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INNOSC Theranostics and
            Pharmacological Sciences                                          Medicinal plants: Natural diabetes remedies



            polypeptide. Incretins trigger the liver to release stored   sources with the potential to play an important role in the
            glucose, which raises blood glucose levels and stimulates   treatment or management of diabetes.  Approximately 410
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            the pancreas to release insulin, a hormone that lowers   medicinal plants have experimentally proven anti-diabetic
            blood glucose and blocks the hormone glucagon. 30  activities. These medicinal plants contain important anti-
                                                               diabetic properties without harmful side effects, and
            3.2.2. Saxagliptin                                 nowadays, many individuals from urban and rural areas
            In July 2009, the FDA authorized saxagliptin, which is   depend on natural plants to treat various chronic diseases.
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            generally recommended as an addition to diet and exercise   Tannins, alkaloids, flavonoids, and phenolics are rich
            to improve glycemic control in individuals with T2DM.   sources found in medicinal plants, essential for improving
            One oral dose of 5 mg of saxagliptin is recommended once   the  effectiveness  of  the  pancreatic  tissues  by  regulating
            daily; this dosage produces broad absorption. Saxagliptin   the intestinal absorption of glucose and the  secretion
            is mostly metabolized by the hepatic cytochrome P450   of  insulin.   Therefore,  medicinal  plants  can  be  used  in
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            isoenzyme CYP3A4/5. It is eliminated by both metabolism   the treatment of diabetes due to their therapeutically
            and renal excretion. 31                            important phytochemicals present in natural plants.
                                                               This treatment can also be more affordable for everyone
            3.2.3. Sergliflozin                                suffering from diabetes, making medicinal plants the focus
            Sergliflozin, a sodium-glucose co-transporter 2 inhibitor,   for the development of alternative therapies for DM.
            has shown dose-dependent urine  glucose  excretion in   The use of medicinal plants for healing and treatment
            animal experiments. In clinical trials, a single oral dose of   of diseases dates back to ancient times. In antiquity, people
            sergliflozin resulted in dose-dependent glycosuria during   turned to nature for remedies as a means of recovery from
            fasting and after meals but had no effect on the excretion of   diseases. There exists a profound connection between
            electrolytes in the urine. In addition, it significantly reduced   the search for natural remedies and historical mandates,
            weight in healthy obese adults compared to a placebo.    supported by ample evidence from various sources.
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            However, there have been a few mild side effects, such as   Humanity’s enduring struggle against disease has prompted
            headache, sore throat, and dyspepsia in diabetic patients. In   the utilization of roots, seeds, fruits, stems, barks, and
            terms of metabolism, it exhibits a pharmacokinetic profile   other plant parts as sources of medical drugs. This practice
            comparable to that of remigliflozin. Consequently, phase II   has heightened awareness of the use of medicinal plants.
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            clinical trials for sergliflozin have halted despite the drug’s   To this day, traditional medicinal plant remedies continue
            encouraging profile when treating obese diabetic patients.
                                                               to be the easily accessible and most affordable source of
            3.2.4. Liraglutide                                 treatment within the health-care system, with ethnobotany
                                                               serving as a rich resource for natural drug research and
            As a GLP-1 counterpart, liraglutide is 97% similar to   development in African and Asian countries. 40,41
            natural human GLP-1 except for a single amino acid
            substitution and a side chain of glutamate-linked fatty   Plants, being living entities, possess the element of life,
            acids. When used to treat T2DM, it has demonstrated   which is absent from artificial substances. They are capable
            safety, effectiveness, and acceptability as a glucose-lowering   of working in harmony with the physiological processes
            medication.  Liraglutide reduces insulin resistance while   of the human body, supporting the normal operation of
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            lowering systolic blood pressure, body weight, visceral fat,   body systems and facilitating self-healing.  Most modern
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            and other cardiovascular risk factors. It also improves lipid   medicines are designed to suppress symptoms, and research
            profile. Liraglutide is a desirable alternative for the therapy   has shown that these treatments are less effective and have
            of insulin resistance because of its positive effects on all   more contraindications, making the use of traditional
            aspects of the metabolic syndrome, also known as insulin   medicinal plants topical once again. 39
            resistance syndrome, with a low risk of hypoglycemia.  It   A medicinal plant is any plant with one or more of its
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            has been demonstrated that liraglutide lowers triglyceride   parts or organs containing substances that can be exploited
            levels without changing the concentration of other lipids.   for therapeutic purposes. They are also defined as any
            The recommended initial dose is 0.6  mg, which can be   plants that are precursors in the synthesis of medicinal
            increased to 1.2 mg or even 1.8 mg if necessary. 35  drugs for the treatment of various diseases.  Naturally,
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            4. Medicinal plants and their health               plants produce metabolites that are not food but are
                                                               essential to their defense mechanism to protect themselves
            benefits                                           from harmful insects, pathogenic microbes, and
            Medicinal  plants  have  garnered  increasing  attention   unfavorable environmental changes.  These metabolites
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            from researchers and are reported as one of the natural   are responsible for the medicinal value of these plants and

            Volume 7 Issue 3 (2024)                         5                                doi: 10.36922/itps.1885
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