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Blood Sugar Support Side Effects: Six Signs and What to Do
Blood sugar support side effects depend on the ingredients. Caffeine from guarana and green tea can cause jitters and poor sleep. The larger risk is a low under 70 mg/dL when a supplement is added to insulin or a sulfonylurea. Call 911 for a low with seizure or fainting.
Written by the Payarmin daily deskUpdated · 4 min read

What are the most common side effects of these supplements?
Caffeine effects top the list: trouble sleeping, shakiness, a racing heart and an upset stomach (FDA, Caffeine: how much is too much?). Guarana and green tea are both on the Payarmin label.
Guarana adds nausea and insomnia at common doses (MSKCC, Guarana). Green tea extracts have rarely injured the liver (NCCIH, Green Tea).
| Line | Possible effect |
|---|---|
| Guarana, green tea | Insomnia, jitters, stomach upset |
| Gymnema, ginseng, chromium | May add to diabetes drugs |
| Licorice compound | Blood pressure rise with large use (NCCIH, Licorice Root) |
| Xylitol (other ingredients) | Dangerous to dogs (FDA, Paws Off Xylitol) |
Can a supplement cause low blood sugar?
Yes, when it is added to certain drugs. Insulin, sulfonylureas and meglitinides can cause lows, and a supplement that nudges glucose down can stack on top (NIDDK, Low Blood Glucose).
The ADA warns of this combination and advises discussing any supplement with your care team (ADA, Vitamins & Supplements).
- Shaky or jitteryTrembling hands, feeling nervous
- Tired or irritableSudden tiredness or a short temper
- Hungry, nauseousSudden strong hunger
- Dizzy, confusedTrouble thinking or speaking clearly
- Fast heartbeatPounding or racing pulse
15-15For many people with diabetes, a low is under 70 mg/dL. Take 15-20 g of fast carbohydrate (juice, glucose tablets), then check again in 15 minutes.
Call 911When someone with a low passes out, has a seizure or cannot swallow safely. Never give food or drink to someone who is unconscious.
Signs and steps are from NIDDK (NIDDK, Low Blood Glucose). Lows can come from insulin, sulfonylureas and meglitinides, and supplements may add to them (ADA, Vitamins & Supplements).
What does the Payarmin label itself warn about?
It warns in one sentence. Do not exceed the recommended dose, and pregnant or nursing mothers, anyone under 18 and anyone with a known medical condition should consult a physician.
The drops contain xylitol. A dog that drinks even a spill needs a vet at once.

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See packsWhen should you stop the drops and call someone?
Stop and call your doctor for a racing heart, yellow skin, dark urine, severe stomach pain or repeated lows.
Stopping the supplement does not mean stopping a prescription. Call before changing either one.
See the full side effects page and the who it is for check.
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FAQ01
More about side effects
Are there side effects of Payarmin for people without diabetes?
Caffeine effects and stomach upset can happen to anyone. Lows are rare without diabetes drugs, but chromium, gymnema and ginseng are still glucose-active. Anyone with a known medical condition is asked by the label to consult a physician.
Do the drops affect sleep if taken in the evening?
They can, because guarana and green tea add caffeine. A morning or early afternoon dropper leaves more time before bed. Cut the second dropper first if sleep suffers.
Can the drops upset the stomach?
They can in some people, mainly through caffeine, capsicum and green tea. Taking the dropper with a small snack is a fair fix. If pain or vomiting continues, stop and call a doctor.
Who wrote this02
Written and reviewed by
Pages built from the label, the sales page and linked NIH, FDA, CDC, FTC and peer-reviewed sources.
Last updated . See our editorial standards and how we check reviews. This website is a stocked U.S. counter for Payarmin, not the manufacturer or the label's distributor. We are paid when you buy through our order links.
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