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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

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[DOI] [PubMed] [Google Scholar] Khafagy el S, Morishita M, Kamei N, Eda Y, Ikeno Y, Takayama K