Page 26 - IMO-2-2
P. 26

Innovative Medicines & Omics





                                        REVIEW ARTICLE
                                        Diabetes mellitus: An updated overview and role

                                        of medicinal plants in modern treatment



                                        Ashish Vishwakarma 1  , Vasudev Biswas 1  , Faizul Hasan 2  , Asma Praveen 1  ,
                                        and Divya Sharma *
                                                        1
                                        1 Department of Pharmacognosy and Phytochemistry, School of Pharmaceutical Sciences, Delhi
                                        Pharmaceutical Science and Research University, New Delhi, India
                                        2 Department of Pharmacy, Metro College of Health Sciences and Research, Greater Noida, Uttar
                                        Pradesh, India



                                        Abstract

                                        Diabetes mellitus (DM) is a chronic metabolic disorder characterized by inadequate
                                        insulin production or peripheral insulin resistance, leading to persistent hyperglycemia.
                                        Prolonged hyperglycemia levels can cause severe complications, including
                                        nephropathy, neuropathy, retinopathy, and cardiovascular diseases. Diabetes is
                                        classified into four main types: Type 1 DM, type 2 DM, gestational DM, and maturity-
                                        onset diabetes of the young, each with distinct etiologies and clinical manifestations.
                                        Present therapeutic strategies encompass pharmacological interventions and
                                        lifestyle modifications; however, these approaches have limitations, such as adverse
                                        effects and reduced efficacy over time. Cutting-edge treatments, including stem cell
                                        therapy, gene therapy, nanotechnology, and medicinal plant-based therapies, offer
                                        promising avenues for improved diabetes management and potential cure. Several
            *Corresponding author:      medicinal plants, including gudmar, bitter melon, and fenugreek, contain natural
            Divya Sharma                compounds that regulate blood glucose levels, boost insulin secretion, and mitigate
            (divyasharmapharmacy@gmail.
            com)                        oxidative stress, positioning them as valuable adjuncts in diabetes management. This
                                        review provides a comprehensive analysis of diabetes pathophysiology, classification,
            Citation: Vishwakarma A, Biswas V,
            Hasan F, Praveen A, Sharma D.   and present management strategies, highlighting the necessity for novel treatment
            Diabetes mellitus: An updated   approaches in response to the global diabetes epidemic.
            overview and role of medicinal
            plants in modern treatment. Innov
            Med Omics. 2025;2(2):20-35.   Keywords: Diabetes mellitus; Pathophysiology; Treatment; Medicinal plants
            doi: 10.36922/imo.7520
            Received: December 13, 2024
            Revised: February 23, 2025
            Accepted: March 3, 2025
            Published online: March 27, 2025  1. Introduction
            Copyright: © 2025 Author(s).   Diabetes mellitus (DM) is a chronic metabolic disorder characterized by insufficient
            This is an Open-Access article   insulin production and peripheral insulin resistance, leading to persistent hyperglycemia.
            distributed under the terms of the
            Creative Commons Attribution   Prolonged exposure to elevated blood glucose levels causes progressive damage to
                                                           1
            License, permitting distribution,   multiple organ systems,  primarily affecting adipose tissue, skeletal muscle, and the
            and reproduction in any medium,   liver. These effects manifest at various physiological levels, including insulin receptors,
            provided the original work is
            properly cited.             signal transduction pathways, and/or effector enzymes or genes involved in glucose
                                        metabolism  (Figure 1).
                                                 2
            Publisher’s Note: AccScience
            Publishing remains neutral with   The hallmark symptoms of hyperglycemia include polydipsia (increased thirst),
            regard to jurisdictional claims in
            published maps and institutional   polyuria (frequent urination), unexplained weight loss, blurred vision, and polyphagia
            affiliations.               (increased appetite). In addition, chronic hyperglycemia contributes to growth

            Volume 2 Issue 2 (2025)                         20                               doi: 10.36922/imo.7520
   21   22   23   24   25   26   27   28   29   30   31