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With regard to dietary supplements , patients should be aware of the following: Herbal supplements with hypoglycaemic properties such as berberine, bitter melon, or fenugreek may enhance blood glucose-lowering effects and increase hypoglycaemia risk, particularly when used alongside insulin or sulfonylureas

Prodromidou A, Zacharakis D, Athanasiou S, Protopapas A, Michala L, Kathopoulis N, Grigoriadis T

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48:2838fdul Riedl E, Koeppel H, Pfister F, Peters V, Sauerhoefer S, Sternik P, Yard BA (2010) N-glycosylation of carnosinase influences protein secretion and enzyme activity: implications for hyperglycemia

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