Endocrine and Therapeutic Basis of Diabetes Mellitus Therapy

DOI:

https://doi.org/10.37285/ijpsn.2019.12.2.2

Authors

  • Mayank Kulshreshtha
  • Pragati Srivastava
  • Dharamveer Panjwani

Abstract



This review article describes the role of hormones, microvascular complications, pharmacological and non-pharmacological treatments and precautions of diabetes therapy. Diabetes mellitus (DM) is a chronic, lifelong condition that affects ability to use the energy found in food. According to World Health Organization (WHO), it is estimated 422 million adults are suffered with DM up to latest 2016 data.  It occurs throughout the world but is more common in the more developed countries. Increase in prevalence is occurring in low- and middle-income countries including in Asia and Africa, where most patients will probably be found by 2030. The WHO estimates that diabetes resulted in 1.5 million deaths in 2012, making it the 8th leading cause of death. We summarized the published scientific data and new development in the field of diabetes with a search of PubMed, Google scholar, med know and other online resources.  Various hormones play an important role in which insulin has a more importance in DM. Pharmacological treatment included various side effects while herbal drugs are found to be safe. Diet and exercise are the excellent key points to cure the disease. Avoid high sugar diet and various foods whose sugar levels are high should be avoided at the age 40.  Overall, better knowledge, balanced life style, and daily exercise are the excellent treatment of diabetes and effective glucose control.   

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Keywords:

Diabetes mellitus, Insulin, Hyperglycemia, Glucose, Herbal treatment

Downloads

Published

2019-03-31

How to Cite

1.
Kulshreshtha M, Srivastava P, Panjwani D. Endocrine and Therapeutic Basis of Diabetes Mellitus Therapy. Scopus Indexed [Internet]. 2019 Mar. 31 [cited 2024 Dec. 22];12(2):4441-52. Available from: https://ijpsnonline.com/index.php/ijpsn/article/view/290

Issue

Section

Review Articles

References

Adaobi CE, Peter AA, Charles CO and Chinwe BO (2010). Experimental evidence for the antidiabetic activity of Cajanus cajan leaves in rats. J Basic Clin Pharm 1: 81-84.
Agung EN, Mohamad A, Ni KW, Eka S, Suwidjiyo P and Endang L (2012). Antidiabetic and antihiperlipidemic effect of Andrographis paniculata (Burm. f.) Nees and andrographolide in high-fructose-fat-fed rats. Indian J Pharmacol 44: 377-381.
Anello M, Lupi R, Spampinato D, Piro S, Masini M and Boggi U (2005). Functional and morphological alterations of mitochondria in pancreatic beta cells from type 2 diabetic patients. Diabetologia 48: 282-9.
Bagria P, Alia M, Aeria V, Bhowmikb M and Sultanaa S (2009). Anti-diabetic effect of Punica granatum flowers: Effect on hyperlipidemia, pancreatic cells lipid peroxidation and antioxidant enzymes in experimental diabetes. Food Chem Toxicol 47: 50-4.
Balaraman AK, Singh J, Dash S and Maity TK (2010). Antihyperglycemic and hypolipidemic effects of Melothria maderaspatana and Coccinia indica in streptozotocin induced diabetes in rats. Saudi Pharm J 3:173-8.
Barrett EJ (2003). Insulin’s effect on glucose production: direct or indirect? J Clin Invest 111: 434.
Barthel A and Schmoll D (2003). Novel concepts in insulin regulation of hepatic gluconeogenesis. Am J Physiol Endocrinol Metab 285: 685.
Beckman JA, Creager MA and Libby P (2002). Diabetes and atherosclerosis: epidemiology, pathophysiology, and management. J Am Med Assoc 287: 2570-2581.
Besser GM and Thorner MO (2002). Comprehensive Clinical Endocrinology, 3rd ed. Philadelphia.
Bhavani R (2014). Antidiabetic activity medicinal plant Aegle marmelos (linn.) on alloxan induced diabetic rats. IRJPBS 1: 36-44
Boulton AJ, Vinik AI, Arezzo JC, Bril V, Feldman EL, Freeman R, Malik RA, Maser RE, Sosenko JM and Ziegler D (2005). Diabetic neuropathies: a statement by the American Diabetes Association. Diabetes Care 28: 956-962.
Boyle PJ (2007). Diabetes mellitus and macrovascular disease: mechanisms and mediators. Am J Med: S12-S17.
Brodsky IG., Robbins DC and Hiser E (1992). Effect of lowprotein diets on protein metabolism in insulin dependent diabetes mellitus patients with early nephropathy. J Clin Endocrinol Metab 75: 51-357.
Bryant NJ, Govers R and James DE (2002). Regulated transport of the glucose transporter GLUT4. Nat Rev Mol Cell Biol 3: 267.
Buse JB, Ginsber HN, Bakris GL, Clark NG, Costa F, Eckel R, Fonseca V, Gerstein HC, Grundy S, Nesto RW, Pignone MP, Plutzky J, Porte D, Redberg R, Stitzel KF and Stone NJ (2007). Primary prevention of cardiovascular diseases in people with diabetes mellitus: a scientific statement from the American Heart Association and the American Diabetes Association. Diabetes Care 30: 162-172.
Butler AE, Janson J, Bonner-Weir S, Ritzel R, Rizza RA and Butler PC (2003). β- cell deficit and increased β-cell apoptosis in human with type 2 diabetes. Diabetes 52: 102-10.
Caumo A and Luzi L (2004). First-phase insulin secretion: does it exist in real life? Considerations on shape and function. Am J Physiol Endocrinol Metab 287: 371.
Chan CB, Saleh MC, Koskhin V and Wheeler MB (2004). Uncoupling protein 2 and islet function. Diabetes 53:136-42.
Craig ME, Hattersley A and Donaghue KC (2009). Definition, epidemiology and classification of diabetes in children and adolescents. Pediatric Diabetes 10: 3-12.
Dewanjee S, Das AK, Sahu R and Gangopadhyay M (2009). Anti-diabetic activity of Diospyros peregrina fruit: effect on hyperglycemia, hyperlipidemia and augmented oxidative stress in experimental type 2 diabetes. Food Chem Toxicol 47: 2679-85.
Ding Z, Lu Y, Lu Z, Lv F, Wang Y and Bie X (2010). Hypoglycaemic effect of comatin, an anti-diabetic substance separated from Coprinus comatus broth, on alloxan-induced-diabetic rats. Food Chemistry 121: 39-43.
Eidi A, Eidi M and Esmaeili E (2006). Antidiabetic effect of garlic (Allium sativum L.) in normal and streptozotocin-induced diabetic rats. Phytomedicine 13: 624-9.
Eriksson J, Franssila-Kallunki A, Ekstrand A, Saloranta C, Widen E and Schalin C (1989). Early metabolic defects in persons at increased risk for non-insulin-dependent diabetes mellitus. N Engl J Med 321: 337-43.
Felig P, Cherif A, Minagawa A and Wahren J (1982). Hypoglycaemia during prolonged exercise in normal men. New Eng J Med 306: 895-900.
Frode TS and Medeiros YS (2008). Animal models to test drugs with potential anti-diabetic activity. J Ethnopharmacol 115: 173-83.
Fujita Y, Herrow AL and Seltzer HS (1975). Confirmation of impaired early insulin response to glycemic stimulus in non-obese mild diabetes. Diabetes 24: 17-27.
Fuller JH, Stevens LK and Wang SL (2001). Risk factors for cardiovascular mortality and morbidity: The WHO mutinational study of vascular disease in diabetes. Diabetologia 44: S54-64.
Garofano A, Czernichow P and Breant B (1997). In utero undernutrition impairs rat beta-cell development. Diabetologia 40: 1231-4.
Gerich JE and Van Haeften T (1998). Insulin resistance versus impaired insulin secretion as the genetic basis for type II diabetes. Current Opinion in Endocrinology, Diabetes and Obesity 5: 144-8.
Getty L, Hamilton WM, Ader M, Dea MK and Bergman RN (1999). Biphasic insulin secretion during intravenous glucose tolerance test promotes optimal interstitial insulin profile. Diabetes 47: 1941-7.
Gosmanov AR, Gosmanova EO and Kitabchi AE (2015). Hyperglycemic Crises: Diabetic Ketoacidosis (DKA), And Hyperglycemic Hyperosmolar State (HHS) [Updated 2015 May 19]. In: De Groot LJ, Chrousos G, Dungan K, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-. Available from: https://www.ncbi.nlm.nih.gov/books/ NBK279052/
Grant SF, Thorleifsson G, Reynisdotti, I, Benediktsonn R, Manolesu R and Sainz J (2006). Variant of transcription factor 7-like 2 (TCF7L2) gene confers risk of type 2 diabetes. Nat Genet 38: 320-3.
Gross JL, Azevedo MJ, Silveiro SP, Canani LH, Caramori ML and Zelmanovitz T (2005). Diabetic nephropathy: diagnosis, prevention, and treatment. Diabetes Care 28: 164-176.
Haffner SM, Lehto S, Ronnemaa T, Pyorala K and Laakso M (1998). Mortality from coronary heart disease in subjects with type 2 diabetes and in nondiabetic subjects with and without prior myocardial infarction. N Engl J Med 339: 229-234.
Hales CN, Barker DJP, Clark PMS, Cox LJ, Fall C and Osmond C (1991). Fetal and infant growth and impaired glucose tolerance at age 64. BMJ 303: 1019-22.
Harris MI, Klein R, Welborn TA and Knuiman MW (1992). Onset of NIDDM occurs at least 4–7 yr before clinical diagnosis. Diabetes Care 15: 815-819.
Harris MI, Klein R, Welborn TA and Knuiman MW (1992). Onset of NIDDM occurs at least 4–7 years before clinical diagnosis. Diabetes Care 15: 815-9.
Harsh M and Sungandha M (2012). Essential Pathology For Dental Students, 4th ed. New Delhi.
Hall EJ (2016). Guyton and Hall Textbook of Medical Physiology, 13th ed. Philadelphia.
Hoppener JWH, Ahren B and Cornelis JM (2000). Islet amyloid and type 2 diabetes mellitus. N Engl J Med 343: 411-9.
Jean LC, Nahla AJ, Raphaël B, Sylvie B, Hugues B, Jean MÉ, Hélène F and Jana H (2003). Diagnosis and treatment of diabetic ketoacidosis and the hyperglycemic hyperosmolar state. CMAJ 168: 859-866.
Jibani MM, Bloodworth LL and Foden E (1991). Predominately vegetarian diet in patients with incipient and early clinical diabetic nephropathy: effects on albumin excretion rate and nutritional status. Diabetic Medicine 8: 949-953.
John EH (2016). Text Book of Medical Physiology. 13th ed. Pheladelphia.
Jones SL, Kontessis P and Wiseman M (1990). Protein intake and blood glucose as modulators of glomerular filtration rate (GFR) in hyperfiltering diabetic patients. Kidney Int 41: 1620-1628.
Joseph B and Jini D (2011). An insight in hypoglycemic effect of traditional indian herbs used in the treatment of diabetes. Research Journal of Medicinal plant 5: 352-376.
Kahn SE (2003). The relative contributions of insulin resistance and beta-cell dysfunction to the pathophysiology of type 2 diabetes. Diabetologia 46: 3-19.
Kannur DM, Hukkeri VI and Akki KS (2006). Antidiabetic activity of Caesalpinia bonducella seed extracts in rats. Fitoterapia 77: 546-9.
Karuna R, Ramesh B, Sreenivasa RS and Saralakumari D (2010). Antihyperglycemic activity of Catharanthus roseus leaf powder in streptozotocin-induced diabetic rats. Pharmacognosy Res 2: 195-201.
Keller K, Whittaker E and Sullivan L (1991). Effect of restricting dietary protein on the progression of renal failure in patients with insulin-dependent diabetes mellitus. New Eng J Med 324:78-84.
Khalid G, Bashir AG and Seema A (2014). Antidiabetic Activity of Artemisia amygdalina Decne in Streptozotocin Induced Diabetic Rats. BioMed Res Int: Article ID 185676, 10 pages, 2014. doi:10.1155/2014/185676
Krauss S, Zhang CY, Scorrano L, Dalgaard LT, St-Pierre J and Grey ST (2003). Superoxide-mediated activation of uncoupling protein 2 causes pancreatic β-cell dysfunction. J Clin Invest 112: 1831-42.
Krentz AJ, Clough G and Byrne CD (2007). Interactions between microvascular and macrovascular disease in diabetes: pathophysiology and therapeutic implications. Diabetes Obes Metab 9: 781-91.
Krentz AJ, Clough G and Byrne CD (2007). Interactions between microvascular and macrovascular disease in diabetes: pathophysiology and therapeutic implications. Diabetes Obes Metab 9: 781-91.
Kruszynska YT and Olefsky JM (1966). Cellular and molecular mechanisms of non-insulin dependent diabetes mellitus. J Investig Med 44: 413-28.
Luzi L and DeFronzo RA (1989). Effect of loss of first-phase insulin secretion on hepatic glucose production and tissue glucose disposal in humans. Am J Physiol Cell Physiol 257: 241-6.
Matsuoka T, Kajimoto Y, Wataka H, Kaneto H, Kishimoto M and Umayahara Y (1997). Glycation-dependent, reactive oxygen-species-mediated suppression of the insulin gene promoter activity in HIT cells. J Clin Invest 99:144-50.
Meenakshi P, Bhuvaneshwari R, Rathi MA, Thirumoorthi L, Guravaiah DC and Jiji MJ (2010). Antidiabetic activity of ethanolic extract of Zaleya decandra in alloxan-induced diabetic rats. Biotechnol Appl Biochem 162:1153-1159.
Mensink RP and Katan MB (1990). Effects of dietary trans fatty acids on high-density lipoprotein cholesterol levels in healthy subjects. New Eng J Med 323: 439-445.
Mensink RP, Zock PL, Katan MB and Hornstra G (1992). Effect of dietary cis and trans fatty acids on serum lipoprotein (a) levels in humans. J Lipid Res 33: 1493-1501.
Minghan W (2011). Metabolic Syndrome: Underlying Mechanisms and Drug Therapies. Newjersey.
Mitrakou A, Kelly D, Mokan M, Veneman T, Pangburn T and Reilly J (1993). Role of reduced suppression of glucose production and diminished early insulin release in impaired glucose tolerance. N Engl J Med 326: 22-9.
Mohan H (2012). Textbook of Pathology. 6th ed. New Delhi.
O’Rahilly SP, Nugent Z, Rudenski AS, Hosker JP, Burnett MA and Darling P (1986). β-cell dysfunction, rather than insulin-insensitivy, is the primary defect in familial type 2 diabetes. Lancet 2: 360-4.
Ozougwu JC (2011). Anti-diabetic effects of Allium cepa (onions) aqueous extracts on alloxan-duced diabetic Rattus novergicus. J Med Plants Res 5:1134-1139
Pareek H, Sharma S, Khajja BS, Jain K and Jain GC (2009). Evaluation of hypoglycemic and anti hyperglycemic potential of Tridax procumbens (Linn). BMC Complement Altern Med 9: 48.
Pari L and Amarnath SM (2004). Antidiabetic activity of Boerhaavia diffusa L.: effect on hepatic key enzymes in experimental diabetes. J Ethnopharmacol 91:109-13.
Pari L and Latha M (2002). Antidiabetic Activity of Cassia auriculata Flowers: Effect on Lipid Peroxidation in Streptozotocin Diabetes Rats. Pharmaceutical Bio 40: 512-517.
Patel DK, Kumar R, Laloo D and Hemalatha S (2011). Evaluation of phytochemical and antioxidant activities of the different fractions of Hybanthus enneaspermus (Linn.) F. Muell. (Violaceae). Asian Pac J Trop Me 4: 391-6.
Peterson DB, Lambert J and Gerring S. Sucrose in the diet of diabetic patients--just another carbohydrate? Diabetologia 29: 216-220.
Piechowski JB, Maulaz A and Bogousslavsky J (2005). Secondary prevention of stroke with antiplatelet agents in patients with Diabetes Mellitus. Cerebrovasc Dis 20: 15-23.
Pimenta W, Korytkowski M, Mitrakou A, Jenssen T, Yki-Jarvinen H and Evron W (1995). Pancreatic beta-cell dysfunction as the primary genetic lesion of NIDDM. J Am Med Assoc 273:1855-61.
Polonsky KS, Given BD, Hirsch LJ, Tillil H, Shapiro ET and Beebe C (1988). Abnormal patterns of insulin secretion in non-insulin-dependent diabetes mellitus. N Engl J Med 318: 1231-9.
Pomerleau J, Verdy M, Garrel DR and Nadeau MH (1993). Effect of protein intake on glycaemic control and renalfunction in type 2 (non-insulin-dependent) diabetes mellitus. Diabetologia 36: 829-834.
Prabu KA, Kumarappan CT, Christudas Sl and Kalaichelvan VK (2012). Effect of Biophytum sensitivum on streptozotocin and nicotinamide-induced diabetic rats. Asian Pac J Trop Biomed 2: 31-35.
Prashant R V, Prakash RI and Sumit KA (2013). Evaluation of antidiabetic antihyperlipidemic and pancreatic regeneration, potential of aerial parts of Clitoria ternatea. Rev Bras Farmacogn 23: 819-829.
Ralph AD and Devjit T (2009). Skeletal Muscle Insulin Resistance Is the Primary Defect in Type 2 Diabetes. Diabetes Care 32: S157-S163.
Rang HP, Dale MM, Ritter JM, Flower RJ and Henderson G. Rang and Dale’s Pharmacology. 7th ed. Toronto: Elsevier, Churchill Livingstone; 2012. p. 30.
Ratzmann KP, Schulz B, Heinke P and Michaelis D (1981). Quantitative and qualitative changes in the early insulin response to glucose in subjects with impaired carbohydrate tolerance. Diabetes Care 4: 85-91.
Rebrin K, Steil GM, Mittelman SD and Bergman RN (1996). Causal linkage between insulin suppression of lipolysis and suppression of liver glucose output in dogs. J Clin Invest 98:741-9.
Rimm E, Williams P, Fosher K, Criqui M and Stampfer MJ (1999). Moderate alcohol intake and lower risk of coronary heart disease: meta-analysis of effects on lipids and haemostatic factors. British Medical Journal 319:1523-1528.
Roden M (2004). How free fatty acids inhibit glucose utilization in human skeletal muscle. News Physiol Sci 19: 92.
Roder ME, Schwartz RS, Prigeon RL and Kahn SE (2000). Reduced pancreatic β- cell compensation to the insulin resistance of aging: impact on proinsulin and insulin levels. J Clin Endocrinol Metab 85: 2275-80.
Rossetti L, Giaccari A and De Fronzo RA (1990). Glucose toxicity. Diabetes Care 13: 610-30.
Sakuraba H, Mizukami H, Yagihashi N, Wada R, Hanyu C and Yagihashi S (2002). Reduced beta-cell mass and expression of oxidative stress-related DNA damage in the islets of Japanese type II diabetic patients. Diabetologia 45: 85-96.
Saxena R, Gianniny L, Burtt NB, Lyssenko V, Giuducci C and Sjogren M (2006). Common single nucleotide polymorphisms in TCF7L2 are reproducibly associated with type 2 diabetes and reduce the insulin response to glucose in nondiabetic individuals. Diabetes 55: 2890-5.
Shi C, Karim S, Wang C, Zhao M and Murtaza G (2014). A review on antidiabetic activity of Citrullus colocynthis Schrad. Acta Pol Pharm 71: 363-7.
Shirwaikar A, Rajendran K, Dinesh KC and Bodla RF (2009). Antidiabetic activity of aqueous leaf extract of Annona squamosa in streptozotocin-nicotinamide type 2 diabetic rats. J Ethnopharmacol 91: 171-5.
Shravan KD, Ramakrishna R, Santhosh KM and Kannappan NF (2011). In vivo antidiabetic evaluation of Neem leaf extract in alloxan induced rats. JAPS 01: 100-105.
Spijkerman AM, Dekker JM, Nijpels G, Adriaanse MC, Kostense PJ and Ruwaard D (2003). Microvascular complications at time of diagnosis of type 2 diabetes are similar among diabetic patients detected by targeted screening and patients newly diagnosed in general practice: the hoorn screening study. Diabetes Care 26: 2604-8.
Spijkerman AM, Dekker JM, Nijpels G, Adriaanse MC, Kostense PJ and Ruwaard D (2003). Microvascular complications at time of diagnosis of type 2 diabetes are similar among diabetic patients detected by targeted screening and patients newly diagnosed in general practice: the hoorn screening study. Diabetes Care 26: 2604-8.
Stoffers DA, Ferrer J, Clarke WL and Habener JF (1997). Earlyonset type-II diabetes mellitus (MODY) linked to IPF-1. Nature Genetics 17: 138-139.
Temple RC, Clark PMS, Nagi DK, Schneider AE, Yudkin JS and Hales CN. Radioimmunoassay may overestimate insulin in non-insulin- dependent diabetics. Clin Endocrinol 32: 689–93.
Thirumalai T, Viviyan ST, Elumalai EK and David E (2011). Hypoglycemic effect of Brassica juncea (seeds) on streptozotocin induced diabetic male albino rat. Asian Pac J Trop Biomed 1: 323-325.
Tripathi KD (2012). Essentials of Medical Pharmacology, 6th ed. New Delhi.
Unger R (1995). Lipotoxicity in the pathogenesis of obesity-dependent NIDDM: genetic and clinical implications. Diabetes 44: 863-70.
Walter RM, Uriu-Hare JY and Lewis KO (1991). Copper, zinc, manganese, and magnesium status and complications of diabetes mellitus. Diabetes Care 14: 1050-1056.
Warjeet SL (2011) Traditional medicinal plants of Manipur as anti-diabetics. J Med Plants Res 5: 677-87.
Weyer C, Bogardus C, Mott DM and Pratley RE (1999). The natural history of insulin secretory dysfunction and insulin resistance in the pathogenesis of type 2 diabetes mellitus. J Clin Invest 104: 787-97.
Wild S, Roglic G, Green A, Sicree R and King H (2004). Global prevalence of diabetes: estimates for year 2000 and projections for 2030. Diabetes Care 27: 1047-53.
Wilson PW, Meigs JB, Sullivan L, Fox CS, Nathan DM and D’Agostino RB (2007). Prediction of incident diabetes mellitus in middle-aged adults: the Framingham Offspring study. Arch Intern Med 167: 1068–74.
Wong TY, Klein R, Couper DJ, Cooper LS, Shahar E and Hubbard LD (2001). Retinal microvascular abnormalities and incident stroke: The atherosclerosis risk in communities study. Lancet 358:1134-40.
Yatsuya H, Folsom AR, Wong TY, Klein R, Klein BE and Sharrett AR (2010). ARIC Study Investigators. Retinal microvascular abnormalities and risk of lacunar stroke: Atherosclerosis risk in communities study. Stroke 41:1349-55.
Yongchaiyudha S, Rungpitarangsi V, Bunyapraphatsara N and Chokechaijaroenporn O (1996). Antidiabetic activity of Aloe vera L. juice. I. Clinical trial in new cases of diabetes mellitus. Phytomedicine 3: 241-3.
Zeggini E and McCarthy MI (2007). TCFL2: the biggest story in diabetes genetics since HLA? Diabetologia 50: 1-4.
Zock Pl and Katan MB (1992). Hydrogenation alternatives: effects of trans fatty acids and stearic acid versus linoleic acid on serum lipids and lipoprotein in humans. J Lipid Res 33: 399-410.
http://www.diabetes.co.uk/difference-between-type1-and-type2-diabetes.html
http://www.diabetes.org/diabetes-basics/diagnosis/
https://www.livescience.com/34728-gestational-diabetes-symptoms-complications.html
https://www.nobelprize.org/educational/medicine/insulin/discovery-insulin.html