Nutritional Supplement
Manganese
Blood Sugar and Diabetes Support
Type 2 Diabetes
Manganese is important as an antioxidant and metabolic regulator. Supplementation to prevent deficiency may be helpful for people with type 2 diabetes.Type 2 DiabetesManganese is an important nutrient for the activation of antioxidant and metabolic enzyme systems. Both high and low manganese levels can contribute to increased oxidative stress and the development and progression of type 2 diabetes.1,2 Animal and laboratory research suggest manganese supplementation might improve insulin sensitivity and protect blood vessels from damage due to high glucose levels in people with type 2 diabetes.3,4 Although clinical trials are lacking, taking a multivitamin/mineral supplement to ensure adequate manganese intake is a reasonable precautionary measure for people with type 2 diabetes.Hypoglycemia
Manganese helps control blood sugar levels in people with diabetes, and since there are similarities in the way the body regulates high and low blood sugar levels, it might be helpful for hypoglycemia as well.HypoglycemiaResearch has shown that supplementing with chromium (200 mcg per day)5 or magnesium (340 mg per day)6 can prevent blood sugar levels from falling excessively in people with hypoglycemia. Niacinamide (vitamin B3) has also been found to be helpful for hypoglycemic people.7 Other nutrients, including vitamin C, vitamin E, zinc, copper, manganese, and vitamin B6, may help control blood sugar levels in diabetics.8 Since there are similarities in the way the body regulates high and low blood sugar levels, these nutrients might be helpful for hypoglycemia as well, although the amounts needed for that purpose are not known.
Type 1 Diabetes
Supplementing with manganese may increase antioxidant defenses and improve blood sugar control in those with type 1 diabetes.Type 1 DiabetesManganese is involved in the activity of an important antioxidant enzyme system in the body. A genetic variant linked to reduced activity of this enzymes system has been implicated as a factor in the development of type 1 diabetes and its complications.9,10,11 Low blood levels of manganese have been reported in people with type 1 and type 2 diabetes.12 Animal research suggests that manganese supplementation can improve the functioning of this enzyme system, increase insulin secretion, and improve glucose metabolism.13 One team of researchers reported on a case of a young adult with insulin-dependent diabetes who received oral manganese (3 to 5 mg per day as manganese chloride) and experienced a significant fall in blood glucose, sometimes to dangerously low levels; however, three other people with type 1 diabetes they treated with manganese supplementation had no change in blood glucose levels.14 People with type 1 diabetes wishing to supplement with manganese should do so only with a doctor’s close supervision.Pain Management
Sprains and Strains
Trace minerals, such as manganese, are known to be important in the biochemistry of tissue healing.Sprains and StrainsZinc is a component of many enzymes, including some that are needed to repair wounds. Even a mild deficiency of zinc can interfere with optimal recovery from everyday tissue damage as well as from more serious trauma.15 Trace minerals, such as manganese, copper, and silicon are also known to be important in the biochemistry of tissue healing.16,17,18,19 However, there have been no controlled studies of people with sprains or strains to explore the effect of deficiency of these minerals, or of oral supplementation, on the rate of healing.
Bone Support
Osteoporosis
A combination of minerals including manganese was reported to halt bone loss in one study. Some doctors recommend manganese to people concerned with bone mass maintenance.OsteoporosisInterest in the effect of manganese and bone health began when famed basketball player Bill Walton’s repeated fractures were halted with manganese supplementation.20 A subsequent, unpublished study reported manganese deficiency in a small group of osteoporotic women.21 Since then, a combination of minerals including manganese was reported to halt bone loss.22 However, no human trial has investigated the effect of manganese supplementation alone on bone mass. Nonetheless, some doctors recommend 10 to 20 mg of manganese per day to people concerned with maintenance of bone mass.
One trial studying postmenopausal women combined hormone replacement therapy with magnesium (600 mg per day), calcium (500 mg per day), vitamin C, B vitamins, vitamin D, zinc, copper, manganese, boron, and other nutrients for an eight- to nine-month period.23 In addition, participants were told to avoid processed foods, limit protein intake, emphasize vegetable over animal protein, and limit consumption of salt, sugar, alcohol, coffee, tea, chocolate, and tobacco. Bone density increased a remarkable 11%, compared to only 0.7% in women receiving hormone replacement alone.
Children's Health
Osgood-Schlatter Disease
Some doctors have reported good results using a combination of zinc, manganese, and vitamin B6 for people with Osgood-Schlatter disease.Osgood-Schlatter DiseaseAnother group of doctors has reported good results using a combination of zinc, manganese, and vitamin B6 for people with Osgood-Schlatter disease; however, the amounts of these supplements were not mentioned in the report.24 Most physicians would consider reasonable daily amounts of these nutrients for adolescents to be 15 mg of zinc, 5 to 10 mg of manganese, and 25 mg of vitamin B6. Larger amounts might be used with medical supervision.