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Innovative Medicines & Omics                                           Herbal remedies for diabetes mellitus












































                                          Figure 4. Pathophysiology of gestational diabetes mellitus
                                      Abbreviations: IR: Insulin resistance; T2DM: Type 2 diabetes mellitus.

            Table 2. Tests and their criteria for diabetes diagnosis
            Test                                 Description                          Diagnostic Criteria
            Fasting plasma glucose  Determines blood glucose level after fasting for at least 12 h.  ≥7.0 mmol/L
            OGTT                Determines blood glucose 2 h after ingesting 75 g of glucose.  ≥11.1 mmol/L
            Glycosylated hemoglobin  Reflects average blood glucose levels over the past 2 – 3 months.  ≥48 mmol/mol (≥6.5%)
            Random blood glucose test  Monitors blood sugar levels at any time of day, regardless of   ≥11.1 mmol/L with symptoms of diabetes
                                meal timing.
            Impaired glucose tolerance  Identified through OGTT when plasma glucose levels are   7.8 – 11.0 mmol/L after 2 h of ingesting 75 g glucose
                                elevated but not high enough for diabetes.
            Abbreviation: OGTT: Oral glucose tolerance test

            extracellular matrix (ECM) synthesis and deposition.  In   flavonoids, and other phytochemicals exhibit anti-
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            addition, the accumulation of ECM components, such as   inflammatory, antioxidant, and insulin-sensitizing properties,
            collagens, inflammatory cells, and dysregulated cytokine   offering promising alternatives to conventional therapies.
            and chemokine activity contributes to organ fibrosis in   The subsequent sections will explore how these compounds
            individuals with diabetes. 39                      mitigate key diabetes-related risk factors and complications. 40

            4.3. Therapeutic potential of plant-based          5. Various therapies in the management of
            compounds in diabetes                              diabetes
            The interplay of oxidative stress, chronic inflammation, and   5.1. Medical nutrition therapy (MNT)
            metabolic dysregulation in diabetes highlights the therapeutic   MNT is provided by a registered dietitian nutritionist
            potential of plant-derived bioactive compounds. Polyphenols,   and encompasses nutrition diagnosis and counseling

            Volume 2 Issue 2 (2025)                         25                               doi: 10.36922/imo.7520
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