snip
>>>
Examination of islet and beta-cell integrity
after exposure to GS4, by trypan blue exclusion,
indicated that concentrations of GS4 that stimulated
insulin secretion also caused increased uptake of dye.
Two gymnemic acid-enriched fractions of GS4, obtained
by size exclusion and silica gel chromatography, also
caused increases in insulin secretion concomitant with
increased trypan blue uptake. These results confirm
the stimulatory effects of G. sylvestre on insulin
release, but indicate that GS4 acts by increasing cell
permeability, rather than by stimulating exocytosis by
regulated pathways.>
> > > 
> > >
And what this says is that gymnema increases the
release of insulin from the pancreas, and the
mechanism is increasing cell permeability and
making
it leaky to the insulin comes out more readily.
This
is very different that increasing insulin
sensitivity (responsiveness) at the cell level in
the peripheral tissues. Releasing more insulin
actuallly worsens hyperinsulinemia, which in turn
may lower blood sugar but at the expense of
insulinemic damage throughout the system.


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