In addition, chromium is a trace element that helps regulate blood glucose levels in glucose intolerance, type 2 diabetes and gestational diabetes, and may alleviate diabetic neuropathy. Supplemental chromium 200 µg/day is sufficient for people with mild glucose intolerance, but diabetics usually need more than 200 µg/day, as do women with gestational diabetes.^{3, 4}

The active substances in Terminalia chebula extract have significant beneficial effects on blood glucose levels.⁵ Damage to the endothelium, the squamous epithelium covering the inner surface of blood vessels, is one of the most important complications of type 2 diabetes and is associated with the risk of cardiovascular disease. Terminalia chebula extract may significantly improve endothelial function, reduce oxidative stress and CRP inflammation marker levels in the blood, regulate HbA1c levels, and minimize the risk of cardiovascular disease and high blood glucose.⁶

Vitamin B9 (folate) is of paramount importance in reducing the adverse effects of homocysteine levels and improving endothelial function, but vitamins B12 and B6 also play a role in maintaining normal homocysteine levels.

With vitamins B9 (folate), B12 and B6, the occurrence of vascular diseases associated with high homocysteine levels can be avoided:

• in 20% of coronary artery diseases,
• in 40% of cerebrovascular disease,
• in 60% of diseases of the endothelial vessels.

With the use of these three vitamins, the risk of vascular disease can be reduced by 62% and the number of cases by 2/3!⁷