Newer therapeutic approaches towards the management of diabetes mellitus: an update

Author(s):  
Heng L. Lin ◽  
Fathin N. Mohamed Shukri ◽  
Eric S. Yih ◽  
Grace H. Sha ◽  
Grace S. Jing ◽  
...  
Author(s):  
Shaoli De ◽  
Agraharam Gopikrishna ◽  
Vedhantham Keerthana ◽  
Agnishwar Girigoswami ◽  
Koyeli Girigoswami

Background: Economic development and vast changes in food habits have accelerated the consumption of junk foods which are the leading causes of several disorders that turns majority of the people to use various herbal formulations or drugs for preventing various lifestyle diseases. Nutraceuticals are the borderline apparatus between nutrients and drugs that provides supplementation of particular nutrient with favorable health effect. Objective: Various nutraceutical compounds like vitamins, spices, polyphenols, prebiotics and probiotics in the form of powders, tablets, capsules are currently marketed globally. Among them previous literatures have reported that polyphenols are the most promising compounds that have been proven to treat various chronic diseases like cancer, hypertension, diabetes mellitus (DM), osteoporosis, osteoarthritis, dyslipidemia, multiple sclerosis, congenital anomalies, Alzheimer’s disease, etc. It is warranted to discuss about the benefits of nanoformulations of nutraceuticals. Methods: We have searched PubMed using the keywords nutraceuticals, nanoformulations, therapeutic approaches, bionanotechnology, and therapeutics. The relevant papers and classical papers in this field were selected to write this review. Results and Discussion: The different classifications of nutraceuticals were elaborately described in this review. The comparison between the different categories of nutraceuticals with their nanoformulated forms was done explaining the benefits of nanoformulations regarding stability, bioavailability, enhanced antioxidant properties etc. A glimpse on the drawbacks of nanoformulations were also included. Conclusion: The current review highlights an overview of various nanoformulated nutraceuticals and its approach towards the treatment of multiple diseases.


2019 ◽  
Vol 16 (4) ◽  
pp. 310-323 ◽  
Author(s):  
Marko Banovic ◽  
Lavanya Athithan ◽  
Gerry P McCann

Aortic stenosis and diabetes mellitus are both progressive diseases which, if left untreated, result in significant morbidity and mortality. There is evidence that the prevalence of diabetes is substantially increased in patients with aortic stenosis and those with diabetes have increased rates of progression from mild to severe aortic stenosis. There are good data supporting the hypothesis that aortic stenosis and diabetes mellitus are associated with diabetes mellitus being detrimental towards the quality of life and survival of patients. Thus, a thorough understanding of the pathogenesis of both of these disease processes and the relationship between them aids in designing appropriate preventive and therapeutic approaches. This review aims to give a comprehensive and up-to-date insight into the influence of diabetes mellitus on patients with degenerative aortic stenosis, as well as the prognosis and therapeutic approach to these patients.


2012 ◽  
Vol 15 (4) ◽  
pp. 17-27 ◽  
Author(s):  
Vladimir Iosifovich Konenkov ◽  
Vadim Valer'evich Klimontov

Hyperglycemia along with other metabolic disorders may disrupt the balance of pro- and antiangiogenic regulators, thus leading to a maladaptive formation of new blood vessels in the state of diabetes mellitus (DM). In their turn, aberrant angiogenesis and vasculogenesis are important mechanisms of vascular complications in DM. Activation of retinal angiogenesis is a cornerstone of proliferative diabetic retinopathy, though in diabetic nephropathy excessive angiogenesis is only seen at early stages. Quite on the contrary, macrovascular complications are characterized by certain inhibition of both angiogenesis and vasculogenesis. Novel therapeutic approaches, based on correction of angiogenesis, have emerged recently. Clinical trials have shown efficacy of angiogenesis inhibitors (the ?anti-VEGF? agents) for management of diabetic macular edema and proliferative retinopathy. Experimental evidence also indicates that this treatment may hinder the progress of diabetic nephropathy. In addition, stimulation of angiogenesis and vasculogenesis with stem cells or growth factors promise an option for treatment of large vessels in DM.


2020 ◽  
Vol 21 (6) ◽  
pp. 2217 ◽  
Author(s):  
Saikat Dewanjee ◽  
Pratik Chakraborty ◽  
Biswajit Mukherjee ◽  
Vincenzo De Feo

Diabetes mellitus is a life-threatening metabolic syndrome. Over the past few decades, the incidence of diabetes has climbed exponentially. Several therapeutic approaches have been undertaken, but the occurrence and risk still remain unabated. Several plant-derived small molecules have been proposed to be effective against diabetes and associated vascular complications via acting on several therapeutic targets. In addition, the biocompatibility of these phytochemicals increasingly enhances the interest of exploiting them as therapeutic negotiators. However, poor pharmacokinetic and biopharmaceutical attributes of these phytochemicals largely restrict their clinical usefulness as therapeutic agents. Several pharmaceutical attempts have been undertaken to enhance their compliance and therapeutic efficacy. In this regard, the application of nanotechnology has been proven to be the best approach to improve the compliance and clinical efficacy by overturning the pharmacokinetic and biopharmaceutical obstacles associated with the plant-derived antidiabetic agents. This review gives a comprehensive and up-to-date overview of the nanoformulations of phytochemicals in the management of diabetes and associated complications. The effects of nanosizing on pharmacokinetic, biopharmaceutical and therapeutic profiles of plant-derived small molecules, such as curcumin, resveratrol, naringenin, quercetin, apigenin, baicalin, luteolin, rosmarinic acid, berberine, gymnemic acid, emodin, scutellarin, catechins, thymoquinone, ferulic acid, stevioside, and others have been discussed comprehensively in this review.


2021 ◽  
Vol 22 (12) ◽  
pp. 6212
Author(s):  
Laura Mourino-Alvarez ◽  
Nerea Corbacho-Alonso ◽  
Tamara Sastre-Oliva ◽  
Cecilia Corros-Vicente ◽  
Jorge Solis ◽  
...  

Aortic stenosis (AS) and diabetes mellitus (DM) are both progressive diseases that if left untreated, result in significant morbidity and mortality. Several studies revealed that the prevalence of DM is substantially higher in patients with AS and, thus, the progression from mild to severe AS is greater in those patients with DM. DM and common comorbidities associated with both diseases, DM and AS, increase patient management complexity and make aortic valve replacement the only effective treatment. For that reason, a better understanding of the pathogenesis underlying both these diseases and the relationships between them is necessary to design more appropriate preventive and therapeutic approaches. In this review, we provided an overview of the main aspects of the relationship between AS and DM, including common comorbidities and risk factors. We also discuss the established treatments/therapies in patients with AS and DM.


2010 ◽  
Vol 9 (1) ◽  
pp. 76-83
Author(s):  
Ye. B. Kravets ◽  
T. V. Saprina ◽  
F. E. Lazarenko ◽  
T. S. Prokhorenko ◽  
N. V. Ryazantseva

The review devotes to studying the role of cytokines in development of autoimmune diabetes mellitus, latent autoimmune diabetes in adults included. Therapeutic approaches to prevent the loss of endogenous insulin secretion are discussed. There is review of clinical trials of immunosuppressive agents and modulators of immune tolerance in autoimmune diabetes mellitus.


Sign in / Sign up

Export Citation Format

Share Document