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Dr.Shintani

Dr.Shintani

Terry

Before Taking Metformin, Ask Your Doctor About Berberine

Posted on August 13, 2026August 13, 2026 By drshintani No Comments on Before Taking Metformin, Ask Your Doctor About Berberine

Before starting metformin for diabetes — or if you’re already taking it — there’s a natural compound worth discussing with your doctor.

Ask your doctor if they know about berberine, an herbal compound derived from barberry. Research suggests it may be just as effective as metformin for blood sugar control, may help manage cholesterol, and appears to be gentler on the kidneys.

What the Research Shows

In a clinical trial involving people with newly diagnosed diabetes, participants given 500 mg of berberine three times a day for three months experienced a decrease in blood sugar comparable to that produced by metformin. Hemoglobin A1c levels dropped from 9.5 to 7.5 over the course of the study.

An Important Note

This isn’t a recommendation to stop or replace any prescribed medication on your own. Metformin is a well-established, effective treatment, and any changes to your diabetes management should be made only in consultation with your doctor. But if you’re curious about natural options — or looking for something that may be gentler on the kidneys — berberine is worth bringing up at your next appointment.

For more tips on natural blood sugar control, download the free eBook Health Secrets at peacediet.org.

About Dr. Terry Shintani, MD, JD, MPH

Dr. Terry Shintani is a Harvard-trained physician and nutritionist, named a Living Treasure of Hawai’i and recipient of the U.S. Secretary of Health and Human Services Award for Excellence. He is the creator of the Peace Diet and the landmark Waianae Diet — published in the American Journal of Clinical Nutrition and cited over 137 times — and the author of 16 books on natural health and nutrition, drawing on more than 35 years of clinical practice in Honolulu, Hawaii.

Learn more about Dr. Shintani’s work and recognition: NLM Native Voices

Sources:

  • Journal of Metabolism — Berberine vs. Metformin: Comparative Clinical Trial
  • NIH/PubMed — Berberine and Glycemic Control in Type 2 Diabetes
  • NIH/NCCIH — Berberine: Uses and Safety
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About Dr. Shintani

Dr. Terry Shintani, MD, JD, MPH is a Board Certified Physician and Harvard-trained
nutritionist. His wellness program won a national award from the U.S. Secretary of
Health and Human Services and his peer-reviewed work is published in the American Journal of
Clinical Nutrition and several other scientific journals.  He also was featured in “Dateline NBC”,
CBS, “This Morning” CNN, Fox and  Newsweek  His Program is featured in the Encyclopedia
Britannica.  He has written 16 books including the Eat More Weigh Less(r) Diet, the Hawaii
Diet, the Carbohydrate revolution and the Peace Diet. Among his many community awards, He
was named a “Food Hero” by Eating Well Magazine, He was knighted by the Orthodox Order of
St. John, and formally designated a “Living Treasure” of Hawaii.

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