Glyburide and Vanadium, a caution.
Vanadium has insulin-like effects and has improved glucose metabolism in small human studies. Glyburide is a longer-acting sulfonylurea with a higher hypoglycemia burden than some alternatives, so vanadium may further increase the risk of severe or prolonged low blood sugar.
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At a glance
- Pair type
- Caution
- Evidence (highest tier)
- Emerging
- Source citations
- 3 sources
- 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. Vanadium has insulin-like effects and has improved glucose metabolism in small human studies. Glyburide is a longer-acting sulfonylurea with a higher hypoglycemia burden than some alternatives, so vanadium may further increase the risk of severe or prolonged low blood sugar.
Mechanism. Vanadium compounds can mimic insulin signaling and improve insulin sensitivity. Glyburide stimulates endogenous insulin release, and its longer action can make additive glucose lowering more persistent.
Recommendation. Avoid vanadium while taking glyburide unless your prescriber specifically recommends it and plans glucose monitoring. Be especially cautious with kidney disease, older age, missed meals, alcohol, or exercise changes. Seek urgent care for severe, recurrent, or hard-to-correct hypoglycemia.
Sources (3)
- Cusi K, Cukier S, DeFronzo RA, Torres M, Puchulu FM, Redondo JC. Vanadyl sulfate improves hepatic and muscle insulin sensitivity in type 2 diabetes. J Clin Endocrinol Metab. 2001;86(3):1410-1417. PMID 11238540
- Boden G, Chen X, Ruiz J, van Rossum GD, Turco S. Effects of vanadyl sulfate on carbohydrate and lipid metabolism in patients with non-insulin-dependent diabetes mellitus. Metabolism. 1996;45(9):1130-1135. PMID 8781301
- Douros A, Yin H, Yu OHY, Filion KB, Azoulay L, Suissa S. Pharmacologic Differences of Sulfonylureas and the Risk of Adverse Cardiovascular and Hypoglycemic Events. Diabetes Care. 2017;40(11):1506-1513. PMID 28864502
Stack Score
How this pair moves the number.
Effect on the composite score
If both Glyburide and Vanadium 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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