Interaction databaseSupplement × PrescriptionReviewed May 2026

Cinnamon Extract and Insulin Glargine, a caution.

Cinnamon extract (particularly Cinnamomum cassia) has modest glucose-lowering properties, reducing fasting blood glucose and post-prandial glucose in clinical trials. The effect is generally small (10-20 mg/dL reduction) and unlikely to cause significant hypoglycemia when combined with insulin in most patients. However, high-dose concentrated cinnamon extracts combined with tight glycemic control on insulin may contribute to hypoglycemic episodes.

One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.

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At a glance

Substances
Cinnamon Extract and Insulin Glargine
Pair type
Caution
Evidence (highest tier)
Emerging
Source citations
1 source
Stack Score effect
−5 to your Stack Score (per scored caution row).
Scope
Supplement × Prescription
Last verified
May 30, 2026

Caution · Emerging evidence

Caution

What is happening. Cinnamon extract (particularly Cinnamomum cassia) has modest glucose-lowering properties, reducing fasting blood glucose and post-prandial glucose in clinical trials. The effect is generally small (10-20 mg/dL reduction) and unlikely to cause significant hypoglycemia when combined with insulin in most patients. However, high-dose concentrated cinnamon extracts combined with tight glycemic control on insulin may contribute to hypoglycemic episodes.

Mechanism. Cinnamon polyphenols, particularly cinnamaldehyde and procyanidins, enhance insulin sensitivity by activating insulin receptor kinase, increasing GLUT4 expression, and promoting glycogen synthesis. Methylhydroxychalcone polymer (MHCP) in cinnamon mimics insulin activity at the receptor level. These effects are additive with exogenous insulin but generally modest in magnitude.

Recommendation. Culinary cinnamon use is safe with insulin therapy. If using concentrated cinnamon extract supplements, inform your prescriber and monitor blood glucose. The glucose-lowering effect is modest but may be relevant in patients with tight glycemic targets. No specific timing separation is needed.

Sources (1)
  1. Khan A et al. Cinnamon improves glucose and lipids of people with type 2 diabetes. Diabetes Care. 2003;26(12):3215-3218. PMID 14633804

Stack Score

How this pair moves the number.

Effect on the composite score

If both Cinnamon Extract and Insulin Glargine are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).

The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.

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