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Occasional Contributor
Patches62
Total Posts: 5
Registered on: ‎10-16-2011

Vitamins ~ which ones?

I am a Type 2 Diabetic and am wondering what types of vitamins are recommended and which ones should be avoided.

 

I talked to my Diabetic Specialist and she said I should be getting all the vitamins I need from the food I am eating.  I inquired about taking an Adult Multi~Vitamin and also b12 and she said it wouldn't hurt me but didn't say it would help me either.

 

Do you take Vitamins and if so which ones and why?

Trusted Contributor
morrisolder
Total Posts: 10,644
Registered on: ‎11-28-2009

Re: Vitamins ~ which ones?

I think the advice you got is good advice--if you eat a balanced diet, for the most part you will get the nutrients you need. In addition, the vitamins found in food are often absorbed a whole lot better than the vitamins, or minerals, that come in pill form. Higher priced vitamin companies acknowledge this by claiming that their vitamins are more bio-available then cheaper formulations, but the testing to back up such claims is often very sketchy.

 

That said, a good way to see if you need supplements is to have a comprehensive blood panel done, which will note deficiencies that you might have. Are you in the normal range for various things, or too low somewhere?  Tests can tell you that in most cases. If you' are deficient then you can take whatever it is that you are short on, --or you can try modifying your diet to get more of that nutrient.

 

In addition it is possible to get too much of some nutrients. Vitamin B6 taken to excess, for example, can cause neuropathy.  Most B supplements are below that level but not all.

 

When I was diagnosed I was taking a daily multivitamin.  I still take it, but only once every 2-3 days..So I am not completely practicing what I preach, even though I eat a very balanced diet and show no deficiencies on tests...

Morris

Diagnosed Type 2, with an A1c of 11.4 in 2003; averaging a 5.0 A1c since then with diet, exercise and Glipizide XL + meds for blood pressure and cholesterol. 
A bit dated, but scroll down on this page if you want to know more ...


alan_s
Total Posts: 15,295
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Registered on: ‎10-30-2009

Re: Vitamins ~ which ones?

[ Edited ]



Patches62 wrote:

I am a Type 2 Diabetic and am wondering what types of vitamins are recommended and which ones should be avoided.

 

I talked to my Diabetic Specialist and she said I should be getting all the vitamins I need from the food I am eating.  I inquired about taking an Adult Multi~Vitamin and also b12 and she said it wouldn't hurt me but didn't say it would help me either.

 

Do you take Vitamins and if so which ones and why?


I am forced to say something I rarely do when it comes to diet; I agree with your Diabetic Specialist :smileyhappy:

 

I have found that by choosing from as wide a variety of meats, fish, fruits, eggs and vegetables as I reasonably can, with some wine, dairy, herbs and spices added to the mix, I need very few additional vitamins as supplements. Each of the few supplements on my present short list were chosen for specific reasons.

 

Metformin, if you take it, is known to deplete vitamin B12. However, a reasonable intake of red meat, chicken and seafoods should be able to counter that: USDA National Nutrient Database for Standard Reference, Vitamin B-12

 

Do your blood tests show any deficiencies? My other supps are fish oil (because I won't take a statin), D3 (because tests show I am at the low end of the range), magnesium (for cramps, although research is also starting to show adequate Mg to be vital) and ALA for arthritis (with side benefits for other things). I can't say whether you have a need for any of those.

 

 

Cheers, Alan, Type 2, d&e metformin 2000mg, Australia.
Everything in Moderation - Except Laughter.
There is nothing I could eat I like more than my eyes.
Type 2 Diabetes - A Personal Journey(latest: Catering For Different Tastes When Cooking)
Born Under a Wandering Star (Latest: Budapest, Hungary)
lizzylou
Total Posts: 13,930
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Registered on: ‎10-31-2009

Re: Vitamins ~ which ones?

Hi Patches,

 

I take quite a few supplements, but not megadoses of any.  I have blood panels done twice a year to ensure that my levels are within range.  I use good-quality supplements and not the cheapest store brands.  Legitimate manufacturers know that their business depends on meeting certain standards, and if their products were shown to be unreliable or sub-standard that would effect their bottom line.  And business is all about the bottom line, now isn't it?

 

I studied nutrition for 5 years so I know what I'm doing with the supplements I take.  When I was almost killed by a prescription medication I began study of nutrition and eventually found supplements that worked as well as the prescription meds. but without the side effects. 

 

I don't believe that anyone these days can get all of the nutrition they need from foods, and also you must keep in mind that the recommended levels are the minimum needed to sustain life, not promote the best health. 

 

I therefore agree that a multi-vitamin each day will not hurt you, and I go further and say that it will help you.  One caution however, unless you're still of child-bearing age or show a deficiency you don't need one that includes iron.  There are many that do not, and I'd recommend those. Why are you wanting to take B-12?  Are you a vegetarian?

 

Ask your doctor to have a blood panel done to see if you do have any deficiencies, and if levels are on the low side of normal you could perhaps benefit from individual supplements, but not in megadoses.

 

Lizzy 

Knowledge is Power!





Here's some useful links, click on the titles


Testing 101
 
 All About Carbs

Resources For The Un-insured and Discount Medicine and Equipment

LizzyLou Videos



Lizzy's Blog
for lots more  


lizzylou
Total Posts: 13,930
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Registered on: ‎10-31-2009

Re: Vitamins ~ which ones?

Metformin, if you take it, is known to deplete vitamin B12

 

Alan,

 

Metformin can delete B-12, but that's not a given that it does, and when it does occur it's mostly in the elderly.  Many people (including me) have been taking it for many years and our levels are just fine.

 

Lizzy

Knowledge is Power!





Here's some useful links, click on the titles


Testing 101
 
 All About Carbs

Resources For The Un-insured and Discount Medicine and Equipment

LizzyLou Videos



Lizzy's Blog
for lots more  


Super Advisor
yellocanoe
Total Posts: 3,142
Registered on: ‎11-02-2009

Re: Vitamins ~ which ones?

The only daily supplement I now take due to Osteoporosis is a 600mg calcium tablet that also contains 400 IU of vitamin D-3. 

 

Tom  

Diagnosed T2 October, 2009  A1c 6.8
Currently on Metformin ER 1000mg per day
Last A1c 09/21/2013  5.4
Super Advisor
Talvie
Total Posts: 3,429
Registered on: ‎10-30-2009

Re: Vitamins ~ which ones?

I sometimes take fish oil, calcium and if I'm not feeling well, I might take B12.  I've never had a vitamin deficiency.  I asked about multi-vitamins and was told that the vitamins and minerals in food were better absorbed.  I remember an experiment done on calcium supplements....and this is an easy test to do at home:  Put your supplement in a glass of water and see how long -- if ever -- the pill or capsule dissolves.  If it never dissolves in the glass, there's good chance it won't dissolve in your stomach either, no matter how strong your stomach acids might be.  I tried it with a calcium tablet and found that in two days, it never even softened.

 


Talvie


"Life shrinks or expands in proportion to one's courage." Anais Nin
Type 2 Diabetes diagnosed December 13, 2000 w/A1c of 7.6. June 2014 A1c 5.6 Controlling with diet and exercise, and 500mg daily of metformin.
Frequent Advisor
xenablue
Total Posts: 1,775
Registered on: ‎11-02-2009

Re: Vitamins ~ which ones?

The only vitamin supplements I take are the ones my lab results say I'm low in.  I already eat a very balanced (low-carb) diet with copious amounts of fresh raw and cooked veggies, plenty of good fats and proteins so don't see that I would need anything additional.

 

Cheers,

xena.

 

 

 

 




Dx 2008 - A1C 8.6
Current A1C 5.5
alan_s
Total Posts: 15,295
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Registered on: ‎10-30-2009

Re: Vitamins ~ which ones?


.lizzylou wrote:

Metformin, if you take it, is known to deplete vitamin B12

 

Alan,

 

Metformin can delete B-12, but that's not a given that it does, and when it does occur it's mostly in the elderly.  Many people (including me) have been taking it for many years and our levels are just fine.


My own blood tests show no problem. I am on 2000mg daily, but I also eat meat or fish at most main meals.

 

It's a while since I read deeper on this. So I did a quick search on Google Scholar. These were near the top of the list; I had forgotten that not just B supplementation may help, but calcium supplementation can be effective for the problem:

 

Increased intake of calcium reverses vitamin B12 malabsorption induced by metformin.



CONCLUSIONS: Patients receiving metformin have diminished B12 absorption and low serum total vitamin B12 and TCII-B12 levels because of a calcium-dependent ileal membrane antagonism, an effect reversed with supplemental calcium.

Risk Factors of Vitamin B12 Deficiency in Patients Receiving Metformin



Conclusions  Our results indicate an increased risk ofvitamin B12 deficiency associated with current dose and duration of metformin use despite adjustment for many potential confounders.The risk factors identified have implications for planning screeningor prevention strategies in metformin-treated patients.

Megaloblastic anaemia due tovitamin B12 malabsorption associated with long-term metformin treatment



Although vitamin B12 malabsorption is relatively common with long-term metformin treatment, we think this is the first reported
case of megaloblastic anaemia. The rarity of this complication might be expected since the malabsorption is not complete and the normal body stores contain more than a year's supply of vitamin B12. We advise annual screening for megaloblastic anaemia in patients on long-term metformin treatment, as it is an easily remediable complication and does not necessitate withdrawal of the drug.

Malabsorption of vitamin B12 and intrinsic factor secretion during biguanide therapy



In a survey of 46 randomly selected diabetic patients on biguanide therapy, 30% had malabsorption of vitamin B12. Withdrawal of the drug resulted in normal absorption in only half of those with malabsorption. In most patients with persistent malabsorption, the results of absorption tests with exogenous intrinsic factor suggested the diagnosis of coincidental intrinsic factor deficiency. Further considerations, however, led to the concept that biguanides can induce malabsorption by two different mechanisms. One of these is temporary and unrelated to intrinsic factor secretion and the other is permanent and mediated by depression of intrinsic factor secretion.
Cheers, Alan, Type 2, d&e metformin 2000mg, Australia.
Everything in Moderation - Except Laughter.
There is nothing I could eat I like more than my eyes.
Type 2 Diabetes - A Personal Journey(latest: Catering For Different Tastes When Cooking)
Born Under a Wandering Star (Latest: Budapest, Hungary)
Frequent Responder
robertmiles
Total Posts: 423
Registered on: ‎02-01-2010

Re: Vitamins ~ which ones?

I take the ones lab tests showed I was deficient in - iron, B12, D, folic acid.

 

However, I've found an article saying that those with early kidney problems may need higher than usual levels of thiamine:

 

http://news.bbc.co.uk/2/hi/health/7796073.stm

 

I have not found similar information on whether thiamine also helps those with more advanced kidney problems.