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These studies suggest that treatments for diabetes mellitus include medicinal plants and vitamins, nanotechnology, gene therapy, stem cell therapy, medical nutrition therapy, lifestyle modification, vanadium complexes, and ethnomedicine, with mindfulness-based therapies helping to reduce anxiety and depression.
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Diabetes Mellitus (DM) is a chronic metabolic disorder characterized by high blood sugar levels due to insulin dysfunction. It is associated with severe complications such as cardiovascular disease, kidney damage, and blindness . The management of DM is crucial to prevent these complications and improve the quality of life for patients.
Recent studies have highlighted the potential of medicinal plants and vitamins in managing DM. Phytochemicals in plants like Allium sativum, Momordica charantia, Hibiscus sabdariffa L., and Zingiber officinale have shown anti-hypoglycemic properties, which can help control blood sugar levels. Additionally, vitamins C, D, and E have been found to reduce blood glucose, inflammation, and blood pressure in diabetic patients.
Type II DM is commonly treated with oral hypoglycemics such as insulin secretagogues, biguanides, insulin sensitizers, alpha-glucosidase inhibitors, incretin mimetics, amylin antagonists, and SGLT2 inhibitors. However, these treatments often have side effects and require frequent dosing. Dual drug therapies are recommended for patients who do not achieve therapeutic goals with monotherapy.
Nanotechnology offers promising advancements in DM treatment by enabling site-specific drug delivery, which enhances bioavailability and reduces dosage frequency. This approach aims to overcome the limitations of conventional therapies.
Stem cell therapy has emerged as a promising treatment for both Type 1 and Type 2 DM. Clinical studies have shown that stem cell therapy can improve C-peptide levels and glycosylated hemoglobin (HbA1c) in patients, indicating better glycemic control. Bone marrow hematopoietic stem cells (BM-HSCs) and mesenchymal stem cells (MSCs) have shown significant therapeutic effects, particularly in reducing insulin requirements and improving insulin sensitivity.
Ethnomedicine, which involves the use of traditional medicinal plants, is gaining attention for DM treatment. These natural products work by preventing glucose absorption and production, enhancing glucose uptake, and increasing insulin secretion. However, clinical trials for these treatments often face challenges such as patient compliance and small sample sizes.
Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT) have been effective in reducing anxiety and depression in DM patients. These psychological interventions can improve the overall well-being of patients, although they do not significantly affect glycemic control.
The management of Diabetes Mellitus requires a multifaceted approach, combining conventional pharmacological treatments with emerging therapies such as nanotechnology, stem cell therapy, and ethnomedicine. Additionally, psychological interventions like MBSR and MBCT can play a supportive role in improving the mental health of DM patients. Continued research and clinical trials are essential to optimize these treatments and improve patient outcomes.
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