HealthRX.com · Printable lab tracker
Berberine with NMN or NR: glucose, medicine and stomach tracker
List your berberine, NMN or NR and prescription doses, tick the medicines this page says need a prescriber's review, record fasting glucose and labs at baseline, 4 weeks and 12 weeks, and note stomach effects and low-sugar symptoms in the first weeks.
What you take
Berberine product, mg per dose and doses a day
Taken with which meals
NMN or NR product, dose and time
Glucose-lowering medicines and doses
Other prescription medicines
Medicines this page says need a prescriber's review first
- Metformin, a sulfonylurea or insulin
- A statin, such as atorvastatin or simvastatin
- Cyclosporine or tacrolimus
- A calcium channel blocker, such as amlodipine or felodipine
- Amiodarone, sotalol, dofetilide or another medicine that can affect heart rhythm
- Pregnant or breastfeeding
Glucose and lab checkpoints from this page's monitoring section
| Checkpoint | Date | Fasting glucose | HbA1c | Lipids | Liver and kidney tests |
|---|---|---|---|---|---|
| Before starting | |||||
| 4 weeks | |||||
| 12 weeks | |||||
| Yearly |
First weeks: stomach and low-sugar notes
| Date | Berberine doses taken | Constipation, diarrhea or cramps | Home glucose reading | Shaky, sweaty or confused? |
|---|---|---|---|---|
What the berberine studies found
- In a meta-analysis, the six randomized trials (396 patients) that added berberine to oral diabetes drugs found fasting glucose a further 0.59 mmol/L lower and HbA1c a further 0.53 points lower than with the drugs alone.[1]
- Head to head with metformin, glipizide or rosiglitazone, berberine did not give significantly better glucose control. No serious adverse effects were reported, but the trials' methodological quality was generally low.[1]
- In a 3-month pilot study, 20 patients (34.5%) had transient gastrointestinal side effects.[2]
Questions for your prescriber or pharmacist
- Does my diabetes medicine need adjusting if I add berberine?
- Are any of my prescriptions processed by enzymes berberine can slow?
- Do I need an ECG before starting, given my heart medicines or age?
- What home glucose reading in the first weeks should make me call?
Sources for the facts on this sheet
- Dong H, Wang N, Zhao L, Lu F. Berberine in the treatment of type 2 diabetes mellitus: a systemic review and meta-analysis. Evid Based Complement Alternat Med 2012. PMID 23118793. https://pubmed.ncbi.nlm.nih.gov/23118793/
- Yin J, Xing H, Ye J. Efficacy of berberine in patients with type 2 diabetes mellitus. Metabolism 2008. PMID 18442638. https://pubmed.ncbi.nlm.nih.gov/18442638/
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.