Tired of taking pills for type 2 diabetes? Endocrinologist Dr. Ergin explains how natural remedies like berberine, bitter melon, cinnamon, and lifestyle changes may help reduce your need for medications like metformin, sulfonylureas, and more—safely and with your doctor’s guidance.
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🩺 Who is Dr. Ergin? Dr. Ahmet Ergin is an endocrinologist with a particular interest and passion for diabetes care. Dr. Ergin earned his medical degree with honors at Marmara University School of Medicine in Istanbul, Turkey. Then, he completed his internal medicine residency and endocrinology fellowship at Cleveland Clinic in Cleveland, Ohio. He is a board-certified physician in Internal Medicine and Endocrinology, diabetes, and metabolism. He is also a certified diabetes education specialist.
⚠️︎ Disclaimer: Any information on diseases and treatments available at this channel is intended for general guidance only and must never be considered a substitute for the advice provided by your doctor or other qualified healthcare professionals. Always seek the advice of your physician or other qualified healthcare professionals with questions you may have regarding your medical condition.
Hey there. You know what's amazing? So
many of my patients have been able to
cut back on their diabetes meds. And
some have even stopped them completely
by using these natural approaches. I'm
Dr. Ahmed Urgen, and as a diabetes
specialist, I have seen firsthand what
works and what doesn't. Today, I want to
have an honest conversation about your
medications. Not about tossing them in
the trash. that could be dangerous, by
the way. But understanding what they do,
which ones might be worth keeping for
their heart and kidney benefits and how
you might be able to support your body
naturally. Let's talk about what you
might be going through right now. Are
you taking handful of pills every day,
dealing with those lovely side effects
like stomach issues or those scary low
blood sugar episodes? Maybe you're
worried about being on these medications
forever, or your wallet is feeling the
pinch from prescription costs. I hear
you. So many people come into my office
feeling frustrated and stuck. They tell
me, "Doc, I'm taking more and more
medications, but I don't feel any
better. Will I be on these pills for the
rest of my life?" Here's the thing. It's
not their fault. Top two diabetes is not
just about eating too much sugar or not
exercising enough like everybody else
thinks. It is this complex dense between
your genes, your environment, stress
levels, sleep, and even the bugs, the
bacteria living in your gut. No wonder
it feels overwhelming sometimes because
you think that you're controlling and
nothing's happening or not enough
happening and you're lost. Before we
talk about natural alternatives, let's
understand what your medications are
actually doing in your body. Think of it
as knowing your opponent in a chess
game. It gives you an advantage.
Metformin, let's start with the
granddaddy of diabetes meds, right?
Metformin. This is usually the first
medication people get prescribed and
that's the most hated medication. So,
Metformin is like that friend who helps
you in three ways. It tells your liver
actually to stop dumping so much sugar
into your bloodstream, which is good,
especially overnight. It doesn't work
for everybody, but when it works, it
does that. It helps your muscles use
insulin better, and it even changes the
bacteria in your gut in a good way.
Actually, imagine your liver as a sugar
factory working over time. Metformin
basically says, "Hey, slow down
production." It also helps your muscle
cells open their doors wider to let the
sugar in. And as you know a lot of you
are taking like sugar MV super
bourberine or bourberine as an
alternative to metformin and most of you
are doing great on that but it's
something that's between you and your
doctor or between you and you. So you
decide what to do with your medications
but make sure that you have guidance
from your doctors. Sulfanyl uras is
another one that's commonly prescribed
like galiposide glyoride gimmopride
right these are common these medications
they're like a cracking a whip over your
poor pancreas. Your pancreas is already
exhausted and these meds force it to
pump out more insulin. It's like your
pancreas is that employee who has been
working overtime for years and these
medications are like giving them a
triple espresso and saying work harder.
It works in the short term but in the
long term that employee might burn out.
Other commonly prescribed medications
are like DPP4 inhibitors like Genevia or
Troenta. And these newer medications are
a bit gentler actually, but they're very
expensive for what they do. Your body
naturally makes hormones called
incretins that tell your pancreas to
release insulin after you eat. But these
hormones get broken down quickly by an
enzyme called DPP4. These medications
are like bouncers that block that
enzyme. So your natural incrretin
hormones stick around longer. It's like
extending the life of your body's own
insulin triggering signals. Next is
getting popular and has been popular.
This class of medications in the last
few years is for example jardians fara
in vocana. These are SGLT2 inhibitors.
They work in a completely different way.
They make you pee out sugar. It reduces
the threshold of kidney to release
glucose. Normally, your kidneys filter
sugar, but then reabsorbs it. All of it.
These medications block that
reabsorption. Think of it as installing
a glucose drain in your body. And here's
the cool part. These medications also
protect your heart and kidneys in the
ways that go just beyond lowering blood
sugar, which is nice. If you can afford
them, they can be helpful. And they have
a lot of side effects too that you need
to be aware of. We'll talk more about
that later. But GLP-1 receptor agonist
has been like taking it by storm like
ozampic, trulucidity, victoa, monjaro
and stuff like that. You probably have
seen commercials or you're already on
it, but they mimic a natural hormone
called GLP1. Does three things. GLP-1
hormones slow down how quickly food
leaves your stomach so you feel full
longer and reduces your appetite and
tells your pancreas to release insulin
when you eat. It's like giving your body
more of something it already makes but
might not be enough. So if you have
diabetes, you develop resistance to
these incretins or GLP-1 hormones as
well. Let's get to the good stuff. How
can we support your body naturally? I'm
going to share some herbs, vitamins, and
lifestyle approaches that might help you
need less medication over time. And
remember, this isn't about stopping your
meds cold turkey. That can be dangerous.
This is about supporting your body so
well that maybe just maybe you and your
doctor can reduce your medication doses
or stop some of them. Natural
alternatives like I said earlier to
metformin is bourberine. Bourberine is
typically called nature's metformin
because it works in amazingly in similar
ways. It is bright yellow compound found
in plants like golden seal or organ
grape. And here's what's wild. Studies
show it can lower A1C by about 0.9%
almost 1% which is pretty much same as
metformin. I have had patients who
couldn't tolerate metformin's stomach
side effects do great on the bourberine
and who people who cannot tolerate
bourberine they do better on
dehydroberine which is available at our
website at sugarbe.com and in my clinic
as well. But if you want to try work it
up to three times a day. The bourberine
start with 500 milligram with meals
maybe once or twice a day first. Then
just like metformin it can cause some
digestive upset if it is just regular
bourberine. So start slow and go slow
increase slowly. One of my patients Sara
she could not handle metformin. It gave
her perable diarrhea and we switched her
to bourberine sugar MD super bourberine
and not only did her blood sugar improve
but her cholesterol numbers got better
too. Another one is bitter melon. This
funky looking bumpy cucumber has been
used for diabetes in traditional
medicine for centuries. It actually
contains a compound that works a lot
like insulin. You can find it in Asian
grocery stores or some other farmers
stores. You can either juice it, but I'm
warning you, it's called bitter for a
reason, or you can cook it as a
vegetable or take it as a supplement.
about 500 to 1,000 milligram of the
extract daily can help your blood sugar
levels. Advanced glucose support and
glucco defense on our website have
bitter melon as a primary ingredient.
And one of my patients, Miguel, he
drinks bitter melon juice actually every
morning. He mixes it with some lemon and
a touch of stevia to make it more
palatable. And he has been able to cut
his metformin in half and cinnamon. And
yes, that is something that we always
talk about. It's a spice that should be
in your cabinet because it can help your
blood sugar. And here's the important
part. You want to have salon cinnamon,
which is true cinnamon, not the casia
cinnamon that is more commonly found in
the grocery stores. Just a/4 to one
teaspoon daily can help improve insulin
sensitivity. I love recommending this
one especially because it is so easy to
your morning coffee routine or oatmeal
or yogurt. Alphalopoic acid is another
one that I cannot talk enough about,
especially RALA. It's a powerful
antioxidant that helps improve insulin
sensitivity and glucose uptake. The
natural form called R alphalopoic acid
works better than the synthetic form or
the entire form. And about 600 to,200
milligram daily in divided doses can
make a big difference. You want to have
here an added bonus. It also helps with
nerve pain from diabetes too. One of my
patients, Robert, noticed less tingling
in his feet after just a month on the
sugar MD RALA. Now, chromium is an
essential mineral that helps your
insulin work better. Look for chromium
picolinate or holy nicotinate about 200
to a,000 microgram daily. Taking it with
vitamin C especially helps your body
absorb it better. There are some
lifestyle approaches that can mimic
metformin as well. For example,
timerestricted eating. This is simpler
than it sounds. It just limit your
eating and 8 to 10 hours a day. Don't
eat anything other than that window.
Maybe eat between 10:00 a.m. and 6:00
p.m. Then give your body a break from
food overnight. I had a patient, his
name was John, who just stopped eating
after dinner at 7:00 p.m. And he used to
snack all the time and didn't eat until
7:00 a.m. in the morning. That simple
quiddon on snacks after 700 p.m. helped
his morning blood sugar drop by 20
points like in couple days. Resistance
training. You don't need to become a
bodybuilder, but just some basic
strength training two to three times a
week can work wonders. Even 20 to 30
minute sessions focusing on major muscle
groups can significantly improve your
muscles respond to insulin. If you don't
have a membership, no problem, right?
You can do resistance bands, body weight
exercises like squats or push-ups or
even lifting water bottles or canned
goods. They're all helpful. If you have
a balance problem, lean against the wall
and do these exercises or you can do
chair exercises as well. The third is
the apple cider vinegar. That's a trick
that most of you know about and it is
simple but it works surprisingly well.
Take one to three tablespoons in a glass
of water before the meals, especially if
you are going to eat something starchy.
Studies show that it can improve insulin
response after meals by up to 34%. I
recommend the unfiltered kind with the
mother for maximum benefits. Natural
approaches for sulfanuras. Instead of
whipping your entire pancreas to work
harder, let's focus on supporting it and
reducing its workload. Jimma, for
example, it is an herb. I call it a
sugar destroyer herb because this herb
has been used in ayurveetic medicine in
India for centuries and it actually
there also called sugar destroyer in
Hindi because it can reduce sugar
cravings by temporarily blocking sweet
taste receptors. More importantly, it
helps regenerate the insulin producing
cells in your pancreas and reduce the
sugar absorption from your intestines.
about 400 to 600 milligram of
standardized extract daily can make a
big difference. We have it in the glucco
defense. We have it in the advanced
glucose support. We have it in glucon
that's coming up for all the sugar MD
glucose support products. Take it about
10 minutes before meals for the best
effect on sugar absorption. One study
showed that people taking Jimnma were
able to reduce their diabetes
medications by half. My patient Liisa
started taking that and noticed that she
stopped craving sweets within just a
week. An unexpected but welcome side
effect. Right. Fenugreek seeds. These
little seeds also pack a powerful punch
really for your blood sugar. They
contain compounds that stimulate insulin
release and slow down carbohydrate
absorption. You can soak one to two
teaspoons overnight in water and drink
the water and eat the seeds whatever in
the morning, right? You can sprout them
if you want having more potency from
them. But you can find them as a powder
as well. So if you don't like the seeds
and about 5 to 10 g with meals can help
a lot. They have a mapleike taste which
some people love and others not so much.
But if you don't like the taste,
capsules will work as well. Zinc and
biotin combination is important.
Combination of these two nutrients work
really together really well to support
hand healthy insulin production. Why?
Because zinc is essential for insulin
production and storage. While the biotin
enhances how your pancreas responds to
blood sugar. About 15 to 30 migram of
zinc and 2 to 5 milligram of biotin
daily can help support your pancreas.
Just take the zinc away from calciumrich
foods or supplements for better
absorption. Banana leaf. This plant
actually is from Southeast Asia and
contains corolic acid which acts similar
to insulin in your body. About 32 to 48
migram of standardized extract can help
lower your blood sugar quickly. Some
studies show that effects can happen
within an hour. How about DPP4 inhibitor
alternatives like Genevia or Troenta,
right? Well, the best alternatives are
in your diet, dietary polyphenols. These
powerful plant compounds can naturally
inhibit that DPP4 enzyme, similar to
medications like Geneva. The best
sources are berries, especially
blueberries and blackberries. Aim for a
cup daily or green tea two to three cups
of green tea daily or as a supplement
with three to 400 migram of EGCG. Dark
chocolate I would say one to two squares
of 85% cocoa is really not bad. Finally
a medicine that tastes good, right? But
red wine is something that a lot of
people do. If you drink alcohol, a glass
of red wine with dinner might help. One
drink for women up to two for men. But
if you're not drinking red wine or
alcohol, consider using resverrol.
Resverrol is the active ingredient. And
you can find it in many other stores,
but you will stumble on that supplement
as well at our website, too. Now, my
patient Maria replaced her afternoon
coffee with green tea and added berries
to her morning yogurt. Simple changes,
right? But they helped her blood sugar
stay stable throughout the day.
Curcumin, let's talk about that. This
golden spice does more than flavoring
your curry. It can help with blood sugar
too. The challenge is that it is
absorbed a little bit poorly. So look
for formulations with black pepper or
you can add black pepper, right? Or
liposomaal forms also work too. 500 to
1,000 mgram of enhanced curcumin
formulation daily can help a lot. Or
using a lot turmeric can help a lot as
well. Take it with a meal that contains
some fat for better absorption. One
study showed that the curcumin
supplementation reduced fasting blood
sugar by 18% after 9 months. And like I
said, respirator, which is the compound
in red wine that gets all the attention
for heart health, but it helps with
blood sugar too. It inhibits DPP4 and
activates a longevity pathway that
improves insulin sensitivity. Around 100
to 500 milligram daily of the
transverrol, which is the active form,
can help you. Taking it with corsetin
found in apples and onions by the way
improves how well your body absorbs it
too. Now ginger is a common kitchen
spice that does more than settle your
stomach. It can help your blood sugar
too. It contains compounds called ginger
rolls and sugars that inhibit the DPP4
and enhance insulin sensitivity. Fresh
ginger also contains more active
compounds than the deride one but both
work. So try adding one to two inches of
fresh ginger to smoothies. For example,
making ginger tea with sliced fresh
ginger. Using half a teaspoon of dried
ginger in cooking can help. And taking
30 to 60 drops of liquid extract and
some people do that as well. My patient
Tom started having ginger tea after
dinner instead of the dessert. Not only
did this help his blood sugar, but it
also improved his digestion. Let's talk
about the SGLT2 inhibitor alternatives
like your Jardians, your Farsa. And I'll
be honest, we don't have perfect natural
equivalents to SGLT2 inhibitors, but we
can support similar pathways like
florisin containing foods. This compound
from apple tree bark was actually the
inspiration for SGLT2 inhibitor
medications. Small amounts are found in
apples, but you can also find apple
polyphenol extract that contain more.
About 500 to 1,000 mgram of apple
polyphenol extract might help support
your glucose level and glucose excretion
just like the jardians does or fara
does. And you know, we're going to talk
about kidney supporting herbs since the
SGL2 inhibitors are basically marketing
themselves as supporting kidney
function. I will say this, why not use
dandelion and that's a weed in it can
grow in your yard. It's actually very
powerful medicinal plant. The root makes
a great tea or a tincture 2 to 8 ml
daily maybe but that gently increases
the urination without losing
electrolytes. It also supports liver
function giving you a two for one
benefit. My patient Carol makes
dandelion root tea every morning. She
says it's helped her feel less bloated
while improving her blood sugar levels.
Now, hibiscus is something that's a
beautiful flower. It makes a tart a
cranberry like tea that supports the
kidney function and healthy blood
pressure as well. So, try two to three
cups daily or you can start with one if
you don't want to overdo it. It is
delicious hot or cold and studies show
that it can reduce the blood pressure by
about 11% which is a nice bonus if
you're dealing with hypertension as
well. Now number third is an interesting
one that you may not have heard before
is corn silk. So next time you sh corn
save those silky threads. They make a
mild tasting tea that supports urinary
health and gentle glucose excretion.
Steep 2 tablespoon of fresh or 2
tablespoons of dried corn silk in hot
water for 10 to 15 minutes and you will
enjoy. And let's talk about hydration,
right? So big one. It is so basic but so
important. Proper hydration supports
your kidneys natural filtering function.
Aim for at least 2 to three lers of
water daily. More if you're active or if
it is hot outside. Start your day with
16 ounces of water right after waking to
rehydrate after the night. I would like
to recommend adding a tiny pinch of high
quality salt to your morning water to
help with adulthike balance. Unless you
have a blood pressure problem that is
worsening with salt, especially if you
are following a lower carb approach,
that extra salt will go a long way for
you. How about natural GLP-1 support?
Obviously, there are these very strong,
powerful, and medications that also have
a lot of side effects, but how do you
really mimic that? You may not be able
to mimic exactly what they do, but you
can kind of get close. Certain fibers
ferment in your gut and produce
compounds that stimulate GLP1 release,
similar to ompic, but through natural
pathways in this case. And the best
sources are flax seeds, two tablespoons
daily of ground fresh. Be careful. They
go rancid pretty quickly. So, make sure
that you only ground them when you are
ready to eat them and keep it in the
fridge or freezer. And chia seeds is
another one. Great source for GLP-1
production, which is going to be around
1 to two tablespoons daily. I love these
like one of my favorite things to do in
breakfast. Psyllium husk also is good.
You can start with one teaspoon and work
up to one tablespoon daily. Gluccoman is
also great. 1 to two grams daily before
meals. This is a fiber by the way. It's
in conjac and shitake noodles. So if
you're eating conjac rice or shiakei
rice, that is what you're having. You're
not having any carbohydrates, but you're
feeling full. And that can also
stimulate the GLP-1 release, which can
help your blood sugar levels. Of course,
start with small amounts and increase
gradually to avoid the digestive
discomfort with these fibers. My patient
David started adding ground flax seeds
to his morning smoothie and he noticed
that he stayed full until lunch or even
after and no more mid-m morninging
snacks or crashes and he was happy.
Bitter herbs for GLP-1 release. There's
something fascinating there. The bitter
taste receptors in your gut can help
trigger GLP-1 release. The traditional
bitter herbs include gentin root for
example 10 to 20 drops of tincture
before the meals or artichoke leaf
extract that's around three to 600
milligram before meals. Then the lion
greens you can add to your salads or
take 1 to 2 ml of the tincture and
Swedish bitters. There you have it. I
think we talked a lot about medications
and natural ways to reduce the
medication burden today. Thanks for
watching. Please write down about your
story. We want to hear about what
happened to you and what were you able
to achieve and how did you come off the
medications. We want to hear those
stories and we want to hear the stories
that are long term. A lot of people will
write things like oh I did this diet and
my sugar is back to normal but is it
just like few months or have you kept it
like that for 10 20 years or years or
were you able to maintain that diet?
Right? So we want to hear more about
your story. So, write a comment below
and thanks for watching. Give a thumbs
up. We'll see you in the next video.