Compound or practice · Supplement

Bitter Melon

A traditional anti-diabetic gourd with inconsistent trials and a real hypoglycemia caution.

Overall grade
Grade C
Last revised
1
graded outcome
0
references listed

A structured monograph in Prometheus's bundled library. Its grades are the monograph's own reading of the evidence, not a peer-reviewed review.

2 at grade C — 2 graded rows

What is known

Each outcome with its grade (how strong the evidence is, A to D), the size of the effect where the entry records one, and how often studies agree.

  • Blood glucoseEvidence grade C

    Mixed trials

    Smalllow

Conditions

How the entry reads its effect on diagnosed conditions: the direction first, then the grade. Never a substitute for the person who treats you.

  • Type 2 diabetes May improveInconsistentGrade C

What is uncertain

Read off the same rows as above. Nothing here is added that the entry does not itself record.

  • Thin evidence: Blood glucose (grade C).
  • Caution with Metformin: Additive glucose lowering — hypoglycemia risk.

Interactions

Documented pairings with supplements and medicines. A medicine on this list is a conversation for whoever prescribes it.

  • MetforminCaution

    Additive glucose lowering — hypoglycemia risk.

The evidence in words

What it is

Bitter melon (Momordica charantia) is a vegetable/extract used widely for blood sugar.

How it works

Contains insulin-like and AMPK-activating compounds affecting glucose uptake.

What the evidence shows

Trials are mixed — some show modest glucose lowering, others null; heterogeneity is high. It can cause hypoglycemia, especially combined with diabetes drugs, and is unsafe in pregnancy.

How to use it

Standardized extract or juice; monitor glucose closely.

Safety & interactions

Hypoglycemia risk; avoid in pregnancy (traditional abortifacient). metformin — Additive glucose lowering — hypoglycemia risk.

Bottom line

Inconsistent glucose effects and real hypoglycemia risk. Only with monitoring; never in pregnancy.

How it is used

As the entry records it, from the studies it summarises. Not a recommendation for you — doses that suit a trial population may not suit you.

Standard
Standardized extract; monitor glucose.

Entries that share this one's tags or conditions.

  • CinnamonA modest, inconsistent glucose helper — and a reminder that cassia cinnamon's coumarin can stress the liver at high doses.Evidence grade C
  • Alpha-Lipoic AcidAn antioxidant with genuine evidence for diabetic neuropathy symptoms and modest insulin-sensitivity effects.Evidence grade B
  • Apple Cider VinegarThe acetic acid modestly blunts post-meal glucose — small, real, and easy to overhype.Evidence grade C
  • Banaba (Corosolic Acid)A glucose-lowering leaf whose corosolic acid shows small post-meal effects in limited trials.Evidence grade C

Sources

This entry lists no references of its own.

Last revised . A grade is this entry's reading of the evidence, not medical advice.