber supplements and the no-supplement comparison group. Annals of Family Medicine, March/April 2008.
   Comments: Psyllium may provide benefits that are not necessarily related to changes in c reactive protein levels.

Psyllium fiber questions
Q. Can you tell me what supplements are contraindicated to take with psyllium husk? Also, because psyllium had a binding affect with fats in the body, is it not advised to take with fish oils?
   A. This is a good question. We have not seen any good studies regarding the absorption of EPA and DHA fatty acids in fish oils, or other supplements, when taken with a psyllium supplement. We suspect psyllium may slow, but not fully prevent the absorption of the fish oils. Nevertheless, it may be a good idea to take the fish oils and most other supplements, in the morning and psyllium at lunch or with dinner.

Q. I am a dialysis patient and must monitor my phosphorus and potassium intake. Are these minerals present in psyllium fiber? 
   A. Unless a psyllium product has these minerals added, psyllium by itself does not, for practical purposes, have phosphorus or potassium.

Q. I read that the Diet Rx formula contains psyllium fiber. In the past I have take psyllium fiber by itself in a colon cleansing formula and had a serious allergic reaction. What is the amount of psyllium and would you recommend this for me?
   A. The amount of psyllium fiber in Diet Rx is minimal compared to a psyllium product by itself. Psyllium allergy is extremely rare and perhaps there were other substances in that formula that you had a reaction to. Please have approval by your doctor before using Diet Rx if you feel you may be allergic to any of its components. Thus far there have not had any reports of allergies to Diet Rx.

Q. I have been using psyllium fiber and/or ground flaxseeds on a daily basis to keep regular. The info on all psyllium fiber containers state that it does interfere with absorption of vitamin supplements and not to take such products at the same time. In researching, I have found information that tells me all fibers (including ground flaxseeds) interfere with vitamin absorption. I know you have addressed this issue about psyllium fiber before and wonder if you still have the same thinking that in taking everything at approximately the same time is not an issue.
   A. Most vitamin supplements contain more than necessary dosages needed by the body, therefore, even if less is absorbed due to psyllium fiber use (and the decrease in absorption in many cases may not be significant), the body is still likely to absorb sufficient amounts. For practical purposes, one can sometimes take the psyllium fiber the same time as the vitamin supplements, and others times at a different time of the day.

Psyllium Husk Caps

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