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Diabetes During a Disaster: What to Do When You’re Out of Medication

American ginseng

American ginseng may help lower blood pressure during a disaster if you have to go without your medication.

by James Hubbard, M.D., M.P.H.

Okay, it’s disaster time, you’re a type 2 diabetic, and you’ve run out of or lost your oral medication. What do you do?

Here are some ideas to lower your blood sugar.

First, continue your diet and exercise. If you’re on oral medications that means you still produce insulin. Insulin works most efficiently when you (1) eat small meals not loaded with simple sugars, (2) stay hydrated with water, (3) do a little exercise.

Of course, you and your family’s safety comes first, and you may already be working to exhaustion, but if you’re stuck sitting all day in a shelter, get up and stir around a bit. This is good advice with or without your medication.


Natural Ways to Lower Blood Sugar When You’re Without Medication

There are about as many natural suggestions to lower your blood sugar as there are type 2 diabetics. Few work very well. None work nearly as well as prescription medication. Of the ones I’ve found, here are the three with the most evidence that they can significantly lower your blood sugar.

Before trying any of these, check with your doctor. Although they can’t take the place of your prescriptions, if you take your regular dose of medication plus one of these, your blood sugar can drop too low.

Ginseng Tea Recipe

To make ginseng tea, just pour boiling water over five to eight slices of ginseng. Steep four to five minutes (or longer for stronger tea).

Schumacher Ginseng, a ginseng farm in Wisconsin, says you can reuse the ginseng for two or three more cups of tea and then eat it. The question would be whether repeated steeping reduces the components that help with blood sugar.

1. Alpha-lipoic acid
It’s found in liver, spinach, broccoli, and potatoes. There’s also a supplement. Recommended dose is 200–300 mg per day.

2. American ginseng
Ingesting up to 3 grams within two hours of a meal has been shown to lower blood sugar. More doesn’t have any more effect. To get 3 grams you could take the supplement or one cup of tea (using 1 teaspoon or one teabag of the cut or ground ginseng). I’m not sure how much of the ginseng you’d have to eat for 3 grams.

3. Coccinia indica
Take 1 gram of the extract per day, or 2 ounces of the gourd. (Coccinia indica is an herb that grows in India.)

In addition to these natural remedies, some studies have shown the mineral chromium and garlic to lower blood sugar. Other studies have found they have no effect. They’re worth a try if you have them.

Has anyone tried these or any other natural ways to lower blood sugar with type 2 diabetes? How well did they work?


Photo of American ginseng by hubertk on flickr. (Photo has been altered.)

  • scottie

    Type 2 here…thanks for the good article and comments..

    • http://www.thesurvivaldoctor.com James Hubbard, M.D., M.P.H.

      You’re welcome, Scottie.

  • http://milehimama.com Milehimama

    I managed my gestational diabetes (I’ve had it 7 times and never needed insulin, yet, knock on wood) with L-Carnitine and cinnamon. Also food combining- always eating fiber and protein with every meal or snack(i.e., never eating something that was carbs without fiber and protein). So, french fries NO, but baked potato with skin, topped with broccoli and cheese or chili, yes. Tortilla chips, no. Nachos with plenty of cooked beans and cheese, yes.

  • HCMathis

    For the type 1 diabetic, I would keep a month’s supply of basal and short-acting insulin in the fridge. Rotate monthly, replacing the old with your prescription filled most recently. You probably will have to purchase the insulin outright (not covered by insurance). But you would be good for a month, at least. That should cover most problems

    • http://www.thesurvivaldoctor.com James Hubbard, M.D., M.P.H.

      Thanks, HC.

  • Dave, RN

    I can’t agree with “Following ADA guidlines”. I did that for a while and got steadily worse. You can’t follow what they say and get better. You can’t eat “lots of heart healthy whole grains” and get rid of type two diabetes. ADA guidlines are a recepe for failure if you are trying to get rid of type 2. I know that’s medical, and nursing heresy, but I base it on personal experience. Besides that, they have no vested interest in helping people control diabetes with only food and movement. The ADA is funded in large part by pharmaceutical companies. I have one of their yearly statements, and they got many millions from drug companies.

    • http://www.facebook.com/sonlight.ministeries Sonlight Ministeries

      Agree with Dave. I am RN and eating ADA worked for awhile, but suddenly sugar went up in the 200′s. Can only eat small amouts of carbs now and check sugar more. I am on Glybride and am adding cinnamon. I take 13 vits a day with lots of water and veggies. I did cinamon before and it worked great.

    • http://www.thesurvivaldoctor.com James Hubbard, M.D., M.P.H.

      Thanks, Dave.

      • http://qweanmel@gmail.com Melanie Steffler

        I agree with Dave- people that “cure” their diabetes with diet/exercise/herbs etc- I think did not have a severe type of diabetes. It is a genetic condition as well as brought on by obesity. I have never been obese or overweight untill I began using inslin. Over 20 years I have gained about 25lbs- I do think if you got diabetes from weight gain, then it makes sense if you lose weight it will be gone. But not all diabetics are heavy, they have a genetic predisposition for diabetes.

        • Dave, RN

          When I was diagnosed with pre-diabetes, I was 6 feet tal and 180 lbs. I was not over wreight.

  • Doug Bethea
  • http://www.thesurvivaldoctor.com James Hubbard, M.D., M.P.H.

    Robert, the time to start proper diet and exercise is now. Follow the ADA guidelines. Also, see Dave RN’s earlier comment on this post. And yes, it would be essential during a disaster. Thanks.

  • http://www.newatlantean.com Robert Hewes

    I’ve heard that going on a low-carb diet can do amazing things to someone’s T2DM. Can the improvement happen quickly enough to help someone in a disaster?

    • Dave, RN

      Why wait?

      A SHTF situation is no time to adapt to a radically diffrent diet.

      Change now, cure yourself. One (big) less thing to worry about if TSHTF.

  • http://www.hawkeshealth.net Islander

    Agree with Dave. Over a 5-year period (I was diagnosed with T2DM in spring of ’07) I lowered my A1c from 8.9 to 5.2 using nothing but diet and exercise. I eat NO sugar, NO starches, NO grains. Tried all those highly touted supps for lowering BG; none worked for me. Dave’s is a good prepper list, but until TSHTF, you can push healthy protein, healthy fats, lots and lots of green leafies and other colorful, non-starchy veggies. Think Paleo.

    • http://www.thesurvivaldoctor.com James Hubbard, M.D., M.P.H.

      Thanks, Islander.

  • Billy

    really helpful to me.

    • http://www.thesurvivaldoctor.com James Hubbard, M.D., M.P.H.

      Thanks, Billy.

  • Danielle

    Any suggestions for a Type 1 diabetic?

    • ceara_red

      yeah, you’re gonna die eventually if you don’t have at least one month’s worth of insulin (doesn’t need to be kept in the fridge) & injection/pump supplies. so ask your endocrinologist for an extra emergency prescription so that you can get those supplies and keep them on hand ALWAYS. if you didn’t know this already, i feel sorry for you…you’re in trouble already & need to talk to your endo about an emergency!

    • http://www.thesurvivaldoctor.com James Hubbard, M.D., M.P.H.

      Danielle, I wish I did. My last post was on insulin storage. There’s nothing that takes the place of insulin. Hopefully, one day soon.