Berberine vs Myo-Inositol
for blood sugar
Stronger evidence: tie
Stronger effect: tie
Safety: Berberine carries a moderate interaction; Myo-Inositol has none recorded.
For blood sugar, the two are evidence-matched; the difference is in effect and safety.
Berberine
grade B moderate certainty
lowers fasting glucose and HbA1c; GI side effects common
500 mg ×3/day, adults with elevated glucose
Myo-Inositol
grade B moderate certainty
improves insulin sensitivity and ovulatory function in PCOS in multiple RCTs
2–4 g/day myo-inositol, women with PCOS / insulin resistance
sources: PMID:00000030 · PMID:10000006