Holistic care management for diabetes mellitus: A futuristic approach

K. Bora
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Abstract

The public health concern is very important for the growing burden of chronic metabolic disease like Diabetes mellitus. It is foreseeable that by 2045 India would reach rank first in Type-2 Diabetes Mellitus which contributes to 90% of diabetes. Therefore, more care or attention should be given to this disease. There are so many medications available in the market including herbal drugs. But due to more side effects of oral hypoglycemic agents, attention grabs more towards the alternative of synthetic drugs or using Nano-carriers to avoid side effects. Presently, many novel drug delivery systems for oral hypoglycemic agents are available in the market. But herbal drugs grab more attention due to lesser side effects, efficacy and cost-effective. However, there is very less work is reported on nanotechnology like liposomes, nanoparticles/microparticles, gold nanoparticles, noisome, and nano-capsules/microcapsules of herbal drugs, which is currently emerging therapy for diabetes. Nanotechnology or a novel drug delivery system for herbal medicine can be used to overcome the challenges like poor bioavailability, efficacy and stability problems. The current review emphasizes current epidemiology, its types, complications and management of different treatment strategies for diabetes mellitus. Furthermore, the problems related to herbal medicine with immense hope for herbal medicine using nanotechnology are discussed.
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糖尿病的整体护理管理:未来的方法
糖尿病等慢性代谢性疾病的负担日益加重,引起了公众的关注。可以预见的是,到2045年,印度的2型糖尿病将排名第一,占糖尿病的90%。因此,对这种疾病应给予更多的照顾或关注。市场上有很多药物,包括草药。但由于口服降糖药的副作用较大,人们越来越关注合成药物的替代或使用纳米载体来避免副作用。目前,市面上出现了许多新型的口服降糖药给药系统。但草药因副作用小、疗效好、性价比高而更受关注。然而,目前关于纳米技术如脂质体、纳米颗粒/微颗粒、金纳米颗粒、噪音体和草药纳米胶囊/微胶囊等治疗糖尿病的研究很少。纳米技术或一种新的草药给药系统可以用来克服诸如生物利用度差、疗效差和稳定性问题等挑战。本文综述了糖尿病的流行病学现状、类型、并发症及不同治疗策略的处理。此外,本文还讨论了与草药相关的问题,并对纳米技术应用于草药的巨大希望进行了讨论。
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