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INNOSC Theranostics and
            Pharmacological Sciences                                          Medicinal plants: Natural diabetes remedies



            tolerance. Male albinos administered 150  mg/kg body   the extract induces hypotriglyceridemia in diabetic rats
            weight of M. koenigii ethanolic extract orally for 30 days   by  lowering  triglyceride  levels.  The  aqueous  extract  was
            showed increases in insulin, C-peptide, hemoglobin, and   found to improve liver functioning by normalization of the
            protein levels, along with a decrease in blood glucose and   activity of alanine transaminase, a liver-specific enzyme.
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            glycosylated hemoglobin. 67,68  The inclusion of inorganic   Some of the medicinal plants are listed in Table 3 with their
            trace elements in M. koenigii leaf extracts may be beneficial   main phytochemical components.
            in managing glucose tolerance disorders and may play
            an indirect role in the management of DM. These trace   6. Anti-diabetic mechanism of natural
            elements include zinc, copper, chromium-vanadium,   phenolic compounds
            nickel, iron, sodium, and potassium.
                                                               Non-flavonoid  phenolics  consist  of two basic  carbon
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            5.10. Phyllanthus emblica                          frameworks: hydroxycinnamic and hydroxybenzoic.
                                                               These structures can be divided into four groups: phenolic
            P. emblica’s high polyphenol content, mostly composed of   acids, quinines, stilbenes, and coumarins. Phenolic
            tannin and flavonoid components, provides the majority of   compounds have been investigated for their antimicrobial
            its health advantages. This plant is known to help control   properties as well as their nutritional value and potential
            blood sugar levels and enhance glucose metabolism, in   anti-diabetic effects. Some studies have suggested that
            addition to possessing a variety of anti-inflammatory   phenolics offer nutritional benefits and could aid in
            and anti-cancer effects.  In addition, it stimulates insulin   managing diabetes.  However, further research is required
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            production in the pancreas and the growth of  β-cells.   to  validate  these  findings,  especially involving human
            Diabetic participants who consumed a daily dose of 3 g of   subjects, as there is limited information about the benefits
            P. emblica powder demonstrated a significant reduction in   of pure compounds or diets enriched with phenolics.
            total lipids and LDL cholesterol levels, accompanied by an   Cinnamic acid has been shown to enhance the activity
            improvement in high-density lipoprotein cholesterol.  In   of  several  enzymes,  including lipase and  angiotensin-
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            Wistar rats with T1DM, an improvement in hyperglycemia,
            oxidative stress, and hyperlipidemia was observed when   converting enzyme, and to reduce the risk of heart and
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            they were given 1 ml of fruit juice per kg body weight orally   arterial issues in rats fed high-fat diets.
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            every day for 8 weeks.  Furthermore, the cardiovascular   Furthermore, cinnamic acid has been demonstrated
            function of streptozotocin-induced diabetic Wistar rats   to reduce triglyceride and cholesterol levels in rats on
            was improved by strengthening the antioxidant defense   a high-cholesterol diet by blocking the actions of acyl-
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            systems in the cardiac tissues.  Studies have shown that   coenzyme A: cholesterol acyltransferases and  β-hydroxy
            when the aqueous fruit extract of this plant is administered   β-methylglutaryl-CoA reductase. In addition, it has
            intraperitoneally  to diabetic  rats induced with  alloxan,   been  discovered  to  increase  AMP-activated  protein
            blood  glucose  levels  significantly decrease. In  addition,   kinase phosphorylation and adiponectin production,

            Table 3. Medicinal plants with anti‑diabetic activity
            Plant name                Useful plant part(s)  Main phytochemical          Activity     References
                                                            components
            Annona squamosa L.        Leaves and fruit      Flavonoids; alkaloids   Anti-diabetic      78,79
            Cocos nucifera L.         Coconut water and drupe  Polyphenols; flavonoids; fatty   Antiglycation        80
                                                            acids
            Curcuma longa L.          Rhizome               Turmerones; curcuminoids  Antioxidant and         81
                                                                                    anti-diabetic
            Embelia ribes Burm. F.    Berries               Quinone derivatives; embelin  Anti-diabetic        82
            Mangifera indica L.       Leaves and fruit      Polyphenols; flavonoids;   Anti-diabetic        83
                                                            mangiferin
            Olea europaea L.          Leaves                Flavonoids; hydroxytyrosol  Anti-hyperglycemic        84
            Swertia chirayita (Roxb.)  Whole plant          Xanthones; amarogentin  Anti-diabetic          85
            Punica granatum L.        Leaves and fruit      Ellagic acid; anthocyanins  Anti-diabetic        86
            Phyllanthus niruri        Aerial parts          Flavonoids; phyllanthin  Anti-diabetic         87
            Memecylon umbellatum Burm. F.  Leaves           Ursolic acid; flavonoids,   Anti-diabetic        88
                                                            betulinic acid


            Volume 7 Issue 3 (2024)                         8                                doi: 10.36922/itps.1885
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